(Posted on behalf of Alison Herdman)
Pindara Admissions now finger prick test every preoperative patient on dapagliflozin (Forxiga), empagliflozin (Jardiance) or a combination with metformin (Xigduo, Jardiamet) with a ketone reagent strip.
They write the result on the Preop Check List.
If it is > 0.6mmol/l you will be notified by phone.
The Australian Diabetic Society (ADS) recommends that strong consideration to postponing non urgent surgery be given if SGLT2 inhibitors have not been stopped preoperatively and either the blood ketones are > 0.6 mol/l or the HbA1c is >9% .
Download ADS Alert and Recommendations here… ADS Alert and Recommendations
One thought on “Detection of Euglycaemic Ketoacidosis preoperatively”
There is a good podcast from the Monash Perioperative Medicine series that discusses this ….