A small compilation of nurse anesthesia care plans
These anesthesia care plans are meant to inspire nurse anesthesia residents when they are making their care plans. Always make sure you fully understand and "own" your care plan. Your plan must be specific for your patient and should always be with the most up-to-date information.
Cataract Extraction with IOL
A cataract is defined as the opacification of the crystalline lens.
Cause
Congenital, metabolic, traumatic, senile, or medication-induced (steroids)
Technique
Capsulectomy removes the crystalline lens through an opening made in the anterior lens capsule through an 8-10 mm incision.
Using phacoemulsification, ultrasound energy fragments the lens, which is then aspirated through a 3 mm incision.
Silicone and acrylic intraocular lenses (IOL) are the most popular, as they can fold and slide in place through a smaller incision. The wound is closed with a suture or, if it is a small incision, can be self-sealing.
Preoperative Considerations
Position
Supine, table rotated 90-180 degrees
Surgical Time
15-60 min
Post Operative
May have eye shield/patch
Morbidity
Posterior capsule rupture, corneal edema, retinal detachment, choroidal hemorrhage
Anesthetic Considerations
Eye drops before surgery – parasympathetic and sympathetic to dilate pupil
Possible peribulbar block by ophthalmologist
MAC
General anesthesia – LMA if no contraindications (GERD)
Keep pt still