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.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.