Epidural anesthesia for cesarean section nursing.docVIP

 PAGE \* MERGEFORMAT 5 Epidural anesthesia for cesarean section nursing [Keywords:] lumbar epidural anesthesia; cesarean section; Care Lumbar epidural anesthesia rapid onset of effect to determine muscle relaxation and good block of time is not restricted, can be used for a long time operation, a small amount of local anesthetic has been used in obstetrics and gynecology more. In this paper, the implementation of epidural anesthesia patient characteristics, preoperative, intraoperative, postoperative care with co-operation discussed below. 1 Clinical data Routine preoperative fasting, water deprivation 6 h, into the operating room after the line measurement of blood pressure, pulse, respiration, blood oxygen saturation. Tour nurses to help patients lower limbs and head and neck flexion, spine prominent, exposed lumbar Security Department, General Yasuji iodine disinfection, shop towels. Select lumbar 2 / 3 type, lumbar 3 / 4 puncture points, 2% lidocaine for local anesthesia underwent epidural puncture [1]. to determine the success of epidural puncture after puncture Subarachnoid puncture needle expert, saw the success of cerebrospinal fluid out of the anesthesia drugs, connect the syringe into the ropivacaine 15 mg, the patient will be supine spinal anesthesia needle to pull out the good effect, layer by layer abdominal incision, the uterus rapid expulsion of the fetus and placenta, pelvic examination to observe whether the bleeding points, inventory items, close the pelvic surgery after completion of patient-controlled analgesia pump. 2 Care 2.1 preoperative advice to nurses in operating room before surgery advice to be one of the functions and responsibilities. It is the perioperative care of the important element of access to quality patient care and the key to successful healing [2]. Preoperative advice to the basic situation of the time Note that the patients take the initiative to talk communication skills, understand and analyze the pa