What is the main complication of an epidural infusion? Describe the nursing care needed to alleviate this complication (including rationales in your answer).

Each question in this assignment needs to be answered in essay form using APA style referencing and drawing on the published literature to support your answer.. peer reviewed articles and no less than 5 years old text books and general articles Each question in this assignment needs to be answered in essay form using APA style referencing and drawing on the published literature to support your answer.. Case study Mr Keith Johnston 27 years of age was diagnosed with primary lung adenocarcinoma two weeks ago. He has no past history other than a tonsillectomy at age 5. He is a non-smoker and participates in triathlons on a bi-monthly basis. He has just been admitted to your ward following a left pneumonectomy. He has an intravenous cannula insitu with Normal Saline 18/24 an indwelling catheter and an epidural with Marcain 0.125% with Adrenaline at 5 mL/hr. His vital signs are as follows: BP 110/70 mmHg HR 62 regular RR 12 coreT 36.2C. He is awake and alert. You assess the epidural block and find it to be at T4 bilaterally. Mr Johnston gives you a pain score of 3/10 with movement. Question 1 (20 marks): With reference to the published literature discuss the rationale behind the use of an epidural infusion for pain relief in the post operative care of Mr Johnston. Your discussion needs to outline the pathophysiology of pain complications manifested by pain in the post operative patient and the risk and benefits of epidural analgesia to manage pain. Question 2 (20 marks): Describe seven priorities in nursing care that you would need to consider with a patient such as Mr Johnston who has an epidural infusion insitu. Include the necessary assessments (with reference to the literature to support your rationales) in your answer Question 3a (5 marks): Some time later you record Mr Johnson?s blood pressure as 85/50 mmHg. He feels warm to touch his skin is dry and his core temperature is 36.5C. Describe the nursing care needed to alleviate this complication (including rationales in your answer). Question 3b (5 marks): The following morning you are handed over your assigned patient from the Night nurse. She advises Mr Johnston appears to have rested satisfactorily overnight. Some time later your patient rings his call bell complaining that he has a headache. You notice that his respiratory rate has increased to 26 and becoming shallow. What is the main complication of an epidural infusion? Describe the nursing care needed to alleviate this complication (including rationales in your answer).