Epidural Epidural infusions are ordered by the anesthesiologist Epidural solutions are mixed by pharmacy/anesthesia RN’...
Epidural (continued) Bolus doses are to be given at a maximum of 3 ml every 15  minutes Epidural tubing is changed every...
Epidural (continued)Before calling anesthesia with any side effects from epidurals(itching, breakthrough pain, nausea, etc...
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Epidural

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Epidural

  1. 1. Epidural Epidural infusions are ordered by the anesthesiologist Epidural solutions are mixed by pharmacy/anesthesia RN’s who have demonstrated competency with epidural analgesia therapy infusion pumps, initiate ordered infusion and verify with another licensed associate that the program is correct RN’s maintain and/or modify infusion rates as ordered by anesthesiology RN’s administer a bolus up to 10ml per anesthesia
  2. 2. Epidural (continued) Bolus doses are to be given at a maximum of 3 ml every 15 minutes Epidural tubing is changed every 72 hours Epidural solutions are changed every 24 hours and monitored to ensure medication is infusing Neurolytics such as alcohol or betadine are not used around any part of the epidural Any time Heparin, Coumadin, or Lovenox is ordered on a patient with an epidural, anesthesia on call is to be notified immediately (blood thinner is not given) A patient cannot be on a blood thinner and have an epidural
  3. 3. Epidural (continued)Before calling anesthesia with any side effects from epidurals(itching, breakthrough pain, nausea, etc) please be sure to do thefollowing:  Give ordered medications for side effects  If pain is the problem - open the epidural box and make sure that the bag is emptying  Have this information for MD • Current vital signs • Current pulse ox • Current settings of epidural, medication • What medications have been given, times, effects • Any other side effects/symptoms

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