Preop Preparation
Diet
NPO past midnight
empty water pitcher
not swallow H2O after brushing teeth
Bowel prep.
go lytely
laxatives – dulcolax suppository
enemas – can get fluid deficit & vit K deficiency (no more than 3 enemas) ↑enemas is tiring
antibiotics – Neomycin, Kamtrex work on colon (not give bad diarrhea)
skin prep – clippers on surgery table
psychological preparation – use touch backrub, discuss fears, let pt make decisions to promote self worth, let children play beforehand
final preparation – may need to shave head (save hair & put in bag pinned to chart for wig), don't shave eyebrows
Preanesthetic Medication
On call
Purposes
Maalox, sodium citrate (Bicitra), cimetidine (Tagamet), famotidine (Pepcid), rantidine (Zantac),
meoclopramide (Reglan)
Barbituates / tranquilizers – secobarbital (Seconal), pentobarbitol (Nembutal)
Antianxiety – diazepam (Valium)
pt will forget some things prior to surgery (after surgery amnesia), warn about tests, time of surgery noted, bath before surgery – Hibiclens scrub 3x prior to surgery, use side rails to get up, turn to side, give sedation night before surgery (?), check pt ID band, take jewelry off & send home or lock up,
wigs off, pins in hair out, remove nail polish, teeth partials out, antiembolic stockings presurgery training
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