Day-of-surgery preparation

Day-of-surgery preparation 150 150 Tony Guo
  • Day-of-surgery preparation
    • Final preoperative teaching
    • Assessment and report of pertinent findings
    • Verification of signed consent
    • Labs
    • History and physical examination
    • Baseline vitals
    • Proper skin preparation
    • Nursing notes
    • Hospital gown
    • Patient should not wear any cosmetics
      • Observation of skin color is important
      • Remove nail polish for pulse oximeter
    • Valuables are returned to family member or locked up
    • Dentures, contacts, glasses, prostheses are removed
    • Identification and allergy bands on wrist
  • Void before surgery
    • Before medication administration
    • Prevents involuntary elimination under anesthesia
    • Reduces risk of urinary retention during early postoperative recovery
  • Preoperative medication
    • Benzodiazepines – midazolam, diazepam (Valium), lorazepam (Ativan)
      • Reduce Anxiety
      • Induce sedation
      • Amnesic effects
    • Anticholinergics – atropine glycopyrrolate (Robinul), scopolamine (Transderm-Scop)
      • Reduce oral and respiratory secretions
      • Prevent nausea and vomiting
      • Provide sedation
    • Opioids – morphine (Duramorph), fentanyl (Sublimaze)
      • Relieve pain during preoperative procedures
    • Antiemetics
      • Prevent vomiting
    • Antibiotics – cefazolin (Ancef)
      • Prevent postoperative infection
    • β-Adrenergic blockers (β-blockers) – labetalol
      • Manage hypertension
    • Insulin
    • Eye drops

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