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Commonly Used Preoperative Medications
Chap 4 - Nursing Care of Patients Having Surgery
8
Nursing
Undergraduate 1
03/13/2013

Additional Nursing Flashcards

 


 

Cards

Term

Antibiotics 

cefazolin (Ancef)

 

- Action

- Nursing Implications

Definition
Action

Prevents surgical site infections

Associated with lower risk of mortality in elderly patients


Nursing Implications

Patients with beta-lactam allergies receive vancomycin or clindamycin 

Term

Benzodiazepines 

midazolam (Versed)

diazepam (Valium)

lorazepam (Ativan)


- Action

- Nursing Implication

Definition

Action

Decreases anxiety

Produces sedation

Induces amnesia

May induces substantial amnesia


Nursing Implications

Monitor for respiratory depression, hypotension, drowsiness, and lack of coordination

Term

Opioid Analgesics 

morphine (Morphine)
fentanyl (Sublimaze)
oxycodone (Roxicodone)
hydrocodone (Vicodin)
tramadol (Ultram)
codeine (Tylenol with Codeine)

Definition

Action

Decreases anxiety

Provides analgesia

Allows reduced anesthetic dose

 

Nursing Implications

Monitor for respiratory depression and safety

Term

Antacids 

sodium citrate (Bicitra)

 

- Action

- Nursing Implications

Definition

Actions

Increases pH and reduces volume of gastric fluid

Used in patients with GERD and/or trauma

 

Nursing Implications

No significant factors in this setting

Term

H2 Receptor Antagonists 

cimetidine (Tagamet) 

famotidine (Pepcid) 

nizatidine (Axid) 

ranitidine (Zantac)

 

- Action

- Nursing Implications

Definition

Action

Reduces gastric acid volume and concentration

 

Nursing Implications

Monitor for confusion and dizziness in older adults

 

Term

Gastric Acid (Proton) Pump Inhibitors 

lansoprazole (Prevacid) 

omeprazole (Prilosec) 

pantoprazole (Protonix)

 

- Action

- Nursing Implications

Definition

Action

Supresses gastric acid secretion

 

Nursing Implication

Monitor for dizziness and headache, rash, or thirst

Term

Antiemetics 

metoclopramide (Reglan) 

droperidol (Inapsine)

 

- Action

- Nursing Implications

Definition

Action

Enhances gastric emptying

Tranquilizer

 

Nursing Implications

 

Monitor for sedation and extrapydramidal symptoms (involuntary movement, muscle tone change, and abnormal posture)

 

 

Term

Anticholinergics 

atropine sulfate (Atropine Sulfate) 

glycopyrrolate (Robinul) 

scopolamine (Scopolamine)

 

- Action

- Nursing Implication

Definition

Action

Reduces oral and respiratory secretions to decrease risk of aspiration

Decreases vomiting adn laryngospasm

 

Nursing Implication

Monitor for confusion, restlessness, and tachycardia

Prepare patient to expect a dry mouth

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