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Query on Lovenox Administration

I have a buddy of mine that works on the Med/Surg. Unit where I work and is very interested in sites for Lovenox admin. She says she was taught that Lovenox equals love handles and should be admin. in the lateral aspects of abd. What is some other peoples' opinion? There are some RNs that think that ALL insulin injection sites may be used for Lovenox. What do you think?

The Lovenox drug rep came to my unit and spoke to us about administration. They recommend using the lateral aspects of the abdomen only. If you read the insert from Lovenox, it also states this.

We read the insert, dear, but then we wanted to know what others are doing across the nation.

I found out that lovenox is best absorbed when placed in the abdominal sites so they don't recommend that it be given anywhere else. That was info from our Pharm-D.

KaroSnowQueen, RN

Has 30 years experience. Specializes in Telemetry, Case Management.

I was told to give it in the abdomen.

HOWEVER, the Lovenox rep was in our hospital last week and indeed said the LATERAL abdomen was the injection site, not the lower abdomen such as you would use for insulin.

SOOOOOOOOOO......we are beginning to change our sites.

Originally posted by Keahi North Hi

We read the insert, dear, but then we wanted to know what others are doing across the nation.

Not to sure why anyone would stray from what is recommended as best practice..... if you already read the insert then obviously your question is answered isn't it?

I can tell you're a CCU nurse, "New CCU RN".

I am not trying to stray from what is recommended by the insert. The pharmacists here have had that question with differing answers. And I just wanted to check out what other nurses out there are doing. Haven't you read the rest of the postings, dear? It is my point exactly that even with what's in the insert, getting input from others with experience as we share is better as well.

Originally posted by Keahi North Hi

I can tell you're a CCU nurse, "New CCU RN".

I am not trying to stray from what is recommended by the insert. The pharmacists here have had that question with differing answers. And I just wanted to check out what other nurses out there are doing. Haven't you read the rest of the postings, dear? It is my point exactly that even with what's in the insert, getting input from others with experience as we share is better as well.

DEAR,

Just curious by the comment, I can tell you're a CCU Nurse... have no idea what that is supposed to mean, and really don't feel like getting into a debate.

I will reiterate, what should be done is what is recommended by the pharmaceutical companies via an insert. If your pharmacists are giving you differing info than clearly they do not keep up on their reseach. Lovenox has been around for long enough that it should be standard practice to give on the lateral aspect of the abdomen.

I have read the other postings and everyone seems to be saying the same thing... that it is to be given on the lateral aspect of the abdomen. BTW there is nothing wrong with throwing ideas around.... I never said there was... dear.

i give it in any area of the body that i can grip some subq fat tissue. important not to rub after nor aspirate before. what does the manufacturer say?:cool:

This may be a basic topic to all, but I find it very interesting being new into the practice of nursing..so im learning from you all.

I just cant help myself from saying this...keahi north hi, i think you should use the word "dear" in a more appropriate manner...

Keep up with posts like this...

I give it in the abdomen, hadn't heard different....but then I never read the insert. ;) But this is what I love this site for, always learning something new. Now I'm going to ask around work a bit, see if there is some site more recommended than the other. Thanks! :)

DEAR,

Just curious by the comment, I can tell you're a CCU Nurse... have no idea what that is supposed to mean, and really don't feel like getting into a debate.

I will reiterate, what should be done is what is recommended by the pharmaceutical companies via an insert. If your pharmacists are giving you differing info than clearly they do not keep up on their reseach. Lovenox has been around for long enough that it should be standard practice to give on the lateral aspect of the abdomen.

I have read the other postings and everyone seems to be saying the same thing... that it is to be given on the lateral aspect of the abdomen. BTW there is nothing wrong with throwing ideas around.... I never said there was... dear.

My My my..............

DutchgirlRN, ASN, RN

Has 33 years experience. Specializes in OB, M/S, HH, Medical Imaging RN.

This may be a basic topic to all, but I find it very interesting being new into the practice of nursing..so im learning from you all.

I just cant help myself from saying this...keahi north hi, i think you should use the word "dear" in a more appropriate manner...

Keep up with posts like this...

I give Lovenox in the lateral aspects of the abdomen because that's what the insert says is the proper administration. I have seen fellow nurses giving it in the lower abdomen as well as in the back of the arms just like insulin. The PTT's seem to back up that it is working just as well either way. Main thing I suppose is that you get the air bubble to the top and don't rub after withdrawing the needle.

meownsmile, BSN, RN

Specializes in Med/Surg, Ortho.

Isnt it funny, a lot of diabetics cant handle getting a insulin injection in the abdomen, but people getting lovnox never question why its given in the abdominal fat?

Never seen it given anywhere but the abdominal fat, and if i did id probly have to say something. :)

akcarmean, LPN

Specializes in Home Health Care,LTC.

I was on Lovenox during my last pregnancy and was instructed to give it on lateral aspects of abd. Best place for absorbtion. If I remember correctly I even my drug book stated so.

Angelia

I had to receive Lovenox before I became an RN so I had no clue as to where it should be given. One nurse gave it to me in the backs of my upper arms--this hurt like &^@#. I then asked to get it in my abdomen and it hurt much less. I had nurses give it to me in all areas of my abdomen.

traumaRUs, MSN, APRN, CNS

Has 27 years experience. Specializes in Nephrology, Cardiology, ER, ICU.

When giving meds - you should always follow the package instructions. If in doubt, contact your pharmacist. Lovenox is always given in the love handles.

When giving meds - you should always follow the package instructions. If in doubt, contact your pharmacist. Lovenox is always given in the love handles.

Love handles? lateral abdomen? I thought the love handles were above your butt / more on your back. Lateral to the abdomen? or the lateral part of the abdomen? I'm getting a bit confused now sorry. Wish we could draw pictures.:rolleyes:

traumaRUs, MSN, APRN, CNS

Has 27 years experience. Specializes in Nephrology, Cardiology, ER, ICU.

It is given in the love handle area. In my hospital this is defined as lateral abdomen, slightly above the level of the umbilicus. I wanted to find a site with pictures, but couldn't so this is what the Lovenox site states:

Lovenox Injection is administered by SC injection. It must not be administered by intramuscular injection. Lovenox Injection is intended for use under the guidance of a physician. Patients may self-inject only if their physician determines that it is appropriate and with medical follow-up, as necessary. Proper training in subcutaneous injection technique (with or without the assistance of an injection device) should be provided.

Subcutaneous Injection Technique: 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 introduced 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.

And the URL is: http://www.aventis-us.com/PIs/lovenox_TXT.html#Dosage%20and%20Administration

We give it in the lateral aspects of abd.

But......................that being said...........................

it's always interesting how we get in these debates that "you can ONLY use it this way or ONLY put it here" for different drugs/treatments and then in a year or two they have another use/site/route for the same thing that we could ONLY do one way.

Amazing, isn't it?

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