The patient is scheduled for bariatric surgery in one month. During the preoperative physical, the nurse notes the patient takes St. John's wort. The nurse instructs the patient to stop taking St. John's wort 5 days prior to the surgery for which reason?

St. John's wort slows emergence from anesthesia. Certain herbal supplements can create very real risks during surgery. St. John's wort is a perfect example. Patients may take considerably longer to emerge from surgery when they are taking St. John's wort, which poses a risk for airway compromise after extubation in select patients. The standard recommendation is to stop St. John's wort for at least 5 days prior to the procedure. St. John's wort is not known to affect potassium, clotting, or blood pressure to a significant degree.

The patient is scheduled for bariatric surgery in one month. Duri...

Category: Reduction of Risk Potential
Difficulty: 8

Topics: Hematology/Oncology Lifestyle Choices and High Risk Behavior Medication and Blood Products Disease Prevention Intracranial Regulation Neurology Patient Education

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