Final answer:
Insulin should be continued. Narcotics for pain should be continued but addiction-related narcotics should be assessed. NSAIDs should generally be stopped. Statins can be continued. Topical creams/ointments should be stopped. Thyroid medications should be continued. Multivitamins/supplements should generally be stopped. Metformin should be stopped. Steroids should be assessed.
Step-by-step explanation:
On the day of surgery, the following medications should be continued or stopped:
Insulin: Insulin should be continued as prescribed. It is important to maintain stable blood sugar levels during surgery.Narcotics for pain or addiction: Narcotics should be continued if they are prescribed for pain management. However, if they are being used for addiction, the healthcare team will determine the best approach.NSAIDs: Nonsteroidal anti-inflammatory drugs (NSAIDs) should generally be stopped on the day of surgery to reduce the risk of bleeding.Statins: Statins can be continued on the day of surgery. They are commonly prescribed to manage cholesterol levels.Topical creams/ointments: Topical creams and ointments should be stopped on the day of surgery unless otherwise directed by the healthcare team.Thyroid medications: Thyroid medications should be continued as prescribed. Consistency is important in managing thyroid levels.Multivitamins, supplements: Multivitamins and supplements should generally be stopped on the day of surgery unless otherwise instructed by the healthcare team.Metformin: Metformin should be stopped on the day of surgery to reduce the risk of lactic acidosis. The healthcare team will provide specific instructions.Steroids: Steroids should be continued or stopped based on the individual patient's condition. The healthcare team will determine the best approach.