option is the best for him?
a. Continue with warfarin
b. Continue with warfarin and add heparin
c. Stop warfarin and add aspirin
d. Stop warfarin and add heparin
e. Stop warfarin
answer: D
pre-operative medications to stop
- oral hypoglycemics
- antidepressants: stop on morning of surgery
- ACE inhibitors and angiotension receptor blockers: stop on morning of surgery
- warfarin (consider bridging with heparin)
- anti-platelet agents (e.g. clopidogrel)
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