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Enoxaparin renal impairment — GPhC CRA MCQ

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ModerateRenal and Hepatic ImpairmentEnoxaparin renal impairmentGPhC CRA

A discharge prescription includes treatment-dose enoxaparin for a patient with eGFR 22 mL/minute/1.73 m2. What monitoring is required?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Confirm renal function, bleeding risk and any dose adjustment plan with the prescriber

Low molecular weight heparins can accumulate in renal impairment and increase bleeding risk. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF