Transcription of LOW MOLECULAR WEIGHT HEPARIN THERAPEUTIC …
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LOW MOLECULAR WEIGHT HEPARIN THERAPEUTIC …
LOW MOLECULAR WEIGHT HEPARIN DOSING recommendations . CLINICAL SCENARIO LMWH DOSING recommendations . ENOXAPARIN DALTEPARIN. (preferred LMWH) (no dose-capping). VTE prophylaxis . Orthopedic surgery 30mg q12h 5000 units daily (hip/knee replacement, hip fracture). Trauma 30mg q12h 5000 units daily Acute Spinal cord injury 30mg q12h 5000 units daily Acute medical illness 40mg daily 5000 units daily General surgery 40mg daily 5000 units daily Bariatric surgery 40mg q12h Not recommended Morbid obesity 40mg q12h Not recommended (BMI>40). Severe renal impairment 30mg daily 5000 units daily (Clcr < 30). VTE TREATMENT Use total body WEIGHT (TBW) to calculate dosing 1 2. Venous thrombosis 1mg/kg SQ q12h 200 units/kg daily (LMWH for a minimum of 5 days). 2. Cancer-associated venous thrombosis Dalteparin preferred, or enoxaparin 200 units/kg daily x 1 month, 1 2. (LMWH for a minimum of 3-6 months) 1mg/kg q12h x 1 month, then 150 units/kg daily 1. then mg/kg daily 1 3. Pregnancy 1mg/kg q12h 100 units/kg q12h 1 4.
LOW MOLECULAR WEIGHT HEPARIN DOSING RECOMMENDATIONS CLINICAL SCENARIO LMWH DOSING RECOMMENDATIONS ENOXAPARIN (preferred LMWH) DALTEPARIN (no dose-capping) VTE PROPHYLAXIS Orthopedic surgery (hip/knee replacement, hip fracture) 30mg q12h 5000 units daily Trauma 30mg q12h 5000 units daily Acute Spinal cord injury 30mg …
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