Which medications may need to be managed by the perioperative nurse prior to surgery?

The management of anticoagulants, antihypertensives, and diabetic medications is crucial in the perioperative setting due to their significant impact on patient safety and surgical outcomes. Anticoagulants can increase the risk of bleeding during and after surgery, so careful coordination is necessary to determine when to discontinue these medications and when to resume them. Antihypertensives are essential to manage blood pressure, as uncontrolled hypertension can lead to complications such as stroke or cardiac issues during surgery. Lastly, diabetic medications are necessary for maintaining stable blood glucose levels, which is vital because fluctuations can lead to increased risks of infection, poor healing, and other complications.

In contrast, while vitamins, supplements, over-the-counter pain relievers, and sedatives do require consideration, they do not always pose the same immediate risk profile as the medications listed in the correct answer. Vitamins and supplements may need to be evaluated for their interactions and impacts on anesthesia, but they are not typically as critical as anticoagulants or diabetic medications. Similarly, over-the-counter pain relievers can be addressed but usually have more manageable implications in the perioperative context. Sedatives and sleep aids may also be relevant, particularly concerning anesthesia and sedation protocols; however, the primary concern remains around the