Step-by-step instructions for injecting enoxaparin.
- 1. Wash your hands with soap and water. Dry them thoroughly.
- 2. Sit or lie in a comfortable position so that you can see the part of your stomach where you are going to inject. It may help if you can prop ...
- 3. Choose an area on either the left or the right side of your stomach. This should be at least 5cm away from your belly button and out towards your ...
- 4. Carefully remove the protective cap from the end of the syringe, taking care not to bend the needle. Throw the needle cap away in your safety bin;
Where should Lovenox subcutaneous injection be given?
When should I contact a healthcare provider?
- A fever, sneezing, or coughing develops after the injection is given.
- There is a lump, swelling, or bruising where the injection was given that does not go away.
- You have questions about how to give an injection.
Where is the correct site for Lovenox injection?
Position patients in a supine position for Lovenox administration by deep subcutaneous injection. Do not expel the air bubble from the prefilled syringes before the injection, to avoid the loss of drug. Alternate injection sites between the left and right anterolateral and left and right posterolateral abdominal wall.
Is Lovenox contraindicated with low platelets?
Lovenox Injection is contraindicated in patients with active major bleeding, in patients with thrombocytopenia associated with a positive in vitro test for anti- platelet antibody in the presence of enoxaparin sodium, or in patients with hypersensitivity to enoxaparin sodium. Likewise, can you give Lovenox with low platelets?
Where can I Inject my Lovenox?
- To find the thigh injection site, make an imaginary box on the upper leg. Find the groin.
- Find the top of knee.
- Stretch the skin to make it tight.
- Insert the needle at a right angle to the skin (90°) straight in.
- Up to 2ml of fluid may be given into this site.
How do you inject yourself with a blood thinner in the stomach?
Lie or sit in a comfortable position, and gently pinch a skin fold on your lower abdomen or upper thigh, whichever is more comfortable for you. Insert the needle into the skin at a 90 degree angle, press the plunger until all of the medicine is injected. Do not let go of the skin fold when you are injecting.
How do you give enoxaparin to your stomach?
1:362:47How to self-administer Enoxaparin Injection. - YouTubeYouTubeStart of suggested clipEnd of suggested clipTake this plunger. And push it. Down. Until you've given the injection. And then take out the needleMoreTake this plunger. And push it. Down. Until you've given the injection. And then take out the needle. And then you're going to push. Really hard and that's a guard that comes out over the needle.
Does Lovenox have to be given in the stomach?
This medication is given by injection under the skin as directed by your doctor, usually once or twice a day in the abdomen (at least 2 inches from your belly button). Do not inject into a muscle. The dosage and length of treatment are based on your medical condition and response to treatment.
How do you give yourself an injection in the abdomen?
1:565:48How to Give Yourself A Subcutaneous Injection - YouTubeYouTubeStart of suggested clipEnd of suggested clipWater. Before giving the injection. Check your supplies to make sure you have everything you needMoreWater. Before giving the injection. Check your supplies to make sure you have everything you need you'll need alcohol pads or cotton swabs dipped in rubbing alcohol.
Where is the best place to inject Lovenox?
Lovenox should not be injected into a muscle, an area close to the bone, in a vein, in the face or scalp, in the navel, or the hands or feet. It should only be injected into the abdomen, the outer thigh, the buttocks, or the outer upper arm.
Where do you inject Enoxaparin?
Enoxaparin is usually injected in the stomach area. You must use a different area of the stomach each time you give the shot. If you have questions about where to give the shot, ask your healthcare provider. Each syringe has enough drug in it for one shot.
How do you make Lovenox shots less painful?
It's important to keep pinching that fold of skin until the injection is done—that way the medication doesn't enter any muscle, which could be painful. Once the syringe is empty, pull the needle straight out and then let go of your skin.
What happens if you inject Enoxaparin into muscle?
Lovenox should never be injected into muscle. This could cause bleeding into the muscle. By gently pinching the skin between your fingers all through the injection, the medicine only enters the fatty tissue of your stomach and not muscle.
What angle do you inject Lovenox?
Hold the syringe at a 90-degree angle to your skin so the needle is pointing straight at the injection site. Quickly push the needle all the way into the pinched-up fold of skin.
What happens if you give a subcutaneous injection wrong?
The most common complication of a subcutaneous injection is pain near the injection site for 1 to 2 days afterward. Pain near the injection site can happen when inserting the needle at the wrong angle, or when it moves slightly during the injection.
Do you have to pinch skin for subcutaneous injection?
PHE (2013) recommends that subcutaneous vaccinations are given with the needle at a 45-degree angle to the skin and the skin should be pinched together (PHE, 2013).
Why is enoxaparin given subcutaneous?
Enoxaparin injection is used to prevent deep venous thrombosis, a condition in which harmful blood clots form in the blood vessels of the legs.
How is enoxaparin administered?
Adults—Dose is based on body weight and must be determined by your doctor. However, the dose is usually 30 milligrams (mg) injected into your vein and 1 milligram (mg) per kilogram (kg) of body weight injected under the skin followed by 1 mg per kg every 12 hours injected under the skin for 8 days.
Why is enoxaparin given subcutaneous?
Enoxaparin injection is used to prevent deep venous thrombosis, a condition in which harmful blood clots form in the blood vessels of the legs.
What happens if enoxaparin is injected into muscle?
Lovenox should never be injected into muscle. This could cause bleeding into the muscle. By gently pinching the skin between your fingers all through the injection, the medicine only enters the fatty tissue of your stomach and not muscle.
Do you inject the air bubble in Lovenox?
If you're injecting Lovenox, check to make sure there's an air bubble in the syringe. If you don't see one, set the syringe to the side and use a different one. Contact your healthcare provider or pharmacist after you give yourself the injection to tell them.
What is enoxaparin used for?
It is used in combination with aspirin to prevent complications from angina (chest pain) and heart attacks. It is also used in combination with warfarin to treat blood clots in the leg. Enoxaparin is in a class of medications called low molecular weight heparins.
How often do you give enoxaparin?
Enoxaparin comes as an injection in a syringe to be injected just under the skin (subcutaneously) but not into your muscle. It is usually given twice a day. You will probably begin using the drug while you are in the hospital and then use it for a total of 10 to 14 days.
Where is enoxaparin injected?
Enoxaparin is usually injected in the stomach area. You must use a different area of the stomach each time you give the shot. If you have questions about where to give the shot, ask your healthcare provider. Each syringe has enough drug in it for one shot. Do not use the syringe and needle more than one time.
How to give a shot with a yellow needle?
Look at the syringe to be sure the drug is clear and colorless or pale yellow. Take the cap off the needle. Do not push any air or drug out of the syringe before giving the shot unless your healthcare provider tells you to. Lie down and pinch a fold of skin between your finger and thumb.
What to tell your doctor before taking enoxaparin?
Before taking enoxaparin, tell your doctor and pharmacist if you are allergic to enoxaparin, heparin , any other drugs, or pork products. tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially those listed in the IMPORTANT WARNING section and vitamins.
What is the phone number to call for poison control?
In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.
How do I know if I need enoxaparin?
If you experience any of the following symptoms, call your doctor immediately: numbness, tingling, leg weakness or paralysis, and loss of control over your bladder or bowels. Talk to your doctor about the risk of taking enoxaparin. Keep all appointments with your doctor.
What are the signs of thrombocytopenia?
You should call your doctor immediately if you notice any of the following: unusual bleeding or bleeding that lasts a long time, unusual bruising, signs of thrombocytopenia (such as a rash or dark spots under the skin), tingling or numbness (especially in the lower limbs), and muscular weakness.
What to take for a spinal injury?
Take nonsteroidal anti-inflammatory drugs (NSAIDs), platelet inhibitors, or other anticoagulants, such as aspirin or blood thinners. Have an indwelling epidural catheter. Have a history of spinal trauma, or repeated spinal anesthesia or punctures. Have a history of spinal deformities or spinal surgery.
What are the side effects of Lovenox?
The most common side effects from the use of Lovenox are local irritation, pain, bruising, or redness of the skin at the site of injection. Other common side effects include bleeding, anemia, diarrhea, nausea, ecchymosis, fever, edema, peripheral edema, dyspnea, confusion.
What are the problems with Lovenox?
Lovenox must be used with care in patients who have any of the following: problems with clotting, uncontrolled high blood pressure, a recent ulcer, impaired vision due to diabetes, kidney problems, and excessive bleeding.
How to get rid of a rash after injecting?
Make sure to alternate sides with each injection, and don’t inject into a rash, or any scarred or bruised tissue. Grab an alcohol swab and clean the spot where you’re going to inject. Let it dry completely to help avoid any stinging. Now, grab the syringe and remove the cap from the needle.
Does Lovenox help with DVT?
Lovenox can help reduce the risk of developing DVT blood clots, which may lead to PE, in patients undergoing abdominal surgery, hip- or knee-replacement surgery, or in acutely ill medical patients with severely restricted mobility. Please see Full Prescribing Information, including boxed WARNING, for additional important information.
Does Lovenox cause bleeding?
Lovenox alters the blood's ability to clot. Excessive bleeding (hemorrhage), leading to death, has occurred with Lovenox. Bleeding can occur at any site with Loveno x use. The use of aspirin and other NSAIDs may enhance the risk of excessive bleeding.
How to dispose of medical sharps?
1 prefilled syringe with a needle cap. If you store your prefilled syringes in the refrigerator, take one out 30 minutes before you plan to give yourself the injection.
How to get rid of Lovenox injections?
Put a bandage over the injection site, if needed. If you gave yourself an injection of any medication besides Lovenox or heparin, place a cotton ball or gauze over the injection site and press down for several seconds. Put a bandage over the injection site, if needed. Don’t put the needle cover back on the syringe.
What is a subcutaneous injection?
A subcutaneous injection is an injection that’s given under your skin. A prefilled syringe is a syringe that comes with medication inside. Your healthcare provider will show you how to give yourself the injection. You can use the information in this resource to remember how to do it when you’re at home. Back to top.
How to get air bubbles out of Lovenox?
If there is an air bubble, hold the syringe so the needle is pointing up. Gently tap the syringe with your fingers until the air bubbles rise to the top, near the needle. Slowly push the plunger up to force the air bubbles out. Don’t do this if you’re injecting Lovenox.
How to give yourself Lovenox?
Gather your supplies. Place your supplies on a clean, flat surface (such as a table or countertop). You’ll need: 1 alcohol pad. 1 small gauze pad or cotton ball , except if you’re giving yourself an injection of enoxaparin (Lovenox ®) or heparin. 1 bandage (such as a Band-Aid ®)
What is the phone number for MSK?
If you're a patient at MSK and you need to reach a provider after 5:00 pm, during the weekend, or on a holiday, call 212-639-2000.
Where to put syringes when they freeze?
If the medication inside a syringe freezes, put the syringe near the front of the refrigerator or on the shelves inside the refrigerator door so it can thaw. If it freezes more than once, don’t use it. Call your healthcare provider for further instructions. Back to top.
Medical uses
- Enoxaparin is used to prevent blood clots in the leg in patients who are on bedrest or who are having hip replacement, knee replacement, or stomach surgery. It is used in combination with aspirin to prevent complications from angina (chest pain) and heart attacks. It is also used in combination with warfarin to treat blood clots in the leg. Enoxaparin is in a class of medications …
Usage
- Enoxaparin comes as an injection in a syringe to be injected just under the skin (subcutaneously) but not into your muscle. It is usually given twice a day. You will probably begin using the drug while you are in the hospital and then use it for a total of 10 to 14 days. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do no…
Preparation
- Your healthcare provider will teach you how to give yourself the shot or arrangements will be made for someone else to give you the shot. Enoxaparin is usually injected in the stomach area. You must use a different area of the stomach each time you give the shot. If you have questions about where to give the shot, ask your healthcare provider. Each...
Administration
- Inject the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not inject a double dose to make up for a missed one.
Contraindications
- Keep this medication out of reach of children. Store the syringes at room temperature and away from excess heat and moisture (not in the bathroom). Do not use the syringe if it leaks or if the fluid is dark or contains particles.
Prevention
- Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn ab…
Diagnosis
- Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to monitor your enoxaparin therapy.