Steroids & other endocrine rx Flashcards
1
Q
Prednisone
A
continue
2
Q
Levothyroxine
Propylthiouracil (PTU)
Methimazole
A
Continue
3
Q
Bisphosphonates
A
Continue perioperatively
If dose is due on day of surgery, SKIP the dose
(OMF) If pt has been taking them > 4 years +/- steroid tx, STOP 8 weeks prior to surgery
4
Q
oral contraceptives
A
Low DVT risk: Continue, with prophylaxis post-op
High thrombotic risk: STOP x 4 weeks preop
5
Q
Hormone replacement therapy
A
Low DVT risk: Continue
High DVT risk: Stop 2 weeks preop
6
Q
Selective estrogen receptor modulators (SERM)
tamoxifen
A
Low DVT risk: continue
High DVT risk: Stop 2 weeks preop
BrCA treatment: Continue
BrCA prevention: manage according to DVT risk
7
Q
Selective estrogen receptor modulators (SERM)
raloxifene
A
Low DVT risk: continue
High DVT risk: Stop 3 days preop
