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NURS 1566 Clinical Form 3: Clinical Medications Worksheets: Medical Patients With Acute Illness - 40 MG Once Daily

The document provides information on the generic and trade names, classification, dosing, administration, and timing of the drug Enoxaparin (Lovenox) which is used to prevent deep vein thrombosis and pulmonary embolism. It also lists the drug's mechanism of action, indications, contraindications, warnings, interactions, and important nursing considerations like monitoring for bleeding and checking lab values. The nursing process section covers pre-administration assessment of signs of bleeding, when to hold the medication, and what to evaluate after administration.

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Katie McPeek
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51 views3 pages

NURS 1566 Clinical Form 3: Clinical Medications Worksheets: Medical Patients With Acute Illness - 40 MG Once Daily

The document provides information on the generic and trade names, classification, dosing, administration, and timing of the drug Enoxaparin (Lovenox) which is used to prevent deep vein thrombosis and pulmonary embolism. It also lists the drug's mechanism of action, indications, contraindications, warnings, interactions, and important nursing considerations like monitoring for bleeding and checking lab values. The nursing process section covers pre-administration assessment of signs of bleeding, when to hold the medication, and what to evaluate after administration.

Uploaded by

Katie McPeek
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
Download as doc, pdf, or txt
Download as doc, pdf, or txt
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NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency


Enoxaparin Lovenox Low molecular 40 mg SQ Daily
weight heparins
Peak Onset Duration Normal dosage range
Unknown Unknown 12 hrs Medical patients with acute illness--40 mg once daily

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Prevention of DVT/Pulmonary Embolism N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Potentiates the inhibitory effect of antithrombin on factor Xa . Contraindicated in:
and thrombin. Indicated for prevention and treatment of DVT •
and Pulmonary Embolism H
yper
sens
itivi
ty

•
H
yper
sens
itivi
ty to
ben
zyl
alco
hol
(mu
ltido
se
vial)

•
Posi
tive
in
vitr
o
test
for
anti
plat
elet
anti
bod
y in
the
pres
ence
of
eno
xap
arin

•
Acti
ve,
maj
or

Use Cautiously in:


Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Monitor CBC, platelet count, and stools for occult blood periodically
None for this patient during therapy. If thrombocytopenia occurs, monitor closely. If
hematocrit decreases unexpectedly, assess patient for potential bleeding
sites
Be sure to teach the patient the following about this
medication
Advise patient to report any symptoms of unusual bleeding or bruising,
dizziness, itching, rash, fever, swelling, or difficulty breathing to health
care professional immediately
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess for abnormal bleeding and monitor med? Signs of bleeding and
aPTT. Assess for signs of bleeding and If signs of bleeding and hemorrhage hemorrhage and aPTT levels.
hemorrhage (bleeding gums; nosebleed; unusual are present.
bruising; black, tarry stools; hematuria; fall in
hematocrit or blood pressure; guaiac-positive
stools); bleeding from surgical site. Notify
physician or other health care professional if these
occur

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