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concept in nursing 2
Malignant Hyperthermia (Perioperative) - CE/NCPD
| Question | Answer |
|---|---|
| The patient’s ETCO2 and heart rate begin to rise rapidly during an elective knee arthroscopy. What should be done first? | Have the anesthesia provider turn off the triggering anesthetic agents. |
| The perioperative patient expresses anxiety about an emergency appendectomy because family members have died while under anesthesia. What should be done next? | Advise the anesthesia provider of the patient’s concerns. |
| The patient has a family history of MH and has had a muscle biopsy test showing an MH susceptibility. The patient has previously had an appendectomy performed without any special precautions and did not have an episode of MH. | -- |
| What should the unscrubbed perioperative team member do next? | Prepare for the procedure using nontriggering anesthetic agents. |
| The postanesthesia care unit nurse is educating a patient, who has recently been diagnosed with MH susceptibility, about tissue and organ donation. Which statement is the most appropriate? | “Individuals with MH can donate bone marrow, organs, or tissue because MH is not carried in the tissues.” |
| The perioperative team has successfully completed the protocol for treating an outpatient who suffered sudden onset MH. What is the next step? | Admit the patient to the critical care unit. |
| To care for a patient who is under anesthesia and has a known susceptibility to MH, the perioperative team members must know which anesthetic agents are triggering and which agents are nontriggering. | -- |
| Which of these agents are nontriggering for MH and are safe to use with patients who have or are suspected to have MH? | Barbiturates, IV propofol, and nitrous oxide |
| The unscrubbed perioperative team member is assessing the patient for risk factors for MH. Which of these conditions is an MH risk factor? | Myotonia congenita |
| One of the perioperative team members comes into the OR suite to help reconstitute dantrolene sodium during an MH crisis. This perioperative team member is using lactated Ringer solution to reconstitute the dantrolene sodium. | -- |
| What should the unscrubbed perioperative team member tell this perioperative team member? | “You should only use sterile preservative-free water.” |
| A patient who had an MH crisis is hyperthermic. Cooling measures have been initiated. When should active cooling of the patient be stopped? | When the patient’s temperature reaches 38°C (100.4°F) |
| In the postanesthesia care unit, the patient complains of light-headedness, difficulty swallowing, and weak leg muscles. Which statement regarding these symptoms is correct? | These are normal symptoms after receiving dantrolene sodium. |
Created by:
Lightnning54
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