QuestionMultiA
QuestionChoice
10028487
d
Candesartan;8mg;oral (PO);Daily
QuestionChoice
10028489
f
Amlodepine;5mg;oral (PO);Daily
QuestionChoice
10028486
c
Clopidogrel;75mg;oral (PO);Daily
QuestionChoice
10028490
g
Ibuprofen;400mg;oral (PO);TDS
QuestionChoice
10028488
e
Paracetamol;500mg;oral (PO);PRN
QuestionChoice
10028485
b
Atorvastatin;80mg;oral (PO);Daily
QuestionChoice
10028491
h
Omeprazole;30mg;oral;(PO) Daily
QuestionChoice
10028484
a
GTN;400mcg;sublingual (SL);PRN
QuestionComment
where would you find the timeline for when you stop drugs prior surgery on the BNF?
61000
QuestionComment
The 'surgery and long term medication' treatment summary only has the ACE-I and lithium times on there, and that's it unfortunately. The other main one to remember is COCP: stop 4 weeks before. The 'diabetes, surgery and medical illness' treatment summary also has some info about stopping certain diabetic medications prior to surgery, I hope that's useful!
61091
User
subscriber
Myopathy Prone
User
subscriber
Vitals 'R' Us
Concept
Chapter
2693
6072
Peri-operative drugs optimisation, Drugs to stop in AKI
Topic
315
Surgery
1. NICE guidelines advise that clopidogrel should be stopped 7 days prior to surgical procedures
2. NSAIDs and Angiotensin receptor blockers may lead to the worsening of renal function and hence, should be stopped during an AKI.
18097
c
d g
Case presentation: A 68-year-old man is recovering following an elective coronary artery bypass graft (CABG) procedure. Post-operatively, he has acute kidney injury (see investigations below) and has not passed urine for 13-hours.




 **PH** Ischaemic heart disease, Angina, Hypercholesterolaemia, Osteoarthritis, GORD, Hypertension


 **DH** His current regular medicines are listed (below).
Allergies - aspirin, ramipril


 **Investigations**
Cr 156 µmol/L (60-120 µmol/L), baseline 80 µmol/L


Question 1: Select the ONE prescription that should be stopped one week prior to his operation (mark them with a tick in column A)
Question 2: Select the TWO prescriptions that should be withheld until his renal function improves. (mark it with a tick in column B).