Date of this Version
2024
Document Type
DNP Project
Rights
default
Abstract
Background: The recent FDA approval of GLP-1 RAs for weight management, has increased in popularity. Glucagon-like peptide-1 receptor agonists mimic the functions of incretin hormones that curb appetite and increase satiety by delaying gastric emptying. Patients taking GLP-1 RAs present with increased aspiration risk due to residual gastric content despite the American Society of Anesthesiologists preoperative fasting guidelines.
Methods: The databases utilized in the search included EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and MEDLINE. Inclusion criteria included publications in the English language, randomized controlled trials, double-blind studies, published within 5-years. A 12-question pre-test was given via Qualtrics, consisting of 6 demographic questions, 6 knowledge questions, and 6 questions on attitude to determine experience, baseline knowledge and attitude toward the practice change. This was followed by a 10-minute online educational module. A post-survey mirroring the pre-test was conducted. Data was reported utilizing descriptive statistics comparing pre and post module assessments via Qualtrics platform.
Results: The average amount of correct answers in the GLP-1 RAs knowledge pre-test was 66.67%, and an average of 100% correct answers were reflected in the post-test. The most notable difference was that GLP-1 RAs knowledge of possible anesthetic complications increased by 33.33%.
Conclusion: The implementation of a standardized risk stratification guideline for aspiration, and fasting times will bring awareness for patients who are on GLP-1 agonists in avoiding perioperative complications. Limitations exist regarding a standard of care on NPO guidelines and risk stratification in the preoperative setting for patients on GLP-1 RA.
Recommended Citation
Getahun, BSN, RN, CCRN, Hana and Miller DNP, CRNA, APRN, FAANA, Ann, "An Evidence Based Practice Educational Module Utilizing a Risk Stratification Algorithm for Surgical Patients on GLP-1 Agonists" (2024). Nicole Wertheim College of Nursing Student Projects. 302.
https://digitalcommons.fiu.edu/cnhs-studentprojects/302
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