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Blood thinners (enoxaparin, Lovenox, Coumadin) injections

Discussion in 'Post Surgery Information' started by Josephine, Nov 2, 2011.

  1. Josephine

    Josephine NURSE DIRECTOR, BONESMART Administrator

    Member Since:
    Jun 8, 2007
    North East
    United Kingdom United Kingdom
    Enoxaparin (Lovenox or Coumadin) are tiny, prefilled syringes with a very short, fine needle that patients are given to bring home and give themselves in order to prevent deep vein thrombosis or blood clots. The time they are required to have this therapy varies from surgeon to surgeon but the average period is six weeks.

    Giving yourself this injection is really easy. The needle is so fine, it barely hurts to puncture the skin with it so please don't get anxious about it. The ward nurses should instruct you before you leave hospital but just in case they didn't or you've forgotten, here is the procedure:

    First prepare:
    1. get the syringe and the wipes ready on a clean counter top and pull off the peel wrap from the syringe blister pack and place it clean side up on the counter, leave the syringe in the blister until you are ready

    2. wash and dry your hands carefully

    *3. when you open the pre-loaded syringe and eject the air bubble, make sure you flick your finger at the syringe to knock off the drip on the end of the needle (the blue bit); that's part of the reason why it hurts, the fluid stings if it comes into contact with the skin

    syringe use 1-horz.jpg

    4. take a tip from diabetics and vary the places you inject yourself, even if it's only a centimetre or so away.

    The injection
    5. tear open the antiseptic wipe and leave it on the syringe blister's peeled off cover or a clean tissue/kitchen paper towel

    6. bare the part of your stomach where you are going to give the injection, making sure the clothes are not going to drop down at an inconvenient moment!

    7. at the point of the injection, wipe the area well with the antiseptic wipe and replace on the peel wrap strip. When you use the sterile wipe to clean the area, make sure you give it a good hard rub. This makes the sensory nerves fire. Sensory nerves commonly go into a passive stage after firing which gives you about a 5 second window during which they cannot fire again meaning you won't feel it

    8. pick up the syringe in your hand and hold it like a pen

    9. firmly take hold of a small amount of your skin, with the underlying fat, between your thumb and fingers.

    10. hold the syringe vertically or near vertically to the skin and firmly push it in to the hilt

    11. change your grip to hold the barrel of the syringe between your fingers so you can use your thumb to depress the plunger all the way in. Then remove and replace in the blister pack

    giving injections.JPG

    12. check the injection site - if it bleeds or is leaking the drug, use the antiseptic wipe to apply pressure for a few seconds until it stops

    13. safely dispose of items as instructed

    Alternatives are aspirin or Rivaroxaban which are taken orally.
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