Kumc Nurse Anesthesia Education

KUMC NURSE ANESTHESIA EDUCATION ANESTHESIA CARE PLAN Clinical Practicum NURA 801

Student: Instructor: Date:

Age Gender Weight (kg) Height ASA Mallampati Score

Allergies / Reactions: Surgical Procedure: Previous Anesthetics/Complications EKG / Chest X-ray: Labs:

Current Drug Peak Elimination Dosage Anesthesia interactions/Considerations medications classification action half life

Co-existing Etiology Symptoms Anesthetic considerations diseases

Anesthesia Plan Choose One: Airway: ETT (size) oral / nasal LMA (size) Choose One: Induction drugs / dosage: Muscle relaxant / dosage: Narcotic / dosage: Inhalation agent: Ventilator settings: Antiemetic / dosage: Antibiotic / dosage:

Anesthesia Care Plan Part II -- CALCULATION WORKSHEET

Fluid Balance and Body Weight Calculations:

Ideal body weight (IBW) = 105 lb + 6 lb for each inch > 5 feet for males = 100 lb + 5 lb for each inch > 5 feet for females Ideal body weight (IBW) = kg

Obese Calculated Weight / Adjusted Body Weight (ABW) = kg 0.3 (actual weight - ideal weight) + ideal weight = adjusted body weight

Maintenance fluid: First 10 kg: 4 ml/kg/hr Second 10 kg: add 2ml/kg/hr >20 kg: add 1ml/kg/hr Maintenance fluid = ml/hr

NPO deficit = ml (hourly maintenance x number of NPO hours)

3rd space loss – please choose one:

3rd Space loss = ml

Estimated blood volume ml Neonates: Preterm 95 ml/kg, term 85 ml/kg; infants 80 ml/kg; Adult Male 75 ml/kg, Adult female 65 ml/kg

Allowable blood loss ml = (HCT start - HCT allow) x EBV / HCT start Starting HCT Allowable HCT

1st hour 2nd hour 3rd hour 4th hour NPO Maintenance 3rd space EBL Total

Pediatrics

Endotracheal tube size (mm) Choose One: Children older than 2 yrs (age/4 + 4 = ETT); generally children < 10 yrs old get uncuffed ETT

Length of ETT insertion (oral) cm (under 1 yr: 6 + wt (kg); over 2 yrs: 12 + age/2)

Reservoir bag (circuit) size (newborn 0.5 L; 1-3 yrs 1.0 L; 3-5 yrs 2.0 L; >5 yrs 3.0 L) Care Plan Resources (APA format):

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