101 Questions
What type of drug provides relief of pain without loss of consciousness?
Analgesic
Which healthcare professional conducts the preoperative assessment of the surgical patient?
Anesthesiologist
What is the primary purpose of the preoperative assessment of the surgical patient?
Confirm the patient's surgical diagnosis
Which type of drug blocks parasympathetic nervous impulses?
Anticholinergic
Who is NOT involved in the preoperative assessment of the surgical patient?
Surgeon
What is the role of an anticholinergic drug?
Inhibit parasympathetic nerve impulses
Which of the following is a trade name for diazepam?
Valium
What is the trade name for midazolam?
Versed
Which drug is a member of the benzodiazepine family and is known as lorazepam?
Ativan
Stimuli such as stretching the peritoneum can cause what response?
Decrease in heart rate
Which drug is a common synthetic opioid known as Demerol?
Meperidine
What is the term for all drugs that have morphine-like actions?
Analgesics
Which medication is identified by the trade name Astramorph?
Morphine
What is Duramorph a trade name for?
morphine
What response do anticholinergics help to block during surgery?
Decrease in heart rate
Glycopyrrolate is known by which trade name?
Robinul
What is the purpose of a preoperative anesthesia evaluation?
To determine the optimal anesthetic plan
Which criterion is used by the American Society of Anesthesiologists to classify the patient’s physical status?
Physical status
What type of medication is typically given to relieve a patient's preoperative anxiety?
Sedative
Which medication is used to relieve pain and potentially reduce the amount of anesthesia needed during surgery?
Analgesic
What term is given to medications used to inhibit mucous secretions in the respiratory system and digestive tract?
Anticholinergics
Which medications are administered preoperatively to reduce nausea and vomiting risk?
Antiemetics
What is the most common group of preoperative sedatives used?
Benzodiazepines
Which drug does not belong to the benzodiazepine family?
Promethazine
What is the classification of Metoclopramide (Reglan)?
Gastrokinetic agent
Why might trauma patients receive analgesics preoperatively?
To relieve pain
Which medication is commonly used as an antiemetic preoperatively?
Zofran
In which physical status classification would a patient with cancer of the uterus undergoing a hysterectomy be assigned?
P3
What is the classification of Scopolamine, except for being an analgesic?
Analgesic
Which medication carries an FDA Black Box warning due to fatal cardiac arrhythmias?
Inapsine
Which medication may be administered postoperatively to a patient experiencing significant pain?
Morphine
What effect does Atropine have on mucous secretions preoperatively?
Decreases mucous secretions
What category does Esomeprazole (Nexium) belong to?
Nexium
Why is gum chewing not allowed preoperatively?
To prevent increases in gastric fluid volume
Which category of medication is administered preoperatively to block receptors on the vagus nerve?
Anticholinergics
What is the category of medication that includes Atropine?
Anticholinergic
Which medication is classified as an antiemetic?
Ranitidine
What is the medication Glycopyrrolate primarily used for?
Blocking parasympathetic impulses
Why is preoperative assessment important for the surgical patient?
To assess patient factors and optimize anesthesia care
What is the purpose of preoperative administration of an antacid?
Neutralize gastric acid
Which drug may be given preoperatively to minimize the damage caused by aspiration of gastric contents during surgery?
Bicitra
Which agent is a common H2 blocker used preoperatively?
Ranitidine
What can cause gastroesophageal reflux?
Relaxing lower esophageal sphincter
Which condition is not specifically emphasized in a preoperative assessment?
Melanoma
What is the action of metoclopramide (Reglan)?
Increase gastrointestinal motility
Which drug is marketed under the trade name Pepcid?
Pepcid
What does sodium citrate metabolize into?
Sodium bicarbonate
Which drug may be orally administered as a preoperative antacid?
Sodium citrate
What is the main purpose of a preoperative H2 blocker?
Inhibit the production of gastric acid
What is the primary purpose of a preoperative anesthesia evaluation?
Determining the patient's physical status
Which drug is used to minimize the damage caused by aspiration of gastric contents during surgery?
Narcotic
Who performs the preoperative assessment of a surgical patient?
Anesthesia provider
Which medication is classified as an antiemetic?
Analgesic
In which physical status classification would a patient with cancer of the uterus undergoing a hysterectomy be assigned?
Class III (Patient with Severe Systemic Disease)
What response do anticholinergics help to block during surgery?
Parasympathetic nerve impulses
What is the trade name for midazolam?
Ativan
Which medication is NOT a member of the benzodiazepine family?
Demerol
What response can stimuli such as stretching the peritoneum produce?
Decrease in heart rate
What is the trade name for glycopyrrolate?
Inapsine
How long is the duration of Robinul (in hours)?
2 to 3
What is the normal pH range of gastric acid?
2-3
Which medication is a natural opioid that may be used preoperatively?
Morphine
'Astramorph' is a trade name for which opioid?
Morphine
Which drug's trade name is 'Duramorph'?
morphine
Which drug is a synthetic opioid commonly used in surgery?
Fentanyl
What is the purpose of a preoperative anesthesia evaluation?
To determine the optimal anesthetic plan
Which type of medication is given to relieve a patient's preoperative anxiety?
Sedative
What is the term used for medications that reduce nausea and the possibility of vomiting preoperatively?
Antiemetics
Which group of medications is most often used as preoperative sedatives?
Benzodiazepines
What does the term 'mg/kg' represent in medication dosage?
$mg/kg$
Which medication is not in the benzodiazepine family?
Promethazine
What is the term used for medications that inhibit mucous secretions of the respiratory system and digestive tract?
$ ext{Anticholinergics}$
Which category of medication is administered preoperatively to reduce pain and decrease anesthesia needed during surgery?
$ ext{Analgesic}$
'Anti-cholinergics' are primarily used for what effect preoperatively?
$ ext{Inhibition of mucous secretions}$
What medication is given to reduce nausea and minimize postoperative nausea and vomiting (PONV) risk?
Antihistamines
Why is gum chewing not allowed preoperatively?
It increases gastric fluid volume
What is the primary effect of administering anticholinergics preoperatively?
Block receptors on the vagus nerve
Which medication is commonly used as an antiemetic preoperatively?
Ondansetron
What is the main purpose of administering an opioid analgesic preoperatively?
Provide pain relief
What effect does Glycopyrrolate (Robinul) have on the body when administered preoperatively?
Block cholinergic receptors
What is the action of Metoclopramide (Reglan) when used as a preoperative medication?
Inhibit gastric acid secretion
What is the classification of Scopolamine, except for being an analgesic?
Antipyretic
Which drug is marketed under the trade name Pepcid?
Cimetidine
What is the role of an anticholinergic drug?
Blocks parasympathetic nervous impulses
Why might gum chewing not be allowed preoperatively for the patient who has been NPO?
Because it is a solid food
Which healthcare professional conducts the preoperative assessment of the surgical patient?
Anesthesiologist
What can cause gastroesophageal reflux?
Relaxed lower esophageal sphincter
Which medication is classified as an antiemetic?
Metoclopramide
What is the main purpose of a preoperative H2 blocker?
Reduce gastric acid production
Which antiemetic medication has an FDA Black Box warning?
Inapsine
What type of drug blocks parasympathetic nervous impulses?
Anticholinergic
Which drug may be administered preoperatively to neutralize the acidity of stomach contents?
Zantac
What is the purpose of administering a preoperative H2 blocker?
Inhibit the production of gastric acid
Which condition is NOT emphasized in a preoperative assessment?
Melanoma
Which agent blocks the production of gastric acid?
Metoclopramide (Reglan)
What may cause gastroesophageal reflux according to the text?
Relaxation of lower esophageal sphincter
Which medication is classified as an H2 blocker?
Ranitidine (Zantac)
What does sodium citrate metabolize into to neutralize gastric acid?
Sodium bicarbonate
What is the action of glycopyrrolate (Robinul) during surgery?
Block parasympathetic nervous impulses
Which medication is given postoperatively for severe pain?
Droperidol
What is a common side effect of metoclopramide (Reglan)?
Increase in mucous secretions
Test your knowledge on different types of drugs and their functions in pharmacology. Questions cover topics such as analgesics, narcotics, sedatives, and anticholinergics.
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