There are many medications patients should take with a small sip of water when NPO and awaiting surgery. Here are some recommendations from Anesthesia Associates of Boise. Staff should always follow surgeon/proceduralist directions if provided.
- Continue beta blockers and diuretics.
- Hold any ACE medications 24 hours prior to surgery start time unless otherwise directed.
- Hold any ARB medications 24 hours prior to surgery start time unless otherwise directed.
- Hold phentermine for 2 weeks prior to surgery.
- Continue analgesics. Patients who are opioid tolerant and on chronic narcotics, such as oxycodone or fentanyl patches, should continue their medication.
- Continue GI prophylaxis medications, such as H2 blockers and proton pump inhibitors.
- Diabetics: Hold oral hypoglycemics day of surgery. Any diabetic patients taking insulin should follow the instructions of their surgeon, PCP, or the pre-operative hospitalist if consulted for management.
- Continue anti-seizure medication.
- Please use your judgment with other medications. Most of them are probably not necessary on the day of surgery.
Simplified MINIMUM NPO guidelines: (excluding medications)
- 2 hours for clear liquids Uuices with no pulp, plain jello, black coffee, CLEAR sodas*)
- 4 hours for breast milk
- 6 hours for infant formula
- 8 hours for non-clear liquids and solids** (includes non-human milk, hard candy and chewing tobacco)
Longer fasting times improve flexibility in moving cases up. When in doubt, follow surgeon instructions.
*An 8oz CLEAR carbohydrate drink such as a soda or Gatorade is encouraged no later than 2 hours prior to surgery unless contraindicated by surgeon (diabetic patients excluded)
**Gastric tube feedings are considered solids.