Query on Lovenox Administration - page 3

I have a buddy of mine that works on the Med/Surg. Unit where I work and is very interested in sites for Lovenox admin. She says she was taught that Lovenox equals love handles and should be admin.... Read More

  1. by   ST_NURSE_MLD
    What do you mean "don't burp the bubble". I think I did this one time; because, I felt and heard it. I felt that something wasn't right and felt bad about it. Prayed all night that she wouldn't bruise. This was in Level 2 clinicals. I never did find out if she got a bruise.
  2. by   sxrn
    Quote from TammyWilson808
    I have a buddy of mine that works on the Med/Surg. Unit where I work and is very interested in sites for Lovenox admin. She says she was taught that Lovenox equals love handles and should be admin. in the lateral aspects of abd. What is some other peoples' opinion? There are some RNs that think that ALL insulin injection sites may be used for Lovenox. What do you think?

    Anywhere you can give insulin, give lovenox...
  3. by   starcandy
    What if a pt has major abd surgery, with the drsgs and abd tenderness what would be the options?? I had this problem with heparin SQ and was told to give in the posterior arm.
  4. by   stidget99
    Quote from TammyWilson808
    I have a buddy of mine that works on the Med/Surg. Unit where I work and is very interested in sites for Lovenox admin. She says she was taught that Lovenox equals love handles and should be admin. in the lateral aspects of abd. What is some other peoples' opinion? There are some RNs that think that ALL insulin injection sites may be used for Lovenox. What do you think?
    I personally rec'd a lovenox injection. The nurse who gave it to me gave it to me in the sq tissue in the left upper arm. I ended up w/ a huge bruise that took weeks to fade. I was taught that lateral abd sites are best.
  5. by   VineYdBabe
    Thank you all very much. I've been out of the hospital for a few years and my mom is coming home from the hospital today needing Lovenox injections. I came here for a refresher and I got it. love handles, no burping, no rubbing (knew this!) Sue
  6. by   AngelsRN
    I always give it in the abdomen, unless ordered otherwise. I had a doctor order it to be used in the upper extremities only bec of the severe edema and other issues a woman had in her abdomen and lower extremities
  7. by   drabes818
    Of course the inserts state that the injections "should" be given in the abdomen. However, I just had a patient return to me with an absolutely grotesque abdomen - a result of improperly rotated sites, rubbing, etc. We, at my facility, have confirmed with 3 separate Pharmacists that while the abdomen is the preferred site for Lovenox injections, any subcutaneous site MAY be used, so long as the sites are rotated. Certainly the abdomen would employ the best absorption, but sometimes, in some situations...that is just simply contraindicated. So go nuts. Lovenox: It's not JUST for bellies anymore!!! :typing
  8. by   veronica butterfly
    I've always given it in the abdomen in a good pinch of subq tissue. However, we recently had a patient who was in the hospital for a week with diverticulitis, then ended up perforating and had a colon resection. By day 10 he was begging us to put it in his arms. He was a big enough guy and had enough fat to give in the back of his arm so we did. It felt very strange. That was a lot of liquid compared to a few units of insulin....
  9. by   KulRN
    ok....I have this question regarding Lovenox administration....I know that we give it on the lateral aspect of the abdomen...but what if the patient receiving it is a post op abdominal surgery patient (like TAH or hemicolectomy etc)? I had a patient yesterday who was a 2-day post op TAH and stat lovenox shot was ordered (for suspected MI), I wasn't too sure if I should give it via her abdomen but I still gave it anyways...not I'm questioning myself? What do you guys think?
  10. by   ginger58
    TammyWilson 808

    As a gentle reader of this thread I really find your use of "Dear" condesending to the OP, as well as anyone else you might use it on. Spare us.
    My original understanding from our Lovenox rep was that other sites run too much of a risk of hitting muscle. Lovenox was described as a "surgical knife" if injected into muscle.
  11. by   ginger58
    Quote from sxrn
    Anywhere you can give insulin, give lovenox...
    NOT TRUE! You must stay away from the umbilicus as there are vessels in that area. It needs to be given in the lateral abdomen about at waist level.
  12. by   oldiebutgoodie
    Well, except for the squabbling, this has been a good thread. I have not been as lateral as I should be for Lovenox, but I promise to change!

    Another thing I just found out about Lovenox is how to activate the needle protector after giving the injection. (Can you believe I didn't know this until recently??) It's not obvious like other needle protectors.

    "Orienting the needle away from you and others, activate the safety system by firmly pushing the plunger rod. The protective sleeve will automatically cover the needle and an audible "click" will be heard to confirm shield activation."

    Duh. But ya learn something new every day.

    Oldiebutgoodie
  13. by   cardiacRN2006
    Quote from oldiebutgoodie

    Another thing I just found out about Lovenox is how to activate the needle protector after giving the injection. (Can you believe I didn't know this until recently??) It's not obvious like other needle protectors.

    "Orienting the needle away from you and others, activate the safety system by firmly pushing the plunger rod. The protective sleeve will automatically cover the needle and an audible "click" will be heard to confirm shield activation."
    I didn't know this!

    However, we don't use lovenox at our hospital, just heparin 5000units SQ. Next time I see lovenox, I'll try the needle protector!

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