Lovenox(enoxaparin) SQ - page 2

Where do you inject it? I was told ALWAYS SQ in the abdomen. If given other areas can cause bleeds and hematoma.... Read More

  1. by   Brownms46
    Originally posted by greer128



    Thanks for the sites, very informative.
    You're very welcome
  2. by   kewlnurse
    Much to my surprise a rep from Aventus who make lovenox CALLED me in response to my email! The answer i recieved as to why is given in the abdomen is: "thats how we did it in the clinical trial, there is no other reason", "it lessens the chance of putting it into a muscle" IE they want to make it idiot proof for people so they don't screw it up when they go home on it.
  3. by   Brownms46
    Thanks Kewlnurse....very well done....as you chose to seek out the rationale from the horse's mouth. Now seems there was a reason... and as we all know...what the public is capable of doing without strict instructions and guidlelines. Even more rationale for staff stressing giving it as instructed to prevent the public from doing just what the company feared they would do. Even if you don't agree with MY rational for not deviating ....seems theirs should be enough.. And since giving it in the manner they instructed is what they placed in writing. I can hear a lawyer now ...saying "IF the nurse had not given the med in the deltiod....the pt would never have given it in the wrong place.

    Sorry I still believe the written method of giving this med is the way it should be given.

    I do commend you Kewlnurse for seeking out the rational behind the information given. I thank you for an interesting and enlightening discussion...
  4. by   kewlnurse
    Originally posted by Brownms46


    I do commend you Kewlnurse for seeking out the rational behind the information given. I thank you for an interesting and enlightening discussion...
    Anytime. If you havn;'t noticed i do tend to play the devil's advocate just for the sake of a spirited discussion.
  5. by   Brownms46
    Originally posted by kewlnurse

    Anytime. If you havn;'t noticed i do tend to play the devil's advocate just for the sake of a spirited discussion.
    And you did a great job in this discussion as well..
  6. by   Brownms46
    Also should have expected as much from a homey.

    Originally from Buffalo...and escaped in 1973'
  7. by   kewlnurse
    Originally posted by Brownms46
    Also should have expected as much from a homey.

    Originally from Buffalo...and escaped in 1973'
    Well than your a hell of a lot smarter than I am, I'm trapped here
  8. by   sharann
    Thanks for the replies all.
    I remember once I came on shift and found my pt oozing from the deltoid area. A small hematoma had formed and the site had been covered with a pressure dressing. The noc RN had given the Lovenox in the deltoid area. It may have been SQ but who can tell after the fact. I'm glad I was taught correctly Renee and Brownie. Now, just please don't ask me to share how I was "taught" to do IV starts.....asepsis indeed!
  9. by   Brownms46
    Originally posted by kewlnurse

    Well than your a hell of a lot smarter than I am, I'm trapped here
    I haven't been there since 88' ....but I spent my freshman year at UB... has it or Buffalo changed much?? I also used to work at International Life Downtown near City Hall. The last time I was there...downtown had changed a lot.
    Last edit by Brownms46 on Mar 21, '02
  10. by   VickyRN
    We once had a pt transferred to us from another hospital. Had a HUGE hematoma involving nearly her entire arm from deltoid spreading all the way down to her wrist, purplish, swelling, growing. By the next day had spread to her hand. All this apparently caused by a heparin injection SQ in the deltoid region. Someone must have slapped a BP cuff on after the injection and the rest was history.... We actually had a Lovenox rep give an inservice at our unit. She reiterated what you all have been sharing. ONLY give Lovenox SQ in the "love handles" area.... Too big chance of disfiguring hematomas forming anywhere else, especially the arms!!!!
  11. by   Furball
    Originally posted by kewlnurse

    Well than your a hell of a lot smarter than I am, I'm trapped here
    Hahahaha Kewl.
    Last edit by Furball on Jan 1, '03
  12. by   lady_jh_98
    I was given an inservice on this medication by the drug representatives. They stated to give the subq injection in the "love handles"; never aspirate; and never rub the site.
    Last edit by lady_jh_98 on Mar 25, '05
  13. by   stidget99
    I was a recipient of a Lovenox injection in the left upper arm. HUGE hematoma that lasted for many weeks. More recently, a student nurse gave an elderly woman her Lovenox in her upper arm. The poor thing was bruised all the way to her fingertips. Lesson learned.

close
Lovenox(enoxaparin) SQ