SN instructed patient / caregiver regarding medication Lovenox. SN informed patient / caregiver that Lovenox prevents clots from forming in the blood stream. SN instructed to keep prefilled syringes in room temperature 59 - 86°F. SN instructed patient / caregiver on proper administration of Lovenox and provided handout. SN informed that the most common side effect associated with Lovenox is bleeding. SN instructed to call Physician ( MD ) if patient / caregiver experiences any increased pain or symptoms / signs ( s / s ) of internal bleeding. SN Informed that a mild local irritation, pain, hematoma, ecchymosis, and erythema may occur at the site of injection
. SN instructed to rotate injection
sites around abdomen.
SN explained to patient that Lovenox is to be administered as one pre-filled syringe by deep subcutaneous injection
in the abdominal fat. Only one shot is administered in the morning and one shot is administered at night for physician ordered specific number of days. SN instructed patient on technique and importance of rotating injection
sites around abdomen.
SN explained to patient that Lovenox has to be administer by deep subcutaneous injection
with patient lying down.
SN advised patient on proper position to adminsiter Lovenox (lie down during injection
). Patient verbalized understanding of instructions given.
Patient instructed LOVENOX®, like all medications, may have side effects. The most common include
mild reactions or irritation, pain, bruising, and redness of the skin where you have the injection
.
SN advised patient most common side effects from the use of Lovenox are mild pain, irritation, bruising, or redness of the skin at the site of injection
. Other common side effects include bleeding, anemia, diarrhea, and nausea.
SN advised patient call your doctor or nurse call line now or seek immediate medical care if: You have new bruises that are away from the injection
site or blood spots under your skin, you have a nosebleed., you have blood in your urine.Your stools are black and tar-like or have streaks of blood, you have vaginal bleeding when you are not having your period, or heavy period bleeding.
SN advised patient don't rub the injection
site. This could cause bruising. Don't push air bubbles out of the syringe unless your doctor tells you to. Each syringe comes with air bubbles. Call 911 anytime you think you may need emergency care. For example, call if: You cough up blood.You vomit blood or what looks like coffee grounds.You pass maroon or very bloody stools.
Instructed patient about take precautions don't rub the injection
site. This could cause bruising.
SN instructed patient to keep pre-filled syringes at room temperature. SN instructed/demonstrated patient / caregiver on proper administration of Lovenox. SN informed that the most common side effect associated with Lovenox is bleeding. Patient was instructed to call Physician (MD) they experience any increased pain signs or symptoms of excessive bleeding/bruising. SN Informed that mild localized irritation, pain, hematoma, ecchymosis may occur at the site of injection
.