8/17/25, 9:23
AM
NUR 115-UNIT ONE-PRE-OP MED
CONSIDERATIONS/MEDS TO KNOW EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED 2025/2026
Terms in this set (35)
Metoprolol, Atenolol Beta-Blockers-Antihypertensive but
Cardioprotective so NEVER HOLD-drops BP &
HR but is expected
Cardizem CA Channel blocker/antihypertensive--drops in
HR & BP-hold day of surgery-can take the
night before
Lisinopril(Zestril) & ACE inhibitors, antihypertensive-does not affect HR,
Enalapril(Vasotec) worry about drop in BP
Aspart(Novolog), Rapid Acting Insulins-HOLD
Lispro(Humalog) &
Glulisine(Apidra) Insulin
Regular (Novolin R, Short Acting-HOLD
Humulin R) Insulin
NPH Insulin Intermediate-Acting--insulin needs for about half the
day or overnight
Glargine (Basaglar, Lantus, Long Acting-do not hold
Toujeo), Detemir
1/
6
, 8/17/25, 9:23
AM
(Levemir), Degludec
(Tresiba)
Glucophage DM II med, hold day of surgery
(metformin)
ASA—Plavix antiplatelet. Increase risk of bleeding, hold these 7 days
prior to surgery
NSAIDS Ibuprofen, Naproxen-hold day of, increase risk of
bleeding
Anticoagulants INR needs to be 1.5 or less for 7 days before surgery
Enoxaparin (lovenox) Dosing-(1mg/kg-30-40mg)Anticoagulant for
Prevention-watch CrCl-Creatinine clearance
levels
Heparin Short-half life, Anticoagulation-Prevention-DVT
Prophylaxis(5000 units subq)-or Given as an IV
gtt, Check PTT or new Lab test anti-Xa (anti-
10A)
Full Anticoagulant-(pt. already has clot) only
Warfarin (Coumadin)- p.o., Check INR- 2-3 & PT, Is reversible with
fresh frozen plasma. FFP
Negative is that have to Monitor INRs-Therapeutic
range=2-3
Apixaban (Eliquis), NOAC-New oral anticoagulants-Standard
Rivaroxaban (Xarelto), Dosing- no monitoring required HOWEVER
Dabigatran (Pradaxa) NEG=no reversal agent
Ondansetron (Zofran)- Antiemetic, first choice, work in CNS to decrease N&V---
Prochlorperazine Antiemetic-do not use in elderly-can cause confusion
(Compazine) post-op
Promethazine Antiemetic, keeps kids calm post-op
(Phenergan)
2/
6
AM
NUR 115-UNIT ONE-PRE-OP MED
CONSIDERATIONS/MEDS TO KNOW EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED 2025/2026
Terms in this set (35)
Metoprolol, Atenolol Beta-Blockers-Antihypertensive but
Cardioprotective so NEVER HOLD-drops BP &
HR but is expected
Cardizem CA Channel blocker/antihypertensive--drops in
HR & BP-hold day of surgery-can take the
night before
Lisinopril(Zestril) & ACE inhibitors, antihypertensive-does not affect HR,
Enalapril(Vasotec) worry about drop in BP
Aspart(Novolog), Rapid Acting Insulins-HOLD
Lispro(Humalog) &
Glulisine(Apidra) Insulin
Regular (Novolin R, Short Acting-HOLD
Humulin R) Insulin
NPH Insulin Intermediate-Acting--insulin needs for about half the
day or overnight
Glargine (Basaglar, Lantus, Long Acting-do not hold
Toujeo), Detemir
1/
6
, 8/17/25, 9:23
AM
(Levemir), Degludec
(Tresiba)
Glucophage DM II med, hold day of surgery
(metformin)
ASA—Plavix antiplatelet. Increase risk of bleeding, hold these 7 days
prior to surgery
NSAIDS Ibuprofen, Naproxen-hold day of, increase risk of
bleeding
Anticoagulants INR needs to be 1.5 or less for 7 days before surgery
Enoxaparin (lovenox) Dosing-(1mg/kg-30-40mg)Anticoagulant for
Prevention-watch CrCl-Creatinine clearance
levels
Heparin Short-half life, Anticoagulation-Prevention-DVT
Prophylaxis(5000 units subq)-or Given as an IV
gtt, Check PTT or new Lab test anti-Xa (anti-
10A)
Full Anticoagulant-(pt. already has clot) only
Warfarin (Coumadin)- p.o., Check INR- 2-3 & PT, Is reversible with
fresh frozen plasma. FFP
Negative is that have to Monitor INRs-Therapeutic
range=2-3
Apixaban (Eliquis), NOAC-New oral anticoagulants-Standard
Rivaroxaban (Xarelto), Dosing- no monitoring required HOWEVER
Dabigatran (Pradaxa) NEG=no reversal agent
Ondansetron (Zofran)- Antiemetic, first choice, work in CNS to decrease N&V---
Prochlorperazine Antiemetic-do not use in elderly-can cause confusion
(Compazine) post-op
Promethazine Antiemetic, keeps kids calm post-op
(Phenergan)
2/
6
