Podcast
Questions and Answers
Which of the following medications is classified as an antiemetic used in the perioperative setting?
Which of the following medications is classified as an antiemetic used in the perioperative setting?
- Midazolam
- Ondansetron (correct)
- Acetaminophen
- Morphine
What is the primary use of Propofol in the intraoperative phase?
What is the primary use of Propofol in the intraoperative phase?
- Prevention of nausea
- Pain relief
- Prevention of infection
- Induction and maintenance of anesthesia (correct)
Which benzodiazepine is commonly used preoperatively for sedation and amnesia?
Which benzodiazepine is commonly used preoperatively for sedation and amnesia?
- Midazolam (correct)
- Ondansetron
- Ketorolac
- Hydromorphone
Which of the following medications requires monitoring of liver function tests (ALT, AST)?
Which of the following medications requires monitoring of liver function tests (ALT, AST)?
What is the primary purpose of administering antibiotics preoperatively?
What is the primary purpose of administering antibiotics preoperatively?
A patient with a history of severe liver disease is scheduled for surgery. Which medication should the nurse question before administration?
A patient with a history of severe liver disease is scheduled for surgery. Which medication should the nurse question before administration?
A nurse is preparing to administer Midazolam preoperatively. What is the expected effect of this medication?
A nurse is preparing to administer Midazolam preoperatively. What is the expected effect of this medication?
Which patient is at the highest risk for complications related to Ketorolac administration?
Which patient is at the highest risk for complications related to Ketorolac administration?
A patient receives Propofol during surgery. Which post-operative assessment is a priority for the nurse?
A patient receives Propofol during surgery. Which post-operative assessment is a priority for the nurse?
A nurse administers Fentanyl to a postoperative patient. What is the primary concern?
A nurse administers Fentanyl to a postoperative patient. What is the primary concern?
A patient is scheduled for surgery and is wearing a Scopolamine patch. What is the intended purpose of this medication?
A patient is scheduled for surgery and is wearing a Scopolamine patch. What is the intended purpose of this medication?
A nurse is caring for a patient receiving Hydromorphone postoperatively. What should the nurse have readily available?
A nurse is caring for a patient receiving Hydromorphone postoperatively. What should the nurse have readily available?
Which medication combination may require additional monitoring due to increased sedation effects?
Which medication combination may require additional monitoring due to increased sedation effects?
Which medications are used to prevent nausea and vomiting in the perioperative setting? (Select all that apply.)
Which medications are used to prevent nausea and vomiting in the perioperative setting? (Select all that apply.)
Which perioperative medications have sedative effects? (Select all that apply.)
Which perioperative medications have sedative effects? (Select all that apply.)
A nurse should monitor which of the following in a patient receiving Ketorolac? (Select all that apply.)
A nurse should monitor which of the following in a patient receiving Ketorolac? (Select all that apply.)
A nurse is preparing to administer Promethazine to a post-operative patient. What side effect should the nurse monitor for?
A nurse is preparing to administer Promethazine to a post-operative patient. What side effect should the nurse monitor for?
A patient is receiving Hydromorphone for post-operative pain. Which nursing intervention is the most important?
A patient is receiving Hydromorphone for post-operative pain. Which nursing intervention is the most important?
A patient with renal impairment is prescribed Ketorolac postoperatively. What should the nurse do first?
A patient with renal impairment is prescribed Ketorolac postoperatively. What should the nurse do first?
A patient is scheduled for surgery in 1 hour and is anxious. Which medication would the nurse expect to be ordered?
A patient is scheduled for surgery in 1 hour and is anxious. Which medication would the nurse expect to be ordered?
A nurse administers Scopolamine to a patient preoperatively. Which patient statement indicates understanding of this medication?
A nurse administers Scopolamine to a patient preoperatively. Which patient statement indicates understanding of this medication?
A nurse is educating a patient about the side effects of Morphine. Which statement by the patient requires further teaching?
A nurse is educating a patient about the side effects of Morphine. Which statement by the patient requires further teaching?
Which medications are classified as narcotic analgesics used in the perioperative period? (Select all that apply.)
Which medications are classified as narcotic analgesics used in the perioperative period? (Select all that apply.)
Which patients are at increased risk of complications when receiving Midazolam? (Select all that apply.)
Which patients are at increased risk of complications when receiving Midazolam? (Select all that apply.)
A nurse is monitoring a patient who received Propofol intraoperatively. Which post-operative findings require immediate intervention? (Select all that apply.)
A nurse is monitoring a patient who received Propofol intraoperatively. Which post-operative findings require immediate intervention? (Select all that apply.)
Flashcards
Ondansetron (Zofran)
Ondansetron (Zofran)
Medication used to prevent nausea and vomiting in perioperative patients.
Propofol (Diprivan)
Propofol (Diprivan)
Sedative-hypnotic agent used to induce and maintain general anesthesia.
Midazolam (Versed)
Midazolam (Versed)
Benzodiazepine used to induce sedation and amnesia preoperatively.
Ketorolac (Toradol)
Ketorolac (Toradol)
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Preoperative Antibiotics
Preoperative Antibiotics
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Acetaminophen and Liver Disease
Acetaminophen and Liver Disease
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Naloxone
Naloxone
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Scopolamine
Scopolamine
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Ketorolac and Renal Impairment
Ketorolac and Renal Impairment
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Propofol Post-Op Concern
Propofol Post-Op Concern
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Study Notes
Perioperative Medications
- Ondansetron (Zofran) is an antiemetic used to prevent nausea and vomiting in perioperative patients.
- Propofol (Diprivan) is a sedative-hypnotic used for the induction and maintenance of general anesthesia.
- Midazolam (Versed) is a benzodiazepine used to induce sedation and amnesia in preoperative patients.
- Ketorolac (Toradol) is a non-narcotic analgesic that requires monitoring of liver and kidney function.
- Antibiotics are given preoperatively to reduce the risk of surgical site infections.
- Acetaminophen is metabolized by the liver and can cause hepatotoxicity, making it unsafe for patients with liver disease.
- Midazolam is a benzodiazepine used for its anxiolytic and amnesic properties in preoperative patients.
- Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can impair kidney function and is contraindicated in patients with renal impairment
- Propofol can cause respiratory depression, requiring close monitoring postoperatively.
- Fentanyl is a potent opioid analgesic that can cause respiratory depression, requiring continuous monitoring.
- Scopolamine is an anticholinergic used to prevent motion sickness and postoperative nausea.
- Naloxone is an opioid antagonist used to reverse the effects of opioid-induced respiratory depression.
- Propofol and Morphine can cause central nervous system depression, increasing the risk of oversedation and respiratory depression.
Medications to prevent nausea and vomiting in the perioperative settings include
- Ondansetron
- Promethazine
- Metoclopramide
- Scopolamine
Perioperative medications with sedative effects include
- Midazolam
- Diazepam
- Propofol
- Morphine
Monitoring Ketorolac
- Ketorolac affects kidney and liver function requiring liver function tests, renal function tests, and pain level
- Promethazine as an antiemetic also has sedative effects, requiring close monitoring for excessive drowsiness.
- Hydromorphone is a potent opioid that can cause respiratory depression and oversedation, requiring monitoring for excessive sedation.
- Ketorolac can cause nephrotoxicity, so renal function should be assessed before administration in patients with renal impairment.
- Midazolam is a benzodiazepine that provides both sedation and anxiolytic effects before surgery.
- Scopolamine is used to prevent nausea and vomiting and should remain in place for 24 hours post-op.
- Opioids like Morphine cause sedation and should not be taken before operating a vehicle
Narcotic analgesics include
- Morphine
- Fentanyl
- Hydromorphone
Monitoring Midazolam
- Midazolam causes respiratory depression, which is risky for patients with COPD and those taking opioids.
- Alcohol abuse increases sensitivity to benzodiazepines.
Postoperative Monitoring
- Respiratory depression (RR of 8), low oxygen saturation, and difficulty arousing the patient are signs of Propofol overdose or prolonged sedation.
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