Enoxaparin PDF

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Enoxaparin Drug Card...

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Student Name: Samantha Mendoza Classification:Anticoagulants-low molecular weight heparin Generic Name: Enoxaparin Expected Pharmacological Action: Medical definition & Lay terminology; It’s a fragment of heparin of low molecular weight. prevent conversion of fibrinogen to fibrin; deactivate thrombin and has a higher antifactor-xa to antifactor- lla activity ratio higher than heparin Usual Dose:30mg b.i.d to 150mg Usual routes:subcut Therapeutic Uses: Adverse Effects:

Expected Common

1.Treatment of prophylactic

CNS- confusion, pain,fever

2. Prevent DVT and PE after knee or hip surgery

CV - edema, peripheral edema

3. Prevent ischemic complications of unstable angina

GI - nausea, diarrhea

Adverse Effects Requiring Nursing Action: Adverse Effects

Action: Prevention/Assessment/Intervention

Bleeding complications

Use cautiously and monitor patient for bleeding

Renal impairment

Reduce dosage in adult above 75 to prevent severe renal impairment

Dyspnea

Patient should be monitor at any time

Anaphylaxis

Allergic reaction should be treated immediately to avoid fatality

Likely Medication/Food Interactions: -Drug -drug - anticoagulant, antiplatelet drugs, NSAIDs may increase risk of bleeding. Use together cautiously and monitor patient for bleeding -Herbal drugs may increase risk of bleeding. Discourage using together. Administration/Interventions/Evaluation of Effectiveness/Laboratory Work -Flush IV access with sufficient amount of saline or dextrose solution before and after IV bolus administration-Do not massage after subcut injection. Watch for signs of bleeding at site, rotate sites and keep records.-lab work - may decrease HB level, May decrease platelet count

Patient Education: What will the safe nurse teach the client to DO or expect or report? Instruct patient and family to watch for sign of bleeding Advice patient to consult prescriber before using herbal therapy Tell patient to avoid use with aspirin and OTC drugs Advice patient to look for sign of abnormal bruising and notify prescriber immediately Cite Reference - Taylor, Fundamental of Nursing; Lippincott Advisor for Education,Ninth Edition Rob Holland....