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Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)

Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)

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Outline

Anaphylaxis Nursing Interventions

Guidelines:

Recognition
Anes stat/code
Epi
Steroids
Consider intubation
- Sedation
- ENT
- Trach
Discuss dispo

Considerations:

Pediatric dosage sheet
O2 source
- backup
- BVM
Maneuver equipment out of the way
- back table
- Carm

Nurse’s Role:

Identify
Alarm
Assist
Anticipate needs
training

Pitfalls:

Cocky anesthesia
Wrong sized tube
Unstocked cart
Allergies not communicated

Examples:

On induction, patient becomes difficult mask when pre-oxygenating. Desat, redness/blanching/hives. (epi, steroids, assist anesthesia, anticipate difficult intubation vs trach)

Linchpins (Key Points):

Similar response as elsewhere, but all options expected to be available

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Transcript

References

Association of periOperative Registered Nurses. (2022). Guidelines for Perioperative Practice (2022 ed.).

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