USMLE Step 2 (Fach) / Surgery (Lektion)
Antidiabetic drugs:- Metformin: discontinue 2 days before and after surgery- Discontinue other oral hypoglycemics on the day of surgery and postoperatively until the patient is no longer NPO.- Insulin: Discontinue on the day of surgery but administer IV intraoperatively.
Antihypertensive drugs:- Discontinue the following antihypertensives one day before surgery and continue postoperatively:→ ACE inhibitors→ ARBs→ Diuretics- Continue all other antihypertensives
Antianginal drugs: Continue
Statins: Continue
Oral contraceptives: Discontinue 4 weeks before surgery
Psychiatric drugs:- Benzodiazepines: May be continued- Lithium: Discontinue 3 days before surgery.- Tricyclic antidepressants: Discontinue intraoperatively.
Antiepileptics: Continue
Anticoagulant or antiplatelet drugs- Antiplatelet drugs (e.g., aspirin, clopidogrel): Discontinue all antiplatelet drugs one week before surgery.- Direct oral anticoagulants (e.g., dabigatran, rivaroxaban): Discontinue medication 2 days before surgery.- Warfarin: Discontinue warfarin 5 days before surgery.- Continue heparin and warfarin postoperatively
Thyroxine: Discontinue intraoperatively and resume postoperatively.
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