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8 Cards in this Set

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Define local anesthesia?
accomplished by injecting an anesthetic agent into the intracutaneous, subcutaneous, and intramuscular area of perineum
When is local anesthesia used?
at time of birth for episiotomy and repair
and is useful for women giving birth without previous pharmacologic interventions; procedure free from complications
Advantages of local anesthesia?
uses least amount of anesthetic agent...for episiotomy
Disadvantages of local anesthesia?
large amounts of solution must be used...
recommended meds are:
chloroprocaine (Nesacaine)
lidocaine (Xylocaine)
mepivacaine (Carbocaine)
Define general anesthesia?
induced unconsciousness
What might general anesthesia be used for?
c-section by IV injection or anesthetic agent
Powerpoint concerning analgesics?
USE:
Demerol
Stadol
Nubain
Phenergan
Visteril
MSO4

WHEN: active labor (4+cm)
FETAL: depresses FHR, respirations if given too close too delivery
MATERNAL: drowsy, sleepy, loopy
WATCH FOR: s/e of meds-affect blood pressure? voiding?
Define regional anesthesia?
temporary and reversible loss of sensation produced by injecting an anesthetic agent into an area that will bring the agent into direct contact with nervous tissue