Pre-op medication changes Flashcards

1
Q

Which medications must be given pre-operatively?

A
  • Anti-epileptics
  • Anti-parkinsonian drugs
  • Antipsychotics
  • Anxiolytics
  • Bronchodilators
  • Cardiovascular drugs: except spironolactone; ARBs; ACEis
  • PPIs; H2RA
  • Glaucoma drugs
  • Immunosuppressants; steroids
  • Drugs of dependence
  • Thyroid anti-thyroid drugs
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2
Q

Which drugs should be stopped prior to surgery?

A
  • COCP
  • MAOIs
  • TCAs: risk of arrhythmias and hypotension
  • Lithium: risk of toxicity
  • Spironolactone; diuretics: risk of hyperkalaemia
  • ACEi/ARBs: stop 24h prior; risk of severe hypotension
  • Herbal medicines: potential interaction with anaesthetic
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