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Mistake 5: Storing the vial at room temperature
Performing a preoperative assessment of RGC using point-of-care gastric ultrasound in patients continuing GLP-1RA or GIP/GLP-1RA therapy has been suggested by experts and professional societies as a risk mitigation strategy to reduce the potential for aspiration and enhance perioperative safety [17, 28, 43]
Some research also suggests it can aid in recovery by supporting hormone balance and reducing pain perception
Adverse Effects Electrolyte imbalance: hypokalemia, hyponatremia, hypocalcemia Dehydration and hypotension Ototoxicity (especially with rapid IV administration or with aminoglycosides) Hyperuricemia may precipitate gout Hyperglycemia (mild) Contraindications Severe electrolyte depletion (e.g., hypokalemia, hyponatremia) Anuria (no urine output) Hypersensitivity to sulfonamides (use with caution) Drug Interactions Aminoglycosides: risk of ototoxicity Digoxin: risk of digoxin toxicity due to hypokalemia NSAIDs: reduce diuretic effect Other antihypertensives: additive hypotensive effects Key Counseling Points Take in the morning to avoid nighttime urination
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