Anaesthesia Flashcards
1
Q
Before surgery - when should COCs be stopped?
A
4 weeks prior
2
Q
Before surgery - when should HRT be stopped?
A
4 to 6 weeks prior
3
Q
Before surgery - when should lithium be stopped?
A
24 hours prior
4
Q
Before surgery - why should potassium sparing drugs be stopped?
A
ACE/ARB = severe hypotension
Diuretics - hyperkalaemia
5
Q
What should happen to diabetics during surgery?
A
should switch to insulin during durgery
6
Q
Which drugs may have to continue during surgery?
A
- Anti-epileptics
- Anti-Parkinson
- Anti-psychotics
- Anxiolytics
- Bronchodilators
- CV drugs (except K+ sparing diuretics)
- Glaucoma drugs
- Immunosuppressants
- Progestogen only contraceptive
- Thyroid and anti-thyroid drugs
7
Q
What advice should be given after surgery?
A
- Avoid alcohol
- don’t drive home
- IV benzos and short general anaesthetics = risk extends to at least 24 hours after
