epidural catheter removal and platelets.

I know...we have had this discussion before. Anyway. Clinical scenario - Patient with history x 2 of DVT (I think one was also a PE) and on Coumadin....bridged to lovenox for Knee replacement. Epidural placed with platelets 102. Day one - platelets, 64 at 4am. Surgeons are anxious to start Lovenox - therapeutic dosing. Recheck of platelets at noon - 70. Decision time. I'm sure there are lots of different ways to do this - but here where the options I thought I should decide on.... epidural catheter removal and platelets.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums