A nurse is caring for a client prescribed Vancomycin. Which nursing action is most appropriate regarding infusing over at least 60 minutes to prevent Red Man Syndrome and monitoring trough levels?

• 1 Low-molecular-weight heparin like enoxaparin breaks down existing clots by activating plasminogen over a prolonged period. This dose is appropriate for gradually dissolving any clot that may have already formed during your illness.
• 2 This is the prophylactic (preventive) dose to reduce the risk of forming a new clot during your hospitalization. If a clot were diagnosed, treatment would require a different higher dose — typically about 1 mg/kg every 12 hours or 1.5 mg/kg once daily. ✓ Correct answer
• 3 Although enoxaparin is effective for preventing clot formation, this dose will not dissolve an existing clot. For clot dissolution in the legs, the standard approach is oral aspirin therapy, which acts by inhibiting platelets and gradually breaking down the clot.
• 4 Yes, a 40 mg once-daily dose of enoxaparin is the standard therapeutic regimen for treating deep vein thrombosis or pulmonary embolism. This dose works by binding to antithrombin and inhibiting clotting factors, which helps prevent clot extension and allows the body to dissolve the clot naturally.

For study reference only. Always follow current clinical guidelines and your institution’s protocols.