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Chapter 15 ANALGESICA AND ANESTHESIA - page 26 / 52

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ANESTHETIC AGENTS

CENTRAL NERVOUS SYSTEM TOXICITY

Sx : light-headedness, dizziness, tinnitus, bizarre behavior, slurred speech, metallic taste, numbness of the tongue and mouth, muscle fasciculation and excitation, generalized convulsions, loss of consciousness

Convulsions should be controlled, an airway established, oxygen delivered

Abnormal FHR pattern (late decelerations, persistent bradycardia) : may develop from maternal hypoxia and lactic acidosis induced by convulsions

Fetus likely will recover more quickly in utero than following immediate c/sec

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