Surgery Flashcards
1
Q
Which drugs do you stop before surgery?
A
I LACK OP
I: Insulin L: Lithium A: Anti-coagulants/anti-platelets C: COCP/HRT K: K sparing diuretics O: Oral hypoglycaemics P: Perindropril and other ACE-i
2
Q
What are the issues with steroid users in surgery?
A
Due to adrenal atrophy they don’t have the necessary physiological response during surgery and are therefore prone to profound hypotension
Therefore give IV steroids
3
Q
When to stop Lithium?
A
Day before
4
Q
When to stop COCP?
A
4 weeks before
5
Q
K sparing diurectics and ACE
A
day before
6
Q
What should you do when you stop the oral hypoglycaemics
A
Use a variable insulin scale
