ACTIVE LEARNING TEMPLATE: Medication
Nadira Ramunno
STUDENT NAME _____________________________________
enoxaparin
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
low molecular weight heparins
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
The drug binds and accelerates the activity of antithrombin III, an Enoxaparin is used to prevent blood clots in the leg in
enzyme which causes blood to clot by acting on a blood protein patients who are on bedrest or who are having hip
called fibrinogen. It also inhibits coagulation factors Xa and IIa. The
drug is an anticoagulant and prevents conversion of prothrombin
replacement, knee replacement, or stomach surgery. It is
into thrombin and stops formation of fibrin clot. used in combination with aspirin to prevent complications
from angina (chest pain) and heart attacks.
Complications Medication Administration
Bleeding gums.
coughing up blood. The recommended dose of
difficulty with breathing or swallowing.
headache. Lovenox is 40 mg by
increased menstrual flow or vaginal bleeding.
nosebleeds. subcutaneous injection once a
paralysis.
prolonged bleeding from cuts. day
Contraindications/Precautions
Known hypersensitivity to enoxaparin (urticaria, anaphylactic
reactions) or any heparin products.
Active major bleeding such as gastrointestinal bleed. Nursing Interventions
History of heparin-induced thrombocytopenia within the past 100 days.
Active gastric or duodenal ulcers. Assess for signs of bleeding and
Hemorrhagic cerebrovascular accident. 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
Interactions if enoxaparin causes excessive
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, anticoagulation.
ibuprofen, or naproxen. ...
Platelet inhibitors, such as clopidogrel, prasugrel, ticagrelor, or
dipyridamole. ...
Herbal supplements, such as ginkgo biloba, fish oil, garlic, ginseng,
and ginger.
Client Education
Make sure your patient recognizes the
significance of informing their
Evaluation of Medication Effectiveness healthcare providers, including
dentists, that they are taking Lovenox.
Decrease in BP. Instruct them to check with their
Reduction in frequency of anginal attacks. physician if they notice any possible
side effects such as: Bruising or
bleeding, especially prolonged
Increase in activity tolerance. bleeding. Bloody or black, tarry stools.
Prevention of MI.
ACTIVE LEARNING TEMPLATES
Nadira Ramunno
STUDENT NAME _____________________________________
enoxaparin
MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________
low molecular weight heparins
CATEGORY CLASS ______________________________________________________________________
PURPOSE OF MEDICATION
Expected Pharmacological Action Therapeutic Use
The drug binds and accelerates the activity of antithrombin III, an Enoxaparin is used to prevent blood clots in the leg in
enzyme which causes blood to clot by acting on a blood protein patients who are on bedrest or who are having hip
called fibrinogen. It also inhibits coagulation factors Xa and IIa. The
drug is an anticoagulant and prevents conversion of prothrombin
replacement, knee replacement, or stomach surgery. It is
into thrombin and stops formation of fibrin clot. used in combination with aspirin to prevent complications
from angina (chest pain) and heart attacks.
Complications Medication Administration
Bleeding gums.
coughing up blood. The recommended dose of
difficulty with breathing or swallowing.
headache. Lovenox is 40 mg by
increased menstrual flow or vaginal bleeding.
nosebleeds. subcutaneous injection once a
paralysis.
prolonged bleeding from cuts. day
Contraindications/Precautions
Known hypersensitivity to enoxaparin (urticaria, anaphylactic
reactions) or any heparin products.
Active major bleeding such as gastrointestinal bleed. Nursing Interventions
History of heparin-induced thrombocytopenia within the past 100 days.
Active gastric or duodenal ulcers. Assess for signs of bleeding and
Hemorrhagic cerebrovascular accident. 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
Interactions if enoxaparin causes excessive
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, anticoagulation.
ibuprofen, or naproxen. ...
Platelet inhibitors, such as clopidogrel, prasugrel, ticagrelor, or
dipyridamole. ...
Herbal supplements, such as ginkgo biloba, fish oil, garlic, ginseng,
and ginger.
Client Education
Make sure your patient recognizes the
significance of informing their
Evaluation of Medication Effectiveness healthcare providers, including
dentists, that they are taking Lovenox.
Decrease in BP. Instruct them to check with their
Reduction in frequency of anginal attacks. physician if they notice any possible
side effects such as: Bruising or
bleeding, especially prolonged
Increase in activity tolerance. bleeding. Bloody or black, tarry stools.
Prevention of MI.
ACTIVE LEARNING TEMPLATES
