Podiatry boards II

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Podiatry boards II
2011-12-02 23:01:34

Pharmacology perioperative medication use
Show Answers:

  1. Why would a non diabetic woman take Metformin?
    To treat polycystic ovarian disease, and to induce ovulation in these women. The medication will lower testosterone levels in women with PCOD and may also stop excess hair growth.
  2. When to take your patient off ASA before anticipated surgery:
    Aspirin should be stopped one week prior to surgery, it is an irreversible COX 1 and 2 inhibitor. Platelets cannot produce new enzymes, so reversal of Aspirin is dependant on new platelet production.
  3. when should NSAIDS be stopped priod to surgery?
    Other NSAIDS - stop 3-5 days before surgery.

    THis is the reason I think. It is what I found anyway. This medication is a reversible inhibitor of COX and the platelet will be able to produce thromboxanes within 3-5 days.
  4. How many days should Coumadin be stopped prior to surgery?
    Coumadin - Stop 5 days preoperativelyHow to reverse Coumadin: Vitamin K FFPReversal of Coumadin depends on adding new active factors as in adding FFP or Adding vitamin K in order to activate the factors present in the serum. Why would coumadin be stopped preoperatively? Concern of excessive bleeding or hematoma formation.
  5. When to restart Coumadin after surgery:
    24 hours for a more minor surgery and 48 - 72 hours for a surgery with a greater chance of bleeding problems. you basically what the risk of hemmorrhage to decrease and that will have in a day or 2 or 3.
  6. Which BP medication would you want your gout patient do get off of?
    A diuretic, These get rid of water and can concentrate the Uric Acid in the blood and thus make levels of Uric acid higher.