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Straight A Nursing: Study for nursing school exams & NCLEX

#336: The Dangers of Local Anesthetics

Straight A Nursing: Study for nursing school exams & NCLEX

Straight A Nursing

Education, Medicine, Health & Fitness

4.61.2K Ratings

🗓️ 7 March 2024

⏱️ 21 minutes

🧾️ Download transcript

Summary

Local anesthetics are medications that block nerve impulses so that pain signals aren’t transmitted to the brain. The result is that the anesthetized area is numb and pain is controlled. Just because local anesthetics are “local” doesn’t mean systemic toxicity can’t occur. Local anesthetic systemic toxicity (LAST) occurs when local anesthetics extend into the system at toxic levels. It most typically occurs due to the physician accidentally injecting the medication into the intravascular space. However, it can also be from locally administered overdose, which leads to systemic toxicity. Hit play on this episode to dive into local anesthetic systemic toxicity so you can understand which of your patients are at highest risk and what to watch for! ___________________ Full Transcript - Read the article and view references. A-List Newsletter - Get on the “A-List” and get a notification each Thursday about the current episode, Nurse Mo’s Tip of the Week, product recommendations to make your nurse life better, and more! FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Pharmacology Success Pack - Want to get a head start on pharmacology? Download the FREE Pharmacology Success Pack. Fast Pharmacology - Learn pharmacology concepts in 5 minutes or less in this audio based program. Perfect for on-the-go review! 💕Did you love this episode? Please take a moment to follow or subscribe to the show so you never miss an episode! ___________________ The information, including but not limited to, audio, video, text, and graphics contained on this podcast are for educational purposes only. No content on this podcast is intended to guide nursing practice and does not supersede any individual healthcare provider's scope of practice or any nursing school curriculum. Additionally, no content on this podcast is intended to be a substitute for professional medical advice, diagnosis or treatment. Straight a Nursing is a proud member of the Airwave Media Network. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

Well, hello, welcome, or welcome back to the Straight A Nursing Podcast. I'm

0:15.6

Nurse Mo and this is where I teach concepts and share tips on how to thrive

0:20.2

in nursing school and at the bedside. So today we're taking a little dive into

0:27.2

pharmacology looking at a complication of local anesthetics called

0:32.0

local anesthetic systemic toxicity.

0:36.6

Now before we do that, let's take a quick minute

0:39.4

for our listener shout out.

0:42.0

And this one goes out to Missy who says,

0:44.8

I've been a nurse for 11 years,

0:46.9

and I have been listening to this podcast

0:49.0

on the regular since I discovered it.

0:51.8

I love that it brings me back to the basics and let's face it.

0:55.0

Even after nursing as long as I have, I still learn something new each time I listen.

1:00.0

Thanks, Nurse Mo.

1:01.0

Well, a big thanks right back to you, Missy, for taking the time to share your feedback and love of the podcast. And I 100% agree. We've been nurses for about the same amount of time and honestly I learned something every time I create an episode. We're always students when we're in this profession. So again, thanks so much, Missy. All right, are you ready to dive into

1:26.6

local anesthetic systemic toxicity? We're going to start by getting report on our patient.

1:34.0

Mr. Thompson is 62 years old.

1:37.0

He's just had a left knee replacement surgery

1:40.0

where he received a spinal block utilizing

1:43.2

Bupivocaine and an injection of Bupivacane at the surgical site.

1:48.8

He was stable throughout the procedure and comes to you in the pack you on 8 liters simple face mask with an

1:54.9

OPA in place. His past medical history includes hypertension and osteoarthritis. Your

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