COMMUNITY COLLEGE OF ALLEGHENEY COUNTY ALLEGHENY CAMPUS DEPARTMENT OF NURSING NRN 101 AND NRN102 DRUG CARD Directions:

Complete one drug card for each medication Write the rationale for why this patient is getting the prescribed medication. Drug Trade Name: Lovenox Physiological Action: Common Side Effects: Bleeding, (How drug works in the body) anemia Generic Name: Enoxaparin Potentiates the inhibitory effect of Adverse Side Effects: Advise patient antithrombin on factor Xa and to report any symptoms of unusual Classification: Low molecular thrombin. bleeding or bruising, dizziness, weight heparins itching, rash, fever, swelling, or Uses: (Therapeutic) difficulty breathing to health care Usual Ranges: Medical patients It is an anticoagulant used to professional immediately with acute illness--40 mg once prevent and treat deep vein Contraindications with food or other daily thrombosis or pulmonary embolism drugs: Hypersensitivity, active major bleed. Use cautiously in severe Adult: Pediatric kidney or liver disease, untreated hypertention, recent history of ulcer Recommended Frequency of disease. Interacts with other blood Administration: Daily thinning agents and drugs and foods with anticoagulant effects. Recommended Route of Administration: SQ Pregnancy Category: B NURSING CONSIDERATIONS(Before, during or after administration) RATIONALE for this Patient: (Why prescribed for patient)

(Pre-administration assessment) Assess for signs of bleeding and hemorrhage (bleeding gums; nosebleed; unusual 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. PRESCRIBED Dosage Route Check after giving Signs of bleeding and hemorrhage. Monitor patient for hypersensitivity reactions (chills, fever, urticaria). Report signs to physician or other health care professional. Observe Times Given injection sites for hematomas, ecchymosis, or inflammation. For overdose protamine sulfate, 1mg for each mg of enoxaparin should be administered by slow IV injection.

Frequency

RT Reviewed 1985/LAB Reviewed June 1989/LAB Reviewed June 1990/KAC Revised July 1991/HPO Revised May 2002/LAC Revised January 2003