Nursing Care Of The Client Undergoing Regional Anesthesia

Front 1

Preperation for procedure

Back 1

1. explain procedure
2. Do preop preparation and have surgical client sign consent form
3. Assess client for effectiveness as anesthesia is initiated.
4. Client will remain awake throughout procedure

Front 2

Potential problem :Hypotension

Back 2

1. Report BP less than 100mmHg systolic or any significant decrease.
2. Place client flat
3. Administer oxygen
4. Increase IV rate if client is not prone to heart failure

Front 3

Potential Problem: Respiratory paralysis

Back 3

1. Avoid extreme trendelenburg postion before level of anesthesia is set
2.Evaluate resp. status
3. Have ventilator support equipment available

Front 4

Potential Problem: N/V

Back 4

1. Antiemetics
2. Anticipate nausea if client becomes hypotensive
3. Suction, or position client to prevent aspiration

Front 5

Loss of bladder tone

Back 5

Evaluate for bladder distention

Front 6

Trauma to extremities

Back 6

support extremity during movement
Remove legs from stirrups simultaneously

Front 7

Headache

Back 7

Ensure adequate hydration before, during, and after procedure.
Maintain recumbent position, 6 to 12 hours after procedure.
Administer analgesics.