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Abrams' clinical drug therapy : rationales for nursing practice

Geralyn Frandsen; Sandra Smith Pennington; Anne Collins Abrams

Chapter 50

Drug Therapy With General Anesthetics - all with Video Answers

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Chapter Questions

Problem 1

A 45-year-old woman is having a spinal cord nerve stimulator surgically implanted under monitored anesthesia care. She has a history of complex regional pain syndrome in the lower extremities and takes several opioid analgesics at home to treat the chronic pain. In addition to propofol for hypnosis, the anesthesia provider plans to administer ketamine for analgesia and amnesia.
- Why is ketamine indicated in this procedure?
- What adverse effects may be expected during the procedure?
- What intraoperative nursing interventions can help alleviate the adverse effects?
- What other class of medication would be beneficial?

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Problem 2

An 8-year-old boy with acute appendicitis has been admitted to the surgical suite for emergency appendectomy. Although he was not very hungry, he tried to eat about 4 hours ago; he subsequently vomited. He has no other medical history or allergies. The anesthesia provider has asked the nurse to assist in rapid sequence induction and plans to use succinylcholine to facilitate prompt tracheal intubation.
- What questions about patient and family history are important?
- Is blood laboratory analysis necessary?
- How do health care professionals prevent patient injury during the induction of anesthesia?
- What is a rapid sequence induction?
- How does the nurse assist the anesthesia provider in performing the rapid sequence induction?

Prashant Bana
Prashant Bana
Numerade Educator