Republished July 31, 2024
If you are scheduled in advance for surgery or a procedure, you may need to go to the hospital for a pre-admission testing appointment. You might need blood tests, a physical exam, and instructions about what to do before the procedure. This is a great time to go over your current list of medicines with the nurse or doctor.
Some medicines need to be stopped several days or even a week before the surgery or procedure. This includes both prescription and over-the-counter (OTC) medicines, such as aspirin and herbal products (e.g., garlic, ginger, ginseng, gingko). If you are admitted to the hospital after your surgery or procedure, your doctor may need to prescribe these medicines for you during your stay. Since there are many medicines with names that look and sound alike, you should bring a neatly printed or typed list of your medicines with you when you go for your pre-admission testing appointment. Before going, carefully check each prescription bottle or medicine label to make sure you have the drug names spelled correctly. Include the dose of the medicines and how often you take each one. You can also bring all your medicine bottles with you for the nurse or doctor to review during your appointment. This way they can double check the list to make sure it is accurate. If you just tell them then name of the medicine, it may not be correct because some drug names are very hard to pronounce or sound similar. Simply mispronouncing a drug name has led to mistakes.
In one case, a woman mispronounced the medicine she took for osteoporosis, Actonel (risedronate), placing the emphasis on the middle part of the name (ac-ton-nel). The medicine was misunderstood as the heart and blood pressure medicine, atenolol (Tenormin), which is pronounced "a-ten-a-lul." In another instance, Plavix (clopidogrel) was misheard as Paxil (paroxetine). Plavix slows blood clotting and Paxil is used to treat depression. This mix-up could cause problems since Plavix may need to be stopped before surgery.
Accurate communication about your medicines with nurses and doctors before surgery can help promote patient safety and avoid serious mistakes.
