Epidural

On the labor and delivery floor, during my preceptorship, many patients were induced by a medication called Dinoprostone. If the patients were being induced they would come in the night before and be admitted. At this time the nurses orient the patient and family to their room, complete the labor and delivery admission record, hook the patient up to the fetal monitors, and perform an assessment that includes maternal vital signs, heart and lung sounds, deep tendon reflexes, and signs of edema.…

effects of injections into muscle tissues around the spine with these of injections administered in the epidural area, which surrounds the…

Imagine having appendicitis, unknowingly, it bursts in the middle of the day, and emergency surgery is needed. The pain before the surgery is so excruciating, and all that is desired is relief from that stabbing pressure in the right side of the stomach. Doctors surround and prep the patient for the operation. The patient is asked to count back from a number, while the anesthesiologist administers the anesthesia. The patient becomes completely unconscious, waking up hours later with no…

decision to decline the epidural. I told my mom I wasn’t sure I wanted to finish my labor in that much pain. I had bad back labor along with the contractions in my abdomen which prevented me from being able to find a comfortable position to lay in. I cried to my mom and begged her to get my doctor so that I could ask for an epidural. My doctor came in and told me that she sent the anesthesiologist home earlier because she thought I would be ok and wouldn’t require an epidural. She asked me if I…

confined entirely to the dorsal columns, with paresthesias occurring ipsilateral and caudal to the electrode(13). Stimulation patterns that result in abdominal tightness or chest wall sensations, may indicate that a lead is positioned in the anterior epidural space. Intradural placement or placement adjacent to an exiting nerve root produces sensations that occur at extremely low amplitudes or within a narrow…

My first week of clinical went really well I spent the first day learning the work flow of the unit and practicing assessments with my nurse and learn about all the different disorders and surgeries of our patients. My nurse Ben was really great he was very knowledgeable and through. I was luck enough to meet my patient the day before and establish a good rapport with her while helping Ben take care of her. She was a 52-year-old patient who had a history of multiple surgeries and current…

disadvantages(Belsky, 2013). One mediation option is a an epidural, a type of anesthesia that is injected outside the spinal cord(Belsky, 2013). An epidural shot numbs the mother’s body from the waist down(Belsky, 2013). The positve part about an epidural is that it makes pain stay under control and allows mother to be fully aware to make pushes(Belsky, 2013). Some disadvantages are the complications that may occur if the needle is inserted improperly(Belsky, 2013). Epidurals can also slow down…

in both legs. MRI of the cervical spine dated 10/30/2015 demonstrated degenerative spondylotic changes at C3-4 through C6-7 with multi-level central canal stenosis. There is also narrowing and increased T2 signal intensity at C4-5 with a ventral epidural mass effect or collection of uncertain significant producing moderate cord compression. Post-gadolinium-enhanced MR imaging is recommended along with cervical CT scanning for further evaluation. MRI…

Dear Editor, Post Dural Puncture Headache (PDPH) is a known complication after accidental dural puncture during epidural anaesthesia, subarachnoid block, myelography and diagnostic lumbar puncture. It’s incidence in totality ranges from 0.16-1.3%(depending upon the needle size and type).[1] Epidural blood patch has remained the gold standard of treatment, while including other modalities like hydration, use of abdominal binder, caffeine and desmopressin. Sumatriptan, a 5-hydroxytryptamine-1D…

injury related to the epidural she was given. The epidural anesthetizes the mother’s lower extremities. She would have the feeling that her legs could not bear her weight and she would not be able to ambulate on her own. Intervention 1: Evaluating the mother’s current condition that enhances her risk for falls (Doenges, Moorhouse, & Murr, 2016, p. 293). • Rationale: Any short-term situation, such as a new medication, can affect the patient’s balance. The mother was given epidural almost 24…