A 67-year-old man scheduled for elective colectomy takes empagliflozin for diabetes, metformin, and lisinopril. Which perioperative medication change ...

Question

A 67-year-old man scheduled for elective colectomy takes empagliflozin for diabetes, metformin, and lisinopril. Which perioperative medication change is recommended?

Accepted Answer

Hold empagliflozin for 3-4 days preoperatively to reduce euglycemic DKA risk

Answer

Continue empagliflozin through the morning of surgery

Answer

Stop metformin 7 days preoperatively

Answer

Stop lisinopril 7 days preoperatively in all patients

Answer

Start bridging insulin infusion for all patients on SGLT2 inhibitors

us-abfm MCQ (SBA): Perioperative Medication Management

A 67-year-old man scheduled for elective colectomy takes empagliflozin for diabetes, metformin, and lisinopril. Which perioperative medication change is recommended?