A 87-year-old woman with a CFS of 6 is admitted with a hip fracture. She has a background of Parkinson's disease on Co-careldopa. The orthopaedic team...

Question

A 87-year-old woman with a CFS of 6 is admitted with a hip fracture. She has a background of Parkinson's disease on Co-careldopa. The orthopaedic team plans surgery for the next morning. Her usual dose of Co-careldopa is due at 8am but the theatre list starts at 7:30am. What is the MOST important perioperative medication instruction?

Accepted Answer

Give her usual Co-careldopa dose at 6am with a small sip of water - Parkinson's medication must not be omitted

Answer

Withhold all medications on the morning of surgery including Co-careldopa

Answer

Only give her Co-careldopa if the surgery is delayed beyond midday

Answer

Switch to Ropinirole for the day of surgery

Answer

Give the Co-careldopa rectally instead

uk-dgm MCQ (SBA): Perioperative Parkinson's Medication Management