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18 Cards in this Set
- Front
- Back
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Ace Inhibitors |
Keep if BP and U&E ok |
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Antibiotics |
Keep, they can prolong neuromuscular blockade |
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Beta Blockers |
Keep |
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Digoxin |
Keep - check for toxicity and plasma k+ |
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Statins |
Keep |
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Bronchodilators |
Keep - supplement with nebulisers |
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Proton pump inhibitors |
Keep |
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Steroids |
Keep give extra cover |
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Anticonvulsants |
Keep until one hour before. Give IV post op |
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Levodopa |
Keep - possible arythmias under GA |
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Anticoagulants |
Stop on morning. Check INR, switch warfarin to heparin if needed. INR < 2 for surgery. |
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Aspirin |
stop usually - depends on operation |
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Clopidogrel |
Stop 5-7 days before |
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NSAIDs |
Discontinue due to renal and anti platelet effects. |
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Diuretics |
Stop? Beware hypokalemia and hypovolemia |
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Insulin |
Keep Long acting basal insulin, even if on sliding scale. Omit oral hypoglycemics on morning of surgery |
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Contraceptive pill and HRT |
Stop 4 weeks before surgery and restart 2 weeks post op if mobile. |
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SSRIs |
Continue in the majority Stop if high risk CNS procedure |
