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| eGFR | Weight | Prescribe the correct dose on the kardex |
| >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) |