The document describes the four stages of anesthesia: 1) Onset, where the patient feels drowsy and dizzy as anesthesia is administered until they lose consciousness; 2) Excitement, where unconsciousness occurs along with increased autonomic activity and irregular breathing; 3) Surgical anesthesia, where the patient is fully unconscious and relaxed with diminished reflexes; 4) Danger, where vital functions are depressed and can lead to respiratory or circulatory failure requiring emergency intervention. Nursing interventions are described for each stage.
The document describes the four stages of anesthesia: 1) Onset, where the patient feels drowsy and dizzy as anesthesia is administered until they lose consciousness; 2) Excitement, where unconsciousness occurs along with increased autonomic activity and irregular breathing; 3) Surgical anesthesia, where the patient is fully unconscious and relaxed with diminished reflexes; 4) Danger, where vital functions are depressed and can lead to respiratory or circulatory failure requiring emergency intervention. Nursing interventions are described for each stage.
The document describes the four stages of anesthesia: 1) Onset, where the patient feels drowsy and dizzy as anesthesia is administered until they lose consciousness; 2) Excitement, where unconsciousness occurs along with increased autonomic activity and irregular breathing; 3) Surgical anesthesia, where the patient is fully unconscious and relaxed with diminished reflexes; 4) Danger, where vital functions are depressed and can lead to respiratory or circulatory failure requiring emergency intervention. Nursing interventions are described for each stage.
Anesthetic Drowsiness/ Dizziness doors Onset administration to loss of Auditory and visual • Keep room quiet consciousness hallucinations • Standby to assist client
Increase in autonomic • Remain quiet at
Loss of consciousness to activity, Irregular client’s side Excitement loss of eyelid reflexes breathing, client may • Assist anaesthetist if struggle necessary
• Begin preparation only
Loss of eyelid reflexes Unconsciousness, when anaesthetist Surgical to loss of most reflexes relaxation of muscles, indicates stage 3 has Anesthesia and depression of vital diminished gag and been reached and function blink reflexes client is breathing well with stable vital signs.
• If arrest occurs; assist
immediately in Depression of vital Client is not establishing airway, Danger function to respiratory breathing, heartbeat provide cardiac arrest and circulatory failure may or may not be tray, drugs, syringes, present long needles, assist surgeon with closed or open cardiac massage.
Source: Medical Surgical Nursing 7th edition by Joyce M. Black
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