By Sass Elisha
Case reports in Nurse Anesthesia offers succinct and suitable info that may be utilized by scholars and pros within the working room. details is written in a query and solution layout for simple realizing and the chapters are divided into surgical specialties, with a spotlight at the most often played systems. each one case describes the whole perioperative path and discusses the patient’s background and actual, anesthetic issues, surgical matters, anesthetic administration, differential prognosis, and strength issues.
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Additional resources for Case Studies in Nurse Anesthesia
25 26 Chapter 2â•… Radical Neck Dissection 2. Which is the most common electrolyte disturbance that occurs for patients undergoing RND? a. Hyponatremia b. Hypernatremia c. Hyperkalemia d. Hyperphosphatemia 3. Shoulder drop or shrug weakness, limited range of motion of the arm and shoulder, Â�scapular winging, and local pain are associated with: a. internal jugular vein ligation. b. retraction to the sternocleidomastoid Â�muscle. c. surgical trauma to the spinal accessory nerve. d. vagus nerve compression.
Standard monitors (ECG, noninvasive blood pressure monitoring, pulse oximetry, end-tidal carbon dioxide monitoring, peripheral nerve stimulator, temperature) are required. Arterial line placement is recommended because it will provide for a continuous assessment of the patient’s blood pressure to detect hemodynamic changes that are associated with this patient population. Although the surgery takes place in a highly vascular area (close proximity to the carotid and jugular vasculature), blood loss has the potential to become excessive.
Macroglossia (swelling of the tongue) is a potentially fatal complication of premature extubation. Surgical patients with an unprotected airway are even at greater risk for airway obstruction, hypoxemia, hypercapnia, and aspiration. Reintubation may be impossible, and attempts to secure the airway may cause airway collapse. A smooth emergence from anesthesia is essential, and every attempt should be made to avoid or minimize the patient’s reaction to the ETT. Straining, bucking, coughing, or gagging during emergence will cause an increase in venous pressure that may provoke postoperative bleeding or disruption of delicate suture lines.