Enoxaparin is provided in a prefilled syringe. Which caregiver statement would require further teaching?

Enoxaparin is provided in a prefilled syringe. Which caregiver statement would require further teaching?

• A. I will give this injection in the abdomen.
• B. I should expel the air bubble before administering.
• C. Green leafy vegetables are allowed while taking this medication.
• D. This medication may increase the risk for bleeding.

Answer: (B)

Enoxaparin is given as a subcutaneous injection from a prefilled syringe that includes a small air bubble. The air bubble is intentional and should be left in the syringe during administration because it helps push the full dose out; expelling it can lead to underdosing and less predictable anticoagulation. So saying you should remove the air bubble would be incorrect. Giving the injection in the abdomen is the standard site for LMWH, and these drugs do carry an increased risk of bleeding, so monitoring for signs of excessive bleeding is important. Unlike with warfarin, there aren’t strict dietary restrictions for leafy greens with enoxaparin, so green leafy vegetables aren’t a safety issue to avoid.

Enoxaparin is given as a subcutaneous injection from a prefilled syringe that includes a small air bubble. The air bubble is intentional and should be left in the syringe during administration because it helps push the full dose out; expelling it can lead to underdosing and less predictable anticoagulation. So saying you should remove the air bubble would be incorrect.

Giving the injection in the abdomen is the standard site for LMWH, and these drugs do carry an increased risk of bleeding, so monitoring for signs of excessive bleeding is important. Unlike with warfarin, there aren’t strict dietary restrictions for leafy greens with enoxaparin, so green leafy vegetables aren’t a safety issue to avoid.