1mg/kg SC q12h
Lovenox 30mg SubQ q12 hrs (if Cr Clearance > 30)
Check Anti-Xa level every week EXACTLY 4 hours after 3rd dose of lovenox
prophylactic goal: 0.2-0.6
therapeutic goal: 0.6-1.2
Recheck AntiXa level after each 3rd dose if dose is changed until you are at goal
Recheck level every week (usually qMonday) for all patients
If renal dysfunction order heparin 5000 Units SubQ q8 hrs (search “SURG DVT/VTE prophylaxis” order set)
Check Anti-Xa level every week EXACTLY 4 hours after 3rd dose of lovenox
prophylactic goal: 0.2-0.6
therapeutic goal: 0.6-1.2
prophylactic goal: 0.2-0.6
therapeutic goal: 0.6-1.2
Enoxaparin
Apixaban
Rivaroxaban
Cilostazol
Ticlopidine
Unfractionated heparin
Warfarin
Clopidogrel