-Post Op Assessments
– Cricoid Pressure may need to be used
– Apply warm blankets pre and post op for shivering
– Emergency assessments include airway patency, return of the reflexes, muscle strength, ability to follow commands.
– Post Op Assessment: LOC, airway patency, CV status, temp, fluid balance, return of neuro function. Assess for Nausea and vomiting, post-operative analgesia, operative site condition.
Signs and Symptoms of Toxicity
Management of Toxicity
Lidocaine Hcl (Xylocaine) acts for 1-3 hours.
Bupivacaine (Marcaine) – 3-10 hours
Signs and Symptoms of toxicity: CNS first affected, THEN CV affected —> drowsiness, numbness tongue, blurred vision, tinnitus, dizziness, restlessness, slurred speech, muscular twitching, followed by convulsions. Also Hypotension, bradycardia, heart block, cardiac arrest can occur.
Management of the above includes: STOP administation of local anesthetic, resuscitation with epi, 02, IVF, aminophylline & hydrocortisone.