A patient with severe cardiac disorder requires closure of a deep laceration. The nurse would advocate for which plan for analgesia?
1. Plain epinephrine
2. Laceration repair without anesthesia
3. Topical application of lidocaine gel
4. Injected lidocaine without epinephrine
4
Rationale 1: Epinephrine is not an analgesic.
Rationale 2: Laceration repair is painful and should not be done without anesthesia.
Rationale 3: Topical application would not be sufficient analgesia for repair of a deep laceration.
Rationale 4: Epinephrine extends the time anesthesia is present because it causes vasoconstriction which slows the rate of distribution. It is not necessary for effective anesthesia and is contraindicated in those with severe cardiovascular disorders.
Global Rationale:. Epinephrine extends the time anesthesia is present because it causes vasoconstriction which slows the rate of distribution. It is not necessary for effective anesthesia and is contraindicated in those with severe cardiovascular disorders. Epinephrine is not an analgesic. Laceration repair is painful and should not be done without anesthesia. Topical application would not be sufficient analgesia for repair of a deep laceration.
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