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Elective Surgery Programme Implementation Support Guide

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APPENDIX 1 - GUIDELINES FOR PREOPERATIVE FASTING<br />

Before <strong>Surgery</strong><br />

In general, fasting should be undertaken to include:<br />

6 hours for solid food, milk<br />

2 hours for clear fluids (clear fluids should be non-particulate and non-carbonated e.g.<br />

water)<br />

4 hours for babies on breast milk<br />

Unless specified otherwise by the Anaesthetist, the following fasting times are<br />

recommended:<br />

Patients for morning lists (starting @ 08.00)<br />

Food until midnight<br />

Clear fluids until 04.00<br />

Patients for afternoon lists (starting @13.00)<br />

Food until 07.00<br />

Clear fluids until 11.00<br />

GUIDELINES FOR THE ADMINISTRATION OF MEDICATIONS PERI-<br />

OPERATIVELY<br />

Unless otherwise specified by the Anaesthetists all regular Medications should be<br />

administered in the morning of the surgery except:<br />

1. Oral hypoglycaemic Medications<br />

2. Diuretics<br />

3. Anticoagulants<br />

Medications should be administered as charted with up to 30ml of water to aid<br />

swallowing up to two hours before surgery<br />

Postoperatively, oral medications can be given as charted when free oral intake is<br />

established<br />

The Anaesthetist should be contacted if there are any queries.<br />

50 Model of Care for <strong>Elective</strong> <strong>Surgery</strong>

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