A small compilation of nurse anesthesia care plans
These anesthesia care plans are meant to inspire nurse anesthesia residents when they are making their care plans. Always make sure you fully understand and "own" your care plan. Your plan must be specific for your patient and should always be with the most up-to-date information.
Sarcoidosis
Etiology
Disorder of unknown etiology, where granulomas occurring multiple organ systems, most commonly lungs, lymphatics, bone, liver, and nervous system
Symptoms
The patient may present with respiratory symptoms such as dyspnea and cough
Some (5%) may have laryngeal sarcoidosis, which may interfere with ETT passage
Hypercalcemia is seen in 10% of patients, a classic symptom
Polyneuropathy, due to the presence of granulomatous lesions in peripheral nerves, is a common finding
Unilateral or bilateral facial nerve paralysis may result from sarcoid involvement of the parotid gland
Anesthetic Considerations
Monitor for respiratory compromise preoperatively
Phonate "e" to evaluate the patency of RLN
Monitor for any facial nerve issues (numbness, tingling)
Any peripheral neuropathies are to be documented pre-procedure