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