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Anesthesia Drug Study

Bupivacaine HCl is a local anesthetic used for spinal anesthesia. It works by blocking nerve impulses, increasing the electrical excitation threshold of nerves and slowing nerve conduction. Common side effects include central nervous system depression, changes in heart rate and blood pressure. When using this medication, patients should be monitored for vital signs and cardiovascular effects, informed of potential temporary numbness and muscle weakness, and cautioned to disclose all medications and health conditions to their doctor.

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Gian Gonzales Ruiz
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3K views

Anesthesia Drug Study

Bupivacaine HCl is a local anesthetic used for spinal anesthesia. It works by blocking nerve impulses, increasing the electrical excitation threshold of nerves and slowing nerve conduction. Common side effects include central nervous system depression, changes in heart rate and blood pressure. When using this medication, patients should be monitored for vital signs and cardiovascular effects, informed of potential temporary numbness and muscle weakness, and cautioned to disclose all medications and health conditions to their doctor.

Uploaded by

Gian Gonzales Ruiz
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Drugs Generic name: >bupivacaine HCl Brand name: >Marcaine Dosage: 8.

25%

Classification >Local anesthesia (spinal anesthesia)

Mode of Action > Local anesthetics block the generation and the conduction of nerve impulses, presumably by increasing the threshold for electrical excitation in the nerve, by slowing the propagation of the nerve impulse and by reducing the rate of rise of the action potential. In general, the progression of anesthesia is related to the diameter, myelination and conduction velocity of affected nerve fibers. Clinically, the order of loss of nerve function is as follows: (1) pain, (2) temperature, (3) touch, (4)

Side Effects >Central Nervous System - Depression, restlessness, anxiety, dizziness, tinnitus, blurred vision and tremors. >Heart - Heart block, slow/fast heart rate and low blood pressure.

Nursing Consideration >When appropriate, patients should be informed in advance that they may experience temporary loss of sensation and motor activity, usually in the lower half of the body >Inform the patient before using this medication, to tell his/her doctor or pharmacist of all prescription and nonprescription/herbal products he/she may use. Do not start or stop any medicine without doctor or pharmacist approval. >Caution should be exercised in patients with history of liver, kidney, heart disease, blood pressure problems, any allergy, who are taking other medications, during pregnancy and breastfeeding.

proprioception and (5) skeletal muscle tone.

>Monitor vital signs and cardiovascular status.

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