Table 2.

Commonly used doses of anticoagulation medications in the inpatient setting. ⁹⁸

Prophylactic dose
Enoxaparin	30 to 40 mg SC / <0.7 mg/Kg/24hours 30 to 40 mg SC / <0.4 mg/Kg/12hours
Unfractionated heparin	5000 IU SC TID 5000 to 7500 IU SC TID
Fondaparinux	2.5 mg SC once daily for 5 to 10 days
Intermediate dose
Enoxaparin	≥0.4 but ≤0.7 mg/Kg/12hours
Unfractionated heparin	5000 IU SC TID 5000 to 7500 IU SC TID
Therapeutic dose
Enoxaparin	≥0.7 mg/Kg/12 hours ≥0.7 mg/Kg/24 h for patients with CKD >1.4 mg/Kg/24 hours
Therapeutic Dose Cont.
Unfractionated heparin	IV bolus followed by drip, with aPTT guided dose adjustments
Bivalirudin	IV bolus followed by drip, with ACT guided dose adjustments

aPTT: activated partial thromboplastin time; ACT: activated clotting time; CKD: chronic kidney disease; IV intravenous; SC: subcutaneous; TID: three time per day.