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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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