Anesthesia and its complication

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Credits to Ma'am Evangeline Teruel

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Anesthesia and its complication

  1. 1. Ex:Neomycin SO4 streptomycin SO4polymycin A and B SO4colistin SO4kanamycin SO4.
  2. 2. MAO (monoamineoxidase) inhibitors
  3. 3. thiazides
  4. 4. ReserpineHydralazinemethyldopa
  5. 5. HeparinCoumadin
  6. 6. cortisone
  7. 7. GA1. CARDIAC ARREST
  8. 8. 2. RESPIRATORY DEPRESSION a. Excessive mucus b. CNS depression c. Bronchospasm/ laryngospasm
  9. 9. 3. HYPOTENSION AND SHOCK
  10. 10. 4. LOSS OF PROTECTIVE RESPONSE TO PAIN
  11. 11. 5. VOMITING AND ASPIRATIONS
  12. 12. 6.
  13. 13. 7. Malignant hyperthermia: possible treatment with dantrolene
  14. 14.  Establish an open airway. Give oxygen. Notify the surgeon. Fast-acting barbiturate is usual treatment. If toxic reaction is untreated, unconsciousness, hypotension, apnea, cardiac arrest, and death may result.
  15. 15. COMPLICATIONS
  16. 16. 1. Anaphylaxis Immunologic sensitization  methylparaben Overdosage  Hazardous site: ▪ Vascular: Tracheobronchial mucosa ▪ Tissue: head, neck, paravertebral.
  17. 17. 1.HYPOTENSION
  18. 18. PREVENTION: Infuse 500-800 mL of IV if not prone to CHFINTERVENTION: Oxygen administration Vasoconstrictive drugs Trendelenburg position 10-20 mins after induction
  19. 19. PREVENTION: Avoid extreme trendelenburg position before level of anesthesia setsINTERVENTION: Artificial airway
  20. 20. 2.NAUSEA AND VOMITINGINTERVENTION: Oxygen administration Give ephedrine, anti- emetics IVF
  21. 21. 3. HEADACHE – excessive loss of CSF due to: a.Loss of large spinal fluid b.Poor hydration
  22. 22. PREVENTION: Use of small needle Administer IV before and after induction Keep well hydrated to aid in spinal fluid replacement. inject client blood to plug the hole (10cc) Flat on bed for 6 to 8 hours
  23. 23. INTERVENTION:Apply tight abdominal binderIV administrationAnalgesic
  24. 24. 4.Overdosage
  25. 25. 5. RESPIRATORY PARALYSIS – happens when drug reaches upper thoracic and cervical cord in large amount or in heavy doses
  26. 26. 6. Neurological Complication - maybe due to: a. unsterile needle, syringes or anesthetic agent b. per-existing disease of CNS c. transient response to anesthetics d. position during surgery
  27. 27. supportive care for transient forms antibiotic and steroid therapy rehabilitation for permanent paralysis
  28. 28. The side effects of local anesthetics Local effects- local irritation and skin breakdown CNS effects if systemic absorption occurs- headache, restlessness, anxiety, dizziness, tremors and blurred vision. GI system- nausea, vomiting Cardio- arrhythmias, peripheral vasodilation, myocardial depression, and rarely, cardiac arrest

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