Lovenox(enoxaparin) SQ - page 4
by sharann 72,267 Views | 68 Comments
Where do you inject it? I was told ALWAYS SQ in the abdomen. If given other areas can cause bleeds and hematoma.... Read More
- 0May 14, '05 by Gator,SNoops! That 5.98% under "other" is mine.
I read the questions wrong, thinking that the only place that Lovenox should be injected is in the lovehandles. I actually asked this question once before on this forum and thats the answer I got from all these fine nurses. I have seen patients that have been injected on the abdomen, similar sites as insulin injections, maybe a little lower and they are U-G-L-Y! Sometimes they even get hard and warm. No problems so far though with putting it in the lovehandles.
- 0Dec 1, '05 by PsychRNMszQuote from Brownms46Thank you for posting all of this, I am giving my 1st lovenox injection tomorrow and with out the information at home I was worried that my teacher would ask me too many questions that the drug book doesnt cover.Boy Renee... you're so correct. To the person who voted for deltoid please read:
Patients should be lying down and Lovenox injection administered by deep SC injection. To avoid the loss of drug when using the 30 and 40 mg prefilled syringes, do not expel the air bubble from the syringe before the injection. Administration should be alternated between the left and right anterolateral and left and right posterolateral abdominal wall. The whole length of the needle should be placed into a skin fold held between the thumb and forefinger; the skin fold should be held throughout the injection. To minimize bruising, do not rub the injection site after completion of the injection
Recently I have been in hospitals where pts. have objected to abdominal injections, and some nurses have given Heparin and Lovenox in the deltoid. Not me..of course..
sharann...I'm glad you were taught the correct way....
- 0Dec 14, '05 by pinefarmgirlI've seen patients in LTC injected with Lovenox in the deltoid, and the resulting hematoma was huge! In nursing school clinicals, we were giving alot of these and I tried to tell anyone doing them to use abdomen/love handles only- we checked all the drug books available and they all say to give in any standard sub-Q site. Until they update the info in the drug books, there will still be alot of nurses and students causing hematomas...
- 0Dec 14, '05 by Future_Nurse_NatalieQuote from nursejean46From my understading Z tracks are IM's, not SC. The point of a Z track is to get past the SC and into the muscle without irritating the SC. Anyone else agree?Hi I was told to give Lovenox in the abdomen usung Z track new to me since I've always given it SQ or is that the same thing. On orientation at a new facility and the nurse working with me said it should be Z trac is she correct?
Also, I learned the 3 don'ts to help me: Don't pinch, Don't aspirate, Don't massage. I remember it by PAM. Hope this helps