The nurse is planning care for a patient receiving enoxaparin (Lovenox). Which interventions should be included?
1. Teach the patient or family to give subcutaneous injections at home.
2. Monitor for development of deep vein thrombosis.
3. Monitor multiple lab tests.
4. Teach the patient signs of excessive bleeding.
5. Schedule administration times right before breakfast and the evening meal.
1,2,4
Rationale 1: Family and patients can be taught to give subcutaneous injections at home.
Rationale 2: Lovenox is used to prevent DVTs. The nurse should observe for the development of DVTs.
Rationale 3: Lovenox is a low-molecular-weight heparin (LMWH) and does not require multiple lab tests.
Rationale 4: Although Lovenox is more predictable than are other anticoagulants and has fewer adverse effects, bleeding is still a possibility.
Rationale 5: Lovenox is generally administered once daily, and administration time is not tied to mealtimes.
Global Rationale: Family and patients can be taught to give subcutaneous injections at home. Lovenox is used to prevent DVTs. The nurse should observe for the development of DVTs. Although Lovenox is more predictable than are other anticoagulants and has fewer adverse effects, bleeding is still a possibility. Lovenox is a low-molecular-weight heparin (LMWH) and does not require multiple lab tests. Lovenox is generally administered once daily, and administration time is not tied to mealtimes.
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