Nursing Skill and Responsibility in Administration of Low Molecular Weight Heparin by Prefilled Syringe

Vaishali Tembhare *

SRMMCON, Datta Meghe Institute of Medical Sciences, Sawangi Meghe Wardha, India.

Gaurav Mujbaile

SRMMCON, Datta Meghe Institute of Medical Sciences, Sawangi Meghe Wardha, India.

Seema Singh

SRMMCON, Datta Meghe Institute of Medical Sciences, Sawangi Meghe Wardha, India.

Achita Sawarkar

SRMMCON, Datta Meghe Institute of Medical Sciences, Sawangi Meghe Wardha, India.

Maduri Shambharkar

SRMMCON, Datta Meghe Institute of Medical Sciences, Sawangi Meghe Wardha, India.

Prerana Sakharwade

SRMMCON, Datta Meghe Institute of Medical Sciences, Sawangi Meghe Wardha, India.

*Author to whom correspondence should be addressed.


Abstract

Abstract: Low-molecular-weight heparins (LMWHs) have proven to be effective in the prevention and treatment of thrombotic disorders, as well as   substitute for unfractionated heparin (UFH). LMWHs are a diverse collection of medicines with different biochemical and pharmacological characteristics, despite the fact that they all have antithrombotic actions. Medicine is administered into the subcutaneous tissues with these injections. Small amounts of injections are delivered by the subcutaneous approach, which involves inserting a small thin needle beneath the skin and slowly injecting the medicine. Low molecular weight heparins make up dalteparin and enoxaparin, two anticoagulants. The rights of medicine administration must be followed by nurses. For patients on LMWH medication, the most essential blood test is prothrombin time. Following administration, look for any signs of bleeding, such as occult blood in the stool, malena, bleeding gums, and skin discoloration/hematoma. The antidote for low molecular weight heparin is protamine sulphate. It is effective at counteracting the effects of LMWH. 100 units of LMWH are neutralised by 1 mg of protamine sulphate.If it's been more than 8 hours since you've given LMWH, provide 0.5 mg protamin per 100 units of LMWH.

Keywords: Bleeding, LMWH, Malena, medication administration, protamine sulfate


How to Cite

Tembhare, Vaishali, Gaurav Mujbaile, Seema Singh, Achita Sawarkar, Maduri Shambharkar, and Prerana Sakharwade. 2021. “Nursing Skill and Responsibility in Administration of Low Molecular Weight Heparin by Prefilled Syringe”. Journal of Pharmaceutical Research International 33 (47A):85-92. https://doi.org/10.9734/jpri/2021/v33i47A32993.

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