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Women's Health > Pain Management > Flashcards

Pain Management Flashcards

1
Q

relieves anxiety and induce sleep

NOT used during labor for various reasons

A

sedatives

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2
Q

given by anesthesia (IV or IM opioid)

given due to epidural contraindication or if pt asks for it

A

systemic analgesia

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3
Q

what are the epidural contraindications that would cause systemic analgesia to be used

A

MRSA, spinal surgery, idiopathic thrombocytopenia

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4
Q

what is the opioid (narcotic) agonist analgesic

A

better pain relief (IV)

Fentanyl

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5
Q

what is the number one thing to remember with opioids

A

NEVER give 1 hr prior to delivery due to neonatal respiratory depression

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6
Q

what is opiod agonist-antagonist analgesic

A

Stadol and Nubain

**again watch for respiratory depression if given an hour before delivery

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7
Q

what negative side effects does Stadol have

A

hallucinations and dizzy

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8
Q

what negative side effects does Nubain have

A

similar to a morphine type response

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9
Q

what is the nursing PRIORITY when giving analgesic/opioids

A

SAFETY

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10
Q

what is the opioid antagonist

A

Narcan

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11
Q

describe Narcan nursing responsibility

A

always have available if giving opiod

**expect withdrawal response if given to drug user

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12
Q

what is the maternal opioid abstinence syndrome

A

withdrawing from opioids as a mother

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13
Q

what are the s/s of maternal opioid abstinence syndrome

A

yawning, runny nose, lacrimal tearing, sweating, dilation of pupils, anxiety, N/V/D, and **tremors
OR go straight into seizures

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14
Q

what is is important to remember with opiods and Narcan

A

use extreme caution

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15
Q

used for C section

given higher up in spine

A

spinal block

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16
Q

what is given for local perineal infiltration anesthesia and why

A

Lidocaine

perineum for repair after delivery

17
Q

what is given for pudendal nerve block and why

A

Lidocaine injection in pudenal nerve
administered during second stage of labor for pain relief
*rarely given

18
Q

when is Lidocaine injection given

A

second stage of labor OR 10-20 min before vacuum, episiotomy, delivery

19
Q

spinal anesthesia compared to epidural block

A 
spinal= C-section, blocks more (L3-L4), given higher up in spine
epidural= vaginal, blocks less (L4-L5)
20
Q

risks of spinal anesthesia(block)

A

postdural headache

epidural blood patch

21
Q

what to do if spinal headache due to CFS leak

A

lay pt flat, pull blood from arm, inject blood into leak to form a clot (blood patch), and give fluids to prevent leak

22
Q

this provides no uterine relief, only perineal relief

A

pudendal nerve

23
Q

given in spinal column, below spinal cord

decreases pain during uterine contractions

A

epidural anesthesia

24
Q

how is gravity used with epidural anesthesia

A

to bathe all nerves
ie/ if more relief felt on right side, catheter is probably leaning right so lay pt on left side to bathe nerves with medicine on left side

25
Q

nursing interventions prior to epidural anesthesia

A 
evaluate hx of spinal surgery
evaluate skin for lesions
evaluate CBC for platelet ct (want it >100,000)
obtain consent for anesthesia
*preload pt with NS/LR
26
Q

what is the most important nursing intervention prior to epidural anesthesia

A

preload pt with 500 mL to 2 L of NS/LR

27
Q

what is the most common side effect of epidural

A

hypotension due to sympathetic blockade

and vasodilation with pooling of blood in the lower extremities, decreased cardiac output

28
Q

what is the target of the epidural

A 
epidural space (negative space)
do NOT go into spinal column, will lead to a CSF leak
29
Q

what position to sit in during epidural administration

A

knee to chest position

sitting on side of bed (hunched over)

30
Q

epidural anesthesia used to ______

A

keep pt awake

31
Q

general anesthesia used to ____

A

put pt to sleep

Women's Health (31 decks)

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