Preview

Bupivacaine Case Study

Powerful Essays
Open Document
Open Document
1164 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Bupivacaine Case Study
1. Sixty four percent of the patients belonged to the age group 30-50 years in group ‘B’ compared to fifty six percent in group ‘F’.
2. Sixty four percent of patients in group B were males compared to 60% in group F while 36 % and 40 % comprised of females in both the groups respectively.
3. Seventy six percent of the patients belonged to the weight of 50-70 kgs in group B compared to 76 % in group F.
4. Saturation of oxygen in both groups showed similar recording of 98.76 ± 0.43 in 240 mins which was statistically comparable.
5. Pulse rate in group B ranged from 81.12 ± 10.05 to 82.32 ± 10.60 and group F it was from 80.36 ± 09.28 to 79.12 ± 10.05 which was statistically comparable.
6. Systolic blood pressures in group B was 112 ± 06.45 and
…show more content…
Gunnar in 1997 observed the mean time for rescue analgesia for bupivacaine 12.5 mg + 10 µg fentanyl was 140.0 ± 34.4 min. This may be due to increased dose of bupivacaine19. In our study the mean time for rescue analgesia for Group B is 141.60 ± 22.30 min and Group F is 182.00 ± 27.23 min.
Sergio in 1992, observed nausea in 2 (30) and vomiting in 1 (30) for bupivacaine 15 mg and nausea in 2 (30), vomiting in 2 (30) and pruritus in 12 (30) for bupivacaine 15mg + 25 µg fentanyl20. Diana in 1996 observed nausea in 2 (21) for bupivacaine 12.5 mg with 1ml saline and nausea in 1 (19) for bupivacaine 12.5 mg and fentanyl 25 µg17.
Pramod patra in 2005 observed nausea in 3 (25) & and vomiting in 2 (25) with bupivacaine 5mg with Fentanyl 25 µg.14 Thus our study result is consistent with the above study.
Kristina in 2000, observed shivering in 1 (20) and nausea in 1 (20) for bupivacaine 10 mg + 25 µg fentanyl16. Thus our study result is consistent with the above study.

You May Also Find These Documents Helpful

  • Good Essays

    Operating Room Case Study

    • 644 Words
    • 3 Pages

    The induction was done without the use of benzodiazepines, propofol target dose of 4 mg / ml and remifentanil infusion of 0.5 mg / kg / min, both in 3 minutes. After induction, the propofol infusion target was decreased to 2.5 g / ml and the infusion of remifentanil was adjusted to be between 0.1 and 0.3 g / kg / min as needed. In all patients, neuromuscular function was assessed using the TOF Watch SX monitor (Organon Ltd) by the method of accelerometry. Was installed the heating element and the skin and central temperatures maintained above 32 ° C and 36 ℃ respectively. After induction of anesthesia acceleromyography calibration was performed and the ulnar nerve stimulated with four pulses of 0.2 ms duration at a frequency of 2 Hz every 15 seconds. After completion of the infusion solutions X and Y, cisatracurium injection was administered at 5 seconds. After administration of relaxing, waited to measure the TOF reaches zero to proceed to tracheal intubation of the patient. The monitoring was performed until spontaneous recovery of neuromuscular blockade. The timing of administration of the muscle relaxant was considered the zero time to the time count for the assessment of pharmacodynamic variables (VIBY MOGENSEN, et al., 1996). The values of T1, T2, T3, T4 and TOF, plus the value of…

    • 644 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    In two Phase III trials of naratriptan compared with placebo, relief at four hours was obtained in 60% and 68% of patients using the 2.5-mg dose, with recurrence of headache in 24 hours in 27% and 28% of patients. Adverse effects of naratriptan were found to be similar to placebo, and its tolerability appeared superior compared with studies of other oral triptans…

    • 223 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Pros Of Fentanyl

    • 133 Words
    • 1 Page

    Fentanyl is an opioid that provides analgesic; according to the FDA, fentanyl is a schedule II drug, that is considered dangerous (YEAR). The only time fentanyl should be used is in a supervised medical setting or under supervised medical care (example, a patient in chronic pain wearing a fentanyl patch- which slowly diffuses the fentanyl transdermally to the fat underneath, which then takes the fentanyl to the whole body; lasts approximately two to three days) The original purpose of fentanyl was to only act as an anesthetic, and now it can also be used to help those in chronic pain (most commonly cancer patients). Fentanyl has many benefits when used appropriately, but when it is abused it causes catastrophic damage to many aspects of…

    • 133 Words
    • 1 Page
    Good Essays
  • Satisfactory Essays

    evidence log sheet

    • 442 Words
    • 2 Pages

    Patient 1-Patient now complains of nausea and is experiencing intermittent vomiting. Patient is extremely fatigued and dizzy and blood pressure is rising. Patient 2- Oxygen saturation has decreased slightly as the patient noted increased difficulty breathing. Supplemental oxygen was administered. Patient complains of a tingling and weakness in the hands, feet, legs, and arms. Patient has difficulty swallowing and requires a feeding tube.…

    • 442 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Naproxen sodium, a nonsteroidal anti-inflammatory drug or NSAID, possesses analgesic, antipyretic and anti-inflammatory effects. Naproxen sodium was added to Jeff’s plan of care to treat his chronic back pain. NSAIDs are absorbed through the GI tract and decreases pain by reversibly blocking cyclooxygenase which inhibits the formation of prostaglandins. Naproxen sodium has an onset of 30 minutes and duration of approximately seven hours (Sutton, 1996). Jeff should be educated to avoid drinking alcohol and taking aspirin while on this medication as well as to avoid taking other meds such as ibuprofen or other meds similar to naproxen which could cause an overdose. Medications that Jeff is currently taking that could cause a drug interaction…

    • 636 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Medical Coding

    • 365 Words
    • 2 Pages

    The patient was prepped and draped in the usual sterile fashion and sedation was administered for a total of fentanyl, 25 mcg IV, and Versed, 0.5 mg IV. One percent lidocaine was infused in the right groin and a 7-French sheath was inserted in the right femoral artery. A 7-French Swan-Ganz catheter was advanced through the right heart chambers and into the pulmonary artery. After pulmonary capillary wedge pressure and pulmonary artery pressures were obtained, thermodilution cardiac outputs…

    • 365 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Orman, Jennifer S., and Keating, Gillian M. (2009). Buprenorphine/Naloxone A Review of its Use in the Treatment of Opioid Dependence. Drugs, 69 (5): 577-607…

    • 2830 Words
    • 12 Pages
    Powerful Essays
  • Satisfactory Essays

    Paracetamol - Helps with mild pain, e.g. headaches or toothaches and can control fevers. Side effects include rashes or swelling, liver and kidney damage- from an overdose and low blood pressure when given in hospital by infusion.…

    • 243 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Fentanyl: Overview

    • 353 Words
    • 2 Pages

    Fentanyl is a potent synthetic opioid that is most commonly used to treat break though pain and post surgery pain. Break through pain is sudden sever pain that lasts for short periods of time and is commonly found in cancer patients. Fentanyl is most commonly administered through an IV. When people develop a higher tolerance for the drug, such as cancer patients, it can also be given in a patch, a pill that dissolves in your mouth, or a lolliepop. Fentanyl is similar to morphine, but is approximately 100 times stronger and has a much higher potential for addiction. Fentanyl has a very short onset time and a short duration. When administered through an IV the onset time of fentanyl is under 1 minute, it reaches it's peak effect in 2-3 minutes and only lasts for about 30-45 minutes. Meanwhile morphine administered in the same way has an onset time of 5 minutes, reaching it's peak effect in 10 minutes and lasts 1-4 hours. Like heroin, morphine, and other opioid drugs, fentanyl works by binding to the body's opiate receptors, highly concentrated in areas of the brain that control pain and emotions. When opiate drugs bind to these receptors, they can drive up dopamine levels in the brain's reward areas, producing a state of euphoria and relaxation. Since fentanyl is highly addictive it is often used to cut heroin and cocaine making them stronger, more addictive, and more dangerous. Some of the street names for fentanyl are Apache, China Girl, China White, Dance Fever, Friend, Goodfella, Jackpot,…

    • 353 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Vicodin

    • 470 Words
    • 2 Pages

    Vicodin is prescription medication that is used to treat moderate to severe pain in adults. The two main ingredients in Vicodin are Hydrocodone bitartrate and acetaminophen. Hydrocodone is considered to be a pain reliever that acts similarly to codine and is effective at decreasing the pain as well as relieving cough, however its can also cause drowsiness, mood changes, and metal “clouding”. Because of this reason the it can only be used when combined with another drug and not alone, as far as in the United States. Therefore its combined with acetaminophen, which is also a pain reliever along with a fever reducer. The combination of these two drugs helps improve acetaminophen’s effectiveness at relieving pain as well as limiting the potential abuse of Hydrocodone. The maximum dose of Vicodin is usually controlled by the amount of acetaminophen that it contains.…

    • 470 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Fentanyl Research Paper

    • 1000 Words
    • 4 Pages

    As one of the strongest opiate drugs available, fentanyl used to help patients manage pain after a surgery, injury, or cancer diagnosis. At 50 to 100 times stronger than morphine, fentanyl excels at mitigating breakthrough pain, which occurs when someone who is already taking an opiate experiences temporary bouts of pain. However, since the drug is so strong, medical professionals need to administer it carefully to avoid undesired side effects and accidental overdoses.…

    • 1000 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Examples of analgesics are paracetamol and ibuprofen used to relieve pain. Analgesics work by blocking pain signals going to the brain or by interfering with the brains interpretation of the signals. Side effects may include nausea, vomiting, drowsiness, dry mouth, postural hypotension and constipation. Severe side effects may include stomach bleeds, confusion, hallucinations, and addiction.…

    • 1736 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Overdose of Hypnotic

    • 1039 Words
    • 4 Pages

    Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, slurred speech, tremors, a slow heartbeat, shallow breathing, feeling light-headed, fainting, seizure (black-out or convulsions), and coma.…

    • 1039 Words
    • 4 Pages
    Good Essays
  • Best Essays

    Ebt Task #1

    • 3252 Words
    • 14 Pages

    | The researcher broke down the data by categorizing the age, gender, medications administered, and errors that occurred. There was a total of two thousand, two hundred, twenty five medications…

    • 3252 Words
    • 14 Pages
    Best Essays
  • Powerful Essays

    Though the fact that these pain relievers are very effective, when they are being taken too much, they give harmful side effects. According to a study, these “staggered overdoses” can occur when people have ongoing pain and repeatedly take a little more acetaminophen than they should, explained Dr. Kenneth Simpson, author of the study, published on November 22 in the British Journal of Clinical Pharmacology. While Reader’s Digest said that too much intake of ibuprofen, a no steroidal anti-inflammatory drug (NSAID) used for pain relief, fever reduction and swelling, can damage the stomach lining without intake of food. It can also cause drowsiness.…

    • 1741 Words
    • 7 Pages
    Powerful Essays