In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Question: What are some of Epidurals?Answer: Control of post op pain, chronic pain, or pain.
Question: Epidurals are effective in controlling acute pain to chest, abdomen, pelvis and lower . (T/F)?Answer: Question: What are the ?Answer: * Hypovolemia
* Skin infection near insertion site
* Clotting abnormalities or therapeutic anticoagulation
* Abruptio Placentae
* Certain heart * Patient refusal or unable to give informed consent. Question: What are some steps prior to the ?Answer: * Witness consent, perform "timeout"
* Ensure IV infusing, bolus as indicated
* Supplemental oxygen available
* May be asked to give Midazolam I.V. (non-pregnant only)
* VS and prepare to monitor BP and O2 sat.
* for continuous cardiac monit Question: What does the Nurse care the procedure include?Answer: * Position pt.
* Monitor Vitals
* Supplemental Oxy PRN
* Safety sign above bed "epidural protocol client"
* dressing, catheter insertion site, and tubing
* Assess pain, muscle weakness, sedation
* Document Question: What is monitored in the assessments?Answer: Monitor: Ability to void, Pressure and , Analgesic/ anesthetic effects, compliance with mobility limitations if appropriate. Question: What are some narcotic medications used?Answer: Hydromorphone (dilaudid), Fentanyl (Sublimaze), Morphine sulfate (Duramorph). Question: What are some Anesthetics used?Answer: Bupivicaine hydrochloride (Marcaine), hydrochloride (Naropin) Question: What the dose?Answer: Patients . Question: What are some of an Epidural?Answer: * Hypotension
* High Spinal anesthesia (affects breathing)
* Migration of catheter into epidural vein
* "Wet Tap" headache
* Infection at insertion site
* Spinal compression dure to of epidural hematoma (hard mass + tingling) Question: How do you terminate epidural ?Answer: * Check labs: if INR >1.5 bleeding risk is increased
* Check tip to verify complete removal
* Monitor VS 15 post-removal.
* Instruct patient to report pain or bleeding at site, urinary retention or headache.
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