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Periop > Long term drugs and surgery > Flashcards

Long term drugs and surgery Flashcards

1
Q

Clopidogrel

A
  • Very powerful antiplatelet agent (ADP inhibitor), can cause profuse bleeding.
  • Stop 7 days prior to surgery (drugs take 5x half life to lose effect)
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2
Q

Aspirin

A

continue

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3
Q

statins

A

continue

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4
Q

b blockers

A

continue

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5
Q

oral hypoglycaemics

A

stop from day of surgery

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6
Q

OCP and HRT

A

stop 4 weeks before, start again 2 weeks post op

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7
Q

Corticosteroids

A

continue

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8
Q

Warfarin

A

AF - stop 5 days before
Hx DTV/PE - stop 5 days before, LMWH
Prosthetic heart valve - stop5 days before, IV UFH APTT 2-3

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9
Q

Metformin

A

Omit on day if procedure involves contrast, continue after 2-3 days if UandEs stable

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Periop (11 decks)

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