Question

Given the fact that Mrs. Paul had spinal anesthesia, which of the following are indicated in PACU?

Select all that apply (there are 3 correct answers).
a) Monitoring vital signs
b) Assessing level of consciousness
c) Assessing for sensory and motor function
d) Administering epidural anesthesia

Answer 1

In the PACU, it's necessary to assess Mrs. Paul's level of consciousness following spinal anesthesia. Administering epidural anesthesia is not indicated in PACU as it's a pre or intraoperative procedure. Monitoring is crucial for ensuring a safe and effective recovery.

Step-by-step explanation:

After Mrs. Paul had spinal anesthesia, it is indicated in the Post-Anesthesia Care Unit (PACU) to assess her level of consciousness. The surgeon, nurse, and an anesthesia professional typically review aloud the key concerns for the recovery and care of the patient. Before the induction of anesthesia, team members confirm crucial details verbally, ensuring the standard procedure is followed for safety and effectiveness.

The primary task in PACU post-spinal anesthesia is monitoring and assessing the patient's recovery from the anesthetic. Local anesthetics like spinal anesthesia are reversible and do not lead to a loss of consciousness, but level of consciousness is still monitored to track recovery from sedatives used during surgery or any effect the anesthesia may have on the central nervous system. Administering epidural anesthesia is not indicated in PACU as this is typically done before or during surgery for pain management.

In summary, after spinal anesthesia, the focus in the recovery room is on monitoring vital signs, including consciousness, pain levels, and ensuring safe and effective postoperative recovery.