The treatment and prophylactic dose of Enoxaparin in children are extrapolated from the adult clinical trials and a cohort study in children. Other situations may warrant the use of low molecular weight heparins. However, because of their substantially increased cost as compared to standard heparin, consultation with hematology is suggested. Obtain patient's weight. If still no response after attaining this dose, consult hematology.
Intravenous therapy is possible but requires a hematology consult.
Ongoing Follow Up Contact the thromboembolism nurse coordinator when the patient is admitted. A consult from hematology will be arranged and with Hematology Clinic follow-up. If treating acute DVT or PE, bedrest with bathroom privleges for 24 hours then reassess. Mobilization should then be encouraged as tolerated. Avoid aspirin or other antiplatelet drugs during heparin therapy.