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It is 6:00 AM. The anesthesiologist prescribes preoperative medications for a patient who is scheduled for surgery at 7:30 AM: cefazolin (Ancef) IV to be infused 30 minutes before surgery; midazolam (Versed) before surgery and scopolamine patch (Transderm Scop) behind the ear. Which medication should the nurse administer first?

1. Cefazolin (Ancef)
2. Fentanyl (Sulimaze)
3. Midazolam (Versed)
4. Scopolamine (Transderm Scop)

1 Answer

4 votes

Administer the Scopolamine patch first, followed by cefazolin 30 minutes before surgery, with midazolam and fentanyl as later considerations for anesthesia and pain management.

The nurse should administer the Scopolamine (Transderm Scop) patch first as it needs to be applied behind the ear to take effect, which allows time for the drug to start working before the surgery. Following that, the cefazolin (Ancef) IV should be given 30 minutes prior to surgery to prevent infection, meeting the guideline of administering prophylactic antibiotics 60 minutes before the incision is made. Midazolam (Versed) and Fentanyl (Sufentanil) might be administered later to induce anesthesia and pain management closer to the surgery time.

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