What is included in perioperative medication management?

Updated: Jan 09, 2018
  • Author: Nafisa K Kuwajerwala, MD; Chief Editor: William A Schwer, MD  more...
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Answer

Answer

The perioperative period extends from the preoperative day through the operation and into the postoperative recovery. Proper perioperative management helps to prevent or minimize complications, to reduce postoperative pain, and to accelerate recovery. The components of perioperative medication management are as follows:

  • Accurate documentation of preoperative medication

  • Established decisions on stopping medications prior to surgery

  • Monitoring of appropriate chemistry study results to determine dosages and the occurrence of adverse effects

  • Appropriate management of pain

  • Administration of adjunctive medications

  • Use of appropriate formulations and alternative products when needed

  • Review of discharge medications to ensure discontinuation of surgery-specific drugs (eg, anticoagulants, analgesics) to avoid polypharmacy

Some drugs (eg, beta-blockers) have potential adverse effects when discontinued abruptly and should be given parenterally in the perioperative period. Switching to an alternative formulation of the same drug may involve a change in dose due to differing bioavailability of the active drug.


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