What are the nursing implications for Lovenox?
Assess for signs of bleeding and hemorrhage, including bleeding gums, nosebleeds, unusual bruising, black/tarry stools, hematuria, and a fall in hematocrit or blood pressure. Notify physician or nursing staff immediately if enoxaparin causes excessive anticoagulation.
When should you hold Lovenox?
3 • If platelet count is < 50×109/L, enoxaparin is contraindicated3 • If there is a decrease of 30-50% from baseline during treatment, enoxaparin should be discontinued immediately and HIT considered.
What should I monitor for Lovenox?
Monitoring for Safety During therapy monitor complete blood counts including platelets and stool occult blood. Assess for signs and symptoms of bleeding. In patients with renal impairment anti-Factor Xa levels may be used to monitor the anticoagulant effects of Lovenox.
What is the major complication of Lovenox?
Mild irritation, pain, bruising, redness, and swelling at the injection site may occur. Fatigue or fever may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Does Lovenox cause hyperkalemia?
Enoxaparin, an LMWH, has been infrequently associated with mild hyperkalemia [Torres et al. 2010; Bengalorkar et al. 2011]. A case of profound hyperkalemia associated with prophylactic enoxaparin is reported.
What are the nursing considerations for salbutamol?
Indications: Albuterol is commonly used to treat asthma and chronic obstructive pulmonary disease (COPD). Nursing Considerations: Monitor respiratory rate, oxygen saturation, and lungs sounds before and after administration. If more than one inhalation is ordered, wait at least 2 minutes between inhalations.
What is considered hyperkalemia in nursing?
Provide the nurse diagnosis of hyperkalemia Introduction Hyperkalemia is defined as a serum or plasma potassium level above the upper limits of normal, usually greater than 5.0 mEq/L to 5.5 mEq/L. While mild hyperkalemia is usually asymptomatic, high levels of potassium may cause life-threatening cardiac arrhythmias, muscle weakness or paralysis.
Is enoxaparin the cause of hyperkalemia?
The persistent hyperkalemia, despite the use of lactulose and substantial reduction in dietary potassium, also supports identifying enoxaparin as the culprit. Based on the Naranjo probability scale, the causality of enoxaparin was evaluated as probable (with a score of 6) [Naranjo et al. 1981].
What are the nursing considerations of enoxaparin (Lovenox)?
What are the Nursing Considerations of Enoxaparin (Lovenox) Nursing Pharmacology Considerations? 1 contraindicated in pork hypersensitivity 2 monitor for signs of bleeding 3 administer in subcutaneous tissue 4 DO NOT eject air bubble prior to injection 5 DO NOT aspirate or massage site
What is included in patient education about hyperkalemia (low potassium)?
Educate patient on hyperkalemia Administer diuretics as ordered Administer insulin to lower potassium as ordered Check blood glucose when administering insulin Check BUN and creatinine levels Educate patient on a low potassium diet Encourage patient to follow closely with the clinician