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Enoxaparin Sodium "Clexane" (Precautions (Not for IM injections…
Enoxaparin Sodium "Clexane"
Indications
Enoxaparin Sodium is given to patients to treat and prevent deep vein thrombosis (DVT), and pulmonary embolism. Is is mainly used in patients that have just undergone surgeries that decrease mobility post-operatively, until they are rehabilitated. For example; patients that have had a hip replacement.
Contraindications
High risk of uncontrolled haemorrhage, or bleeding disorder.
Hemorrhagic stroke.
Active ulcerative condition with haemoratic tendency
Acute bacterial endocarditis.
Precautions
Not for IM injections (Issues with the renal system)
Increased risk of bleeding
Invasive procedures
Spinal or Epidural anaesthesia
Prosthetic heart valves
Lumbar punctures
History of heparin
GI ulcers
Diabetic retinopathy
Common Adverse Effects
Thrombocytosis
Anemia
GI upset
Peripheral oedema
Fever
Confusion
Uncommon Adverse Effects
Intracranial Haematoma
Inj. site necrosis
Rare Adverse Effects
Anaphalaxsis
Hyperkalemia
Route delivered by
Subcutaneous Injection
2- Check you have the right patient using at least 2 types of identifiers.
3- Offer the patient education of side effects and adverse reactions.
4- Position the patient in a comfortable and practical position.
5- Preform hand hygiene.
6- Locate an appropriate site for the injection. eg. Upper Arm, Upper Thigh, Upper Buttock & Abdomen (Just below the umbilicus).
7- Perform hand hygiene and put gloves on.
8- Using a forefinger and thumb to elevate some skin to create a fat fold to inject into.
9- Position the needle above the the injection site and prepare the patient for a sharp prick.
10- Insert the needle swiftly in one motion at a 45 or 90 degree angle.
11- Inject the medication, ensuring that the needle remains in for a short time following the medication administration.
12- Remove the needle at the same angle it was inserted, make sure this is done quickly and gently.
13- If there is not a sharps bin in the immediate vicinity, Place it in a kidney dish, ensuring that you do not replace the needle cap to ensure you avoid needle stick injuries. If it is placed in the kidney dish, dispose of it immediately in the sharps bin.
14- Reinforce the possible side effects to the patient and place the call bell near them so they can call for the nurse if required.
15- Remove and discard your gloves, and perform hand hygiene.
16- Monitor the patient for any adverse effects. And complete all the necessary documentation.
1- Preform hand hygiene upon entering the bed space.
Pre Administration: Ensure that it is the right medication, right dose and the right time for the medication to be given.