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calcrismore calcrismore
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3 weeks ago
The nurse is reviewing new medication orders for a patient who has an epidural catheter for administration of pain medications. One of the orders is for enoxaparin (Lovenox), a low-molecular-weight heparin (LMWH). What is the nurse’s priority action?


▸ Give the LMWH as ordered.

▸ Double-check the LMWH order with another nurse, and then administer as ordered.

▸ Stop the epidural pain medication, and then administer the LMWH.

▸ Contact the prescriber because the LMWH cannot be given if the patient has an epidural catheter.
Textbook 

Pharmacology and the Nursing Process


Edition: 9th
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Nfernandez1991Nfernandez1991
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3 weeks ago
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Contact the prescriber because the LMWH cannot be given if the patient has an epidural catheter.

LMWHs are contraindicated in patients with an indwelling epidural catheter; they can be given 2 hours after the epidural is removed. This is very important to remember, because giving an LMWH with an epidural has been associated with epidural hematoma.
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