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Care of the Patient with Peripheral Nerve Infusion - PowerPoint PPT Presentation


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Care of the Patient with Peripheral Nerve Infusion. Policy PCS P-2.14. Nursing Responsibility. to change the tubing, to change medication solution, to program the pump according to the prescription, and to deliver via the pump any intermittent bolus doses ordered by the Anesthesiologist.

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Presentation Transcript
nursing responsibility
Nursing Responsibility
  • to change the tubing,
  • to change medication solution,
  • to program the pump according to the prescription, and
  • to deliver via the pump any intermittent bolus doses ordered by the Anesthesiologist
types of peripheral nerve catheters
Types of Peripheral Nerve Catheters
  • Femoral
  • Sciatic
  • Brachial Plexus
femoral catheter
Femoral Catheter
  • cover the femoral nerve, which runs along dermatome levels L2-L4.
  • This will cover the front of the knee, but not the posterior or lateral aspect of leg.
  • If a patient complains of pain outside of the Femoral Nerve Distribution (FND) additional pain medications will be required.
sciatic nerve catheters
Sciatic Nerve Catheters
  • Sciatic Catheters cover the sciatic nerve, which runs along dermatome levels of S1-S3.
  • These are often used in conjunction with Femoral Nerve Catheter to cover anterior and posterior knee for postoperative pain.
  • The sciatic catheter will cover the back of the knee, and medial/lateral aspect of leg.
  • If a patient complains of pain outside of the Sciatic Nerve Distribution (SND) additional pain medication may be required.
brachial plexus catheter
Brachial Plexus Catheter
  • Brachial Plexus Catheters cover the entire upper extremity in the C5-T1 distribution.
  • Peripheral blockade of the brachial plexus is used for analgesia of the entire extremity from shoulder down to fingers.
special considerations
Special Considerations
  • When contacting “Anesthesia” you may contact the NPs Monday- Friday 8a-4p via beeper first. All other times, including Holidays contact the Anesthesiologist on call.
  • Be sure that patient is aware of which “button” does what e.g. the PCA button versus the peripheral nerve infusion button, if these are not already marked- do so for the patient.