Med Surg)NURS 120 Med Surg Quiz 1 Review: Questions & Answers: Guaranteed A+ Score

What is the acute life-threatening medical emergency that could happen intra-op or post-op? (Ans- Malignant Hyperthermia Which medication do you use to relax the muscles during malignant hyperthermia? (Ans- IV Dantrolene Clinical Manifestations for Malignant Hyperthermia (Ans- Early: Increased CO2, decreased O2, and tachycardia Following by: Dysrhythmias, muscle rigidity, hypotension, tachypnea, skin mottling, cyanosis, muscle-cell protein in urine Late: Extremely elevated temp as high as 111.2 F Nursing Interventions of Malignant Hyperthermia (AnsSTOP surgery Administer IV Dantrolene Administer 100% oxygenABGs to monitor metabolic acidosis Infuse ICED IV 0.9% sodium chloride Apply cooling blanket, ice to axillae, groin, neck & head Insert indwelling urinary catheter Considerations of General Anesthesia (AnsThink safety Consent form Monitor airway and oxygen saturation Monitor cardiac status Monitor temperature Considerations for Local Anesthesia (Ans- Observe for a systemic toxic reaction (HA, blurred vision, metallic taste) Monitor cardiac status Assess motor function (paralysis) Monitor for hypotension, bradycardia, N/V