A client reports that the last time he received nitrous oxide for a procedure he had what felt like a "hangover" for days afterward. Which intervention should the nurse plan to help avoid this effect?
1. Prehydrate the client with intravenous normal saline.
2. Report this comment to the anesthesiologist so he will change the agent used.
3. Provide the client with caffeine-containing beverages immediately after the procedure.
4. Have the client breathe 100% oxygen for several minutes following the nitrous oxide.
Correct Answer: 4
Rationale 1: There is no evidence to support prehydration causing a change for this effect.
Rationale 2: It is not necessary to change anesthesia agents.
Rationale 3: Administering caffeine with nitrous oxide may exacerbate dysrhythmias.
Rationale 4: Having the client breathe 100% oxygen for several minutes following nitrous oxide use has been shown to prevent alveolar hypoxia. It is the alveolar hypoxia that produces the "hangover" effect.
Global Rationale: Having the client breathe 100% oxygen for several minutes following nitrous oxide use has been shown to prevent alveolar hypoxia. It is the alveolar hypoxia that produces the "hangover" effect. There is no evidence to support prehydration causing a change for this effect. It is not necessary to change anesthesia agents. Administering caffeine with nitrous oxide may exacerbate dysrhythmias.
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