Common meds in pre-op situations

Question 1

Histamine (H2) Receptor names

Answer 1

Famotidine*
Cimetidine
Ranitidine

Question 2

Histamine (H2) Receptor Action

Answer 2

Reduce gastric acid production

Question 3

Histamine (H2) Receptor administration

Answer 3

Orally or IV

Question 4

Histamine (H2) Receptor Precautions

Answer 4

May increase BUN, creatinine, monitor liver enzyme levels

Question 5

Histamine (H2) Receptor side effects

Answer 5

Headache
Diarrhea or constipation
Confusion elderly

Question 6

Proton pump inhibitor Name

Answer 6

Esomeprazole*

Question 7

Protein pump inhibitor action

Answer 7

Reduce gastric acid production

Question 8

Protein pump inhibitor administration

Answer 8

Orally

IVPB or slow IVP

Question 9

Protein pump inhibitor Precautions

Answer 9

May increase BUN and creatinine

Question 10

Protein pump inhibitor side effects

Answer 10

Constipation
Dry mouth
Increased renal insufficiency
May increase blood levels of diazepam, phenytoin, and warfarin

Question 11

Benzodiazepines names

Answer 11

Diazepam*
Midazolam
Lorazepam

Question 12

Benzodiazepines Action

Answer 12

To reduce anxiety

Question 13

Benzodiazepines Administration

Answer 13

Orally or IV

Question 14

Benzodiazepines precautions

Answer 14

Give slowly if given IV-do not dilute

Question 15

Benzodiazepines side effects

Answer 15

Monitor respirations
Drowsiness
Fall risk

Question 16

Opioids names

Answer 16

Hydromorphone* (dilaudid)

Morphine*

Question 17

Opioids action

Answer 17

Used for pain relief

Question 18

Opioids administration

Answer 18

IM or IVP

PCA pump

Question 19

Opioids precautions

Answer 19

Monitor reapirations closely

Have naloxone hydrochloride (Narcan) available

Question 20

Opioids side effects

Answer 20

Decreased respirations
Over sedation, confused
Constipation

Question 21

Opioid Antagonist action

Answer 21

Used to reverse severe respiratory depression caused by opioid medications

Question 22

Opioid antagonist name

Answer 22

Naloxone*

Question 23

Opioid antagonist administration

Answer 23

Usually given IV

Question 24

Opioid antagonist Precautions

Answer 24

Tremors
Seizures
Ventricular fibrillation

Question 25

Antiemetics names

Answer 25

Metoclopramide* Ondanesetron* Compazine

Question 26

Metoclopramide Action

Answer 26

Accelerated gastric emptying. Also a GI stimulant.

Question 27

Odansetron Action

Answer 27

Central nervous system SSRI antagonist decreasing the Baha’i nerve stimulation of the vomiting reflex.

Question 28

Anticholinergics names

Answer 28

Atropine* | Glycopyrrolate*

Question 29

Anticholinergics action

Answer 29

Used to decrease secretions and prevent or treat bradycardia

Question 30

Anticholinergics route

Answer 30

Usually given orally or IV

Question 31

Anticholinergics side effects

Answer 31

Dizziness Blurred vision Dilated pupils Can cause decrease in urinary bladder tone and function

Question 32

Antibiotics names

Answer 32

Cefazolin | Clindamycin (if allergic to penicillin or cephalosporin)

Question 33

Antibiotics action

Answer 33

Used to prevent or treat infection

Question 34

Antibiotics precautions

Answer 34

Check for allergies

Question 35

Antibiotics side effects

Answer 35

Vary depending on drug. Monitor liver and/or kidney function studies