Aidan: Created page with "{| class="wikitable" !Medications !Recommendations |- ! colspan="2" |Cardiovascular Medications |- |Beta blockers |Continue. Use IV propanolol, metoprolol, or labeta..."

2022-03-04T20:17:21Z

Created page with "{| class="wikitable" !Medications !Recommendations |- ! colspan="2" |Cardiovascular Medications |- |Beta blockers |Continue. Use IV propanolol, metoprolol, or labeta..."

New page

{| class="wikitable"
!Medications
!Recommendations
|-
! colspan="2" |Cardiovascular Medications
|-
|Beta blockers
|Continue. Use IV [[propanolol]], [[metoprolol]], or [[labetalol]] if strictly NPO.
|-
|Alpha-2 agonists
|Continue. Use transdermal [[clonidine]] if strictly NPO.
|-
|Calcium channel blockers
|Continue. Can hold if strictly NPO.
|-
|ACE inhibitors and ARBs
|Hold morning dose, unless indicated for heart failure or poorly-controlled hypertension. Can use IV [[enalapril]] if needed.
|-
|Diuretics
|Hold morning dose. Use IV formulations if needed.
|-
|Statins
|Continue.
|-
|Non-statin lipid-lowering medications
|Discontinue the day before surgery. Resume with oral intake.
|-
! colspan="2" |Gastrointestinal Medications
|-
|H2 blockers
|Continue. Substitute IV formulations if necessary and strictly NPO.
|-
|PPIs
|Continue. Substitute IV formulations if necessary and strictly NPO.
|-
! colspan="2" |Respiratory Medications
|-
|Inhaled bronchodilators
|Continue.
|-
|Theophylline
|Discontinue the evening before surgery.
|-
|Leukotriene inhibitors
|Continue.
|-
! colspan="2" |Estrogen and Related Hormones
|-
|OCP
|If low risk of VTE from surgery, continue. If high risk of VTE from surgery, stop 4 weeks before.
|-
|Postmenopausal hormone replacement therapy
|If low risk of VTE from surgery, continue. If high risk of VTE from surgery, stop 4 weeks before.
|-
|Selective estrogen receptor modulators
|If low risk of VTE from surgery, continue. If high risk of VTE from surgery, stop 3 days before ([[raloxifene]] for breast cancer prevention or [[osteoporosis]]), 2 weeks ([[tamoxifen]] for breast cancer prevention), continue ([[tamoxifen]] for breast cancer treatment).
|}
[[Category:Perioperative medicine]]

Perioperative medication management - Revision history

Aidan: Created page with "{| class="wikitable" !Medications !Recommendations |- ! colspan="2" |Cardiovascular Medications |- |Beta blockers |Continue. Use IV propanolol, metoprolol, or labeta..."