Epidural Anesthesia and Analgesia
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| What are some indications of Epidurals? | show 🗑
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| show | TRUE
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| show | * Hypovolemia
* Skin infection near insertion site
* Clotting abnormalities or therapeutic anticoagulation
* Abruptio Placentae
* Certain heart conditions
* Patient refusal or unable to give informed consent.
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| What are some steps prior to the procedure? | show 🗑
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| What does the Nurse care after the procedure include? | show 🗑
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| show | Monitor: Ability to void, Pressure and positioning, Analgesic/ anesthetic effects, compliance with mobility limitations if appropriate.
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| show | Hydromorphone hydrochloride (dilaudid), Fentanyl (Sublimaze), Morphine sulfate (Duramorph).
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| What are some common Anesthetics used? | show 🗑
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| What determines the dose? | show 🗑
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| What are some complications of an Epidural? | show 🗑
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| show | * 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.
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