A 62 years old man noted Ecchymosis in upper arm while taking bath. He is known diabetic, hypertensive with non alcoholic steatotic hepatitis and CABG with femoral vein. His platelet count is always between 55 to 85 thousand.

Drug therapy includes metformin, glimepiride, vildagliptin, metoprolol, telmisartan, long acting nitrates and aspirin 150 mg daily. What is the required line of action for this patient?