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NUR 153/154 Unit 1, Topic A, Nursing
management of the pre-operative patient
Questions and Correct Answers the Latest
Update
Common purposes and settings of surgery
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✓ Anticoagulants can cause hemorrhage
✓ Diuretics can cause low K or electrolyte imbalance, resulting in respiratory depression
from anesthesia
✓ Tranquilizers can increase hyportensive effects of anesthesia
✓ Adrenal steroids can cause cardiovascular collapse due to withdraw
✓ Mycin antibiotics can cause respiratory paralysis when mixed with muscle relaxants
Implications of home meds related to the preoperative patient, OTC MEDS.
✓
Implications of home meds related to the preoperative patient, VITAMINS AND HERBS.
✓ Astragalus and Ginseng increase BP
✓ Galic, Vit E, Ginko, and Fish oil increase bleeding
✓ Kava and Valerian cause excess sedation
✓ In general, discontinue herbs 2-3 weeks before surgery, multivitamins can be taken until
day before surgery
What are the priority pt. teaching needs during the preoperative period? How do we
evaluate the effectiveness of teaching?
✓ Teaching must include pt. safety and discharge instructions. Can be Sensory (cold OR,
bright lights), Process (not specific, general flow, where to park), or Procedural (specific
details, IV started in holding area, purpose of O2/frequent vitals)
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