What should I check before administering enoxaparin?
Check the patient’s most recent lab results, including her complete blood cell and platelet count. Check her medication administration record for previous dose and site. Perform hand hygiene. Prepare the medication and identify the patient according to your facility’s guidelines.
What do you monitor when giving Lovenox?
All patients should be carefully monitored by their doctor while taking Lovenox. Your doctor is likely to obtain blood tests that measure your blood count and check for signs of hidden bleeding while you are on Lovenox.
What are precautions for administration of enoxaparin?
Stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers. Enoxaparin may cause bleeding problems.
What do you teach a patient about enoxaparin?
Make sure your patient recognizes the significance of informing their healthcare providers, including dentists, that they are taking Lovenox. Instruct them to check with their physician if they notice any possible side effects such as: Bruising or bleeding, especially prolonged bleeding. Bloody or black, tarry stools.
What is the major side effect of enoxaparin?
General. The most common adverse reactions were bleeding, anemia, thrombocytopenia, elevation of serum aminotransferase, diarrhea, and nausea.
Does Lovenox require blood monitoring?
Bottom Line. Enoxaparin is an anticoagulant that is given by an injection just under the skin and is used in the treatment and prevention of deep vein thrombosis and some other conditions. Routine blood tests are not required; however, people administered enoxaparin should be monitored for signs of excessive bleeding.
Do you check INR for enoxaparin?
Clexane stops your blood from clotting by deactivating one of the proteins in your blood that your body uses to form a clot. The blood test you would normally use to monitor warfarin (the INR) is not affected by Clexane. The required dose is not based on blood levels, but rather on your size and kidney function.
What is the contraindication of enoxaparin?
Following are the most common contraindications: Known hypersensitivity to enoxaparin (urticaria, anaphylactic reactions) or any heparin products. Active major bleeding such as gastrointestinal bleed. History of heparin-induced thrombocytopenia within the past 100 days.
What labs do you monitor for enoxaparin?
Labs often include: Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP), or basic metabolic panel (BMP), prothrombin time (PT), activated partial thromboplastin time (aPTT), plus any others your doctor may order.
What are side effects of Lovenox?
Common side effects of Lovenox include:
- nausea,
- diarrhea,
- fever,
- swelling in your hands or feet, or.
- injection site reactions (swelling, pain, bruising, or redness).
Does Lovenox affect INR or PTT?
PT: prothrombin time; aPTT: activated partial thromboplastin time; LMW heparin: low molecular weight heparin. * Warfarin has a weak effect on most aPTT reagents. However, warfarin use will increase the sensitivity of the aPTT to heparin effect….
| Drug class | Heparins |
|---|---|
| Drug | Enoxaparin |
| Brand name(s) | Lovenox |
| PT | – |
| aPTT | ↑/– |