During a preoperative assessment, Mrs. D tells the nurse that she takes several "all natural" nutritional supplements. The best response the nurse can make is:
1. Even all natural dietary supplements may interact with anesthesia, medications, or alter blood clotting.
2. Since the dietary supplements are "all natural" there should not be a problem.
3. Mrs. D should not take the supplements the day of surgery, but can resume when she feels better following surgery.
4. She should be sure to discuss this with the anesthesiologist the day of surgery.
1
Rationale: Even all-natural dietary supplements can interact with anesthesia, medications, and alter blood clotting. Because of this, these supplements should be carefully checked by a medical provider or pharmacist to be sure they are safe for everyday use. These supplements should be stopped at least one week prior to surgery to allow clearance from the bloodstream and to avoid possible complications. Waiting to determine if a nutritional supplement can cause a risk for surgical outcomes or complications could be dangerous and this should be determined in advance of the surgery.
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