Lena adores her employer Doreen and would do anything for her. Lena has been entrusted with putting this patient to sleep....
First she turns on the nitrous...
....then the oxygen and sets the flow to two thirds nitrous to one third oxygen. The gases flow thru the brown jar - a vaporizer containing the anesthetic agent.
Lena approaches the patient with the mask, gently reassuring her as Doreen taught.
Lena gently but firmly applies the mask while Doreen adjusts the gas flow and supervises, making sure that Lena is doing it right. Doreen then starts a saline drip - the gas is dry and the patient will slowly dehydrate otherwise. This patient will be under a long time so needs her fluids replenished.
Lena watches the patient intently and feels a wetness between her legs as she observes the patient become unconscious and go limp beneath the mask
Lena now deepens the anesthesia by keeping the anesthetic vapor at a high concentration...
As the patient's anesthesia deepens, her breathing becomes too shallow, so Doreen squeezes and releases the rebreathing bag to force more gas into her lungs...
The patient is fully anesthetized. Lena removes the mask ready for Doreen to intubate...
Doreen injects a little more muscle relaxant to ensure the patient is completely paralyzed...
The patient is fully prepped. Now what will Doreen do with her today??
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