Chpt 14; Pre-op

Protein function in wound healing

allows for collagen deposition and wound healing to happen

Arginine (amino acid) function in wound healing

1. provides needed substrate for collagen syn. and nitric oxide

2. increases wnd strength and collagen deposition

3. spares protein

Vitamin C function in wound healing

1. capillary formation

2. tissue syn

3. wound healing via collagen formation

4. needed for antibody formation

Vitamin B function in wound healing

influence on host resistance

Vitamin A function in wound healing

1. increase inflammatory response in wounds

2. decreases anti-inflammatory response of corticosteroids on wound healing

Vitamin K function in wound healing

1. normal blood clotting

2. impaired intestinal syn. associated with antibiotic usage

Mag function in wound healing

cofactor in many enzymes involved in protein syn. and wound repair

Copper function in wound healing

cofactor in development of connective tissue

Zinc function in wound healing

1. DNA syn and protein syn

2. cellular proliferation

3. immune function

Medication given to prevent dvt

lovenox subq

Dexamethasone (corticosteroid) should/should not be stopped during operation bc

should not; sudden stop can cause cv collapse

Hydrochlorothiazide (diuretic) interaction w. anesthetic

can increase respiratory distress bc of electrolyte imbalances

Chlorpromazine hypochlorite (phenothiazine) interaction w. anesthetic

increase hypotensive effect

Diazepam (tranquiller) should/should not be stopped during operation bc

should not; sudden seizures can be triggered if stopped

Warfarin (anticoag) should/should not be stopped during operation bc

should not; it can increase risk of bleeding

Carbamazepine (anti-convulsant) should/should not be stopped during operation

should not

Levothyroxine (thyroid hormone) should/should not be stopped during operation bc

should not

Metoclopramide

stimulates gastric emptying and increases gi transit time

Prochlorperazine

phenothiazine antiemetic

Promethazine

phenothiazine antimotion sickness

Hydroxyzine

antiemetics

Scopolamine

antiemetic anti-motion sickness used as prevention and control

Ondansetron

antiemetic used for prevention that has few side effects