Nursing Pharmacology Clinical Case


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  • A 65 year-old, confident, well-adjusted male, a former airline pilot, was scheduled for surgery for diverticulosis.

  • Spinal anesthesia was chosen, since the patient had no complicating conditions (Class I)

  • A thorough history and physical confirmed an absence of cardiovascular disease.

  • An IV was started and 500 ml of 5% dextrose in lactated Ringer's solution was given before bupivacaine 10 mg was injected into the subarachnoid space.

  • About 10 minutes after being placed in the supine position, he began to complain of nausea and dizziness.


  • Case author: Hugh S. Mathewson,M.D., Professor Emeritus, School of Allied
    Health, Department of Nurse Anesthesia,
    University of Kansas Medical Center

  • CSase editor: Michael Gordon, Ph.D. Associate
    Professor of Pharmacology and Surgery, School of
    Medicine, Department of Pharmacology, University
    of Kansas Medical Center