Epidural anesthesia is used extensively in anesthesia practice because of the reduction of postop morbidity and mortality that it
This is in active labor and dilation is at minimum 4 cm Learn vocabulary, terms, and more with flashcards, games, and other study tools. Long-term epidural analgesia is used to manage persistent (chronic) pain, including cancer-related pain. Client Education. ATI MED - SURG PART A (2019) CHAMBERLAIN COLLEGE OF NURSING VERIFEID VERSION 100% CORRECT ANSWERS 1. Description of the problem What every clinician needs to know. ATI Predictor Questions and Answers Test. The most important aspect of nursing is to build trust by being honest, showing compassion and helping the individual.-Sylvie, CSON Class of 2021 I chose a career in nursing because it offers a challenging and rewarding work environment where I will be able to push myself to be the best and to give the best possible care for my patients. Home. The importance of written nursing protocols and Cimetidine, erythromycin, or other agents that decrease hepatic metabolism may prolong duration of recovery. Background. Epidural anesthesia includes. ONLY CPMS and Anaesthesia staff may prescribe epidural infusions. The nurse stops the epidural infusion and instructs the colleague to contact the anesthesiologist immediately.
The nonanesthetist Registered Nurse should communicate any nursing - assessments or changes in patient status to the obstetric and anesthesia care providers as indicated by institutional policy. cedures. the Epidural infusion is a specialised analgesia technique and is managed by CPMS. 2 (In some cases, intrathecal pumps are used to manage chronic pain instead of epidural pumps.) Perform interventions like keeping the head of the bed at between 30 and 45 degrees, and decreasing stimuli to prevent increases in ICP. Report significant changes immediately. It may occur in conjunction with or independent of urinary incontinence . Client Education. The epidural infusion is prescribed according to the guidelines on
That is it for this lesson on the care plan for increased ICP. 1. Quickly memorize the terms, phrases and much more.
6. Finally prepare the patient for a craniectomy or EVD placement if necessary. Nursing Interventions. GR ATI Nursing Skill Bladder Scan; ATI system Disorder - Diabetes Mellitus; Other related documents. Active participation of the client/couple is important in the decision-making process. 7. One of the responsibilities of the nurse during a lumbar puncture is to provide information and instructions before, during and after the procedure. Assess for nausea and emesis, and administer antiemetics as prescribed. Nalbuphine, buprenorphine, or pentazocine may analgesia Nursing Interventions HYPOTENSIONIS HUGE Monitor respiratory rate and BP frequently throughout therapy. Gavin Rieser Indwelling catheter. d. assessing the level of anesthesia. Continue FHR pattern monitoring Decreased gastric emptying resulting innausea and vomiting.Inhibition of bowel and bladder eliminationsensations.Bradycardia or tachycardiaHypotensionRespiratory depressionAllergic c. monitoring blood pressure every 4 hours. Short-term studies (20 min) in patients undergoing lumbar epidural anesthesia suggest that plasma volume may increase when hypotension is present, which may have implications for the choice of The epidural space at the fourth or fifth vertebrae. The complication in this scenario was a result of epidural catheter displacement. Nursing Diagnosis: Deficient Fluid Volume related to active blood loss secondary to placenta previa, as evidenced by an average blood pressure level of 85/50, body weakness, decreased urinary output, decreased fetal heart rate, and pale, clammy skin. manage pain, epidural anesthesia is. Children and young people who have an epidural analgesia require suitably trained nursing staff to care for them to minimise side effects, complications and ensure analgesia is optimal. Will cause variable deceleration of FHR. As nurses dont receive formal education in their basic nursing pro- grams about how to manage epidural analgesia for pregnant women, only qualified credentialed licensed anes- thesia care providers have been ade- Long-term epidural catheters can be surgically implanted and attached to an implanted or external infusion device. We ask any patient with significant medical problems to call the office in order to be referred to one of our anesthesiologists. Which of the following should the nurse include in the teaching? epidural analgesidanesthesia. Quickly memorize the terms, phrases and much more. Print Article. nursing interventions for a child with an epidural hematoma? Subjects. Determine the narcotic- and catheter-related side effects/complications of epidural analgesia and appropriate nursing interventions. Explanations. Use this nursing diagnosis guide to help you create a Urinary Retention nursing care plan. Start studying Peds ATI 2019 A. This procedure is meant to change the unbalanced chemisty in the brain. used to provide anesthesia during. Upon Intervention: repositi Long-term neurological deficits can be minimised by early diagnosis and prompt treatment. Patient is under general anesthesia while electrical currents are passed through the brain to cause controlled seizures. Study Flashcards On Unit 13 Perioperative Nursing Care [ATI] at Cram.com. The center the only one of its kind in western Pennsylvania is a national leader in developing and researching evidence-based, trauma-focused treatment Bolus or rebolus an epidural either by injecting medication into the Nursing Actions for the administration of an epidural block Administer a bolus of IV fluids to help offset maternal hypotension.
An epidural is indicated in the active phase of labor. Learn About Pain Relief After Cesarean Section. Learn vocabulary, terms, and more with flashcards, games, and other study tools. ATI OB PROCTORED EXAM (Obstetrics) 1. Prescription of epidural infusions. Monitor maternal vital signs and fetal heart rate q 5-10 minutes. We love you guys. All the information you need for the exam revision. Remaining at M.O. Provide and discuss options for care during the labor process. Help to position and steady the client into either a sitting or side-lying modified Sims' position with her back curved to widen the intervertebral space for insertion of the epidural catheter. Electroconvulsive Therapy. 2 A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. 's bedside, the nurse monitors the patient's respiratory function and assesses for further deterioration that may require intervention. Pain management is especially important during labor, because labor, typically, is long-lasting An epidural provides anesthesia that creates a band of numbness from your bellybutton to your upper legs. Nursing care of client in labor: Assisting client who has epidural infusion. This article focuses on different ways to manage pain during labor. Contraindication. Epidural analgesia is an effective method of pain control and can help reduce the incidence of postoperative complications; Potential complications associated with epidural analgesia relate mainly to the catheter itself or side-effects of the drugs; Nurses should be trained to recognise and react appropriately and quickly to complications Nursing actions Monitor for adverse effects. Epidural abscess is a rare complication of epidural injection or catheterisation.
Aim To provide nursing staff with a standardized guideline to enable safe and appropriate care of children and young people with an epidural Nursing Interventions (pre, intra, post) Potential Complications. Equipment. Consists of a local anesthetic, bupivacaine, along with an analgesic, morphine or fentanyl, injected into the epidural space at the level of the fourth or fifth vertebrae. Nursing Interventions. Help to position and steady the Urinary retention, also known as ischuria, is the bodys failure to effectively and completely empty the bladder. ATI PREDICTOR Q&A TEST 2021 Contains 180 most frequent Questions and 100% Correct Highlighted Answers. Nursing Interventions (pre, intra, post) Potential Complications. ATI PHARMACOLOGICAL THERAPIES. Should you have any questions or concerns regarding this process, please send a secure message through our Contact Form, or call our office at 314-469-6800.
Home. Aseptic technique Sterile dressing Urinary retention is common keep an eye Foley Catheter Check for retention after med. Cram.com makes it easy to get the grade you want! It allows you to be awake and alert throughout labor, as well as to feel pressure. Describe required nursing assessment, monitoring, and documentation as related to epidural analgesia. Increas- ing or decreasing epidural pump rates is considered management of the epi- dural. Nursing actions for labor and birth with mother having epidural or spinal Prevent prolonged pressure on anesthetized body parts (position changes). Nursing care considerations: the epidural catheter. The nurse stops the epidural infusion and instructs the colleague to contact the anesthesiologist immediately. Remaining at M.O.'s bedside, the nurse monitors the patient's respiratory function and assesses for further deterioration that may require intervention. Of the 15 patients, tracings in 8 (53 percent) revealed a minimal or moderate change in baseline variability within several minutes of drug injection. The priority nursing intervention for the patient who has received an epidural narcotic is a. monitoring respiratory rate hourly. Nursing Interventions. Number for days for which epidural used Table 3 Interventions done by APMS team Intervention Percentage % Number (n) Total 12.77 218 Discontinued 28.4 62 Change of regime 19.2 42 Change in concentration 21.55 47 Pull out of catheter 6.42 14 Rate decrease 3.21 7 Holding of infusion 5.0 11 Positioning 5.96 13 Epidural Bolus 6.42 14 Blood patch 0.9 2 (0) $5.99. Nursing Points General. The most common side effect of epidural or spinal anesthesia is hypotension with functional hypovolemia prompting fluid infusions or administration of vasopressors. Monitor maternal vital signs per facility protocol.Monitor for allergic reaction. labor and delivery and surgical pro-. Add to Bookmarks. An epidural is a nerve block to block pain signals. 1. Share This. DC'd Prevent respiratory depression - assess often Prevent falls Matching game, word search puzzle, and hangman also available. ATI Maternal Newborn Remediation Physiological Adaption Pain Management: Nursing Actions for Maternal Hypotension Following Epidural Safety for the mother and fetus must be the first consideration of the nurse when planning painmanagement measures Institute safety precautions, such as putting side rails up on the client's bed. Study free Nursing flashcards about OB ati created by glang to improve your grades. b. administering analgesics as needed. Request Permission. This article presents a brief overview of the anatomy of the epidural space and the physiology of pain transmission, including the action of narcotics in pain relief. Epidural analgesia: What nurses need to know. Uses Block Labor; Aggressive manipulation in physical therapy; The patient controls analgesia similar to a PCA pump; Injection Localized to the painful area; contains local anesthetic and or steroids; Pain relief Chronic back pain; Long term pain control Indwelling epidural catheter Cram.com makes it easy to get the grade you want! Facial petechiae- seen over the presenting part with soft tissue injuries -nuchal cord: umbilical cord around fetal neck. Indication. 8. Epidural analgesia is an important intervention in patients with pain after surgery. Summarize the appropriate patient/family teaching for those patients receiving epidural analgesia. Which of the following clinical findings should the nurse expect? Magnesium sulfate is a tocolytic and stops contractions in clients experiencing preterm labor. All were monitored by electrocardiography on a continuous basis, FHR being studied before and after epidural anesthesia with lidocaine, with and without epinephrine. Nursing Interventions and Rationales. Level and zero your EVD. PDF Version. This eliminates all sensation from the level of the umbilicus to the thighs, relieving the discomfort of uterine contractions, fetal descent, and pressure and stretching of the perineum. Which of the following interventions should the nurse include in the plan? B. C. The non-anesthetist Registered Nurse may not: 1. Start studying ATI proctored nursing care of children. o Maternal hypotension o Fetal bradycardia o Inability to feel the urge to void o Loss of the bearing-down reflex Monitor the client receiving a bolus of IV fluids to help offset maternal hypotension. The Maternity Nursing series follows along with our Maternity Nursing Flashcards, which are intended to help RN and PN nursing students study for nursing school exams, including the ATI, HESI, and NCLEX.. Indomethacin is correct. Nursing Care Plan for Placenta Previa 2. A nurse is reinforcing discharge teaching about wound care with a family member of a client who is postoperative. 2. Nursing actions during epidural Administer bolus of IV fluids to help offset maternal HYPOtension Encourage client to remain in side-lying position after insertion of A nurse is caring for a client who has bacterial meningitis. The Center for Traumatic Stress in Children and Adolescents (CTSCA) serves young people who have experienced trauma. Methylergonovine is Magnesium sulfate is correct. Here are the nursing interventions for this labor nursing care plan. See Learning Hero Epidural infusions are for the management of moderate to severe pain. Epidural infusion is a specialised analgesia technique and is managed by CPMS. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Implement seizure precautions for the infant.An infant who has an epidural hematoma is at great risk for seizure activity. Epidural analgesia is a key component in the management of inpatient pain relief, particularly in surgical and trauma patients, and those with comorbidities. Nursing care for patients receiving epidural analgesia focuses on safely administering analgesia, achieving optimal pain control, and identifying and managing adverse reactions or complications. Indomethacin is used to relax uterine smooth muscles and suppress uterine activity in clients who have a diagnosis of preterm labor. It will decrease fear and anxiety among the patient and their families, and it will also lessen the occurrence of potential complications post-lumbar puncture. When used appropriately epidurals can decrease a patient's opiate consumption, as well as reducing the risk of adverse cardiorespiratory outcomes. Provide information about birthing alternatives, if available and appropriate. The ability to feel second-stage labor pressure enables you to push when its time to give birth to your baby. Study Flashcards On ATI Management / Coordinated Care Quiz at Cram.com. The nurse stops the epidural infusion and instructs the colleague to contact the anesthesiologist immediately. Remaining at M.O.'s bedside, the nurse monitors the patient's respiratory function and assesses for further deterioration that may require intervention. The complication in this scenario was a result of epidural catheter displacement.
This is in active labor and dilation is at minimum 4 cm Learn vocabulary, terms, and more with flashcards, games, and other study tools. Long-term epidural analgesia is used to manage persistent (chronic) pain, including cancer-related pain. Client Education. ATI MED - SURG PART A (2019) CHAMBERLAIN COLLEGE OF NURSING VERIFEID VERSION 100% CORRECT ANSWERS 1. Description of the problem What every clinician needs to know. ATI Predictor Questions and Answers Test. The most important aspect of nursing is to build trust by being honest, showing compassion and helping the individual.-Sylvie, CSON Class of 2021 I chose a career in nursing because it offers a challenging and rewarding work environment where I will be able to push myself to be the best and to give the best possible care for my patients. Home. The importance of written nursing protocols and Cimetidine, erythromycin, or other agents that decrease hepatic metabolism may prolong duration of recovery. Background. Epidural anesthesia includes. ONLY CPMS and Anaesthesia staff may prescribe epidural infusions. The nurse stops the epidural infusion and instructs the colleague to contact the anesthesiologist immediately.
The nonanesthetist Registered Nurse should communicate any nursing - assessments or changes in patient status to the obstetric and anesthesia care providers as indicated by institutional policy. cedures. the Epidural infusion is a specialised analgesia technique and is managed by CPMS. 2 (In some cases, intrathecal pumps are used to manage chronic pain instead of epidural pumps.) Perform interventions like keeping the head of the bed at between 30 and 45 degrees, and decreasing stimuli to prevent increases in ICP. Report significant changes immediately. It may occur in conjunction with or independent of urinary incontinence . Client Education. The epidural infusion is prescribed according to the guidelines on
That is it for this lesson on the care plan for increased ICP. 1. Quickly memorize the terms, phrases and much more.
6. Finally prepare the patient for a craniectomy or EVD placement if necessary. Nursing Interventions. GR ATI Nursing Skill Bladder Scan; ATI system Disorder - Diabetes Mellitus; Other related documents. Active participation of the client/couple is important in the decision-making process. 7. One of the responsibilities of the nurse during a lumbar puncture is to provide information and instructions before, during and after the procedure. Assess for nausea and emesis, and administer antiemetics as prescribed. Nalbuphine, buprenorphine, or pentazocine may analgesia Nursing Interventions HYPOTENSIONIS HUGE Monitor respiratory rate and BP frequently throughout therapy. Gavin Rieser Indwelling catheter. d. assessing the level of anesthesia. Continue FHR pattern monitoring Decreased gastric emptying resulting innausea and vomiting.Inhibition of bowel and bladder eliminationsensations.Bradycardia or tachycardiaHypotensionRespiratory depressionAllergic c. monitoring blood pressure every 4 hours. Short-term studies (20 min) in patients undergoing lumbar epidural anesthesia suggest that plasma volume may increase when hypotension is present, which may have implications for the choice of The epidural space at the fourth or fifth vertebrae. The complication in this scenario was a result of epidural catheter displacement. Nursing Diagnosis: Deficient Fluid Volume related to active blood loss secondary to placenta previa, as evidenced by an average blood pressure level of 85/50, body weakness, decreased urinary output, decreased fetal heart rate, and pale, clammy skin. manage pain, epidural anesthesia is. Children and young people who have an epidural analgesia require suitably trained nursing staff to care for them to minimise side effects, complications and ensure analgesia is optimal. Will cause variable deceleration of FHR. As nurses dont receive formal education in their basic nursing pro- grams about how to manage epidural analgesia for pregnant women, only qualified credentialed licensed anes- thesia care providers have been ade- Long-term epidural catheters can be surgically implanted and attached to an implanted or external infusion device. We ask any patient with significant medical problems to call the office in order to be referred to one of our anesthesiologists. Which of the following should the nurse include in the teaching? epidural analgesidanesthesia. Quickly memorize the terms, phrases and much more. Print Article. nursing interventions for a child with an epidural hematoma? Subjects. Determine the narcotic- and catheter-related side effects/complications of epidural analgesia and appropriate nursing interventions. Explanations. Use this nursing diagnosis guide to help you create a Urinary Retention nursing care plan. Start studying Peds ATI 2019 A. This procedure is meant to change the unbalanced chemisty in the brain. used to provide anesthesia during. Upon Intervention: repositi Long-term neurological deficits can be minimised by early diagnosis and prompt treatment. Patient is under general anesthesia while electrical currents are passed through the brain to cause controlled seizures. Study Flashcards On Unit 13 Perioperative Nursing Care [ATI] at Cram.com. The center the only one of its kind in western Pennsylvania is a national leader in developing and researching evidence-based, trauma-focused treatment Bolus or rebolus an epidural either by injecting medication into the Nursing Actions for the administration of an epidural block Administer a bolus of IV fluids to help offset maternal hypotension.
An epidural is indicated in the active phase of labor. Learn About Pain Relief After Cesarean Section. Learn vocabulary, terms, and more with flashcards, games, and other study tools. ATI OB PROCTORED EXAM (Obstetrics) 1. Prescription of epidural infusions. Monitor maternal vital signs and fetal heart rate q 5-10 minutes. We love you guys. All the information you need for the exam revision. Remaining at M.O. Provide and discuss options for care during the labor process. Help to position and steady the client into either a sitting or side-lying modified Sims' position with her back curved to widen the intervertebral space for insertion of the epidural catheter. Electroconvulsive Therapy. 2 A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. 's bedside, the nurse monitors the patient's respiratory function and assesses for further deterioration that may require intervention. Pain management is especially important during labor, because labor, typically, is long-lasting An epidural provides anesthesia that creates a band of numbness from your bellybutton to your upper legs. Nursing care of client in labor: Assisting client who has epidural infusion. This article focuses on different ways to manage pain during labor. Contraindication. Epidural analgesia is an effective method of pain control and can help reduce the incidence of postoperative complications; Potential complications associated with epidural analgesia relate mainly to the catheter itself or side-effects of the drugs; Nurses should be trained to recognise and react appropriately and quickly to complications Nursing actions Monitor for adverse effects. Epidural abscess is a rare complication of epidural injection or catheterisation.
Aim To provide nursing staff with a standardized guideline to enable safe and appropriate care of children and young people with an epidural Nursing Interventions (pre, intra, post) Potential Complications. Equipment. Consists of a local anesthetic, bupivacaine, along with an analgesic, morphine or fentanyl, injected into the epidural space at the level of the fourth or fifth vertebrae. Nursing Interventions. Help to position and steady the Urinary retention, also known as ischuria, is the bodys failure to effectively and completely empty the bladder. ATI PREDICTOR Q&A TEST 2021 Contains 180 most frequent Questions and 100% Correct Highlighted Answers. Nursing Interventions (pre, intra, post) Potential Complications. ATI PHARMACOLOGICAL THERAPIES. Should you have any questions or concerns regarding this process, please send a secure message through our Contact Form, or call our office at 314-469-6800.
Home. Aseptic technique Sterile dressing Urinary retention is common keep an eye Foley Catheter Check for retention after med. Cram.com makes it easy to get the grade you want! It allows you to be awake and alert throughout labor, as well as to feel pressure. Describe required nursing assessment, monitoring, and documentation as related to epidural analgesia. Increas- ing or decreasing epidural pump rates is considered management of the epi- dural. Nursing actions for labor and birth with mother having epidural or spinal Prevent prolonged pressure on anesthetized body parts (position changes). Nursing care considerations: the epidural catheter. The nurse stops the epidural infusion and instructs the colleague to contact the anesthesiologist immediately. Remaining at M.O.'s bedside, the nurse monitors the patient's respiratory function and assesses for further deterioration that may require intervention. Of the 15 patients, tracings in 8 (53 percent) revealed a minimal or moderate change in baseline variability within several minutes of drug injection. The priority nursing intervention for the patient who has received an epidural narcotic is a. monitoring respiratory rate hourly. Nursing Interventions. Number for days for which epidural used Table 3 Interventions done by APMS team Intervention Percentage % Number (n) Total 12.77 218 Discontinued 28.4 62 Change of regime 19.2 42 Change in concentration 21.55 47 Pull out of catheter 6.42 14 Rate decrease 3.21 7 Holding of infusion 5.0 11 Positioning 5.96 13 Epidural Bolus 6.42 14 Blood patch 0.9 2 (0) $5.99. Nursing Points General. The most common side effect of epidural or spinal anesthesia is hypotension with functional hypovolemia prompting fluid infusions or administration of vasopressors. Monitor maternal vital signs per facility protocol.Monitor for allergic reaction. labor and delivery and surgical pro-. Add to Bookmarks. An epidural is a nerve block to block pain signals. 1. Share This. DC'd Prevent respiratory depression - assess often Prevent falls Matching game, word search puzzle, and hangman also available. ATI Maternal Newborn Remediation Physiological Adaption Pain Management: Nursing Actions for Maternal Hypotension Following Epidural Safety for the mother and fetus must be the first consideration of the nurse when planning painmanagement measures Institute safety precautions, such as putting side rails up on the client's bed. Study free Nursing flashcards about OB ati created by glang to improve your grades. b. administering analgesics as needed. Request Permission. This article presents a brief overview of the anatomy of the epidural space and the physiology of pain transmission, including the action of narcotics in pain relief. Epidural analgesia: What nurses need to know. Uses Block Labor; Aggressive manipulation in physical therapy; The patient controls analgesia similar to a PCA pump; Injection Localized to the painful area; contains local anesthetic and or steroids; Pain relief Chronic back pain; Long term pain control Indwelling epidural catheter Cram.com makes it easy to get the grade you want! Facial petechiae- seen over the presenting part with soft tissue injuries -nuchal cord: umbilical cord around fetal neck. Indication. 8. Epidural analgesia is an important intervention in patients with pain after surgery. Summarize the appropriate patient/family teaching for those patients receiving epidural analgesia. Which of the following clinical findings should the nurse expect? Magnesium sulfate is a tocolytic and stops contractions in clients experiencing preterm labor. All were monitored by electrocardiography on a continuous basis, FHR being studied before and after epidural anesthesia with lidocaine, with and without epinephrine. Nursing Interventions and Rationales. Level and zero your EVD. PDF Version. This eliminates all sensation from the level of the umbilicus to the thighs, relieving the discomfort of uterine contractions, fetal descent, and pressure and stretching of the perineum. Which of the following interventions should the nurse include in the plan? B. C. The non-anesthetist Registered Nurse may not: 1. Start studying ATI proctored nursing care of children. o Maternal hypotension o Fetal bradycardia o Inability to feel the urge to void o Loss of the bearing-down reflex Monitor the client receiving a bolus of IV fluids to help offset maternal hypotension. The Maternity Nursing series follows along with our Maternity Nursing Flashcards, which are intended to help RN and PN nursing students study for nursing school exams, including the ATI, HESI, and NCLEX.. Indomethacin is correct. Nursing Care Plan for Placenta Previa 2. A nurse is reinforcing discharge teaching about wound care with a family member of a client who is postoperative. 2. Nursing actions during epidural Administer bolus of IV fluids to help offset maternal HYPOtension Encourage client to remain in side-lying position after insertion of A nurse is caring for a client who has bacterial meningitis. The Center for Traumatic Stress in Children and Adolescents (CTSCA) serves young people who have experienced trauma. Methylergonovine is Magnesium sulfate is correct. Here are the nursing interventions for this labor nursing care plan. See Learning Hero Epidural infusions are for the management of moderate to severe pain. Epidural infusion is a specialised analgesia technique and is managed by CPMS. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Implement seizure precautions for the infant.An infant who has an epidural hematoma is at great risk for seizure activity. Epidural analgesia is a key component in the management of inpatient pain relief, particularly in surgical and trauma patients, and those with comorbidities. Nursing care for patients receiving epidural analgesia focuses on safely administering analgesia, achieving optimal pain control, and identifying and managing adverse reactions or complications. Indomethacin is used to relax uterine smooth muscles and suppress uterine activity in clients who have a diagnosis of preterm labor. It will decrease fear and anxiety among the patient and their families, and it will also lessen the occurrence of potential complications post-lumbar puncture. When used appropriately epidurals can decrease a patient's opiate consumption, as well as reducing the risk of adverse cardiorespiratory outcomes. Provide information about birthing alternatives, if available and appropriate. The ability to feel second-stage labor pressure enables you to push when its time to give birth to your baby. Study Flashcards On ATI Management / Coordinated Care Quiz at Cram.com. The nurse stops the epidural infusion and instructs the colleague to contact the anesthesiologist immediately. Remaining at M.O.'s bedside, the nurse monitors the patient's respiratory function and assesses for further deterioration that may require intervention. The complication in this scenario was a result of epidural catheter displacement.