1. Administer 100% Oxygen
2. Suction Oropharynx, Hypopharynx, Nasopharyns
3. Suction Oral Cavity
4. Pack the surgical site
5. Draw the tongue and
... [Show More] mandible forward
6. Depress the patient's chest while listening with the ear close to patient mouth for a rush of air
7. Administer Succinylcholine
Laryngospasm
1. Administer positive pressure oxygen
2. Administer 4-8 puffs of beta-agonist inhalant either via inhaler or nebulizer in an awake patient
3. Administer Oxygen
4. Consider Albuterol
5. Administer EPI
Bronchospasm
1. Place patient in Trendelenburg
2. Roll patient to Right side
3. Suction oral cavity
4. Remove anything from the oral cavity eg. retractors, gauze. etc.
5. Oxygenate the patient
6. Maintain airway and ventilate
Emesis and Aspiration
1.Terminate Surgery
2. Place patient in a comfortable position
3. Administer 4L of oxygen
4. Apply Monitors and obtain vitals
5. Administer Nitroglycerine
6. Establish IV access
7. Call EMS
8. Employee MONA
9. Nonenteric Aspirin 160-325mg
10. Morphine 1-3 mg
Angina/Acute Myocardial Infarction
1.Decrease anesthetic depth
2.Terminate Surgery
3.Place the patient in the supine position with legs elevated Administer 100% oxygen
4.Re-evaluate blood pressure heart rate and rhythm and treat dysrhythmias
5.Administer a bolus of isotonic fluid
6.Tirate Ephedrine
Hypotension
1.Administer beta-adrenergic receptor blockers
2. Monitor Vitals
Hypertension
1. Apply moist heat and elevate extremity above level of heart
2. Infiltrate 1% plain Lidocaine
3. Administer Ibuprofen
Extravastion of IV
1. Apply heat
2. Administer Ibuprofen
3. Limit motion
Phlebitis
1. Leave the needle in place
2. Inject 10mL of 1% Lidocaine into the artery
3. Consider transfer of patient to hospital
Intra-arterial Injection
1. Place patient in a reclining position with legs elevated
2. Maintain Airway
3. Deliver 100% oxygen
4. Support respiration if needed
5. Take vital signs
6. Apply cool compress to forehead
7. Administer spirits of ammonia
8. Administer IV atropine 0.5mg every 3-5 minutes up to 3mg
Neurocardiogenic (Vasovagal) Syncope
1. Maintain adequate oxygen levels while reducing Carbon Dioxide Elimination
2. Deliver Oxygen at 600ml/min
3. Have patient breathe into the circuit until the rebreathing bag is distended
4. or Have patient exhale in to paper bag 6-10 times/minute
Hyperventilation
1. Prevent injury to the uncontrolled unconscious patient
2. Loosed clothing about the neck
3. Place pillow under the head
4. Place padded tongue blade between the teeth
5. Consider checking blood sugar
Seizures
1. Immediately discontinue any further administration of the local drug
2. Call 911
3. Place the patient supine
4. Administer oxygen
5.Maintain airway and initiate CPR
6. Administer IV diazepam
7. Monitor Vitals
Local Anesthetic Toxicity
1. Increase in end-tidal Carbon dioxide
2. Unexplained Tachy
3. Generalized muscle rigidity
4.Massater Muscle rigidity
5.Hyperthermia
6.Respiratory and or metabolic acidosis7. Sudden/unexpected cardiac arrest
Malignant Hyperthermia [Show Less]