Which are important considerations when spinal anesthesia is ...

[123654777]

Which are important considerations when spinal anesthesia is being administered? (Select all that apply.)
 
  a. Encouraging the patient to remain supine after the procedure
  b. Having epinephrine available in case of adverse effects
  c. Injecting a local anesthetic into the sacral region
  d. Placing the agent into the spinal column outside the dura mater
  e. Using an anesthetic solution from a sin-gle-dose vial

Question 2

A patient is diagnosed with moderate vitamin B12 deficiency. The nurse reviews the laboratory work and notes that the plasma B12 is low; also, a Schilling test reveals B12 malabsorption. The provider orders oral cyanocobalamin 500 mcg per day.
 
  The nurse will contact the provider to: a. discuss IM dosing.
  b. request an order for folic acid.
  c. suggest an increased dose.
  d. suggest platelet transfusion therapy.

[hollysheppard095]

Answer to Question 1

A, B, E
Spinal anesthesia frequently causes headache; these headaches are posture-dependent and can be relieved by having the patient assume a supine position. Epinephrine is used if significant hypo-tension occurs as an adverse effect of spinal anesthesia and should be kept nearby. All anesthesia used in spinal anesthesia must be preservative free, so it would be drawn up from a single-dose vial. Spinal anesthesia is produced by injecting local anesthetic into the subarachnoid space with injection made in the lumbar region below the termination of the cord. Epidural anesthesia is in-jected into the spinal column outside the dura mater.

Answer to Question 2

C
Patients with vitamin B12 deficiency associated with B12 malabsorption need increased doses of oral cyanocobalamin of 1000 to 10,000 mcg/day. It is not necessary to give this drug intramus-cularly. Folic acid is indicated when B12 deficiency is severe. Platelets are given when B12 defi-ciency is severe.

[123654777]

Thanks for the timely response, appreciate it

[jordangronback]

TYSM