Please save your responses and upload to the patient record in Trak. Do not save completed form to a personal device as it contains person-identifiable information. Save only on an approved NHS Lothian work device.

If prescribing Dalteparin, please check weight and eGFR.

Please note that the table below may need to be scrolled horizontally or vertically in order to view all information, depending on your device.

eGFR	Weight	Prescribe the correct dose on the HEPMA
>10	<50kg	Dalteparin 2500 units S/C once daily
>10	50-100kg	Dalteparin 5000 units S/C once daily
>10	101-150kg	Dalteparin 5000 units S/C twice daily (Off-license dose)
>30 (For extreme weight and eGFR<30ml/min, please consult Haematology for advice)	>150kg	Dalteparin 7500 units S/C twice daily (Off-license dose)
≤10 or on renal replacement	Any	Consider mechanical measures. If high thrombotic risk consider dalteparin 2500 units once daily. (For eGFR 11-30, monitor anti-Xa levels after 10 days as per LUHD guidelines)

For full guideline, please refer to Lothian University Hospital Division Anti thrombotic Guide on the Intranet. This link will only work for users on the NHS Lothian Intranet.