More Regional Blocks

Question 1

Before placing an epidural, _____________________
must be administered to immobilize the patient.

Answer 1

Anesthesia

Question 2

What are some types of drugs that can be administered epidurally?

Answer 2

Opioids
NSAIDS
Combination (local/opioid)

Question 3

3 Cautions of Epidural Anesthesia

Answer 3

1. Avoid Excess Dosing
2. Keep Head Up
3. Be Prepared (intubation/ventilation)

Question 4

3 indications of a Brachial Plexus Regional Block

Answer 4

1. Limb Surgery
2. Cancer
3. Amputation

Question 5

Intravenous local anesthetic is rare in SA, but common in…

Answer 5

Bovine (digital amputation)

Question 6

When using an IV local in bovine, a ______________ must be applied, and the agent is administer IV…..

Answer 6

Tourniquet
Distal to the tourniquet

Question 7

What are 7 side effects of local anesthesia

Answer 7

1. Allergy
2. Nerve damage
3. Irritation (sodium bicarb)
4. Paresthesia
5. Toxicity
6. Cord damage
7. Unwanted blockage

Question 8

What can be mixed with local anesthetics to make them less irritating since they sting

Answer 8

Sodium bicarb (NOT with bupivacaine)

Question 9

Paresthesia is a side effect of local anesthesia, what is paresthesia

Answer 9

Abnormal sensation that provokes self trauma

Question 10

CNS signs of local anesthetic Toxicity (4)

Answer 10

1. Vomiting
2. Twitching
3. Excitability
4. Convulsions