LWMH Use in Elderly Patient with Normal Kidney Function Affects Serum Sodium and Potassium Levels: A Case Report

An 87-year-old female with a history of paraplegia/neurogenic bladder, chronic left leg wound infection, and recurrent UTI, was admitted primary problem frequent falls found to have COVID-19 infection. Upon admission, the patient given enoxaparin for DVT prophylaxis hypercoagulability due COVID-19. After 3 days initiation enoxaparin, experienced hyponatremia trending upward levels potassium. It believed be furosemide discontinued. Despite discontinuation, continued down serum sodium an uptrend potassium occurred. 24 hours discontinued plateaued. We believe this LMWH-induced hypoaldosteronism.