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Heparin SC admin



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Jan 17, 2009 08:48 AM

Heparin SC admin

by HURN

Does heparin sc supposed to burn? I've had a few pt say it does. I always admin in the abdomen and grasps the fatty part between my thumb and pointer finger. Some of my pt say they don't feel a thing. Is this individualized to each pt or is it my technique?


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11 Comments
No. 1
from leslie :-D
Old Jan 18, 2009, 10:42 PM

Default Re: Heparin SC admin
heparin is known to be irritating and is a common side effect of sc administration.

leslie
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No. 2
from HURN
Old Jan 19, 2009, 03:16 AM

Default Re: Heparin SC admin
Thanks. Never thought to look up it's side effects.
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No. 3
from Roy Fokker
Old Jan 21, 2009, 07:21 AM

Default Re: Heparin SC admin
Many SQ and IM meds burn. I think part of it has to do with the puncture/procedure itself...

cheers,
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No. 4
from chaschata
Old Jan 21, 2009, 01:18 PM

Default Re: Heparin SC admin
Last time I was in the hospital the doctor ordered Heparin, prior hospitalizations I always received Lovenox. The Heparin burned like heck, the first thing I did was to rub it and that was a big mistake, it took the burning sensation to a whole new level. The other difference I noticed was the bruising was larger and much darker, almost black where I had received the Heparin. With Lovenox I get the bruising but nowhere to the extent in size and color as with Heparin.
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No. 5
from leslie :-D
Old Jan 21, 2009, 06:21 PM

Default Re: Heparin SC admin
Originally Posted by Roy Fokker View Post
Many SQ and IM meds burn. I think part of it has to do with the puncture/procedure itself...

cheers,
not understanding this, roy...
unless the needle is blunted and has to be changed.
otherwise, drug reference books will clearly state if irritation/phlebitis/dermatitis/burning etc are expected at injection site.
even if one is completely inept, it still wouldn't cause disproportionate sensation.

leslie
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No. 6
Old Jan 23, 2009, 08:20 PM

Default Re: Heparin SC admin
Originally Posted by earle58 View Post
not understanding this, roy...
unless the needle is blunted and has to be changed.
otherwise, drug reference books will clearly state if irritation/phlebitis/dermatitis/burning etc are expected at injection site.
even if one is completely inept, it still wouldn't cause disproportionate sensation.

leslie
I have some patients tell me it hurts when some nurses give it, so I wonder if there is something to their procedure as well sometimes... whether maybe they're doing the injection with alcohol still wet on the skin or injecting the volume *really* fast or what - I dunno.
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No. 7
from manncer
Old Jan 24, 2009, 09:40 PM

Default Re: Heparin SC admin
Heparin burning is a common side effect.

drug reference books will clearly state if irritation/phlebitis/dermatitis/burning etc are expected at injection site.
Reference books mean phlebitis, etc. That occurs in venous administration.

Using ice on the injection site for 5 minutes can help.
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No. 8
Old Jan 25, 2009, 11:59 AM

Default Re: Heparin SC admin
Originally Posted by chaschata View Post
Last time I was in the hospital the doctor ordered Heparin, prior hospitalizations I always received Lovenox. The Heparin burned like heck, the first thing I did was to rub it and that was a big mistake, it took the burning sensation to a whole new level. The other difference I noticed was the bruising was larger and much darker, almost black where I had received the Heparin. With Lovenox I get the bruising but nowhere to the extent in size and color as with Heparin.

The nurse administering the medication should have informed you not to rub the site.
Hear it all the time "no one told me not to rub".
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No. 9
from leslie :-D
Old Jan 25, 2009, 06:08 PM

Default Re: Heparin SC admin
Originally Posted by LovingNurse View Post
I have some patients tell me it hurts when some nurses give it, so I wonder if there is something to their procedure as well sometimes... whether maybe they're doing the injection with alcohol still wet on the skin or injecting the volume *really* fast or what - I dunno.
i know that some have better technique and may perhaps ease any adverse effects.
but if a solution is irrating, technique is basically irrelevant...
regardless of how adept one is, no getting around the pain associated w/certain sc meds, i.e., neupogen, epogen, heparin...

Originally Posted by manncer View Post
Heparin burning is a common side effect.


Reference books mean phlebitis, etc. That occurs in venous administration.

Using ice on the injection site for 5 minutes can help.
i wasn't specifically talking about heparin, but any parenteral med that's irritating.
reference books will always name the potential derm effects.

and no, never rub heparin sites.
keep pressure on x 1 minute s/p injection.

leslie
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