Works Cited
Skidmore. (2013). Mosby 's Drug Guide for Nursing Students. St. Louis: Elsevier
Cited: Skidmore. (2013). Mosby 's Drug Guide for Nursing Students. St. Louis: Elsevier Mosby.
OPERATIVE INDICATIONS: This is a pleasant female who comes in with a soft tissue lesion in the left flank over what appeared to be a spigelian hernia site as well.…
The sample size was ninety-four patients spread randomly across eight centers in the United States. Originally it was planned that fifty-two patients receive sugammadex and the rest receive neostigmine. The population consisted of adults with American Society of Anesthesiologist (ASA) class I-IV receiving general endotracheal anesthesia for elective surgery requiring neuromuscular blockade both for induction and maintenance. They were further limited to…
* About 60 percent of the procedures are performed under general anesthesia, 30 percent under local anesthesia, 10 percent under regional or spinal anesthesia…
PRE-OP MEDS: gentimyacin 80 mg, per I.V. leviquin 500 mg. I.V. prior to surgery. I.VI. fluids for anesthesia…
Previous incision site was then prepped and draped in the usual sterile fashion. Then 10 mL of 1% lidocaine with 1:200,000 epinephrine was injected along the previous…
Anything abnormal needs to be reported to the doctor. These findings need to be documented as well. Document allergies according to facility policy. Accurate measuring and recording of height and weight are important for proper dosage of anesthetic agents. Ensure that the results of all laboratory, radiographic, and diagnostic tests on the chart. Document any abnormal results, and report them to the surgeon and the anesthesia provider. If the pt. is an autologous blood donor or has had directed blood donations made, those special slips must be included in the chart. Record a current set of vital signs within 1 to 2 hours of the scheduled surgery time, and document any significant physical or psychosocial observations. Report special needs concerns, and instructions (advance directives) to the surgical team, as required by The Joint Commission’s NPSGs. For example, advise the surgical team if the pt. is a member of Jehovah’s witnesses and does not accept blood products or if the patient is hard of hearing and does not have his or her hearing aid. This information assists the surgical team in providing continuity of care while the pt. is in the surgical area.…
Anaesthesia is to "artificially induce, by injection or gas, an insensitivity to pain before surgical procedures". A local anaesthetic is an injection, spray or cream that is applied to a small area of the body. It is useful for wound closure, removal of small tumours, chest draining and when placing an endotracheal tube. Sedatives are drugs can be used to calm a patient, as a pre-med to general anaesthetic, or to put the animal into a deep sleep.…
2.3 Describe the common adverse reactions to medication, how each can be recognised and the appropriation action(s) required…
Your surgeon may ask you to have a medical checkup by your primary care physician to ensure that you’re in good enough health for surgery. She will likely tell you to stop taking certain medications, like aspirin and non-steroidal anti-inflammatories, as these can cause excess blood loss during and after surgery and they may also interfere with the effects of anesthesia. She may also advise you to stop smoking as it can put you at a high risk of serious post-surgical complications. Because you’ll have difficulty moving comfortably after surgery, you should make sure that someone can come to your home to help you with activities like housecleaning, laundry and shopping.…
When you have completed your exam and reviewed your answers, click Submit Exam. Answers will not be recorded until you…
Fischer, B. & Chaudhari, M.(2006) ‘Techniques of Epidural block’ Anaesthesia and Intensive Care Medicine, 7(11)pp. 422 - 426.…
If you receive an epidural anesthetic and need more than one dose, a tiny, flexible tube (catheter) will be placed where the anesthetic was injected. Additional doses will be given through the catheter. If you need pain medicine after surgery, the catheter will be kept in place.…
~Lidocaine is a common drug used for local anesthetic such as dental procedures and minor…
IV moderate sedation- A sedative drug is injected through the vein into your body and will relax your body more quickly.…
When Mr X woke up he was in acute pain, this is something that needed to be addressed in order to make him comfortable. It was important to factor in how much pain he was in prior to surgery, it was found in his notes he was in little to no pain on rest. So when I asked him how much pain he was in on a scale of 1-10 and he said 6, even with a regional block I knew he was very uncomfortable. I could also see this through his facial expression, and the fact he was tachycardic and was becoming hypertensive (Dillon, 2007). It was also found that he was quiet anxious prior to the surgery due to this being his first surgical intervention, which meant that the way he was perceiving this surgical pain could be adding to his discomfort (Hilton, 2005). It was important to address his pain as soon as possible, as in a surgical setting pain has no value, and not treating this pain can lead to negative effects both physiological and psychological. The anaesthetist had prescribed Mr X fentanyl, tramadol, brufen and paracetamol. It was important to look through his theatre notes to see what he was given in theatre to make sure we weren’t giving him too big of a dose if he had already had some. We first administered fentanyl as it is a short acting opioid (Drain, 2003) then did another pain assessment. It was found he was down to a 4, which he said he still…