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Peri-Op Med
Antibiotic
Cefazolin
- 1-2g IV
- to prevent surgical site infections
- Report any known allergy to penicillin or any antibiotics
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Peri-Op Med
Benzodiazepines
~Midazolam (Versed)
~Diazepam (Valium)
~Lorazepam (Ativan)
- 3-5 mg IM, IV
- 5-20 mg PO
- 1-4 mg IM,IV
- Decreasse Anxiety/produce sedation & Amnesia (amnesia may be substantial) Monitor for resp. dep. hypotension, drowsiness & lack of coordination
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Peri-Op Med
Opioid Analgesics
~Morphine
~Fentanyl (Sublimaze)
~Oxycodone (oxyfast,Roxicodone)
~Hydrocodone (vicodan)
~Tramadol (Ultram)
~Codeine (Tylenol with Codeine)
- 5-15mg IM,IV
- 25-50mcg IM,IV
- 5-10mg PO
- 5-10mg PO
- 50-100mg PO
- 7.5-30mg PO
- Decreases anxiety,provides analgesia,allows reduced anesthetic dose. Monitor for respiratory depression, nausea, vomiting, orthostatic hypotension & pruritis
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Peri-Op Med
H2 Receptor Antagonists
~Cimetidine (Tagamet)
~Famotidine (Pepcid)
~Ranitidine (Zantac)
- 300mg IV,IM,PO
- 20mg IV
- 50mg IV,IM,PO
- Reduce gastric acid volume & concentration. Monitor for confusion & dizziness in older adults.
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Peri-Op Med
Proton Pump Inhibitors
~Lansoprazole (Prevacid)
~Omeprazole (Prilosec)
- 15-60mg PO
- 20-40mg PO
- Suppress gastric acid secretion. Monitor for dizziness, HA,rash or thirst.
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Peri-Op Med
Antiemetics
~Metoclopramide (Reglan)
~Droperidol (Inapsine)
- 10mg IV
- 2.5-10mg IM
- Enhance gastric emptying.Tranquilizer.Monitor for sedation & extrapyramidal reaction (involuntary movement, muscle tone changes, and abnormal posture)
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Peri-Op Med
Anticholinergics
~Atropine Sulfate
~Glycopyrrolate (Robinul)
- 0.4-0.6mg IM, IV
- 0.1-0.3mg IM,IV
- Reduce oral and respiratory secretions to decrease risk of aspiration;decrease risk of vomiting & laryngospasm.
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