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Licensed Physican educated and skilled in DELIVERING of anesthesia?
Anesthesiologists
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Qualified RNs, dentists, or physicians administering anesthesics are
Anesthetists
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Absence of normal sensation is
Anesthesia
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Pain relief without anthesia is
Analgesia
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Preanesthetic Care are:
- Heath care provider's explains risks and benefits of anesthesia
- Obtain client signed consentComplete preopertive orders executed
- Check, verify, and document allergies
- % Do not leave order until complete everthing.
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During preanesthetic care one has to make sure that they Do not?
Leave order until everything is complete.
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During preanesthetic are you can administer regular what?
daily medications with a small sip of water as ordered.
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During preadministered care you must remind the client of?
The importance o eating or drinking restrictions and administer preoperative medications at ordered time.
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%Make sure that the client's consents are in order and included where?
In the chart
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During preanesthetic care if the client responds abnormally to preoperative medications, notify?
The anesthesia dept. immmediately
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During preanesthetic care BE SURE that the client's ________ is complete before going to the operating room.
chart
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Reduction of stress, excitement or irritability during sedation is
Central nervous system depression (CNS)
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% Sedative drugs can be used alone for a combination to produce synergenic affect meaning...
(creating an effect greater > than that of a single drug)
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Sedation monitoring consists of sedation often used to alleviate anxiety and discomfort during local anesthesia, and
- % During sedation, the client must remain conscious and in control of own airway and breathing
- % Monitoring the client's breathing and vital signs should be one person's only duty
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During sedation monitoring the client's breathing and vitals should consist of how many people?
1
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During sedation, the client MUST remain conscious and in control of own what?
Airway and breathing
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%The residual effects of sedation are?
- Sedation usually persists beyond duration of procedure
- Amnesia common (Mrs. Jen daughter at Shirleys)
- Give instructions in writing
- Monitor client until medications wear off enough for the client to wake and become oriented.
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Sedation persists beyond duration of what?
The procedure
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%REGIONAL ANESTHESIA: The region of the body temporarily rendered insensible to pain by injection through:
- Local anesthesia
- Nerve blocks
- Spinal and epidural blocks
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%LOCAL ANESTHESIA:
- Small amt of anesthetic drug injected either into the skin and the subcutaneous tissues around a cut or at the site of needle puncture for central line placement.
- Commonly used lidocaine
- Lasts approximately 1 hr
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Commonly used local anesthetic is
Lidocaine
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Lidocaine is
A local anesthesia and is short-acting in 1 hour
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Nerve blocks last
1-12 hours
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A local anesthetic injected more deeply into the body and/or directed at specific nerves are
Nerve blocks
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Often used are Lidocaine, Mepivacaine, or bupivacaine for
Nerve block
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%Spinal injections last?
1-3 hours
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Injected cerebrospinal fluid and injected in 1-3 hours is?
Spinal blocks
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injected into the epidural space near teh spinal cord is?
Epidural blocks
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Can be continued as long as local anesthetic injected through the catheter into the epidural space?
Epidural block
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%Temporary blockage of nerves carrying instructions to skeletal muscles is
Residual motor block
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%Normal sensation not returning completely on discharge from recovery?
Residual sensory block
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Safe anesthesia for surgery in teh abdomen, pelvis or lower extremities
Postdural puncture headache may occur where
Spinal and Epidural blocks
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Treatment for spinal and epidural blocks are
adequate hydraton, analgesics, bed rest in the supine position, and performance of epidural blood patch
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Residual sympathetic block is also known as?
Orthostatic hypotension
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Who will determine how many hours or anesthesia the patient is going to get?
The doctor
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%Involves unconciousness, complete insensibility to pain, amnesia, motionlessness, and muscle relaxation
General anesthesia
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%Airway, breathing, hearte rate and temperature regulation controlled by anesthesia provider is
General anesthesia
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Four stages of General anesthesia are:
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Allowing drugs to wear off is
Emergence
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May take days or weeks is
Recovery
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Maintaining anesthesia with a combination of IV and inhaled drugs is
Maintenance
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Going to sleep or inserting oral airway is
Induction
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%Post operative pain management deals with the amt of medications needed depends on:
- Intensity and type of pain
- Size of client
- Clients age (elderly lower dosese of opiods)
hint: CSI
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Post operative pain management results from?
- Tissue injury
- Release of local and hormonal substances
- Inflammation
- Mental outlook
hint: TRIM and pain scale
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Allows the clients to self-administer pain medication by pushin button, but will NOT deliver unlimited amts are
PCA (hospice)
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PCA results in
- Better pain relief
- Reduction in nursing time
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Respiratory 4 things to check
- Rate
- Rhythm
- Effort (really trying to breath)
- Pulse ox
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%Things needed to know during Postanesthesia care
- Report decrease in HR and BP
- Immediately report breathing difficulty to anesthesia provider
- Verify client's ability to stand or walk
- Assess for bladder distention
- Do not allow client to rub eyes
- hint: RIVA D
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%THis need to know with Postanesthesia care
- If epidural catheter, ensure client is changing positions
- Report HA that gest worse with sitting or standing
- Before giving discharge instructions, write out and review
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