Drugs to stop before surgery

Question 1

4 weeks before?

Answer 1

COCP, HRT

Question 2

Day before?

Answer 2

Lithium

Question 3

Day of?

Answer 3

ACEi, spironalactone

Question 4

Patient is nil by mouth so need to stop? What to start instead?

Answer 4

Metformin, oral hypoglycaemic drugs, insulin

Start sliding scale insulin instead

Question 5

Variable timescale for stopping?

Answer 5

Anticoagulants and antiplatelets - sometimes continued

Question 6

I LACK OR

Answer 6

Insulin, Lithium, Anticoagulants/platelets, COCP/HRT, Oral hypoglycarmiacs, Ramipril and other ACEi

Question 7

Acronym for remembering shit

Answer 7

I LACK OR

Question 8

What drug do you need to increase during surgery

Answer 8

Corticosteroids - lack normal stress response due to adrenal atrophy