Common Preoperative Medications:
1) Benzodiazepines and barbiturates: for sedation and amnesia
2) Anticholinergics: to reduce secretions
3) Opioids: to
... [Show More] decrease intraoperative anesthetic requirements and pain
4) Additional drugs include antiemetics, antibiotics, eye drops, and regular prescription drugs
Drug Use in Pre-Op setting:
Benzodiazepines and barbiturates
Drug used in pre-op setting for sedation and amnesia
Drug Use in Pre-Op setting:
Anticholinergics
Drug used in pre-op setting to reduce secretions.
Drug Use in Pre-Op setting:
Opioids
Drug used in pre-op setting to decrease intraoperative anesthetic requirements and pain.
Pre-Op patients should be screened for possible critical allergies?
Pre-Op pts should be screened for critical allergies:
Latex, Iodine, and allergies to anesthesia that may result in Malignant Hyperthermia.
In the surgical setting, where is the center of the sterile field?
The center of the sterile field is the site of the surgical incision.
Five minutes after receiving a preoperative sedative medication by IV injection, a patient asks the nurse to get up to go to the bathroom to urinate. Which of the following is the most appropriate action for the nurse to take?
A.) Assist patient to bathroom and stay next to door to assist patient back to bed when done.
B. Allow patient to go to the bathroom since the onset of the medication will be more than 5 minutes.
C. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety.
D. Ask patient to hold the urine for a short period of time since a urinary catheter will be placed in the operating room.
C. Offer the patient to use the urinal/bedpan after explaining the need to maintain safety.
The prime issue after administration of either sedative or opioid analgesic medications is safety. Because the medications affect the central nervous system, the patient is at risk for falls and should not be allowed out of bed, even with assistance.
As the nurse is preparing a patient for surgery, the patient refuses to remove a wedding ring. Which of the following is the most appropriate action by the nurse?
A. Note the presence of the ring in the nurse's notes of the chart.
B. Insist the patient remove the ring.
C. Explain that the hospital will not be responsible for the ring.
D. Tape the ring securely to the finger.
C. Explain that the hospital will not be responsible for the ring.
It is customary policy to tape a patient's wedding band to the finger and make a notation on the preoperative checklist that the ring is taped in place.
While performing preoperative teaching, the patient asks when she needs to stop drinking water before the surgery. Based on the most recent practice guidelines established by the American Society of Anesthesiologists, the nurse tells the patient that:
A. She must be NPO after breakfast.
B. She needs to be NPO after midnight.
C. She can drink clear liquids up to 2 hours before surgery.
D. She can drink clear liquids up until she is taken to the OR.
C. She can drink clear liquids up to 2 hours before surgery.
Practice guidelines for preoperative fasting state the minimum fasting period for clear liquids is 2 hours. Evidenced-based practice no longer supports the long-standing practice of requiring patients to be NPO after midnight. [Show Less]