Lovenox(enoxaparin) SQ

Nurses Medications

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  1. Where do you inject Lovenox SQ

    • 1460
      Abdomen
    • 78
      Deltoid area (SQ)
    • 61
      Other

1,599 members have participated

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

Specializes in Geriatrics, LTC.
Originally posted by Brownms46

Please click on the following links for accurate information..:)

http://www.lovenox.com/patients/administer.htm

http://www.lovenox.com/prescribing/prescribing_frame.htm

Since I believe in reading product information, AND following the manufacturers information on how to give THEIR drugs. As far as giving it to a pt...who doesn't want it given as prescribed....YOU have a choice...you can refuse...and I go about my merry way...AFTER advising you of the risks of your decision...and charting your refusal....then calling your MD and let him/her deal with it. ...:) :cool:

Thanks for the sites, very informative.

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Specializes in Everything except surgery.
Originally posted by greer128

Thanks for the sites, very informative.

You're very welcome:cool:

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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.

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Specializes in Everything except surgery.

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...:cool:

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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...:cool:

Anytime. If you havn;'t noticed i do tend to play the devil's advocate just for the sake of a spirited discussion.

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Specializes in Everything except surgery.
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..:cool:

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Specializes in Everything except surgery.

Also should have expected as much from a homey.

Originally from Buffalo...and escaped in 1973' :cool:

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Originally posted by Brownms46

Also should have expected as much from a homey.

Originally from Buffalo...and escaped in 1973' :cool:

Well than your a hell of a lot smarter than I am, I'm trapped here:( :o

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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!

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Specializes in Everything except surgery.
Originally posted by kewlnurse

Well than your a hell of a lot smarter than I am, I'm trapped here:( :o

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.

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Specializes in Gerontological, cardiac, med-surg, peds.

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!!!!

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Originally posted by kewlnurse

Well than your a hell of a lot smarter than I am, I'm trapped here:( :o

Hahahaha Kewl.

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