Im a secong year ODP and doing a presentation next week on general anaesthesia and have been given the topic of obstetric anaesthesia. Heres the question:
'Linda is 34, mother of 2 girls aged 5 and 7. Shes expecting twins and has been admitted to undergo a planned caesarean section. Lindas health is normal and her pregnancy has progressed without complication.
Her husband is a member of staff (theatre charge nurse) and wants to be there for delivery, but under GA the hospital has a policy of not allowing fathers to be present.
Her pre op baseline is BP - 140/100, Pulse - 90 bpm, Resps - 16
Urinalysis is unremarkable, only a slight trace of protein.
Linda is V anxious and tearful, never had an anaesthetic before, and husband has told her that sometimes things can go wrong or be difficult. She is worried as she is expecting twins and fears that one or both babies may suffer setbacks.'
Outline immediate care to linda in order to reassure, and subsequent anaesthetic assistance to facilitate safe surgical intervention
How would anaesthetic room be prepared.
Anyway, Im doing 1st part of the presentation which will include:
an introduction and outline if case study, talk about her past medical history and present medical state. Talk about the reasons why she may be going for a planned CS.
we are also covering: Drugs, equipment, monitoring, special baby equipment, reassurance, patient issues, anaesthetic procedure, positioning and emergency issues (failed intubation, aspiration).
Any ideas of what to put in.. or anything we may have missed out.... Ive never witnessed any obstetric anesthesia yet, may do some at some point this year so i dont know what goes on in obstetric theatres.