What special techniques do you use when giving the subcutaneous ...

[CQXA]

What special techniques do you use when giving the subcutaneous injection of enoxaparin? Select all that apply.
 
  a. Rotate injection sites.
  b. Give the injection near the umbilicus.
  c. Expel the bubble from the prefilled syringe before giving the injection.
  d. After inserting the needle, do not aspirate before giving the injection.
  e. Massage the injection site gently after the injection is given.

Question 2

What instructions will you give L.J. about his activity?
 
  How to teach the patient?

[Kingjoffery]

Answer to Question 1

Answers: a, d
The injection sites are the left or right anterolateral or left or right posterolateral abdominal wall;
the injection should be at least 2 inches away from the umbilicus because of the vascular structure
near the umbilicus. Injection sites need to be rotated to reduce bruising. Do not expel the bubble
from the prefilled syringes. Do not aspirate before giving the injection; this might cause more
trauma to the injection site and increase bruising. You might need to hold gentle pressure on the
injection site to reduce bleeding, but do not massage the site because this will also increase bruising.

Answer to Question 2

 Maintain bed rest to prevent dislodgment of an embolus from the DVT. Ask him to immediately
report to you any signs or symptoms of pulmonary embolism.
 Frequently change positions in bed; this helps prevent problems of immobility.
 Perform frequent gentle dorsiflexion and plantar flexion of the feet, and perform ankle circles to
promote circulation and to facilitate venous return.
 Do not cross legs; crossing legs can decrease circulation.
 Do not massage right leg; massage could dislodge a thrombus.
 Keep right leg elevated without pressure under the knee to promote circulation.
 Avoid sudden muscle movement of affected limb, which could dislodge a thrombus.

[CQXA]

Thanks for the timely response, appreciate it

[bdobbins]

Excellent