CNA532: Anaesthetics and Recovery Nursing - Nursing Assessment Answer

TASK: CNA532

You will be allocated into a group to complete this assessment task.
1. Select a complex patient (one with at least one comorbidity) undergoing a procedure that requires a form of anaesthesia.
Examples may include;
• General anaesthesia
• Central Neural Blockade (Epidural/Spinal)
• Local anaesthesia with sedation
• Total intravenous anaesthesia (TIVA)
o TIVA / Manual control infusion (MCI)
o TIVA / Target Control Infusion (TCI)
• Sedation
• Combination of any of the above
2. Discuss the case with your group members and identify the rationale for the selection of anaesthesia chosen by the treating anaesthetist. Only briefly discuss the surgical procedure, as the focus is on the anaesthesia choice. Support your discussion with the applied pathophysiology and references to justify your responses. Risk factors and other significant indicators which extend the discussion should be included. Comorbidities / risk factors may include: CNA532
• Pregnancy
• Obesity
• Paediatric
• Geriatric
• Respiratory disease
• Liver disease
• Renal disease
• Cardiovascular disease
• Neurological compromise
• Circulatory failure (multiple trauma, shock, sepsis)
• Coagulation disorders

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