Pre-surgery meds smooth induction of anesthesia
Bicitra – renal failure, metabolic acidosis-don't want to vomit acid & aspirate – bronchospasm –
hard to tube & can close off airway = respiratory problems
2. Sleeping pill – make pt not so anxious
3. tranquilizer – ie. Valium (both a tranquilizer & antianxiety med)
4. sedative / hypnotic – Midazolam (Versed) #1 given to help pt to relax
5. anticholinergics – atropine sulfate, glycopyrrolate (Robinul) ↓secretions so not aspirate, amnesic
6. antiemetics – dolasetron mesylate (Ansemet), ondansetron hydrochloride (Zofran),
droperidol (Inapsine) for nausea – can cause respiratory depression
7. opiates – morphine, meperidine, fentanyl (these↑anesthesia induction, need ↓anesthesia drug)
8. antibiotics – cefazolin (Ancef) given 1 hr prior to surgery (total hip, total knee)
Additional Responsibilities
recording
transporting to OR
child – parent carries to OR
make sure talk to family where to wait, what time they'll be back, can page family in cafeteria,
family should not leave hospital
criteria
V/S stable
stand & walk
3 Things to ↓Incidence of Surgery Errors
1. ask pt prior to surgery what Dr. is doing (mark x on limb)
2. at holding in OR ask again "Which knee?"
3. in OR ask again (do "time out" and ask again, check ID band, check chart)
*count instruments before close
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