Perioperative Prescribing

Question 1

How do you alter long acting insulin if commencing a VRIII

Answer 1

Drop by 20% in evening

Question 2

How do you alter other forms of insulin on VRIII

Answer 2

Omit until eating + drinking then recommence with 30 min overalp

Question 3

When do you generally stop DOACs?

Answer 3

24-48 hours prior depending on bleed risk and renal status

Question 4

When do you recommence DOACs?

Answer 4

24-72 hours depending on adequate haemostasis

Question 5

When do you stop vitamin K antagonists?

Answer 5

5 days prior