this is a question for those who work often with Lovenox. I know it is available in 30 and 40mg syringes that are not to be messed with or the air bubble expelled due to possible loss of drug. However, I was under the assumption that the higher dose syringes, i.e. 60mg, 80mg and 100mg are all able to be calibrated to the ordered dose. those syringes are calibrated on the side like a regular syringe. i am asking because we have an issue at our work and the nurses are fighting about whether other places use unusual doses of the med, such as 54 mg for example. i saw on the website that lovenox is also available in multidose vials. several of our pts have come with unusual dose orders from the hospital, and i know the docs usually dose it based on weight in kilogram, usually 1mg per kg. so if someone weighs 76 kg, usually the dose will be written for 76mg of lovenox, which would mean expelling just a small amount out of a 80mg syringe.
does anyone else out there have experience with unusual doses of lovenox? if so, i would love to know that other people have done the same as our place. i am tired of people writting "error reports" out on something that is not an error. it says in the drug guide, and per pharmacy that the higher dose prefilled syringes are able to be adjusted, so i don't know why this has caused such a problem.
