The nurse admitting a client to a same day surgery unit makes the decision to notify the surgical team to cancel the procedure based on the client's statement that:
a. "Will I start taking my St John's Wort as soon as I can eat again?"
b. "I've haven't taken my ginkgo for exactly 10 days."
c. "I didn't want to risk catching a cold so I took my Echinacea with just a sip of water."
d. "It seemed strange not taking my garlic pill this morning."
ANS: D
Herbs that can affect bleeding and clotting time, such as garlic, ginger, ginkgo, and ginseng, should be especially noted and reported to the surgical team. There is no known surgery re-lated risk involved with the regular self medication of St. John's Wort, or Echinacea. Ginkgo should be stopped at least 7 days prior to surgery.
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