if in doubt, find out (pharm or haem)

Consider peri-operative review from the peri-op registrar for complicated cases eg whether bridging with clexane is required, transitioning from warfarin to another agent pre surgery.

• Antiplt

• Anticoags

• Diabetes

Other special considerations

• RESP: Asthma, COPD, smoker: asses recent admission and current status of control. Salb neb in induction bay if scared. Stop smoking even if only for 2 days b4
• GORD → consider famotidine
• Parkinson's → liase w neuro re DA supp
• Chronic steroid use (>10mg pred)→ liase w endo re periop supp

Sip til send

200mls max until pt sent for

They don't have to drink it