WELCOME TO THE COMMUNITY: This Patient-To-Patient Community is for discussions relating to Bleeding Disorders. There are many types of blood disorders, including: bleeding disorders, platelet disorders, hemophilia and anemia.
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!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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