Chapter 12 Pain management familes

first stage of birth sources of pain

internal visceral pain that can be felt as back and leg pain

second stage of brirth sources of pain

pain that is somatic and occurs with fetal descent and expulsion

thrid stage of labor sources of pain

pain with expulsion of the placenta is similiar to pain experinced during the frist stage

fourth stage of labor sources of pain

distention and strecthing of the vagina, splitting, burning

first stage of labor type of pain meds

opiod agonist anaglesic

opiod agnoist-antagonist angeleics

epidural block anagelisa

epidural block anesthia

combined spinal epidural anaglesia

nitrous oxide

second stage of labor pain meds

epidurdal block anagelsia

combined spinal epidural anagelsia

nitrous oxide

local infilration anesthia

pudendal block

spinal blcok anesthia

vaginal birth pain meds

epidurdal block anagelsia

combined spinal epidural anagelsia

nitrous oxide

local infilration anesthia

pudendal block

spinal blcok anesthia

epidural blcok anestia

c section birth

epidural block anesthia, spinal block anesthia and general anesthia

cogntivie startegies (non pharm)

childbirth edycation, methods etc

sensory stimulation strategies (non pahrm)

aromoatheapry, breathing, imagery, music, focal ponts, subdue lightening

cutanoes stimulation startgeies (non pharm)

tocuh and massage, walking, rocking, *EFFLUEGAAE= light, gental circlular stroking of the cleints abdomen with the finger tips in rythmn with breathing during contractions

SACRAL COUNTERPRESSURE= consistent pressure is applied by the support person using the heal of the hand or fist against the cleints scaral area to counteract pain in the lowerback

analgesia= sedatives

Barbiutes, used for anxiety and induce sleep in ealy or latent phases of labor

anaglesia= opiod analgesics

meperidine hydrocholirde, fetnyaly, butorphanol, nalluphine

decrease percpetion of pain without the loss of Cousiness, during labor becasue the action is quciker

butorphanol and nallbuphine

provide rapid pain relief without causing respirtaory depression

metcolprimide

control nausea and axiety NO PAIN RELEIF

epidural and spinal regional anaglesia

fetnyl and sulfentanil, short actig opiods, motor block into the epodural without anstheia, produce regional anstheia, provide rapid pain relief while client can sense contractins and maintain the baility to bear down

regional blocks

MOST COMMONLY USED

pudenal, epidural or spinal nrevr nlocks

pudendal block

local anesthia (lidocaine, bupivacain), adminster transvaginally, during second stage of labor

epidural block

local anstheia, bupvocaone, along with an anagelsic like morphone or fetnaly, injected itno the dpidural space of the the fourth or fifth vertebrea, eliminates pain form level of umbilicys to the thighs, rleives uterine contractions

ALL STAGES ODF LABOR

spinal anesthia block

local anesthic injected into the sinal fluid in 3 , 4, 5 umbar interspace, blocksnelimation from the level of the nipples to the feet, comonuly used for c sections

general anesthia

rarelu used for vaginal or c section, only in the vent of a birth complication or emergency when there is a contraindication to nerve block anlageisa

this makes you unconsiuness