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.
The Ultimate Chronic Kidney Disease Diet Cookbook; The Complete Nutrition Guide To Restoring The Health Of Your Kidney With Meal Plan And Nourishing Recipes