Lovenox(enoxaparin) SQ - page 3

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

  1. by   debbiemig
    Quote from Brownms46
    Please click on the following links for accurate information..

    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 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. ...
    I have discussed giving Lovenox with some of my rehab patients, who have NEVER objected to recieving it in the abdomen. They have told me that some of my fellow nurses have given it in the deltoid and " it hurts!" They say it burns!
  2. by   humglum
    I've always given it in the abdomen, except for one extremely cachectic patient I had with multiple gut issues. We gave hers in the "love handle" hip area.
  3. by   CanadiAnnie
    It's always been abdomen for me. Then when I had to have some injected into MYSELF due to the discovery of a condition called FVL (Factor V Leiden), a blood clotting disorder and the discovery of a blood clot in my brain, they started me on fragmin, then lovenox shots in the abdomen. I was too sick to even do it myself. Then I was switched to oral coumadin, unfortunately have to stay on that for life now! But, definitely abdomen.
  4. by   Headhurt
    One of my good friends has to take Lovenox shots twice a day whenever she is pregnant due to a genetic clotting disorder. She usually gives it in her thighs. When I administer it, its usually in the abdomen unless they have had some sort of gut surgery.
  5. by   Gator,SN
    oops! 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.
  6. by   sosand
    I was taught in nursing school: "lovenox: love handles" that's how I remember it.
  7. by   PsychRNMsz
    Quote from Brownms46
    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....
    Thank 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.
  8. by   DDRN4me
    years ago, when LOvenox first came out, i went to an inservice presented by adventus the mft. they stated the drug was named LOVEn9ox so it would always be given in the "love handles" i educate my patients on that fact and none have ever objected to the administration there.
  9. by   nursejean46
    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?
  10. by   pinefarmgirl
    I'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...
  11. by   Future_Nurse_Natalie
    Quote from nursejean46
    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?
    From 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?

    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
  12. by   nursejean46
    Thank you so much Natalie I knew Ztrach was IM but I was working with the perfect nurse and she questioned all I did. I did inform her that I have been a nurse for 15 years but you can always learn Thanks again
  13. by   Future_Nurse_Natalie
    Hey no problem! I'm just learning this stuff for the first time so I can understand! And if you are sure of something then don't let people make you doubt yourself.