10.

Question 1

What to do to Lithium preoperatively ?

Answer 1

Stop Lithium a day before surgery

Question 2

What drugs decrease lithium excretion? (Leading to toxicity)

Answer 2

• ACE inhibitors - diuretics (particularly thiazides) - NSAIDs

Question 3

If patient is on Lithium, what diuretics can be given?

Answer 3

If patient on Lithium must have diuretics prescribed - go for Furosemide

Question 4

Can we prescribe glucose in a patient who had a stroke?

Answer 4

5% glucose should be avoided in patients who have had a stroke due to the increased risk of cerebral oedema