The nurse is conducting a pre-surgical interview when it is noted that the older adult patient's medication list includes Tylenol 650 mg four times a day for arthritic pain, gingko 80 mg twice a day, and glucosamine chondroitin 500 mg three times per day
a. glucosamine chondroitin for 1 to 2 weeks due to a potential for excess anes-thetic sedation
b. ginkgo for 2 weeks due to the potential for increased bleeding
c. Tylenol for 24 to 48 hours due to the potential for increased bleeding
d. gingko for 1 week due to the potential for an allergic reaction during surgery
ANS: B
It is recommended that ginkgo be discontinued for 2 weeks preoperatively due to the poten-tial for increased bleeding. There is no evidence that ginkgo is associated with allergic reac-tions during surgery. There are no recommendations for discontinuation of glucosamine chondroitin, and glucosamine is not associated with a potential for increased sedation from anesthetics. Tylenol is not associated with a potential for increased bleeding.
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