Perioperative Meds Flashcards
(36 cards)
ABRUPT w/d of benzodiazepines may result in…
HTN, delirium, seizures
For pts with Parkinson’s, meds..
can be taken day before, but not morning of
TCAs may result in
hypotension, change in sympathomimetic response (dopamine, NE)
MAOIs need to be..
held 2 weeks before surgery
Beta blockers must
always be continued, or risk MI
ACEI
intra-op hypotension, but can be continued
CCBs
must be stopped with LV dysfunction!
Aspirin can lead to
internal bleeding, paralysis
LMWH (lovenox, fragmin)
stopped 1-2 days before
Coumadin
4-5 days before
risk of VTE
Anti-platelet therapy (aspirin, plavix)…
stop 7-10 days before
insulin
hold AM dose, or ½ AM dose
metformin
hold 1-2 days before, renal problems > lactic acidosis
Vitamin E
hold 7-10 before, bleeding!
use this at end of procedure to prevent PONV
droperidol
CNS toxicity is reversed with
Physostigmine
Ranitidine use
elevate gastric pH, does not alter hepatic fx
Lorazipam use
amoxylitic, sedative, amnesiac, no pain or phlebitis w/ injection
2 first steps of anaphylaxis
remove offending agent, give oxygen
for A-fib use
verapamil or digoxin (anti-arrythmics)
verapamil or digoxin risk
ventricular clot
for HTN use
hydralazine
propranolol
for hypotension use
fluid bolus
vasopressors (ephedrine)
clonidine use
produces sedation
prevents HTN, bradycardia
less total amnesia needed
