Perioperative Medications

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Questions and Answers

Why is it important to monitor liver and kidney function when administering non-narcotic analgesics such as ketorolac?

  • To detect and manage potential liver or kidney damage. (correct)
  • To enhance the sedative effects of the analgesics.
  • To ensure adequate pain relief.
  • To prevent potential allergic reactions.

A patient is scheduled for a surgical procedure. Which medication would be appropriate to prescribe preoperatively for sedation and amnesia?

  • Ondansetron
  • Ketorolac
  • Propofol
  • Midazolam (correct)

During which phase of surgery is propofol primarily used for anesthesia?

  • Preoperative anxiety reduction
  • Intraoperative induction and maintenance of anesthesia (correct)
  • Prevention of postoperative nausea and vomiting
  • Postoperative pain management

Why are antiemetics like ondansetron prescribed during the perioperative period?

<p>To prevent nausea and vomiting. (A)</p> Signup and view all the answers

In the postoperative period, which class of medications is commonly prescribed to manage pain?

<p>Narcotic analgesics (A)</p> Signup and view all the answers

A patient reports a history of motion sickness. Which preoperative medication would be most appropriate to prevent nausea and vomiting?

<p>Scopolamine (B)</p> Signup and view all the answers

Which of the following is a consideration when administering antibiotics preoperatively?

<p>The type of surgery being performed. (C)</p> Signup and view all the answers

A patient is given diazepam before surgery. For what primary effect is this medication administered?

<p>Sedation and amnesia (C)</p> Signup and view all the answers

During the intraoperative phase, which of the following medications is used for pain control and sedation?

<p>Morphine (A)</p> Signup and view all the answers

A patient with a known allergy to morphine requires postoperative pain relief. Which medication is the MOST appropriate alternative?

<p>Fentanyl (A)</p> Signup and view all the answers

Flashcards

Antiemetics

Medications used to prevent nausea and vomiting.

Non-Narcotic Analgesics

Medications used to relieve pain without narcotics.

Benzodiazepines

Medications used for sedation and amnesia, reducing anxiety.

Sedative-Hypnotics

Medications used for anesthesia induction and maintenance.

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Antibiotics (PreOp)

Medications used to prevent infection, chosen based on the surgery type.

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Narcotic Analgesics

Medications used to control pain and provide sedation.

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Liver and Kidney Function Monitoring

Monitoring liver and kidney function is vital when administering certain analgesics.

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Study Notes

  • Perioperative medications include PreOp, IntraOp, and PostOp medications.

Preoperative Medications

  • Antiemetics prevent nausea and vomiting.
    • Metoclopramide (Reglan) is an antiemetic.
    • Ondansetron (Zofran) is an antiemetic.
    • Promethazine (Phenergan) is an antiemetic.
    • Scopolamine (Transdermal Patch) is an antiemetic.
  • Non-narcotic analgesics provide pain relief.
    • Acetaminophen is a non-narcotic analgesic.
    • Ketorolac (Toradol) is a non-narcotic analgesic.
    • Liver function (ALT, AST) and kidney function (BUN, creatinine) should be monitored.
  • Anti-anxiety/Benzodiazepines provide sedation and amnesia.
    • Midazolam (Versed) is an anti-anxiety/benzodiazepine.
    • Diazepam (Valium) is an anti-anxiety/benzodiazepine.
  • Sedative-hypnotics are for induction and maintenance of anesthesia.
    • Propofol (Diprivan) is a sedative-hypnotic.
  • Antibiotics prevent infection.
    • The class of antibiotic depends on the surgery type.

Intraoperative Medications

  • Sedative-hypnotics are used for anesthesia induction and maintenance.
    • Propofol (Diprivan) is a sedative-hypnotic.
  • Benzodiazepines are for sedation and amnesia.
    • Midazolam (Versed) is a benzodiazepine.
    • Diazepam (Valium) is a benzodiazepine.
  • Narcotic analgesics provide pain control and sedation.
    • Morphine is a narcotic analgesic.
    • Fentanyl is a narcotic analgesic.
    • Hydromorphone (Dilaudid) is a narcotic analgesic.

Postoperative Medications

  • Antiemetics include ondansetron, metoclopramide, promethazine, and scopolamine.
  • Non-narcotic analgesics include acetaminophen and ketorolac (Toradol).
  • Narcotic analgesics provide pain control.
    • Morphine is a narcotic analgesic.
    • Fentanyl is a narcotic analgesic.
    • Hydromorphone (Dilaudid) is a narcotic analgesic.
  • Antibiotics prevent infection, and are selected based on surgical needs.

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