lovenox injections: SC, but where? - page 5

I was told by a seasoned nurse that lovenox (enoxaparin) is never given anywhere but in the abdomen, especially not in the arm. My drug book simply says give only in abdomen (but doesn't say why not... Read More

  1. by   cahikerchick
    I have been self injecting for the past 2 months, 100mg once daily. I'm fairly thin with a small pad of fat on my abdomen. I was instructed to inject on my abdomen. I was actually supplied with a patient instruction guide while in the hospital, this is supplied by the manufacturer of Lovenox and includes a booklet, DVD and handy sharps container. Per the instrutions I was injecting alternate sides up and down the abdomen, about 2-3 inches out and I was bruising quite abit, especially on the right side, I still have a couple of "knots" on the right side from over a week ago. The area with the fat would bruise about 2 inches across and always hurt. I began injecting in the relatively "fatless" skin of my abdomen a week ago. I pull up the skin, and inject. So far, my bruising is only little tiny dots about the size of an eraser. Also, make sure the alcohol is dry...otherwise it will sting.
  2. by   LoveANurse09
    Quote from BostonNurse2876
    I have had some doctors order an odd dose of Lovenox where you have to expel some of the medication. like an order for 70mg SC. It doesn't come in that strength. Hmmm wonder if the doctors know you should not be expelling the "bubble" in the syringe???
    On my unit Lovenox is wt based, so sometimes get an odd dose. But I always leave room for an air lock.
  3. by   KSU-SN
    one of our most respected and trusted surgeons recently instructed us to inject Lovenox into the patient's thigh if they have had abdominal surgery. so it can be injected into the thigh
  4. by   whitebunny
    i had a work injury 39-year-old young patient who is on lovenox 30mg BID. I did research, i tired abd and i tried love handles. I tried 45 degree and i tried 90 degrees. The pt complained that the love handles hurts sooooooooooo much and 45 degree hurts a lot but less than love handles. A 90 degree injection like insulin is what he wanted! the only places i havent tried is his thigh, look like he doesnt want me to go that far, but i definately understand that i would not give it in the arms =D
  5. by   panurse123
    According to the Lovenox website.. the anterior or posterior lateral abdominal wall. handles
  6. by   a-patient
    Love handles, abdomen, anywhere there's some fatty tissue. Alas, I'm gravely ill and have virtually no fatty tissue anywhere. My caregiver complains about slim pickings.

  7. by   CrazyGoonRN
    A nurse in the hospital told me that it always goes in the love handles. My instructor said that it can go anywhere that a subcutaneous shot can go, but she was known to teach the wrong things. She even taught the wrong way to mix and draw up insulin
  8. by   TinyHineyRN
    I occasionally give Lovenox to my Peds patients and, if possible, will give it in the anterolateral abdomen like I think we all learned in school. I remember a specific case of a 17 month old little girl who had extensive cardiac surgical repairs. She had a thrombus in one of her atria and was on long-term Lovenox therapy. This little one was very tiny, as many kids with congenital heart defects are and was still hospitalized while trying to refeed. As a result, the girl had just about no adipose tissue! Pinching the skin on the tummy was just that...pinching just skin! For younger kids, the pharmacy draws Lovenox into 1mL syringes with a TB syringe. I gave it in her lateral thigh b/c I really think I would've been more at risk of a needle stick injury if I tried to give it in her "love handle" like we are conventionally taught!