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
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