A surgical patient is receiving succinylcholine (Anectine) with ...

[Coya19@aol.com]

A surgical patient is receiving succinylcholine (Anectine) with an inhalation anesthetic. The patient is intubated, has an indwelling urinary catheter, and has ongoing monitoring of vital signs.
 
  Which symptom during the perioperative period is cause for concern?
  a. Elevated temperature
  b. Increased urine output
  c. Muscle paralysis
  d. No response to painful stimuli

Question 2

A nurse is preparing a patient to go home from the emergency department after receiving sutures for a laceration on one hand. The provider used lidocaine with epinephrine as a local anesthetic.
 
  Which symptom in this patient causes the most concern?
  a. Difficulty moving the fingers of the affected hand
  b. Inability to feel pressure at the suture site
  c. Nervousness and tachycardia
  d. Sensation of pain returning to the wound

[javimendoza7]

Answer to Question 1

ANS: A
Combining succinylcholine (a skeletal muscle relaxant) with an inhalation anesthetic increases the risk of malignant hyperthermia. The mechanism is not understood. Temperature elevation can be profound, and cooling measures must be initiated or the condition can be fatal. A decrease in urine output would be a sign of hypotension. Muscle paralysis and lack of response to pain are desired effects of anesthesia.

Answer to Question 2

ANS: C
Absorption of the vasoconstrictor can cause systemic effects, including nervousness and tachycardia. If severe, alpha- and beta-adrenergic antagonists can be given. Local anesthetics are nonselective modifiers of neuronal function and also can block motor neurons, so it is expected that patients may have difficulty with movement. The sensation of pressure also is affected and is an expected effect. As the local anesthetic wears off, the sensation of pain will return.

[Coya19@aol.com]

TYSM

[Dnite]

Gracias!