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Nursing Guidelines for Anesthesia Care

The document outlines nursing considerations for patients receiving general and local anesthesia, emphasizing the importance of patient support and education preoperatively. It details the administration methods for local anesthesia, monitoring requirements, and safety precautions to prevent complications. Additionally, it highlights the potential toxic effects of systemic absorption of local anesthetics and the need for continuous monitoring during recovery.

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rnrchvz09
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4 views1 page

Nursing Guidelines for Anesthesia Care

The document outlines nursing considerations for patients receiving general and local anesthesia, emphasizing the importance of patient support and education preoperatively. It details the administration methods for local anesthesia, monitoring requirements, and safety precautions to prevent complications. Additionally, it highlights the potential toxic effects of systemic absorption of local anesthetics and the need for continuous monitoring during recovery.

Uploaded by

rnrchvz09
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SAMPLE DRUGS • Offer support and encouragement to help the

patient cope with the procedure and the drugs


being used.
• Provide preoperative patient teaching, realizing
that most patients who receive the drug will be
unconscious or will be receiving teaching about
a particular procedure:
- Information about the anesthetic (e.g., what
to expect, rate of onset, time to recovery)
- Medications that may be used preoperatively
- Effects of the medication on the patient
preoperatively
- Measures to maintain the patient's safety
preoperatively and during recovery
- How the patient will feel during the recovery
phase
- Signs and symptoms to report during
recovery and afterward

Nursing Considerations for Patients Receiving LOCAL ANESTHESIA


General Anesthetic Agents • refers to a loss of sensation in limited areas of
• Keep in mind that the drug must be administered the body.
by trained personnel (usually an • Local anesthesia can be achieved by several
anesthesiologist). different methods:
• Have emergency equipment to maintain airway topical administration, infiltration, field block,
and provide mechanical ventilation readily nerve block, and intravenous regional
available. anesthesia.
• Monitor temperature for prompt detection and LOCAL ANESTHETIC AGENTS
treatment of malignant hyperthermia. Maintain
dantrolene on standby. • Local anesthetic agents are used primarily to
• Monitor pulse, respiration, blood pressure, ECG, prevent the patient from feeling pain for varying
and cardiac output continually during periods of time after the agents have been
administration to assess systemic response to administered in the peripheral nervous system.
CNS depression and provide appropriate • In increasing concentrations, local anesthetics
support as needed. can also cause loss of the following sensations
• Monitor temperature and reflexes because dose (in this sequence): temperature, touch,
adjustment may be needed to alleviate potential proprioception (position sense), and skeletal
problems and to maximize overall benefit with muscle tone. If these other aspects of nerve
the least toxicity. function are progressively lost, recovery occurs
• Institute safety precautions, such as side rails, in the reverse order of the loss.
and monitor patient until the recovery phase is • The local anesthetics are very powerful nerve
complete, and the patient is conscious and able blockers, and it is very important that their
to move and communicate to ensure patient effects be limited to a particular area of the body.
safety. They should not be absorbed systemically.
• Provide comfort measures to help the patient Systemic absorption could produce toxic effects
tolerate drug effects. Provide pain relief as on the nervous system and the heart (e.g., severe
appropriate, along with reassurance and support, CNS depression, cardiac arrhythmias).
skin care and turning, and supportive care for
conditions such as hypotension and
bronchospasm.

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