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.
Circumcision
Preoperative Diagnosis
Phimosis – tight foreskin
Balanitis - inflammation of the glans penis
Family preference for circumcision
Preoperative Considerations
Position
Supine
Age
Neonate to children
Surgical Time
30 min
EBL
Minimal
Associated Conditions
Infection
Circumcision
Excision of the preputial skin to expose the glans. It can be done for religious, ethical, social, or medical reasons.
Consider the use of a caudal or penile block for pain control
Anesthetic Considerations
Renal abnormalities may be present as part of a congenital malformation complex
Patients <5-10 yrs old: sevoflurane, N2O, O2
Older patients may agree to IV induction
Monitor closely for adequate ventilation during the procedure and before extubation
Pain mgt: acetaminophen, penile block
Ketorolac will decrease bladder spasms but causes renal insufficiency, so monitor renal function