NURS 1566 Clinical Medication Worksheet

Generic Name Trade Name Classification Dose Route Time/frequency

Enoxaparin Lovenox Anticoagulant 40 mg SQ 0900 daily
Peak Onset Duration Normal Dosage Range
3-5 hr Unknown 12 hr 40 mg once daily for 7-14 days post abdominal surgery
Why is your patient getting this For IV meds, compatibility with IV drips and /or
medication: solutions

Prevention medication for a DVT Not applicable

Mechanism of action and indications: Nursing Implications (what to focus on)
Contraindications/warnings/interactions
Potentiates the inhibitory effect of Active major bleeding. Geri pts may have increased risk
antithrombin on factor Xa and thrombin. of bleeding. Use caution in uncontrolled hypertension.
Prevents thrombus formation.
Common side effects:
CNS: dizziness, H/A, insomnia
CV: edema,
GI: constipation, N/V
GU: urinary retention
Derm: ecchymoses, pruritus, rash
Hemat: bleeding, anemia
Interactions with other patient drugs, Lab value alterations caused by medicine:
OTC or herbal medicines (ask patient
specifically): Reversible increase in liver enzymes.
Decreased platelet count
Counter active in NSAIDS (Mobic that Decrease hematocrit
the Pt is currently on) Be sure to teach the patient the following about this
medication:
Watch for unusual bleeding, bruising, dizziness, itching
and rash, fever, swelling or difficulty breathing
Nursing Process- Assessment Assessment Evaluation
(Pre-administration) Why would you hold or not give this Check after giving
Signs of bleeding, especially from med?
surgery site (bleeding gums, nose Bleeding, low platelet count Check for bruising,
bleed, unusual bruising, black <100,000/mm3 bleeding, and normal
tarry stools, hematuria, falling platelet count.
BP). Monitor lab values,
especially CBC, Platelet count and
Occult stools.