1 MCQs in Anesthesia for NEET PG
A 58-year-old male with a 20-year history of poorly controlled type 2 diabetes mellitus (HbA1c 9.2%) and chronic kidney disease stage 3b (eGFR 38 mL/min/1.73m²) is scheduled for elective total knee arthroplasty under spinal anesthesia. He is on metformin 1500 mg daily, lisinopril, and atorvastatin. Preoperative assessment reveals normal renal function trend over the past 3 months. Which of the following is the most appropriate perioperative management of his metformin?
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