Use Actual Weight to Dose LMWH in Obese Patients
We're getting questions about how to dose low-molecular-weight heparin (LMWH) for venous thromboembolism in obesity and renal impairment.
Dosing a LMWH, such as enoxaparin (Lovenox, etc), can be tricky in these cases. Usual doses may not be enough for obese patients...or they may accumulate and be too high in patients with renal impairment.
Obesity. For acute venous thromboembolism (VTE) treatment, dose LMWH based on ACTUAL body weight...even in patients over 150 kg.