SN instructed patient and care giver to call 911 anytime you think you may need emergency care. For example, call if: Patient passed out (lost consciousness). patient have signs of severe bleeding, such as: A severe headache that is different from past headaches.
SN advised patient don't rub the injection site. This could cause bruising. Don't push air bubbles out of the syringe unless your doctor tells you to. Each syringe comes with air bubbles. Call 911 anytime you think you may need emergency care. For example, call if: You cough up blood.You vomit blood or what looks like coffee grounds.You pass maroon or very bloody stools.
SN instructed patient / caregiver regarding medication Lovenox. SN informed patient / caregiver that Lovenox prevents clots from forming in the blood stream. SN instructed to keep prefilled syringes in room temperature 59 - 86°F. SN instructed patient / caregiver on proper administration of Lovenox and provided handout. SN informed that the most common side effect associated with Lovenox is bleeding. SN instructed to call Physician ( MD ) if patient / caregiver experiences any increased pain or symptoms / signs ( s / s ) of internal bleeding. SN Informed that a mild local irritation, pain, hematoma, ecchymosis, and erythema may occur at the site of injection. SN instructed to rotate injection sites around abdomen.
SN advised patient call your doctor or nurse call line now or seek immediate medical care if: You have new bruises that are away from the injection site or blood spots under your skin, you have a nosebleed., you have blood in your urine.Your stools are black and tar-like or have streaks of blood, you have vaginal bleeding when you are not having your period, or heavy period bleeding.
SN explained to patient that Lovenox has to be administer by deep subcutaneous injection with patient lying down.
SN advised patient most common side effects from the use of Lovenox are mild pain, irritation, bruising, or redness of the skin at the site of injection. Other common side effects include bleeding, anemia, diarrhea, and nausea.
SN advised patient 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.
SN advised patient be sure to tell all your doctors and dentist about all of the medications you are taking, including those you are taking without a prescription, such as aspirin or other NSAIDs. Also be sure to tell your doctor or dentist you are taking.
SN advised patient do not use aspirin and other NSAIDs may enhance the risk of excessive bleeding.
Patient instructed to report any sings/symptoms of bleeding. Patient verbalized understanding of instructions given.