Nursing Care in Cesarean with General Anesthesia

Página 58

The Basic to Advanced Obstetric Nursing course covers a wide range of topics, including nursing care during a cesarean section with general anesthesia. This procedure, while common, requires meticulous care and a thorough understanding of the procedures and possible complications.

A cesarean section is a surgery that involves opening the abdomen and uterus to remove the baby. Although epidural or spinal anesthesia is most commonly used, general anesthesia may be required in some cases. General anesthesia involves the administration of drugs that put the patient into a state of profound unconsciousness.

As a nurse midwife, the role begins before the procedure. Preoperative preparation is crucial to ensure that the patient is physically and mentally ready for surgery. This includes taking a complete patient history, performing physical exams, preparing the skin for surgery, and ensuring the patient fully understands the procedure and what to expect.

Once the patient is under general anesthesia, the nurse midwife must constantly monitor the patient's vital signs, including blood pressure, heart rate, and oxygen saturation. Any change in these vital signs could indicate a complication and the need for immediate intervention.

In addition, the nurse midwife is responsible for ensuring that the surgical area remains sterile to prevent infection. This includes proper preparation and handling of surgical instruments and ensuring that everyone in the operating room is wearing proper protective equipment.

After the baby is removed, the nurse midwife may be responsible for caring for the newborn, ensuring that the newborn is breathing normally, keeping him warm, and preparing him for breastfeeding or formula feeding.

After surgery, the midwife continues to play a crucial role in postoperative care. This includes monitoring the patient's vital signs, administering pain medications, caring for the surgical incision, and assisting with breastfeeding and baby care.

Recovery from general anesthesia is also a process that requires careful monitoring. The nurse should watch for signs of complications such as nausea, vomiting, difficulty breathing, or confusion. In addition, the nurse must ensure that the patient is comfortable and safe when moving after surgery.

In summary, nursing care during a cesarean section with general anesthesia is extensive and varied. They require a high level of skill, knowledge and attention to detail. The Obstetric Nursing course from basic to advanced offers the necessary training to meet these demands and ensure the safety and well-being of mother and baby.

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