Analgesic Gases and Oxygen Provider Level 2 (VTQ)

62 videos, 2 hours and 49 minutes

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Problems with analgesic gas

Video 52 of 62
2 min 6 sec
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What we are going to do now is have a look at a few of the problems associated with the use of Entonox and a few of the cautions. Firstly and most common is head injuries, head injuries with decreasing levels of consciousness. Entonox is an analgesic gas, which can actually mask people's conscious levels, so we have to be careful when using it with head injuries. And on some head injuries, we wouldn't use it at all.

The next one is scuba diving. Scuba diving, don't just think about scuba diving at the sea, but also think about scuba diving in pools and lakes in the UK, it doesn't have to just be sea scuba diving. So ask the question, have they been diving within the last 24 hours? We also have to be aware of abdominal injuries. Sometimes people with abdominal injuries can get air pockets into the abdomen. Once we start to give Entonox, if the pain increases, cease giving Entonox immediately.

The next one we have to look at is psychiatrically disturbed patients. Entonox, because it affects the way the brain functions, can make that problem worse. So again, if somebody has psychological problems, then sometimes it is better to not give Entonox, or give it under caution. And if anything starts to change, cease immediately. And finally, an area to be careful of is the abdomen. Abdominal injuries can sometimes create air pockets inside the abdomen and this can also increase the pain once we mix it with Entonox. So if somebody has a severe abdominal injury and we give Entonox and the pain starts to increase, and bear in mind we have done a pain score before and we are now doing another pain score to make sure that the Entonox is working, if it's increasing in pain, we cease immediately.

One last thing: When using Entonox on adults or children, it may make them feel a little bit uneasy, it may make them feel a little bit dizzy, so reassurance and communication with your patient at all times is absolutely crucial. We must talk to our patient, we must reassure them at all times and we must keep them feeling safe.