Yes it can be given slow IV push and can be diluted with Normal Saline or D5W
An epidural is normally given by an anesthesiologist, although the obstetrician is well qualified to also perform it. And an epidural, especially nowadays, is not necessarily given for "difficult" births. It is, like you said, a pain relief measure. It can, however, only be given during a short window of time. Given too soon, it can slow labor down. And given too late can cause problems also.
Enoxaparin.
During labor. Epidural analgesia, sometimes called an epidural block, causes some loss of feeling in the lower areas of your body, yet you remain awake and alert. An epidural block may be given soon after your contractions start, or later as your labor progresses. An epidural block with more or stronger medications (anesthetics, not analgesics) can be used for a cesarean delivery or if vaginal birth requires the help of forceps or vacuum extraction. Your doctors will work with you to determine the proper time to give the epidural.
Lovenox, a type of blood thinner, was developed by the French pharmaceutical company Aventis. It was approved for use in the United States in 1993.
Lovenox is produced through a complex process that involves extracting heparin from animal tissues, such as pig intestines. The heparin is then modified and purified to create enoxaparin, the active ingredient in Lovenox. The final product is formulated into injections for medical use.
Alcohol might interfer with coagulation process. You should avoid big quantity of alcohol. Small amount and not frequent consummation might be OK, it depends on the reason you take lovenox.
The antidote is protomine sulfate.
Lovenox (enoxaparin) is typically administered via subcutaneous injection, usually in the abdomen, to ensure proper absorption. The injection is usually given once or twice daily, depending on the condition being treated. It's important to rotate injection sites to reduce the risk of irritation or bruising. Patients may also receive training from healthcare professionals on how to self-administer the medication if needed.
yes LPNs are allowed to give lovenox. im an LPN student and were actually doing quite a lot of them
Epidural Analgesia - Epidural analgesia, sometimes called an epidural block, causes some loss of feeling in the lower areas of your body, yet you remain awake and alert. An epidural block may be given soon after your contractions start, or later as your labor progresses. An epidural block with more or stronger medications (anesthetics, not analgesics) can be used for a cesarean delivery or if vaginal birth requires the help of forceps or vacuum extraction. Your doctors will work with you to determine the proper time to give the epidural.An epidural block is given in the lower back into a small area (the epidural space) below the spinal cord. You will be asked to sit or lie on your side with your back curved outward and to stay this way until the procedure is completed. You can move when it's done, but you may not be allowed to walk around.Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=e746e318-69c5-4fef-aa4d-899a827d08c0&LandingID=4f04afc4-4f77-4eff-b20c-01e6e6ede922
It is imperative for the effects of the epidural to wear off beofre the foley catheter is discontinued. The last area of the body to resolve the effects of the epidural is the sacral/perineal area, which innervate the bladder. The patient may not be able to sense that his/her bladder is full and may become distended (and uncomforatble) as a result. It may save a reinsertion if taken out too early. It is imperative for the effects of the epidural to wear off beofre the foley catheter is discontinued. The last area of the body to resolve the effects of the epidural is the sacral/perineal area, which innervate the bladder. The patient may not be able to sense that his/her bladder is full and may become distended (and uncomforatble) as a result. It may save a reinsertion if taken out too early. It is imperative for the effects of the epidural to wear off beofre the foley catheter is discontinued. The last area of the body to resolve the effects of the epidural is the sacral/perineal area, which innervate the bladder. The patient may not be able to sense that his/her bladder is full and may become distended (and uncomforatble) as a result. It may save a reinsertion if taken out too early.