A patient receiving enoxaparin (Lovenox) is scheduled for surgery. Why should the nurse discuss this medication with the anesthesia care provider?
1. Correct body alignment during surgery will be critical.
2. Aspirin may need to be substituted for the enoxaparin.
3. The patient should not receive medications that interact with enoxaparin.
4. The patient should not receive an epidural.
4
Rationale 1: Correct body alignment is critical for all patients. Being on enoxaparin does not increase this concern.
Rationale 2: Aspirin and enoxaparin act by two different mechanisms.
Rationale 3: Medication interaction is not common with enoxaparin.
Rationale 4: An epidural is contraindicated in patients receiving enoxaparin.
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