Pain Med Summary

Question 1

List the regional anesthesia

Which one will take longer to work?

What is the major side effect of all of these & a medication you can give?
What is the side effects for the spinal & combined?

What do you have to give before all of these?

What position is needed to administer these?

Which one is given in C sections?

Which one in vaginal delivery?

List of reasons why someone shouldn’t have a block of any kind?

Nursing role during regional anesthesia list:

Answer 1

Epidural
Spinal
Combined

Epidural will take longer.

Major side effect is Hypotension.Can give ephedrine.
Spinal and combined can have head aches & can travel upward to effect breathing.

Give a fluid bolus with them.

C shape is needed. Either laying down or sitting.

The spinal is given in section and they must sit up.

Vaginal delivery is given epidural.

List :
Patient refuses

Patient has infection near spine

ICP is present

Thrombocytopenia or not enough platelets

Anticoagulant therapy hasn’t been tapered off

Allergies to the anesthesia

Tumor at the site

Tattoo ink over site

Abnormalities or injuries like spina bifida

Nursing role:
Fluid bolus

Vitals every 5 min with machine

Make sure resuscitation equipment works

Make sure patient emptied their bladder

Assist w positioning

Stay with patient for 30 minutes

Advocate for patient

Question 2

Name the systemic analgesia meds or the opioids/narcotics

What is the antagonist antidote for opioids?

Which two of these has a ceiling effect?

Which meds can cause withdrawal in drug abuse patients?

Which one isn’t used anymore?

Which one is extremely powerful?

What is major side effect of ALL of these?

Which meds can affect mom & baby?

Answer 2

Stadol
Nubain
Demerol
Fentanyl

The antidote is Narcan.

Stadol and Nubain have the ceiling effect.

Stadol and Nubain can cause withdrawals.

Demerol is not used anymore.

Fentanyl is the powerful one.

Respiratory depression especially if given too late.

All of these meds can affect mom and baby.

Question 3

What is General anesthesia?
Why give it?

What is a big side effect with general anesthesia?

Meds given to prevent aspiration in emergency c section?

Answer 3

Anesthesia used to make someone unconscious

Used when someone doesn’t want or can’t have a regional block.
When the uterus must be relaxed quickly
Or when complications arise and they need to vaccum /forcep baby

Big side effect is fetal depression.
The uterus not clamping
Not remembering the birth
Aspiration risk

Bicitra antacid
Reglan to get them to empty stomach
Tagemet, Pepcid, Zantac to decrease juices