As compared to unfractionated heparin, low molecular weight heparin -
Ans. is 'a' i.e., Are absorbed more uniformly when given subcutaneously o Unfractionated heparin binds to several plasma proteins, therefore it has less predictable dose-response profile when administered sc or iv. o On the other hand, LMW heparins are less protein bound and have a predictable dose response profile when administered sc or iv. About other options o Since aPTT/clotting time are not prolonged (much) with LMW heparins, laboratory monitoring is not needed. o LMW heparins are unsuitable for HIT as antibody may be cross-reactive. Agent of choice in HIT are direct thrombin inhibitors like hirudin, lepirudin, bivalirudin. o Osteoporosis (osteopenia) occurs as a dose related side effect of unfractionated heparin. The relative risk with LMW heparin is not yet estabilished.
Are absorbed more uniformly when given subcutaneously
Require more frequent lab monitoring
Can be given to patients with heparin induced thrombocytopenia
A higher risk of osteopenia