This is a discussion question for this thursday. I thought that high blood pressure medication was acceptable if your NPO but still needed consent from the anesthesiologist or physician? Is there a protocol to remembering which is acceptable to give and which isn't? Your answer may be brief or extensive. I'm just trying to gain a better understanding of pharmacology. This discussion was given prior to class even starting, so I'm not sure how I would know this. If you can help that'd be great.

Adult Case Study

Mrs. Tell is scheduled for an open cholecystectomy for symptomatic gallstones. She has a history of Obesity, Hypertension, Coronary Artery Disease, and Diabetes Type 2. She is scheduled for surgery today at 10:00 AM and you are her primary nurse. Mrs. Tell was NPO after midnight last night and it is now 6:00 AM on the day of her surgery.
Below is her MAR:

Colace 100mg po BID 0900
2100

Lopressor 50mg po BID 0600
1800

Lipitor 10mg po every PM 2200

Insulin Humulin NPH 0700
10 units SQ every AM

Heparin 5,000 units SQ BID 0900
2100

1. Prior to Mrs. Tell's 10am surgery, which medications will you administer and which medications would you anticipate holding? Please give the rationale for your answer.

2. After reviewing the MAR, identify the nursing assessments required prior to the administration of each medication. Discuss why these assessments are necessary.