PRE OPERATIVE INSTRUCTIONS FOR ADULTS

Pre-operative Instructions – Adults

 

Please ensure that you have completed your online admission or admission booklet as directed by the staff at SCENT.

 If you are over 50 years old or have significant medical problems, please check with your surgeon if any tests are required prior to your operation.

 IMPORTANT: Some medications need to be ceased prior to surgery.

 Medications

Herbal medications / Supplements

Must be stopped 2 weeks prior to surgery. Please see overleaf for examples.

 Blood thinning medications / Anticoagulants

May need to be stopped prior to surgery. It is ESSENTIAL that you contact your surgeon to discuss appropriate arrangements for you. These medications include, but are not limited to Warfarin, Clopidogrel, Aspirin and medications containing Aspirin.

 Non Steroidal Anti-inflammatory drugs (NSAIDS)

Must be stopped 1 week prior to surgery. Please see overleaf for examples. If you require painkillers during this time use Panadol or Panadeine.

 Diabetic medications

Do not take oral hypoglycaemic medication (ie tablets for diabetes) on the morning of your surgery. If you are on Insulin, discuss how to alter your dose with your Anaesthetist.

 Sleep Apnoea

Please bring your CPAP machine to use overnight if you usually use this at home.

 CT scans or X Rays

Please bring with you to hospital. Failure to do so may result in cancellation of your surgery.

 The Hospital will contact you the afternoon or evening prior to your surgery to confirm arrival time and fasting time.

The day of surgery

You are not permitted to eat or drink for 6 hours prior to admission.

Take your usual morning medication (apart from those listed above) with a sip of water. MPLES OF MEDICATIONS THAT NEED TO BE STOPPED OR TO

EXAMPLES OF MEDICATIONS THAT NEED TO BE STOPPED PRIOR TO SURGERY

HERBAL MEDICATIONS & SUPPLEMENTS

Dindevan (Phenindione) Ephedra                                Garlic

Ginseng                              Horseradish                          Meadowsweet Tea

Primrose Oil                       Willow Bark                          Echinacea

Ginger                                 Kava                                      St John’s Wort

Fish Oil                               Ginkgo                                  Valarian                        

Vitamin E

 BLOOD THINNING MEDICATION

Warfarin

Tirofiban

Coumadin

Prasugrel

Marevan

Ticagrelor

Apixaban

Dabigatran

Abciximab

Rivaroxaban

Edoxaban

 

Alternative arrangements for blood thinning will need to be made with your surgeon.

 CLOPIDOGREL

Plavix, Iscover

 ASPIRIN and medications which contain aspirin

Alka-Seltzer                          Aspro / Aspro Clear              Cardiprin 100

Codis                                     Solprin                                    Asasantin SR

Cartia                                     Codox                                     Streptase

Aspalgin                               Astrix                                       Codiphen

Disprin / Disprin Forte      Ticlid (Tilodene)

 ANTI DEPRESSANTS

Aurorix                               Clobemix

Arima                                    Mohexal (Moclocbemide)

 NSAIDS (non-steroidal anti-inflammatory drugs)                                  

Aclin (Sulindac)

Arthrexin (Indomethacin)

Anaprox (Naproxen)

Butazolodin (Phenylbutazone)

Brufen (Ibuprofen)

Clinoril (Sulindac)

Celebrex (Celecoxib)

Crysanal (Naproxen)

Clonac (Diclofenac)

Indocid (Indomethacin)

Dicohexal / Dinac (Diclofenac)

Mobilis (Piroxicam)

Feldene (Piroxicam)

Nurolasts (Naproxen)

Mefic (Mefenamic Acid)

Ponstan (Mefenamic)

Naprogesic/Naproxyn SR/Naprosyn SR(Naproxen)

Toradol (Ketorolac)

Nurofen (Ibuprofen)

Voltaren (Diclofenac)

Orudis SR / Oruvail SR (Ketoprofen)

Panafen (Ibuprofen)

Rafen (Ibuprofen)

ACT-3. Actiprofen/Advil (Ibuprofen)

Inza (Naproxen)

Mobic (Meloxicam)

Proxen SR (Naproxen)

Surgam (Tiaprofenic)

Movalis (Meloxicam)

Piroxicam/Pirohexal

Fenac (Diclofenac)