Reduce the injection of subcutaneous low molecular weight heparin induced bleeding Methods and Experiences.doc

 PAGE \* MERGEFORMAT 5 Reduce the injection of subcutaneous low molecular weight heparin induced bleeding Methods and Experiences [Keywords:] injection; low molecular weight heparin; subcutaneous hemorrhage Low molecular weight heparin (LMWH) treatment of coronary syndrome clinical effect has been positive, because of abdominal subcutaneous injection of long duration, side effects have been widely used clinically. But because of its anticoagulant effect, injection press improper methods, and applications aspirin and other anticoagulant drugs in elderly patients synergies and factors such as vascular brittleness [1], can easily lead to subcutaneous injection site hemorrhage, manifested as skin petechia, ecchymosis, hematoma, local pain, increase patient pain, affecting the therapeutic effect. To this end the majority of nursing colleagues studied many methods for the prevention and treatment of subcutaneous hematoma, March 2008 -2009 adopted on March 51 cases of undergraduate subcutaneous low molecular weight heparin in coronary heart disease cases were observed, the author summarize the nursing experience, are as follows. 1 Clinical data 1.1 General information on the course of hospitalization of patients with coronary heart disease in 51 cases, 34 males and 17 females; age 36 to 76 years, mean 56.7 years, all of unstable angina. Platelet, coagulation test results were the normal range. 1.2 Operation Methods Techpool Biochemical Pharmaceutical Co., Ltd. production of low molecular weight heparin injection (specification 0.5ml: 5000AXaIU), is a manufacturer specialized syringe injection device supporting 1cm, the needle is about 1.2cm, around the U-shaped in the umbilical region within 5 ~ 10cm (except for Cullen 1cm) around the turn of subcutaneous injection. operation taut with his left thumb and index finger skin, right hand holding the syringe was slowly injected into the needle 40 (speed to 45 seconds is appropriate), body weight loss for ,