8th September 2024

A 70-year-old woman is five days post elective left total hip arthroplasty and is on low-dose enoxaparin

A 70-year-old woman is five days post elective left total hip arthroplasty and is on low-dose enoxaparin for thromboprophylaxis. Her platelet count has dropped from 250 to 101 (normal 150 – 400 x10⁹/L). She has developed a new swelling in her lower left leg. There are no signs of bleeding, and an ultrasound confirms a deep vein thrombosis (DVT). In addition to discontinuing heparin, which single management approach is the best option?

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