Problem 11: Re-starting Warfarin

Question 1

The consultant has recommended that warfarin is restarted. They have restarted at the patients usual dose. Explain if it is appropriate for the patient to still have enoxaparin prescribed.

Answer 1

Concomitant heparin therapy affects the results of control tests and should be discontinued at least six hours before the first test is carried out.

Question 2

Recommend an appropriate dose of enoxaparin for this patient. (Should this dose be prophylactic i.e. 40mg or treatment i.e. 1.5mg/kg? Will the dose need to be adjusted for renal function?

Answer 2

2