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N172 Meds > Lovenox/enoxaparin > Flashcards

Lovenox/enoxaparin Flashcards

1
Q

Lovenox generic name

A

enoxaparin

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2
Q

enoxaparin Brand name

A

Lovenox

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3
Q

Lovenox/enoxaparin class

A

low molecular weight heparin LMHW

HIGH ALERT MED

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4
Q

Lovenox/enoxaparin HOW IT WORKS

A

prevents your blood from clotting too much and keeps existing clots from getting bigger

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5
Q

Lovenox/enoxaparin mechanism of action

A

Binds to & accelerates antithrombin III, inactivating clotting factors Xa/IIa.

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6
Q

Lovenox/enoxaparin INDICATIONS

A

DVT prophylaxis r/t surgery
unstable angina
Acute MI
Coronary Artery thrombosis

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7
Q

Lovenox/enoxaparin CONTRAINDICATIONS

A

aversion to pork
active bleeding
hemophilia

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8
Q

Lovenox/enoxaparin precautions and WARNINGS

A

BLACK BOX: lumbar puncture, aneurysm, coagulopathy

WARNINGS: pregnancy, low body weight, severe hypertension, burn

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9
Q

how is Lovenox/enoxaparin administered?

A

SQ or IV

not IM

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10
Q

What is a an example of adult dosage of Lovenox/enoxaparin?

A

30-40mg SQ bid for 7-12 days

or 30mg SQ/IVP plus 1mg/kg q12h

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11
Q

What MUST be assessed before adminstering any heparin?

A

Bleeding disorders, active bleeding

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12
Q

Can Lovenox/enoxaparin be mixed with other meds ?

A

NO

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13
Q

Is Lovenox/enoxaparin interchangeable for other heparin or LMWH?

A

NO

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14
Q

What is a usual injection site for SQ Lovenox/enoxaparin?

A

abdominal wall

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15
Q

Common side effects of Lovenox/enoxaparin

A

bruising, injection site hematoma

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16
Q

Lovenox/enoxaparin ADVERSE REACTIONS

A

hemorrhage

17
Q

Lovenox/enoxaparin NURSING CONSIDERATIONS

A

assess for bleeding - gums, bruising, tarry stools, blood in urine – notify prescriber.
Blood studies, occult blood
d/c if platelets drop below 100,000

18
Q

Lovenox/enoxaparin PATIENT TEACHING

A

Signs of bleeding: bloody gums, bruising, black stools, pink urine.
Report dizziness, rash, or breathing changes.

N172 Meds (5 decks)

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