Gerontological Nurse Ventures
*Home>>>Nursing Process

I have a question about managed meds and major surgery?


Someone having had a similar experience, please give me some
feedback, because I'm really worried--fears that or
Hopefully/probably unwarranted, but either way, let me know what you
think!

I'm having major surgery very soon! Doctor in charge is not the
doctor who prescribes my (lets just say) TABOO medication-I'm sure
you know what it is? She would like me to be completely off of the
medication long before the surgery, but admit nurse says the
anesthesiologist is in charge of all meds and says you can take it up
until midnight before the surgery. My question is, eventhough
they're going to be medicating me w/ other meds- will I still suffer
withdrawals either before or during my sedation? Other question, will
my tolerance levels affect the anesthesia? Will it be less
affective?

My last question! What medicines would be best and still work on me
during my recoup period in the hospital. Taken into consideration,
it will be somewhat less than what I take on a regular basis. I
still don't want to be in a lot of pain?? WHO does? ANY
recommendations would be greatly appreciated. I hope I can calm
down and relax before and during this process. I've been on this
medication for a LONG time!! Thanks,

Ok. BUT let's try and evaluate this...
I have had chronic pain for 20 years and it is my experience that the dr would not cut you off your meds?? FIND OUT WHY. It is the DR's orders that the anesthiologist follows, but I do know when I asked My anesth a question they did discuss with the doctor. So for the Nurse to be saying OK isn't exactly the best advice to listen TO.

I would if I were you, write down all of these questions that you have and ask for the procedure that they are going to follow. this way your "unknowns' wont be so fearful. there is nothing worse the not knowing what the hell is going on and why each person in charge of your care cannot agree.

Ultimately YOU are responsible for your care and it is up to you to know what is going on, Right? Reading your info over and over - I think that the Nurse is giving you what is "common" for your procedure.

There are a LOT of unknowns with your question and to start naming meds isnt fair to you or the general population reading the reponse.

I would reallly like to answer you but This is hard because there are alot of unknowns.. The dr recommends what you need. I would find out WHY no meds.

Your anesth. and you REALLY need to discuss this and then she can take it up with the Doctor. What is good for one is NOT good for all.
BUt the thing is if the dr is wanting you off all meds- that makes NO sense. and how many days before is she having you get off them... In my experience they want you as comfortable as possible and if taking daily meds is going to relieve some anxiety then that is probably ok, but find out WHY she didnt want you to be taking them.

Withdrawals, NO. They are trained professionals to make sure that there are enough meds on board and you wont go thru that. and if you tell the doctor that you are uncomfortable then they for sure will give u something to relieve that.
Your body will give off pain signals and the anesth will know what you need- dont worry!! BP etc.

Dont know what u are having done, dont know what to advise. But i would imagine that if u are having a BIG surgery, u will get a PCA machine called patient controlled anesthesia (ASK THEM otherwise) that is usally the "big meds" and i know what you mean - do u know what i mean? lol i liked it - i had it after back and gallbladder surgery.
http://www.spineuniverse.com/displayarti...

Rest assured that YOU are in charge of your medical care that if You can not agree with the dr that you should request someone else.

Here are some articles to read:
BUT COMMUNICATE WITH THE DR AND ANESTH -OK
http://www.clevelandclinic.org/health/he...
http://familydoctor.org/online/famdocen/...
http://www.webmd.com/pain-management/pai...

I wish you all the BEST- I could discuss with ya if you feel like it...its always nice to have support.
Please dont hesitate and hope you get well fast.

,

I have had several surgeries and i have never had to be off of my regular pain meds before surgery. You should not experience any withdrawals since after your surgery, you will pro bally be on a morphine drip for a certain period of time and then you should be given your regular meds.
It is always scary about everything that has to do with surgeries. You didn't mention what type of surgery or what exactly is your TABOO medicine. so that leaves a lot to wonder/ponder upon. The doctor who is performing the surgery should only change your pain medicine during the surgery process not what the other doctor prescribes.

Hi there, if you would like to e mail me with some more honest info, I'm pretty sure I can give you my advice or at least let you know of my experiances. I'm not comfortable reading between the lines with such a complex matter.!!
If I don't hear from you, then I wish you the best of luck with your surgery, hope everything is fine for ya.

I take Oxycontin and OxyFast for chronic pain. I recently had surgery to attempt to alleviate soem of my pain. You will not feel any withdrawal symptoms during your surgery. You CAN take the medication up to midnight the night before your surgery if the anethesiologist says it's okay. You cannot just stop taking your medication because you will have withdrawls, so you should take it as regular up to midnight the day before the suregery, if okayed by the anesthetist. After the surgery, you should resume your regular medication schedule. For pain control after my surgery, the doctor just increased my regular breakthrough pain medication dose, and it worked fine. Make sure the anesthetist and the doctor performing your surgery know what medications you take, the doses, and what you take them for and you should do fine. Good Luck!

mmmm i agree more exact terms would help - email if you want advice. feedingthedogcustard@hotmail.com

Tags
  Care Planning   Nursing Research   Nursing Program   Nursing Process   Nursing Practice   Nursing Management   Nursing Info   Nursing Clinic   Nursing Care   Nurse Call
Related information
  • Help! Min-Pins...can anyone can tell me a little about them?

    You are a great person for rescuing that poor little animal! And your patience and determination are wonderful! Minpins are great little dogs. They are perfectly fitted for a city environment be...

  • Early Pregnancy Failure...Do I need a D&C after my miscarriage?

    I had a spontaneous miscarriage at 15 weeks and I didn't need to have a D&C. Usually your doctor will confirm whether you need one with another ultrasound to check that everything has been...

  • Is there anyone over 30 who plays DDR for fitness?

    I'm not over 30 but I love DDR, and have not met anyone who can beat me.

    ...
  • Can you really take these people seriously?

    They are all probably a bunch of losers who have to do something to make themselves feel special. I hope one of these heifers bothers me when I am out feeding my daughter her bottle. I'd put t...

  • It Is Absurd To Me That Hospitals Are Filthy What About You?

    It may not be the nurses jobs to clean the wards, but they do little to help. My daughter had a major nose bleed during her very last stay in hospital, I was horrified to find the next day she st...

  • I gave blood about two weeks ago and my arm is still bruised, is this normal?

    Appears to be like a double puncture while drawing the blood. But a severe pain persisting even after two weeks after the blood drawal, is suggestive of any development of a thrombophlebitis. Pleas...

  • Can anyone tell me my rights?

    If you are not there by a Court Order you can walk any time you wish, but they can apply for an order to have you committed

    ...
  • My Hermit Crab molted and slid out of his shell, no odor, looks dead have had hermie 10 mths.?

    I had 4 hermit crabs but one of them did what yours did. What you should do is clean the inside of his shell, sometimes it moves out because it is uncomfortable and has sand in the shell. Also put ...

  •  

    Categories--Copyright/IP Policy--Contact Webmaster