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38 Cards in this Set
- Front
- Back
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Analgesia vs Anesthesia
refers to the reduction or relief of pain. |
Analgesia
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Analgesia vs Anesthesia
implies pain relief - but does not imply that all sensation is taken away |
Analgesia
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Analgesia vs Anesthesia
refers to lack of sensation. |
Anesthesia
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Local infiltration
-Analgesia vs Anesthesia? -involves the injection into where? -is this used during labor or delivery? |
anesthesia
-just on perineum, -only at delivery -when the baby is crowning, and you need to do an episiotomy . Not a good drug for labor, doesn’t help push baby out. Used for last second intereventions |
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Pudendal nerve block
-blockage of what nerve? Analgesia vs Anesthesia? -is this used during labor or delivery? |
-pudendal nerve
-anesthesia -only delivery -PUDS- when baby is about to be born, pain relief for perineum and vagina. Can be done after the baby is born to sow things up. Doesn’t help with labor and pushing. |
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Spinal block
-injection where? -injection of what? Analgesia vs Anesthesia? |
Injection into lumbar space
-medication with cerebrospinal fluid in the spinal canal anesthesia |
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Spinal block
-what kind of birth is this for? |
c-section b/c of rapid onset
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Spinal block
-Anesthesia felt from where to where on the body? |
from nipple line to feet
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Spinal block
-what are the disadvantages? 3 |
Hypotension is expceted
impaired placental perfusion (less blood to placenta), ineffective breathing pattern (for mom, feels like she can’t breath) |
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Spinal block
-what is the huge adverse effect that can happen? |
Leakage of CSF from puncture of dura mater, postdural puncture headache.
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Spinal block
Spinal headache -treatment: what position should we keep mom in? |
draw blood from mom and put the blood in that spot so it blocks it off)
-Blood patch to stop leak. -keep mom flat to prevent leaking |
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Epidural anesthesia is an example of a:
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Local anesthetic
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Epidural anesthesia
-what is injected? -where is it injected into? |
Local anesthetic, opiod, or both into epidural space
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what is the most effective pain relief method for labor
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Epidural anesthesia
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Epidural anesthesia
-where can you not feel prain from? |
Ideal: No pain from rib cage down, you can feel the contractions but no pain
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Spinal block
-needle size? -what area does it puncture? -single or multiple dose? |
- needle is very fine to puncture dura mater, c
-single dose and pulled out |
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Epidural
-where are you injecting it into? -single or multiple dose? |
-going into a potential space (below the dura mater)
-catheter is put in to get a continuous drip |
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Epidural
-for what kind of births? |
c-sections and vaginal births,
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Epidural
-needle size? -make sure the needle says away from _____. why? |
bigger needle
-stay away from all CSF, -if the doc gets fluid back with the epidural, your more likely to have a headache, |
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Contraindications to Subarachnoid & Epidural blocks
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Active antepartum hemorrhage (hypovolemia -because the pressure drops)
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Contraindications to Subarachnoid & Epidural blocks
what kind of medication? disorders? |
Anticoagulant therapy
bleeding disorder, hematoma |
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Contraindications to Subarachnoid & Epidural blocks
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Infection at injection site –fresh tattoo, staph infection, fungal infection, won’t go through there and carry all that in
Allergy to anesthetic drug- Some maternal cardiac conditions- |
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Nursing care- Epidural & Spinal
what must the nurse make sure to get? |
Informed consent- nurses don’t get informed consent for procedures they don’t do
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Nursing care- Epidural & Spinal
IV fluid bolus, why? -what size bolus? |
–so she wouldn’t drop low and get hypotension.
A 200 cc bolus is more effective than a 2L, for keeping her BP up. (a small bolus is effective) |
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Nursing care- Epidural & Spinal
-Hold /support patient what 2 positions can be used? what should the nurse perform? who should be the support person? |
Side lying or sitting forward
Demonstration RN- not FOB (father of baby) |
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Nursing care- Epidural & Spinal
what 2 things is the nurse documenting? |
Fetal heart tracing
Frequent (Q3 minutes) BP’s |
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General Anesthesia
-results in what of the pt? |
unconsciousness
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General Anesthesia
-used for vaginal or c section births? |
c section becuse it knocks the person out
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General Anesthesia
-the mom has to be on what kind of diet? why? |
NPO/ IV
worry about aspiration, chemical pneumonia, vomiting, if the mom is not NPO |
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General Anesthesia
-does the baby get it? |
yes, Fetal exposure (respiratory depression, fetal acidosis, hypotoinia, lethargy)
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General Anesthesia
Informed consent- must be signed, if the mom is unconscious, what happens? |
the significant other has to sign
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Administration of medication
Intravenous route is used for stadol and nubain, why? when do you give it? why? |
works faster
given during contraction when the baby is given less blood supply, hoping the baby is not getting it |
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what maintenance is essential during spinal and epidural nerve blocks?
what does the nurse give? why? |
Maintenance of maternal fluid balance(there is expected hypotension) .
IV fluid bolus before administration is common to prevent hypotensive reaction. |
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IV fluid bolus before administration of what 2 things is common to prevent hypotensive reaction?
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during spinal and epidural nerve blocks
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Analgesia and Anesthesia
encompasses analgesia, amnesia, relaxation, reflex activity |
Anesthesia
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Analgesia and Anesthesia
abolishes pain perception by interrupting the nerve impulses to the brain |
Anesthesia
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Analgesia and Anesthesia
refers to the alleviation of the sensation of pain or the raising of the threshold for pain perception |
analgesia
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Analgesia and Anesthesia
No loss of consciousness |
Analgesia
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