The client with DVT is receiving enoxaparin (Lovenox) and will be discharged with this drug. The nurse is providing discharge instructions for the client. Which of the following would be information the nurse will provide regarding enoxaparin?
1. Leave the air bubble in the syringe when injecting the medication.
2. This drug is given IM.
3. The client will need to return to the clinic weekly to have lab work drawn.
4. The client will need to inject this drug every 2 to 4 hours.
Leave the air bubble in the syringe when injecting the medication.
Rationale: The enoxaparin comes prepackaged with a bubble already in the syringe. The bubble needs to remain in the syringe when injected so that the medication is all given into the tissue. Enoxaparin is given subcutaneous, not intramuscular. No lab work is required for enoxaparin on an ongoing basis. Enoxaparin is typically given one to two times per day.
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