Straight A Nursing: Study for nursing school exams & NCLEX

#386: The Nurse’s Guide to Peripheral Nerve Blocks


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In this episode, we explore peripheral nerve blocks (PNBs), which are a cornerstone of pain management in surgical care. PNBs offer targeted pain relief by blocking nerve signals, reducing the need for systemic analgesics, and enhancing recovery times. From their mechanism of action to nursing priorities, we cover everything you need to know to confidently care for patients receiving PNBs.

In this episode, you will learn:

  • What is a Peripheral Nerve Block? Learn about the benefits of PNBs, including reduced opioid use, faster recovery, and suitability for high-risk patients.
  • How They Work: Understand how local anesthetics like ropivacaine and bupivacaine block sensory, motor, and sympathetic nerves in sequence.
  • When They’re Used: Common surgeries utilizing PNBs, such as knee replacements, carpal tunnel repair, and shoulder procedures.
  • How They’re Administered: Single-shot vs. continuous infusion techniques, including the use of portable pumps like the Ambit pump or elastomeric devices.
  • Medications: Local anesthetics and adjuvants like epinephrine, dexamethasone, and clonidine that enhance the block's efficacy.
  • Complications to Watch For: Learn about local anesthetic systemic toxicity (LAST) to nerve trauma and post-op safety risks.
  • Nursing Considerations: Key assessments, patient safety tips, and education to empower your patients before discharge.

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    Straight A Nursing: Study for nursing school exams & NCLEXBy Maureen Osuna, MSN, RN - Nursing school educator, author, and nursing student enthusiast.

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