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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Concepts Covered:
- Documentation and Communication
- Legal and Ethical Issues
- Cardiac Disorders
- Perioperative Nursing Roles
- Intraoperative Nursing
- Microbiology
- Immunological Disorders
- Preoperative Nursing
- Communication
- Shock
- Disorders of Pancreas
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