How should a nurse administer enoxaparin subcutaneously?

Administering enoxaparin subcutaneously at a 45-degree angle is essential to ensure proper absorption and minimize discomfort. This technique allows the medication to be delivered into the subcutaneous layer of fat, which is crucial for the effectiveness of this anticoagulant. When the needle is inserted at this angle, it helps to reduce the risk of hitting muscle tissue, which could lead to variable absorption rates and may cause pain or bruising for the patient.

Additionally, this method helps to ensure that the medication is dispersed properly in the adipose tissue, preventing it from leaking out and providing a more consistent therapeutic effect. It's also important to note that injecting enoxaparin into the muscle is not recommended, as this could lead to increased risk of bleeding and altered medication effect.

While administering in the abdomen is often preferred due to the anatomical characteristics that may facilitate better absorption, the option of restricting administration to just that area is not necessary. The focus should be on the technique of injection rather than the specific site as long as the injection is given in an appropriate subcutaneous tissue area.