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Questions and Answers
A patient receiving promethazine (Phenergan) postoperatively reports feeling restless and exhibits muscle stiffness. Which adverse effect should the nurse suspect?
A patient receiving promethazine (Phenergan) postoperatively reports feeling restless and exhibits muscle stiffness. Which adverse effect should the nurse suspect?
- Hypotension
- Extrapyramidal symptoms (correct)
- Electrolyte imbalance
- Respiratory depression
An elderly patient is prescribed ketorolac (Toradol) for postoperative pain. Which laboratory value should the nurse prioritize monitoring?
An elderly patient is prescribed ketorolac (Toradol) for postoperative pain. Which laboratory value should the nurse prioritize monitoring?
- Potassium
- White blood cell count
- ALT and AST
- Creatinine and BUN (correct)
Following the administration of midazolam (Versed), a patient exhibits decreased respiratory rate and oxygen saturation. Which medication should the nurse prepare to administer?
Following the administration of midazolam (Versed), a patient exhibits decreased respiratory rate and oxygen saturation. Which medication should the nurse prepare to administer?
- Flumazenil (Romazicon) (correct)
- Protamine sulfate
- Naloxone (Narcan)
- Epinephrine
A patient receiving morphine via PCA pump postoperatively has a respiratory rate of 8 breaths per minute and is difficult to arouse. Besides discontinuing the morphine, which intervention is most appropriate?
A patient receiving morphine via PCA pump postoperatively has a respiratory rate of 8 breaths per minute and is difficult to arouse. Besides discontinuing the morphine, which intervention is most appropriate?
A patient with a known egg allergy is scheduled to receive propofol (Diprivan) for sedation during a procedure. What is the most appropriate nursing action?
A patient with a known egg allergy is scheduled to receive propofol (Diprivan) for sedation during a procedure. What is the most appropriate nursing action?
A patient is prescribed an antibiotic prior to surgery. What is the rationale for administering the antibiotic within one hour of the surgical incision?
A patient is prescribed an antibiotic prior to surgery. What is the rationale for administering the antibiotic within one hour of the surgical incision?
A patient receiving an aminoglycoside antibiotic reports decreased urine output. Which nursing action is most important?
A patient receiving an aminoglycoside antibiotic reports decreased urine output. Which nursing action is most important?
A patient is prescribed scopolamine patch postoperatively. What is the primary purpose of this medication?
A patient is prescribed scopolamine patch postoperatively. What is the primary purpose of this medication?
Which assessment finding would be most concerning in a patient receiving intravenous fentanyl?
Which assessment finding would be most concerning in a patient receiving intravenous fentanyl?
A patient is to receive Acetaminophen postoperatively. Which pre-existing condition would warrant cautious use of this medication?
A patient is to receive Acetaminophen postoperatively. Which pre-existing condition would warrant cautious use of this medication?
Flashcards
Antiemetics Purpose
Antiemetics Purpose
Prevents nausea and vomiting, reducing aspiration risk.
Reglan Side Effects
Reglan Side Effects
Metoclopramide can cause extrapyramidal symptoms.
Non-Narcotic Analgesics Purpose
Non-Narcotic Analgesics Purpose
Provides mild to moderate pain relief.
Acetaminophen Monitoring
Acetaminophen Monitoring
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Benzodiazepines Purpose
Benzodiazepines Purpose
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Benzodiazepine Reversal Agent
Benzodiazepine Reversal Agent
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Narcotic Analgesics Purpose
Narcotic Analgesics Purpose
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Narcotic Reversal Agent
Narcotic Reversal Agent
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Propofol Purpose
Propofol Purpose
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Antibiotics Purpose
Antibiotics Purpose
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Study Notes
- Perioperative medications are administered pre-op, intra-op, and post-op.
- Involve nursing considerations.
Antiemetics (Pre-op & Post-op)
- Examples include Metoclopramide (Reglan), Ondansetron (Zofran), Promethazine (Phenergan), and Scopolamine (patch).
- They prevent nausea and vomiting, thus reducing aspiration risk.
- Nursing considerations include monitoring fluid and electrolyte balance.
- Extrapyramidal symptoms should be assessed when administering Reglan.
- Sedation and hypotension should be monitored when administering Phenergan.
Non-Narcotic Analgesics (Pre-op & Post-op)
- Examples include Acetaminophen and Ketorolac (Toradol).
- They provide mild to moderate pain relief.
- Liver function (ALT, AST) should be monitored when administering acetaminophen.
- Kidney function (Creatinine, BUN) should be monitored when administering NSAIDs like ketorolac.
- In older adults, the dose should be reduced to prevent toxicity.
Anti-Anxiety/Benzodiazepines (Pre-op & Intra-op)
- Examples include Midazolam (Versed) and Diazepam (Valium).
- They reduce anxiety, provide sedation, and cause amnesia during procedures.
- Respiratory depression should be monitored.
- Safety precautions should be ensured due to sedation.
- Flumazenil (Romazicon) is a reversal agent.
Narcotic Analgesics (Intra-op & Post-op)
- Examples include Morphine, Fentanyl, and Hydromorphone (Dilaudid).
- They control moderate to severe pain and may be used for sedation.
- Respiratory status for depression should be monitored.
- Pain level should be assessed before and after administration.
- Hypotension and sedation should be monitored.
- Naloxone (Narcan) is a reversal agent.
Sedative-Hypnotic (Intra-op & Post-op)
- Propofol (Diprivan) is an example.
- It is a short-acting sedative used for anesthesia induction and maintenance.
- Blood pressure should be monitored since it can cause hypotension.
- Respiratory depression should be monitored.
- Allergic reactions should be assessed for, especially with egg/soy allergies.
Antibiotics (Pre-op, Intra-op, Post-op)
- Examples vary based on surgery type and surgeon's choice.
- They decrease the risk of surgical site infection (SSI).
- Allergic reactions should be monitored (rash, anaphylaxis).
- Timely administration should be ensured (given within 1 hour before incision).
- Renal function should be monitored, especially with aminoglycosides.
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