PreOp meds
What is Anticholinergics (atropine) used for?
Reduce respiratory and oral secretions
A patient with severe systemic disease that is a constant threat to life
ASA lV
What is a hCG lab test for?
Reproductive status
What is BUN creatinine lab test for?
Renal function
What are Postop Teaching for patients and families
Protocol for routine meds-day of surgery
Herbal remedies to stop prior and when to stop
NPO instructions
Pain management
Infection prevention
Postop exercise/ discharge and care
What are benzodiazepines used for and drug names?
DRUGS: midazolam, diazepam, lorazepam, BARBITURATES
USED: reduce anxiety, sedative and amnestic properties
A patient with mild systemic disease
ASA ll
What is a ABGs, oximetry test for?
Respiratory and metabolic function, oxygenation status
What is Blood glucose lab test for?
Metabolic status, DM
What are the 3 types of information for Preop education?
1. Sensory info- what they will see, hear, smell, and feel during surgery
2. Process info- specific details- general flow of what will happen
3. Procedural info- specific details (e.g. catheter inserted in OR
DRUGS: Morphine/Fentanyl
USED: decrease intra operative anaesthetic requirements and pain
ASA V
What is PT, PTT, INR, Platelet lab test for?
Coagulation status
What is a Electrocardiogram lab test for?
Heart disease, dysrhythmias
Surgery with high blood pressure
Risks include CHF and heart attack
Anesthesiologist keeps eye (constant) on BP during procedure
If they need to stop taking BP meds prior along with any other meds directed by Dr.
What are Antiemetrics used for and drug name?
DRUG: Metoclopramide
USED: decrease postop nausea and vomiting
A patient with serve systemic disease
ASA lll
Anemia, immune status, infection
What is a Type and Crossmatch lab test for?
Blood available for replacement
Overall goals for Preop Checklist
Physical status- confirm and identify changes
Psychological status- coping strategies
Baseline data (vs)
Medications
Preop lab and diagnostic test
informed decision/ consent
discharge plan
What are Antacids used for and the drug name?
DRUG: Sodium Citrate
USED: increase gastric ptt; decrease gastric volume
A declared brain-dead patient whose organs are being removed for donor purposes
ASA Vl
What is the Electrolytes lab test for?
Metabolic status, renal function, diuretic side effects
What is Serum albumin lab test for?
Nutritional staus
Preop Psychosocial Assessment
Situational Changes
Concerns with the unknown
Concerns to body image
Post experience
Knowledge deficit