Epidurals Word Scramble
N A B U E L
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| Question | Answer |
| What are the contraindications? | * Hypovolemia * Skin infection near insertion site * Clotting abnormalities or therapeutic anticoagulation * Abruptio Placentae * Certain heart conditions * Patient refusal or unable to give informed consent. |
| What determines the dose? | Patients response. |
| How do you terminate epidural anesthesia? | * Check labs: if INR >1.5 bleeding risk is increased * Check tip to verify complete removal * Monitor VS 15 minutes post-removal. * Instruct patient to report pain or bleeding at site, urinary retention or headache. |
| What are some indications of Epidurals? | Control of post op pain, chronic pain, or labor pain. |
| What are some common Anesthetics used? | Bupivicaine hydrochloride (Marcaine), Ropivicaine hydrochloride (Naropin) |
| What does the Nurse care after the procedure include? | * Position pt. * Monitor Vitals * Supplemental Oxy PRN * Safety sign above bed "epidural protocol client" * Assess dressing, catheter insertion site, and tubing * Assess pain, muscle weakness, sedation * Document |
| What is monitored in the ongoing assessments? | Monitor: Ability to void, Pressure and positioning, Analgesic/ anesthetic effects, compliance with mobility limitations if appropriate. |
| What are some complications of an Epidural? | * Hypotension * High Spinal anesthesia (affects breathing) * Migration of catheter into epidural vein * "Wet Tap" headache * Infection at insertion site * Spinal compression dure to formation of epidural hematoma (hard mass + tingling) |
| Epidurals are effective in controlling acute pain to chest, abdomen, pelvis and lower limbs. (T/F)? | TRUE |
| What are some steps prior to the procedure? | * 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. * Prepare for continuous cardiac monit |
| What are some Epidural narcotic medications used? | Hydromorphone hydrochloride (dilaudid), Fentanyl (Sublimaze), Morphine sulfate (Duramorph). |
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