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Pre-operative assessment > Medications > Flashcards

Medications Flashcards

1
Q

Warfarin - time to stop pre-operatively?

A

5 days

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2
Q

Warfarin - interim?

A

Therapeutic dose LMWH can be prescribed

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3
Q

Warfarin - high risk patients?

A

Admit for unfractionated heparin infusion

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4
Q

DOACs - time to stop pre-operatively?

A

24 hours for minor surgery
48 hours for major surgery

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5
Q

Therapeutic dose LMWH - time to stop pre-operatively?

A

24 hours

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6
Q

Unfractionated heparin infusion - time to stop pre-operatively?

A

4 hours
Restart post-operatively

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7
Q

Aspirin - time to stop pre-operatively?

A

7 days

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8
Q

clopidogrel - time to stop pre-operatively?

A

7 days

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9
Q

dipyridamole - time to stop pre-operatively?

A

7 days

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10
Q

Aspirin/clopidogrel/dipyramdole - consideration pre-operatively?

A

If patient has high risk indication (eg. cardiac stent) - talk with cardiology and surgeon

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11
Q

Insulin - time to stop pre-operatively?

A

Avoid morning dose

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12
Q

Insulin prescribing around surgery?

A

Prescribe a variable rate insulin infusion with surgical fluid from midnight the night before (unless minor surgery)

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13
Q

Oral hypoglycaemic - time to stop pre-operatively?

A

Avoid on day of operation

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14
Q

metformin post-operatively?

A

Avoid for 2 days due to risk of lactic acidosis

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15
Q

Diuretics/ACEi - time to stop pre-operatively?

A

Avoid on day of operation

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16
Q

Long term corticosteroids - time to stop pre-operatively?

A

Change to equivalent dose hydrocortisone + liase with anaesthetist

17
Q

COCP - time to stop pre-operatively?

A

4 weeks

18
Q

COCP - post operatively?

A

Restart 2 weeks after

Pre-operative assessment (7 decks)

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