Monitoring/PeriOperative Flashcards
1
Q
TCAs
- amitrip
- imipramine
- dosulepin
WHAT EFFECTS Peri-Op?
A
BLOCKING EFFECTS:
- muscurinic
- Histaminergic
- a-adrenergic
–>DISCONTINUE
2
Q
SSRIs:
WHAT EFFECTS Peri-Op?
A
- anti-chol
- avoid SEROTONIN-crisis precipitants
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)
4
Q
typical antipsychotics:
- prochlorperazine
- chlorpromazine
WHAT EFFECTS Peri-Op?
A
BLOCKING:
- cholinergic
- a1 adrenergic
- histaminergic
5
Q
-lithium
WHAT EFFECTS Peri-Op?
A
**prolongation of NMBs!!!!!!!!!
**reduction in anesthetic agent required
**avoid NSAIDs
d/c 24h before surgery
6
Q
-Carbamazepine
A
cytochrome p450
-CAN CONTINUE
7
Q
-valproate can interfere with function of what blood part?
A
platelets
CAN CONTINUE
8
Q
atypical antipsychotics
WHAT EFFECTS Peri-Op?
A
-a1 blocking effect
CAN CONTINUE
9
Q
barbiturate SE bad?
A
acute intermittent porphyria