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CST 111 - PHARMACOLOGY
CASE STUDY # 2
A 55-year-old female patient who is positive for MRSA has a laparoscopic
cholecystectomy. During the procedure, the surgeon encounters heavy bleeding
from the liver bed and decides to convert to an open cholecystectomy.
Based on the above case scenario, respond to the following questions:
1. What medication category will be used during the “intraoperative cholangiography” as
part of the procedure? Name three potential medications used from this category.
2. The surgeon requests a half-strength diatrizoate sodium solution; you have 30 mL of diatrizoate
sodium and a 50-cc syringe on the field. How much of the medication and how much normal saline
will you add to the syringe?
3. The surgeon requests an antibiotic irrigation for closure. Considering the patient’s medical
history, what antibiotic will be requested? What information should be included on the label for the
basin containing the requested irrigation? What will be used to deliver the irrigation to the wound?
4. What three medications might be used to control the bleeding on the liver bed intraoperatively?
5. The surgeon is concerned that the patient might have some postoperative liver inflammation,
leading to nausea and vomiting. What single medication would the surgeon ask the anesthesia care
provider to give intraoperatively to treat this possibility?
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