The nurse is preparing to administer the anticoagulant enoxaparin (Lovenox) subcutaneously. Which injection site is most appropriate for the nurse to use?
a. Thighs
b. Deltoid area
c. Sides of abdomen
d. Ventrogluteal area
C
The sides of the abdomen are the preferred injection sites for enoxaparin to minimize bruising and discomfort. There are no major blood vessels or nerves in these areas. The nurse avoids in-jecting enoxaparin into the thighs because it potentially increases hematoma formation and dis-comfort from physical activity. The nurse avoids injecting enoxaparin into the deltoid region be-cause it is likely to be more visible; in addition, patient activity can increase the risk of hemato-mas and discomfort. The nurse avoids the ventrogluteal site because injecting there potentially increases discomfort when the patient is trying to rest.
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