A nurse is caring for several clients prior to surgery. Which medications taken by the clients require the nurse to consult with the physician about their administration? (Select all that apply.)
a. Metformin (Glucophage)
b. Omega-3 fatty acids (Sea Omega 30)
c. Phenytoin (Dilantin)
d. Pilocarpine hydrochloride (Isopto Carpine)
e. Warfarin (Coumadin)
ANS: A, C, D, E
Although the client will be on NPO status before surgery, the nurse should check with the provider about allowing the client to take medications prescribed for diabetes, hypertension, cardiac disease, seizure disorders, depression, glaucoma, anticoagulation, or depression. Metformin is used to treat diabetes; phenytoin is for seizures; pilocarpine is for glaucoma, and warfarin is an anticoagulant. The omega-3 fatty acids can be held the day of surgery.
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