Patients with which conditions must be carefully assessed to determine whether they would tolerate treatment with a neuromuscular-blocking agent? (Select all that apply.)
a. Pregnancy
b. Hepatic disease
c. Pulmonary disease
d. Renal disease
e. Neurologic disorders
f. Psychiatric disorders
ANS: B, C, D, E
Patients with hepatic disease, pulmonary disease, renal disease, and neurologic disorders such as myasthenia gravis, spinal cord injury, or MS must be fully evaluated to assess their ability to tolerate neuromuscular-blocking agents. Neuromuscular-blocking agents can usually be used safely with the pregnant patient and the psychiatric patient.
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