New PreOp Medications

[Guest guest]

Hi I think this is what some are needing. Sorry if it has already been posted, I

came home to 2000 emails and have not gotten to all of them yet.

--------------------------------------------------------------------------------

Hi,

I am going to start asking preop patients to take some medications prior to

surgery:

See http://clos.net/preop_meds.htm for the details:

I think it could decrease the post operative nausea and vomiting and improve

our already good outcomes even further.

It should also shorten your times in the presurgery holding area and cut our

rates of superficial phlebitis further.

Copy the form and take it to your drug store to these medicines prior to

your surgery date.

Your druggist can call the office to get a verbal prescription for these

drugs for your surgery from Debbie in our office.

Milk of Magnesia (Magnesia; Magnesium Hydroxide) is a laxative to be

taken one time on the morning of the day before your surgery early in the

morning. The time before the drug begins to work is 30 minutes to 3 hours.

Milk of Magnesium is designed to help clean out your colon prior to the

operation and make both the surgery and your recovery a little easier.

(Note: The Milk of Magnesia is to be taken on the day before your surgery

not on the same day of your surgery.) Label: 60 ml (4 tablespoons) in 1 dose

the morning of the day before surgery.

When: The Morning of the day before surgery.

Chlorhexidine, (Hibiclens®) shower all over including your hair, twice,

once the evening before surgery and again the morning of surgery. This

decreases your chances of infections.

When: The night before surgery and the morning of surgery.

Transderm Scop (scopolamine) To prevent postoperative nausea and

vomiting. Dispense: One package of 4 patches. Label: To prevent

postoperative nausea and vomiting one Transderm Scop patch should be applied

to the hairless area behind one ear the night before surgery. The patch has

can prevent postoperative nausea and vomiting. Only one patch should be worn

at any time. Do not cut the patch.

When: The night before surgery.

Prevacid (Lansoprazole) 15 mg. Dispense: 2 tablets, Label: Take two

tablets on the night before surgery at 9-11 p.m. Prevacid is used to treat

ulcers, heartburn and other conditions caused by too much acid in the

stomach. Prevacid works by reducing the secretion of stomach acid. This

makes your surgery and anesthesia safer.

When: The night before surgery.

Levofloxacin (Levoquin): Is a powerful new antibiotic that is designed

to cut the risk of abdominal, lung and wound infection after the operation.

Label: 500 mg, 1 tablet orally on the night before surgery at 9-11 p.m.

Dispense: 1 tablet.

When: The night before surgery.

Metaclopromide (Reglan): Metoclopramide is a gut stimulant that helps

to empty the stomach and protect you from aspiration pneumonia. Label: 10

mg, 1 tablet orally on the morning of surgery at 4-5 a.m. with a sip of

clear liquid. Dispense: 1 tablet

When: The morning of surgery.

RR

Rutledge, M.D., F.A.C.S.

The Center for Laparoscopic Obesity Surgery

4301 Ben lin Blvd.

Durham, N.C. 27704

Telephone #:

Fax #:

Email: DrR@...