anticoag/platelets pre-op stop Flashcards

(10 cards)

1
Q

warfarin

A

stop - 5 days before surg

bridging? Yes, therapeutic dose LMWH if high thrombotic risk

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2
Q

DOACs - apixaban, rivoroxaban

A

high bleed risk surg - stop 48hrs prior

bridging not required

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3
Q

aspirin

A

generally continued unless unacceptably high risk of bleeding

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4
Q

clopidogrel

A

stop 7 days before surg

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5
Q

LMWH

A

therapeutic dose - stop 24hrs before surg

prophylactic dose - stop 12hrs before surg

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6
Q

ACEi + ARBs

A

stop 24hrs before surg

  • to reduce risk of intraoperative hypotension
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7
Q

betablockers

A

do not stop, continue through perioperative period

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8
Q

calcium channel blockers

A

do not stop, continue as normal

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9
Q

taking which anticoag would you want to check the renal fucntion

A

dabigatran

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10
Q

when stop COCP before surgery

A

4weeks, 28days

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