26th July 2024

A 72-year-old man is currently on the orthopaedic ward having had a left dynamic hip screw operation

A 72-year-old man is currently on the orthopaedic ward having had a left dynamic hip screw operation following a neck of femur fracture. He has recently developed necrosis around the heparin infection sites. Blood tests taken show: Hb 92 (110-150), Plt 34 (150-400) and WCC 15 (4-11). A platelet factor 4 antibody level has come back as 2.0 OD (negative < 0.4). What anticoagulation is most appropriate?

Select the SINGLE most appropriate option from the list below. Select ONE option only.