Anesthesia Case Study
Stage and planes of anesthesia
Levels of anesthesia • Stage 1: Voluntary excitement: This begins with the induction of anesthesia. Shortly after our patient has received the calculated preanesthetic drugs our patient should appear aware, but also will display signs of being scared trying to escape. I have seen many techs bitten from underestimating these signs. Not every pet gets aggressive some try to escape. You can believe me there is nothing worse than trying to catch a loose anesthetic cat or dog around the hospital. We had a cat loose in our surgery room and the cat staggered around the room and up and down the counter tops. Finally, the staff had the cat cornered, and the patient was captured safely in a net. We then placed him
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I have to make sure the patient is receiving enough oxygen that the heart and temperature rate is not to high or low. This is occurs when our patient is under deep surgical anesthesia. The respirations are shallower and at the lower level of the normal range, the heart rate has slowed down and the capillary refill time has increased. The muscle tone is greatly reduced. Now our patient should not be responsive to surgical manipulation and all reflexes are weakened so this is a good time for our patient’s surgical procedure to begin. The Dr. has determined that our patient is under enough not to feel the surgical procedure but not so under that we wont be able to recover the patient …show more content…
It means the patient has peaked too deep during the anesthetic procedure. Now the patient is dying from decreased respiratory and cardiac functions that will lead to immediate death.
Cites:
Surgical risk is always there and Its always best to avoid plane 3 and 4 and move to the next stage which is:
• Stage 4 Recovery of the patient. At our practice we have to stay with the Patient until the patient’s vital signs are within a normal range. We have one Surgery tech and one surgery recovery tech for every surgery. Since I am overseeing the patients recovery, I need make sure the patient is monitored until awake and able to stand. Usually the signs I may encounter are shivering, vocal sounds and urination. The Dr. will have us give an injectable pain medication if patient is showing signs of pain. Some other signs I may look for are vomiting, low temperature, and thrashing in the cage.
• The American College of Veterinary Anesthesiologists guidelines of anesthetic monitoring JAVMA 206 (7) 936-937, 1995 • Hall L, Clarke K, and Trim C. Veterinary Anesthesia Saunders 2002 • Thurmon J, Benson J, and Tranquilli W Veterinary Anesthesia Williams and Wilkinson 1996 • Seymour C and Gleed R (eds) BSAVA Manual of Small Animal Anesthesia and Analgesia
Kelly Malone Case Summary
242 Words | 1 PagesJustin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
Pros And Cons Of Spinal Anesthesia
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1209 Words | 5 PagesMr. A is admitted to the critical care unit post bowel resection, splenectomy, acute respiratory distress syndrome (ARDS) and patient-ventilator dyssynchrony (PVD). He is an eighteen-year-old African American man who is placed on an IV infusion of Norcuron and Ativan. The major outcomes expected for Mr. A would be for him to be able to wean of the ventilator, be hemodynamically stable, heal adequately, tolerate his diet, have adequate bowel elimination, and be able to adjust to his life with optimal functioning. The problems that are to be manage include, being on the ventilator, being sedated, having an elevated temperature, having a low hemoglobin, post surgical bowel resection, splenectomy, hypoxia and diet intolerance.
Nursing Care Plan
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Root Cause Analysis: The Joint Commission (TJC)
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Awake Extubation Case Study
717 Words | 3 PagesThe anaesthetist removed the ETT and proceeded to place a tight fitted mask on patients face. (REF)She then alerted the team that there was a problem with the patient airway (REF). The mask did not mist up – indicating of no air movement return, there was no carbon dioxide trace on the capnography and the patient oxygen saturation dropped steadily from 100% to 90%. He instigated vigorous jaw thrust to improve oxygenation, and using continuous positive airway pressure(CPAP) to deliver 100% oxygen flow through the breathing bag attached to the anaesthetic machine but all this effort was not having any effect on the ventilation. He then asked my mentor the Operating Department Practitioner (ODP) to administer 50mg/5ml of intravenous Propofol.
Examples Of Observation In Nursing
913 Words | 4 PagesAssessment is a fundamental component of any nurse’s role. However, from what I observed today it seems particularly vital to the PACU nurse. While they do provide interventions, the majority of PACU nurses’ time is spent assessing their patients and documenting their findings. Patients in the PACU have undergone the significant stressor of surgery under general anesthesia and they have the potential for very serious complications. It is up to the PACU nurse to observe if the patient is declining and act quickly and appropriately.
Persuasive Speech On Animal Behavior
1024 Words | 5 PagesThey do this by capturing the animals and then sedating the animal long enough to get them to where they need to go. I look at that like I do humans being dragged before a surgery. We know how we feel when we wake up from that scary place, but how does that lion feel? The lion is scared, depending on how long he was sedated he may not even remember much. The lion is hungry, depending on how long the sedation was he could have been days without eating.
DRABC: The Primary Survey
1149 Words | 5 PagesOxygen will be delivered at 15L/min. This will continue until Steve has returned to a normal skin pigment, once positive change is noticed, the bag valve masked will then be operated manually. Th patient will receive 10 breaths per minute at a volume of 10ml/kg to mock the breathing style of an adult (Gregory & Mursell, Manual of Clinical Paramdic Procedures, 2010). Once the breathing is at a stable rate, the patient will then be reassessed to address any changes in the patient’s
The Importance Of Individualised Patient Assessment
623 Words | 3 PagesRefection on Competency Standard 4: Comprehensively conducts assessments An individualised patient assessment involves purpose, goal-orientated critical thinking and structure (Estes, Calleja, Theobald, & Harvey, 2013). This orderly approach to patient assessment provides a structure for clinicians practice and guides decision-making to prioritise essential care which subsequently enhances patient outcomes (Munroe, Curtis, Murphy, Strachan, & Buckley, 2015). A comprehensive assessment starts with a primary investigation of airway, breathing circulation and disability to identify and treat life threatening conditions (Munroe et al., 2015). Clinical information is gathered and interpreted during the physical head-to-toe examination, directed
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