Monitoring/PeriOperative Flashcards

1
Q

TCAs

  • amitrip
  • imipramine
  • dosulepin

WHAT EFFECTS Peri-Op?

A

BLOCKING EFFECTS:

  • muscurinic
  • Histaminergic
  • a-adrenergic

–>DISCONTINUE

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2
Q

SSRIs:

WHAT EFFECTS Peri-Op?

A
  • anti-chol

- avoid SEROTONIN-crisis precipitants

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3
Q

MAOIs:

  • phenylzine
  • mociobemide

WHAT EFFECTS Peri-Op?

A
  • avoid serotonin stuff
  • NO use of ephedrine (indirect sympathomimetic)
  • d/c TWO WEEKS before surgery (irreversible) or day of surg (reversible)
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4
Q

typical antipsychotics:

  • prochlorperazine
  • chlorpromazine

WHAT EFFECTS Peri-Op?

A

BLOCKING:

  • cholinergic
  • a1 adrenergic
  • histaminergic
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5
Q

-lithium

WHAT EFFECTS Peri-Op?

A

**prolongation of NMBs!!!!!!!!!

**reduction in anesthetic agent required

**avoid NSAIDs

d/c 24h before surgery

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6
Q

-Carbamazepine

A

cytochrome p450

-CAN CONTINUE

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7
Q

-valproate can interfere with function of what blood part?

A

platelets

CAN CONTINUE

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8
Q

atypical antipsychotics

WHAT EFFECTS Peri-Op?

A

-a1 blocking effect

CAN CONTINUE

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9
Q

barbiturate SE bad?

A

acute intermittent porphyria

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