As per GOI guidelines, pre-anesthetic/analgesic medication recommended before sterilization is/are?

Hariyana-CHO-2021

Pharmacology

Easy

Appeared in: Hariyana-CHO-2021

Explanation

Government of India (GOI) guidelines for female sterilization recommend a combination of medications for pre-procedure analgesia and sedation.
This regimen includes an opioid analgesic for pain control, such as Pethidine or its common alternative, Pentazocine.
A sedative with antiemetic properties, like Promethazine (Phenergan), is also administered to reduce anxiety and prevent nausea and vomiting.
Since all three drugs are part of the recommended protocol (either as primary or alternative choices), 'All of above' is the most comprehensive answer.

Option A: Pethidine is a correct component, but it is only one part of the recommended premedication regimen. It is an analgesic used for pain control but is typically given with a sedative.
Option B: Pentazocine is a valid analgesic alternative to Pethidine, but it does not represent the complete set of recommended medications, which also includes a sedative/antiemetic.
Option C: Promethazine is the recommended sedative and antiemetic, but it is given in conjunction with an analgesic for pain control. It does not provide pain relief on its own.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Pre-anesthetic medication for female sterilization as per Government of India (GOI) guidelines as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in administering pre-operative medications and monitoring the patient's response. It is vital to check for allergies and contraindications before administration.
Key nursing monitoring points after giving this combination include assessing vital signs (especially respiratory rate and blood pressure), level of sedation, and for any adverse reactions.
Patient safety is paramount. Emergency equipment, including oxygen, suction, and resuscitation drugs like Naloxone (opioid antagonist), should be readily available in case of opioid-induced respiratory depression.

How to Approach the Question

First, identify the core of the question: 'pre-anesthetic/analgesic medication' for 'sterilization' as per 'GOI guidelines'.
Analyze the options provided: Pethidine (opioid analgesic), Pentazocine (opioid analgesic), and Promethazine (sedative/antiemetic).
Recognize that pre-operative medication often involves a combination of drugs to address both pain and anxiety.
The question uses 'is/are', which hints that multiple options could be correct.
Given that all three drugs are commonly used in pre-operative settings for these exact purposes (analgesia and sedation/antiemesis), the 'All of above' option becomes highly plausible.
Confirm by recalling that standard premedication for minor surgeries often involves an opioid plus a sedative like promethazine. Pethidine and Pentazocine are similar types of analgesics.

Concept Tested & Keywords

Concept Tested: Pre-anesthetic medication for female sterilization as per Government of India (GOI) guidelines.
Stem keywords: GOI guidelines, pre-anesthetic, analgesic, sterilization
Lead-in keywords: recommended

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