Deck 23: Surgical Pharmacology

Question 1

What items on the sterile field need to be labeled with a drug's name,strength,and amount once it is received on the field?

A) The drug's container and syringe
B) The needle holder
C) The retractor used before injecting the drug
D) The hypodermic needle used to inject the drug

Answer 1

A
The drug or pharmaceutical should be labeled as soon as it is received into the sterile field.The container and the syringe/delivery device should be clearly marked with the name and concentration of the drug.According to The Joint Commission (TJC)the content of the sterile field drug label should include the first three of the following list and all five on the following list if prepared for use and not yet dispensed to the sterile field: Drug name,strength,amount if not apparent by markings on the container,expiration date if not used within 24 hours,expiration date if expiration occurs within 24 hours.

Question 2

When dispensing a drug that has been drawn up in a syringe using a needle,it should be delivered via the syringe without the injection needle.

Answer 2

True
The needle is removed because dispensing via the needle creates an aerosol that can cause exposure to an allergen.

Question 3

As long as the circulating nurse verifies the drug with the scrub person as it is being dispensed,it is not necessary for the scrub person to verify the name of the drug with the surgeon as it is being handed up for use.

Answer 3

False
The scrub person should say the name of the drug as it is being handed to the surgeon to prevent a medication error.

Question 4

It is acceptable to recap and save saline left in a bottle for the next case.

Question 5

Which is a mineral source of drugs commonly found in the perioperative setting?

A) Opium poppy
B) Insulin
C) Potassium
D) Ginseng

Question 6

Which phase of clinical trials is performed on 100 to 300 people with an actual disease process for which the drug is the proposed treatment for 2 years?

A) Phase I
B) Phase II
C) Phase III
D) Phase IV

Question 7

What type of drug effect is manifested by the entire body?

A) Localized
B) Systemic
C) General
D) Diagnostic

Question 8

What type of vial or container requires the use of a filter needle when withdrawing the medication from it?

A) Peel-pack
B) Unit dose tube of cream or ointment
C) Glass ampule
D) Multi-dose tube of cream or ointment

Question 9

Which is a gas not commonly found in the OR setting?

A) Oxygen
B) Carbon monoxide
C) Nitrogen
D) Medical air

Question 10

Herbal supplements are not regulated by the FDA and may cause serious problems if medical and anesthesia providers do not know a patient is taking these products.

Question 11

Which is one of the steps of calculating medication problems using ratios and proportions?

A) Add all the values together and subtract the required drug dosage.
B) Divide each value by 2 and add the first two values together
C) Multiply extreme values and multiply the means.
D) Ratios and proportions are not used to calculate medication problems.

Question 12

Which drug name describes the molecular components of the compound?

A) Official name
B) Chemical name
C) Brand name
D) Trade name

Question 13

Which is an example of an irrigation fluid?

A) Cardioplegia solution
B) Formalin
C) Ringer's lactate
D) Gelfoam

Question 14

In which classification would a drug be if it posed a positive risk for pregnant women?

A) Class A
B) Class B
C) Class C
D) Class D

Question 15

When dispensing ointment from a multidose pack,the tube should be squeezed to dispense 1/2 inch of ointment in the trash before applying a portion to the sterile field.

Question 16

The first dose of a drug given in a series that is larger than subsequent doses is called what?

A) Loading dose
B) Localized dose
C) Diagnostic dose
D) Maintenance dose