lovenox: to hold or not to hold

Nurses General Nursing

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Specializes in Med/Surg.

I have a resident with a hx of dvts which has bleeding in his catheter. We're talking about frank cherry red blood. I've notified doc only to be told to give it anyway. Does lovenox cause hematuria? Can anyone give me places where I can read up about lovenox online?

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Specializes in M/S, Tele, Sub (stepdown), Hospice.

I'm sure if you google it, something will come up.

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Specializes in Corrections, Cardiac, Hospice.

I would get the advice of the facility pharmacist. Good luck.

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make sure the cath isnt being yanked.......

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Specializes in LTC.

Maybe you can check your drug guide ? How is his H/H ?

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Specializes in ICU/Critical Care.

I don't have anything much to offer except that I would have held it until I spoke with the doctor.

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Specializes in Med/Surg.

h and h wnl pt wnl and inr wnl. cath wasnt yanked. im stumped. rn sup said its a low dose and doc said same thing

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h and h wnl pt wnl and inr wnl. cath wasnt yanked. im stumped. rn sup said its a low dose and doc said same thing

is he on any drug that could be turning the urine this color? i personally dont know of one...but......and just because the staff didnt aggravate the cath doesnt mean the patient didnt....male/female?

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Specializes in M/S, Travel Nursing, Pulmonary.

Personally, I'd have given it after the discussion with the physician. My rational: Lovenox has a VERY short half life. If it worsens the hematuria, you will see it and know to hold it in the future until the issue is addressed. The lovenox will only work for a short period of time so the risk for the pt. is not significant.

On the other hand, if we were talking about coumadin or heparin, I'd be more aggressive with holding it. Even though heparin too has a short half life.

Thats just me.

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Specializes in CCU & CTICU.
I have a resident with a hx of dvts which has bleeding in his catheter. We're talking about frank cherry red blood. I've notified doc only to be told to give it anyway. Does lovenox cause hematuria? Can anyone give me places where I can read up about lovenox online?

I've had many docs tell me, "if they bleed, I can give them blood. But I can't fix their brain/heart/lungs if they get an embolus."

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Specializes in LTC.
I've had many docs tell me, "if they bleed, I can give them blood. But I can't fix their brain/heart/lungs if they get an embolus."

Wow. :stone

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Specializes in Utilization Management.

What was the platelet level?

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