common uses are improved immunity and high blood pressure and cholesteerol . preop consideration is potential for increased bleeding
common uses motion sickness cough menstrual cramps and intestinal gas. preop consderation are risk of prolonged clotting times , preoperative assessment should include clotting studies and discontinue before surgery.
common uses brain function and alertness, tension, erectile dysfunction. preop consideration potential for increased bleeding
common uses overall well-being, and diabetes. preop consideration may increase anesthetic agent requirements, and potential for hypoglycemia in patients taking insulin or oral diabetes agents.
St. John's wort
commonuses are antidepressant, antiviral properties and anti inflammatory action. preop consideration should not be used with other psychoactive drugs, monoamine oxidase inhibitors or serotonin reuptake inhibitors and discontinue before surgery because of possible drug interactions
common uses are sedative or tranquilizer effect and sleep aid. Preop consideration it should not be used with sedatives or anxiolytics. It may increase effects of CNS depressants.
Name of 3 Benzodiazepines
Midazolam (Versed, Valium, Ativan)
Benzodiazepines action and nursing implications
action decreased anxiety and produces sedation and induces amnesia.
nursing implications monitor for respiratory depression, hypotension, drowsiness, and lack of coordination
2 Opioid analgesics
Fentanyl citrate (Sublimaze)
Opioid analgesics action and nursisng implications
action decreases anxiety and allows decreased anesthetics
nursing implications monitor for respiratory depression nausea, vomiting orthostatic hypotension and pruritus
H2 Receptor antagonists name two
h2 receptor antagonists action and nursing implications
action reduces gastric acid volume and concentration
nursing implications monitor for confusion and dizziness in older adults
antiemetics name 3
Ondansetron HCL (5-Ht3 recpetor antagonist)(Zofran)
antiemetics action and nursing implications
actionenhances gastric emptying, tranquilizer, and prevents postoperative nausea and vomiting
nursing implicationsmonitor for sedation and extrapyramidal reaction (involuntary movement, muscle tone changes, and abnormal posture) instruct patient to report any difficulty breathing
anticholinergics name 2
atropine sulfate (atropine sulfate)
Anticholinergics action and nursing implications
Reduces oral and repiratory secretions to decrease riskof aspiration, decreases vomiting and laryngospasm. nursing implication monitor for confusion, restlessness and tachycardia and prepare patient to expect dry mouth
antibiotics name 3
Cefazolin sodium (Ancef)
Cefotaxime sodium (Claforan)