A patient has a mechanical aortic valve, on warfarin and needs bridging with enoxaparin for a procedure. He is 84 and malnourished with 15-20 lbs of ascites. What dose of enoxaparin would be appropriate?
To put the patient on enoxaparin you have to first test the patient’s INR levels. Then the dose of warfarin is to be adjusted according to INR level and enoxaparin introduced on the day of procedure. Please get a hematologist or cardiologist to monitor this. Take care!
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