PACU MEDICATIONS EXAM QUESTIONS AND 100% VERIFIED CORRECT ANSWERS

PACU MEDICATIONS EXAM QUESTIONS
AND 100% VERIFIED CORRECT
ANSWERS!!!
In what drug category is propofol?

general anesthetic

When is propofol used?

MACs, intubation, re-emergence delirium


also post-op nausea/vomiting (PONV), status epilepticus, total intravenous anesthesia (TIVA)

What are some adverse effects of propofol?

QT prolongation
hypotension on induction
anaphylaxis (egg allergy)
propofol-related infusion syndrome
dysrhythmias
heart/renal failure
hyperkalemia
acidosis

How often should propofol tubing be changed?

q 12 hr
lipid-based, higher bacterial risk

What are the desired effects of propofol?

smooth wake-up from anesthesia
anti-nausea

When should propofol never be used?

RN bolus (not within scope of practice)

, In what drug category is Zofran?

anti-emetic

When is Zofran used?

prevent nausea/vomiting (not a rescue drug)
pregnancy-induced nausea/vomiting
chemotherapy-induced nausea/vomiting

What are some adverse effects of Zofran?

prolonged QT
serotonin syndrome with other serotogenic meds (SSRIs, fentanyl, tramadol)

What is the desired effect of Zofran?

prevention of nausea/vomiting

When should Zofran never be used?

more than 16 mg IV single dose
QTc > 0.5

In what drug category is tranexamic acid (TXA)?

hemostatic agents

When is TXA used?

prevention of hemorrhage
reduction of post-op blood transfusions
trauma
hemophilia

What are some adverse effects of TXA?

thrombus
embolus
bleeding