NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

enoxaparin Lovenox Anticoagulants, 40 mg SQ Q day
antithrombotics
Peak Onset Duration Normal dosage range
Unknown unknown 12 hrs 40mg once a day
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Prophylaxis of blood clots solutions
N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Systemic anticoagulation Hypersensitivity, uncontrolled bleeding, Geriatric patients
Potentiates the inhibitory effect of antithrombin on (enoxaparin elimination prolonged), GI
factor Xa and thrombin bleeding/ulceration/pathology
Common side effects
Dizziness, headache, insomnia, constipation, N/V, urinary
retention, bleeding, anemia, thrombocytopenia

Interactions with other patient drugs, OTC or
herbal medicines (ask patient specifically)
None for this patient
Nursing Process- Assessment
(Pre-administration assessment)
Assess for signs and symptoms of
bleeding and hemorrhage (bleeding gums;
nosebleed; unusual bruising; black, tarry
stools; hematuria; fall in hematocrit or
blood pressure; guaiac-positive stools),
assess for signs and symptoms of
thrombosis, observe injection sites for
hematomas.
Lab value alterations caused by medicine
Reversible increase in liver enzymes, monitor CBC,
platelet count and , monitor closely if thrombocytopenia
occurs, if decrease in hematocrit occurs, assess for
hemorrhage
Be sure to teach the patient the following about this
medication
Advise patient to report unusual bleeding or bruising
Assessment Evaluation
Why would you hold or not give this Check after giving
med? Unusual bleeding or
Hypersensitivity (chills, fever, urticaria), hemorrhage
unusual bleeding or hemorrhage