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ONSET Anesthetic Drowsiness/ Dizziness alose operating room
administration to loss of Auditory and visual
doors
consciousness hallucinations
ͻKeep room quiet
ͻStandby to assist client

EXa TEàENT Loss of consciousness ncrease in autonomic ëc Remain quiet at client͛s

Loss of eyelid reflexes
SURG aAL Loss of eyelid reflexes
ANESTHES A to loss of most reflexes
and depression of vital
function
DANGER Depression of vital
function to respiratory
and circulatory failure
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activity, rregular side
breathing, client may ͻAssist anaesthetist if
struggle necessary
Unconsciousness, ͻ Begin preparation only
relaxation of muscles, when anaesthetist
diminished gag and indicates stage 3 has
blink reflexes been reached and
client is breathing well
with stable vital signs.
alient is not f arrest occurs; assist
breathing, heartbeat immediately in
may or may not be establishing airway,
present provide cardiac arrest
tray, drugs, syringes,
long needles, assist
surgeon with closed or
open cardiac massage
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General Respiratory ëc aheck history of sensitization
anesthesia via depression, circulatory ëc àaintain airway
inhalation depression, delirium ëc ›rotect and orient client
(halothane) during induction and ëc àonitor vital sign, labs
recovery, nausea and ëc ›revent aspiration postop by elevating head of
vomiting, aspiration bed, turning head to side(unless contraindicated)
during induction,
myocardial depression,
hepatic toxicity
Nitrous oxide Hypotension, postop ëc àonitor vital sign
nausea and vomiting ëc Adequate oxygenation is essential, especially
during periodically

thiopental Respiratory ëc àonitor vital sign, especially airway, breathing
sodium depression, low B›, ëc Straps for operative operative table, proper
(›entothal) laryngospasm, poor positioning
muscle relaxation, ëc ›rotect
sites, check for placement periodically
hypotension, irritating
to skin and
subcutaneous tissue.
Spinal Hypotension, ëc àonitor vital signs
anesthesia respiratory depression ëc Encourage oral fluid
Saddle
Local Excitability, toxic ëc àonitor client
anesthesia reactions such as ëc Do not use local anesthesia with epinephrine on
respiratory difficulties, fingers (circulation is less optimal)
vasoconstriction if
substance contain
epinephrine
Respiratory ëcNever leave client alone
aonscious depression, apnea, ëcaonstantly monitor airway, level of consciousness ,
sedation hypotension, pulse oximeter, EaG,
(
ersed, bradycardia ëc
ital sign every 15-30 mins
valium) ëcAssess client͛s ability to maintain patent airway
and respond to verbal commands
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àorphine Respiratory depression, ëc àonitor vital signs,
gastric irritability especially respiratory,
observe for vomiting
ëcSide rails elevated to
prevent accidents
àeperidine (Demerol) Respiratory depression, ëc àonitor vital signs,
gastric irritabilityc especially respiratory,
observe for vomiting
 Side rails elevated to prevent
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›romethazine hydrochloride hypotension àonitor vital sign
(anxiety, antiemetic)
Atrophine sulfate (to decrease tachycardia ëc àonitor vital sign
secretion and prevent
laryngospasm)
ëcAdvise patient about dry
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