Author Question: The physician orders enoxaparin (Lovenox) for the postoperative patient. What is the best ... (Read 21 times)

soccerdreamer_17 · **on:** Jul 23, 2018

The physician orders enoxaparin (Lovenox) for the postoperative patient. What is the best administration technique by the nurse?

1. Administer the medication in the upper arm, subcutaneously.
2. Administer the medication in the abdomen, subcutaneously.
3. Administer the medication via slow intravenous (IV) push in the patient's Intravenous (IV) line.
4. Ask the patient where she would like the injection, and administer it subcutaneously.

Question 2

The patient has a deep vein thrombosis (DVT) and is admitted for initial heparin therapy. Which order(s) would the nurse want to validate with the physician?

1. Heparin 1,000 units intravenous (IV) every 6 hours
2. Tylenol as needed (PRN) for headaches
3. Obtaining a daily weight on the patient
4. Advil as needed (PRN) for headaches
5. Low vitamin K diet

leahm14 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale: Administering the medication in the abdomen, subcutaneously, is the correct method of administration for enoxaparin (Lovenox). Administering the medication in the upper arm subcutaneously is not the correct method of administration of enoxaparin (Lovenox). Asking the patient where she would like the injection and administering subcutaneously is not the correct method of administration of enoxaparin (Lovenox). Administering the medication via slow intravenous (IV) push in the patient's intravenous (IV) line is not the correct method of administration for enoxaparin (Lovenox).

Answer to Question 2

Correct Answer: 1,4,5
Rationale: Advil could increase the risk of bleeding. 1,000 units of heparin is a sub-therapeutic dose. Vitamin K is the antidote for warfarin (Coumadin) overdose, there is no need to restrict it with heparin therapy. Daily weights are necessary to determine medication dosage. There isn't any contraindication with heparin and Tylenol.