Many patients do not tell their doctor about dietary supplements they may be taking, in part because physicians may not be as knowledgeable about supplements, and patients may fear the physician will be unhappy about the patient using nonconventional therapy.
However, doctors and nurses need to know if the patient is taking any supplements because the risk of complications from herbal supplements may be elevated in the perioperative period. The Journal of the American Medical Association.28-16. AdvancedCardiovascular Life Support (ACLS) Provider Manual, 36, 38 - 45, . ASA Physical Status Classification System Hagberg, C. Benumof’s Airway Management, 2nd Ed.736-737 American Society of Anesthesiologists Task Force on Sedation and Analgesia by on Anesthesiologists. Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists.
Angela Kramer, MBA, RN, CNOR, CASC, CPPS, is a registered nurse with 16 years’ experience in the area of perioperative nursing, caring for patients ranging from just a few days to more than 100 years old. Kramer is certified by the Competency & Credentialing Institute as an operating room nurse and is certified by the Board of Ambulatory Surgery.
She is passionate about patient safety and was one of the first to be certified by the National Patient Safety Foundation as a professional in patient safety. Kramer holds a master’s degree in business administration for healthcare management and a bachelor of science in nursing.
If initial attempts to relieve airway obstruction through verbal and tactile stimulation are unsuccessful, the following techniques can be employed to restore effective ventilation: Manual Maneuvers Class I: soft palate, fauces, uvula, pillars visible. Class II: soft palate, fauces, portion of the uvula visible. There must be adequate personnel and equipment available to manage emergencies. Retrieved from Multisociety sedation curriculum for gastroenterology. 76; 1; 2012 Retrieved from Society for Gastrointestinal Endoscopy.
The facility must have established policies and procedures to handle unanticipated patient transfer to an acute care hospital.
Upper airway The upper airway consists of the structures above the vocal cords. The American Society of Anesthesiologists The physicians who provide medical care in the facility should be organized into a medical staff.
It is divided into the following regions: Immediate action must be taken at the first signs of compromised respiratory function. This group will assume responsibility for credential review, delineation of privileges and responsibilities, quality assurance and peer review. Granting Privileges for Administration of Moderate Sedation to Practitioners Who Are Not Anesthesia Professionals, Statement on (2011). Retrieved from Files/Publications_and_Products/Practice_Guidelines/ Sedation and Anesthesia in GI Endoscopy 2008Society of Gastroenterology Nurses and Associates. SGNA Manual of Gastrointestinal Procedures, 6th Ed. Licorice and ginseng in particular have been associated with toxicities from overuse. (FDA) has classified the following supplements as high risk and therefore need be avoided by all patients: Preprocedure assessment of herbals should commence in the primary care setting before the patient is actually referred to gastroenterology for a procedure. By the time the patient arrives to his/her procedure, it may already be too late to stop potential drug-to-drug interactions with herbals. Protocols for Practice: Noninvasive Blood Pressure Monitoring. The assessment of the patient scheduled to undergo sedation for a procedure includes a history and physical exam. This is because of potential interactions between herbals the patient is taking and the anesthesia drugs and other medications that may be administered during the procedure. Medline Plus: Drugs, Supplements, and Herbal Information. The handbook of Emergency Cardiovascular Care for Healthcare Providers.Tags: Adult Dating, affair dating, sex dating