Perioperative Meds

Question 1

Antiemetics *Ex: Reglan, Inapsine, Phenergan, Zofran

Answer 1

[Preop, Intraop, Postop] *Increase gastric emptying and decrease N/V *S.E: CNS depression, drowsiness, hypotension, dry mouth, urinary retention, and extrapyramidal symptoms.

Question 2

Benzodiazepines (Schedule IV)

Anxiety and Sedative Hypnotic

1. Versed
2. Valium (diazepam)
3. Ativan
4. Xanax
5. Librium
6. Halcion
7. Ambien

Answer 2

[Preop,Intraop] *Decrease anxiety, induce sedation, induce amnesia, ease anesthesia induction.

S.E: excess sedation, impairment of mental/physical activities, respiratory depression, CNS depression, hypotension, pain/ induration at injection site, skin rash, and paradoxical excitement.

Question 3

Narcotics *Ex: Morphine, Demerol, Percocet, Codeine, Fentanyl, Vicodan

Answer 3

[Preop, Postop] *Pain relief, sedation, and decrease the amount of anesthetic needed. *S.E: CNS depression, respiratory depression, N/V, pupil constriction, and decreased GI motility

Question 4

Anticholinergics *Ex: Atropine, Robmul, Scopolamine (amnesia)

Answer 4

[Preop] *Decrease oral & respiratory secretions, antispasmotic effect on GI, bronchodilation. *S.E: tachycardia, excessive CNS stimulation then depression, constipation, paralytic ileus, decreases secretions, urinary retention, hot & dry skin, fever, blurred vision, and photophobia.

Question 5

Sedatives/hypnotics *Ex: Noctec, Halcion, Sonata, Lunesta, Ambien, Visteril

Answer 5

[Preop] *Decrease anxiety, decrease the amount of anesthesia needed, promotes sleep. *S.E: excessive sedation, hypotension, paradoxical excitement, anger, aggression, chronic intoxication, withdrawal.

Question 6

Neuromuscular blocking agents (muscles relaxants) *Ex: Dantrium, Valium, Diastat

Answer 6

[Preop] *Ease intubation and provide relaxation of skeletal muscles. Difference in onset, duration, route administred, SE, and patient status. *ACTION COULD LAST LONGER THAN PROCEDURE *S.E: Confusion and nausea