NUR 275- Epidurals Exam Questions With Correct And Revised Answers
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Course
NUR 275
Institution
NUR 275
NUR 275- Epidurals Exam Questions With
Correct And Revised Answers
State Board of Nursing (SC) - answerRN may administer medication to the epidural &
intrathecal space and peripheral nerve with the use of an electronic pump
RN may monitor, maintain, regulate, and/or terminate a continuous epidu...
NUR 275- Epidurals Exam Questions With
Correct And Revised Answers
State Board of Nursing (SC) - answer✔✔RN may administer medication to the epidural &
intrathecal space and peripheral nerve with the use of an electronic pump
RN may monitor, maintain, regulate, and/or terminate a continuous epidural, intrathecal, or
peripheral nerve infusion of medications
RN may remove epidural or peripheral nerve (NOT INTRATHECAL) catheters (as long as it
was an uncomplicated epidural)
What do I need to know about the spinal cord? - answer✔✔Remember :
(3 layers called the meninges)
Dura mater- outermost layer, surrounds the spinal cord
Arachnoid membrane- between the dura & pia mater
Pia mater- innermost layer adheres to the surface of the spinal cord
Epidural space- lies between the dura mater and the wall of the vertebrae canal
Intrathecal space (CSF)- subarachnoid space. Lies beneath the arachnoid membrane and is filled
with CSF
Intrathecal & epidural meds affect my patient, how? - answer✔✔Think about where the
medication is placed!!!!
Intrathecal delivery = profound numbness
Epidural delivery = little to no numbness
Epidural medication - answer✔✔Injected into the epidural space into the lumbar region or
thoracic region less side effects, no headache, pain relief without numbness (injected into the
meninges around the spinal cord.
Intrathecal medication - answer✔✔Medication that is intended for diffusion into the
cerebrospinal fluid (usually between the L4 & L5
Where does the spinal cord end? - answer✔✔Between L1 & L2
Where is the epidural usually injected? - answer✔✔Between L3 & L4
Why is an epidural injected between L3 & L4? - answer✔✔The location is below the spinal cord
to avoid paralysis
Epidural Analgesia - answer✔✔Position in side lying position w/legs flexed (fetal)
Catheter placed on dermatome
End of catheter closed
Placement verified (test dose)
Contraindications - answer✔✔•Anti-Coagulation (risk of hematoma)
•Systemic infection (risk of infection)
•Increased intracranial pressure (risk of cerebral herniation)
•Decreased LOC (cannot verbalize pain)
Low platelets (risk of bleeding/hematomas)
Epidural Continuous Infusion - answer✔✔Usually placed by anesthetist prior to or during
surgery
Catheter placed at level of lumbar or thoracic vertebrae
Catheter placement site is dressed with clear sterile dressing
Catheter is taped to patient's back and brought up over patient's shoulder
Why would a patient choose an Epidural? - answer✔✔Less side effects
Provides excellent pain control
Less sedation
Earlier ambulation
Decreased incidence of pulmonary complications and venous thrombosis
Earlier return of bowel function
Decreased stress response
No headache
No numbness
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