Chronic Illness Clinical

NUR 2306

Medication Template
Generic Trade Classification Dose Route Time/Frequency
Name Name anticoagulant 40 mL PO BID (0900 -
Enoxaparin Lovenox 2100)
sodium

Peak Onset Duration Recommended/Normal Dose Range

4 hrs 3-5 hr 12 hr 30 mg every 12 hours

Indications for Use/Why is your patient Drug Interactions/Compatibility

taking this med?
Deep vein thrombosis, pulmonary
embolism, unstable angina, myocardial
infection. Patient takes Lovenox due to
a stroke.
Mechanism of action and indications
Inhibiting the activity of Factor Xa,
which plays a key role in the blood
clotting process.
When taken with other anticoagulants,
heparin, thrombolytics, SSRIs, NSAIDs,
Digoxin, and antiplatelet medications, can
increase risk of bleeding,
Nursing Implications
Contraindications/interactions/precautions
Bleeding disorders, elderly, kidney or liver
problems, allergies.
Lab value alterations caused by med

CBC, platelets, and stool occult blood

Major Adverse effects Patient teaching
Bleeding, injection site reactions, - Purpose
allergic reaction, thrombocytopenia, - Dosing and administration
osteoporosis, nausea, vomiting, - Injection site care
diarrhea, headache - To report any signs or symptoms of
allergic reaction
- Not to take NSAIDs or ASA without
consulting health care provider
Pre-admin assessment Assessment (why would you Evaluation/Was the med
Monitor vital signs, hold or not give this med?) effective? (check after
observe injection site, Thrombocytopenia, giving med)
assess bleeding risk, hypotension, surgery Desired outcome:
monitor CBC, assess Prevention of blood clots
for constipation Preventing ischemic
complications
Notes: