Which nursing interventions are appropriate when administering enoxaparin? Select all that apply
a. Monitor activated partial thromboplastin time (aPTT) levels.
b. Administer via intramuscular (IM) injection into the deltoid muscle.
c. The preferred site of injection is the lateral abdominal fatty tissue.
d. Massage the area after the injection has been given.
e. Hold extra pressure over the site after the injection.
Answers: c, e
It is not necessary to monitor aPTT levels for enoxaparin therapy. This drug is given by deep
subcutaneous injection into the fatty tissue between the left and right anterolateral and left and
right posterolateral abdominal wall. The area should not be massaged after the injection because
excessive bruising might occur. Holding extra pressure over the injection site might be needed to
prevent excessive bleeding; K.N. has been on an anticoagulant up to this time.
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