4th Year Pharmacology Flashcards
1
Q
when to stop OCP for major/ leg surgery?
A
4 weeks prior
can re-start 2 weeks post-surgery
2
Q
warfarin in minor surgery
A
if INR <3.5 then can be done without stopping
3
Q
warfarin in major ops
A
stop for 3-5 days pre-op, can convert to IV heparin or LMWH in interim
4
Q
re-introducing warfarin post-op
A
warfarin is pro-thrombotic so give LMWH first
5
Q
DOACs in surgery
A
low bleeding risk omit 24 hours prior, if high risk then 48 hours
6
Q
what is the risk of operating on patients who have been on long-term steroids?
A
may not be able to mount a sufficient adrenal response to the stress of surgery
7
Q
when should extra-steroid cover be considered in surgery?
A
when taking >5mg/d pred
8
Q
who are aromatase inhibitors used in?
A
post-menopausal women only
