Perioperative Medicine Summit 2016

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76 yo female with HTN, DM, HF and Atrial Fibrillation is undergoing Laminectomy for severe back pain. The patient’s Creatinine is 1.6 mg/dl. She weighs about 80 kg. She takes Dabigatran 150 mg po BID. The last dose of Dabigatran should be taken when?

1. 5-days before surgery (8-doses)2. 4-days before surgery (6-doses)3. 3-days before surgery (4-doses)4. 2-days before surgery (2-doses)5. 1-day before surgery (hold only day of surgery doses)