Author Question: A patient receives succinylcholine (Anectine) for paralysis during endoscopy. During the procedure, ... (Read 22 times)

londonang · **on:** Jul 23, 2018

A patient receives succinylcholine (Anectine) for paralysis during endoscopy. During the procedure, the patient's muscles become rigid and the skin feels hot to the touch.

The major concern in this patient would be the potential development of what complication? a. Esophageal obstruction
b. Malignant hyperthermia
c. Septicemia
d. Thyroid storm

Question 2

A patient is brought to the emergency department by friends, who say that he was using cocaine. The patient has a temperature of 106.2 F, an irregular heat rate of 122/minute, and ventricular dysrhythmias on the telemetry monitor.

The nurse knows that with this degree of overdose, the next most likely clinical finding will be which of the following conditions? a. Convulsions
b. Death
c. Hallucinations and tremors
d. Myocardial infarction

ju · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Malignant hyperthermia is a rare and potentially fatal condition that can be triggered by succi-nylcholine. The condition is characterized by muscle rigidity associated with a profound eleva-tion of body temperature.
There is no evidence to support that succinylcholine can lead to the development of an esopha-geal obstruction, septicemia, or thyroid storm.

Answer to Question 2

A
Severe overdose can produce hyperpyrexia, convulsions, ventricular dysrhythmias, and hemorr-hagic stroke.
Death is not imminent based on the patient's clinical presentation.
Hallucinations and tremors are typically seen with mild overdose.
Angina and myocardial infarction may occur. Myocardial infarction typically precedes death. The patient's clinical presentation would make convulsions most likely at this time.