What action should be taken with the air bubble in Lovenox before administration?

When administering Lovenox (enoxaparin), it is important to leave the air bubble in the prefilled syringe intact and not expel it. The presence of the air bubble serves a specific purpose in ensuring that the entire dose of the medication is delivered properly into the subcutaneous tissue.

The air bubble acts as a seal to help ensure that the syringe delivers the entire medication dose without leakage. Additionally, leaving the air bubble helps to minimize the risk of potential bruising at the injection site by providing a cushion effect upon injection, which can promote better absorption of the medication.

Injecting the air bubble, expelling it, or attempting to pop it would disrupt this intended function, negating the careful design of the syringe and potentially impacting the effectiveness of the medication. Therefore, leaving the air bubble in the syringe is the correct action to ensure proper administration of Lovenox.