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Enoxaparin renal impairment — GPhC CRA MCQ

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HardRenal and Hepatic ImpairmentEnoxaparin renal impairmentGPhC CRA

A hospital discharge prescription includes treatment-dose enoxaparin for a patient with eGFR 22 mL/min/1.73 m². The dose appears unchanged from normal renal function dosing. What monitoring is required?

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

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Correct answer: C — Query dose and monitoring requirements because accumulation increases bleeding risk

Low molecular weight heparins can accumulate in renal impairment, increasing bleeding risk. Dosing and monitoring may need adjustment according to indication and local guidance. The discharge prescription should be clarified.

Reference: BNF