1 / 13

Care of the Patient with Peripheral Nerve Infusion

Care of the Patient with Peripheral Nerve Infusion. Policy PCS P-2.14. Nursing Responsibility. to change the tubing, to change medication solution, to program the pump according to the prescription, and to deliver via the pump any intermittent bolus doses ordered by the Anesthesiologist.

neil-weaver
Télécharger la présentation

Care of the Patient with Peripheral Nerve Infusion

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Care of the Patient with Peripheral Nerve Infusion

  2. Policy PCS P-2.14

  3. Nursing Responsibility • to change the tubing, • to change medication solution, • to program the pump according to the prescription, and • to deliver via the pump any intermittent bolus doses ordered by the Anesthesiologist

  4. Types of Peripheral Nerve Catheters • Femoral • Sciatic • Brachial Plexus

  5. Femoral Catheter • cover the femoral nerve, which runs along dermatome levels L2-L4. • This will cover the front of the knee, but not the posterior or lateral aspect of leg. • If a patient complains of pain outside of the Femoral Nerve Distribution (FND) additional pain medications will be required.

  6. Femoral Nerve Distribution

  7. Sciatic Nerve Catheters • Sciatic Catheters cover the sciatic nerve, which runs along dermatome levels of S1-S3. • These are often used in conjunction with Femoral Nerve Catheter to cover anterior and posterior knee for postoperative pain. • The sciatic catheter will cover the back of the knee, and medial/lateral aspect of leg. • If a patient complains of pain outside of the Sciatic Nerve Distribution (SND) additional pain medication may be required.

  8. Sciatic Nerve Distribution

  9. Brachial Plexus Catheter • Brachial Plexus Catheters cover the entire upper extremity in the C5-T1 distribution. • Peripheral blockade of the brachial plexus is used for analgesia of the entire extremity from shoulder down to fingers.

  10. Brachial Plexus Distribution

  11. Special Considerations • When contacting “Anesthesia” you may contact the NPs Monday- Friday 8a-4p via beeper first. All other times, including Holidays contact the Anesthesiologist on call. • Be sure that patient is aware of which “button” does what e.g. the PCA button versus the peripheral nerve infusion button, if these are not already marked- do so for the patient.

  12. Peripheral Catheter Troubleshooting using Algorithm

More Related