During infiltration of a local anaesthetic, a patient reports ringing in the ears and a metallic taste, then becomes restless. Which action should the nurse take first?
Correct answer: B. Stop the injection and alert the anaesthesia provider
- A. Continue the injection at a slower rate
- B. Stop the injection and alert the anaesthesia provider
- C. Offer oral fluids to reduce the symptoms
- D. Place the patient prone and leave the area
Explanation
Tinnitus, a metallic taste, restlessness and later seizures can indicate local anaesthetic systemic toxicity. The injection must be stopped immediately and the anaesthesia provider alerted so airway support and emergency treatment can begin.
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About Perioperative Nursing
Covers preoperative assessment, informed consent, surgical preparation, anaesthesia, intraoperative safety and postoperative recovery. It includes sterile technique, surgical positioning, wound and drain care, pain and nausea management, fluid balance, prevention of infection and recognition of complications such as haemorrhage, atelectasis and shock.
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