Analgesic Gases and Oxygen Provider Level 2 (VTQ)

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When would you use analgesic gas

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Entonox, as we have discussed, it is a pain-relieving gas, but we still have to do our initial assessments before we administer it because it is a drug. So, the things we need to know is, is it appropriate for the patient we are dealing with? Is it going to work on the patient or is it going to create us any other problems?

Patients we have to be careful of, head injuries, especially where their conscious levels are fading in and out because Entonox will affect your mental capacity, will affect the brain, so it affects the way the patient is. We wanna be able to recognize the patient that is becoming unconscious due to other problems and not being affected by the gas itself. So, head injuries are one we have to be careful with. It is used an awful lot in pregnancy, in childbirth. It is a really, really effective first line of treatment for the relief of pain during pregnancy, but again, we need to do our checks first. Another area we have to be careful of is psychiatric patients, patients with mental disorders. This can sometimes trigger those or make them worse. So, we have to be careful and a bit contraindicated with people who have got psychiatric problems, which can affect their behaviour.

So, indications for use of Entonox or Nitronox. Basically, we have to assess the patient first and make sure that we have got a clear diagnosis of what is the problem with the patient, because there can be contraindications to Nitrous Oxide, Entonox, there are contras which we have to be aware of. But normally for mild or severe pain, it is a drug that will not mask problems. It is not long-lasting, it takes between five and 10 minutes to get into your system and takes about 10 minutes to work properly and effectively, but as soon as you stop taking it, it wears off. So, it does not hide or mask potential problems. It is a short-term, fast fix for pain relief, but we have to make sure our checks are done first. Has the patient got any head injuries? Has the patient been diving 24 hours before we use it because of things like the bends and Nitrous Oxide bubbles in the circulatory system? Have they got any abdominal injuries, trauma where we potentially have got air bubbles into the chest itself? Is the patient suffering from any psychological problems or psychiatric problems which can be exacerbated by the gas itself? So, we have to do all of these checks before we give it. Remember, it is a drug and before we give a drug, we have to be certain why we are giving it, how we are giving it and who we are giving it to before we administer it.