Perioperative medicine Flashcards
(12 cards)
when to stop DOAC prior to surgery
48 hours prior to surgery NO bridging required
when to stop warfarin prior to surgery
- 5 days prior
- bridging LMWH if high risk VTE
when to stop clopidogrel prior to surgery
7 days prior surgery
when to stop LMWH prior to surgery
Therapeutic dose: 24 hours prior surgery
Prophylatic dose: 12 hours prior surgery
which two DM drugs require stopping before surgery?
- Sulfonylureas
- SGLT-2 inhibitors
what type of anti-hypertensive required to be stopped before surgery?
ACE-i and ARBS to prevent intraoperative hypotention
what should be done bolus/long acting insulin dosage before surgery
Reduce dose (approx. 80% of their usu. dose)
what should be done to the short-acting insulin before surgery
Omit short-acting insulin whilst not eating/skipping meal
when is VRII indicated in pre surgery
- when a pt is missing more than one meal
- pt with poor DM control
when is sulfonylureas be stopped and restart before and after surgery?
Omit morning dose and restart after surgery when eating/drinking
when is SGLT-2 inhibitors be stopped before and restart after surgery?
stopped on the day of the surgery
restart when eating/drinking
when to stop COCP before surgery?
4 weeks prior to surgery
