A 62-year-old woman with type 2 diabetes is booked for an elective laparoscopic right hemicolectomy for a caecal cancer in one week. She will be fasting from midnight before surgery. Her medications are metformin 1 g twice daily, dapagliflozin 10 mg daily, perindopril 5 mg daily, atorvastatin 40 mg daily and aspirin 100 mg daily (she had a coronary stent inserted two years ago). Her HbA1c is 7.4% and renal function is normal.
Which one of the following medications should be ceased at least three days before surgery?
Keep going with ten more like this one.
Practise moreMore from Surgery and Perioperative Care
See allA 68-year-old man who smokes 20 cigarettes a day has an ultrasound of the abdomen for vague right upper quadrant discomfort. The gallbladder is normal, but the…
Clinical rotations · common
A 72-year-old woman with atrial fibrillation who stopped her anticoagulant six months ago after a nosebleed wakes at 3 am with sudden severe pain in her left le…
Pre-internship · middle twist
A 13-year-old boy with obesity has had aching pain in his left knee for three weeks. He suddenly develops severe groin pain while rising from a chair and cannot…
Clinical rotations · common
A 79-year-old woman falls at home and develops groin pain. Pelvic and hip radiographs show no fracture, but after analgesia she still cannot take four steps and…
Clinical rotations · middle twist
A 45-year-old man presents after four days of worsening right lower quadrant pain, fever and anorexia. Examination finds a tender, relatively fixed mass in the…
Clinical rotations · middle twist