EPIDURAL USE

Question 1

What are all the points needed to know to prevent complications of epidural use?

Answer 1

1. Administer a bolus of IV fluids to help offset maternal hypotension
2. Encourage clients to remain in the side lying position after insertion of the epidural catheter to avoid supine hypotension syndrome with compression of the vena cava
3. Assess FHR patterns and maternal blood pressure–> observe for hypotension, respiratory depression and oxygen saturation
4. Be prepared to administer an IV vasopressor such as ephedrine for orthostatic hypotension
5. Raise the side rails for client safety
6. Monitor for return sensation and motor control in the client’s leg after delivery but prior to standing. Assist the client with standing and walking for the first time after a delivery that included epidural anesthesia