The nurse, working in the preoperative holding area, is caring for a 70-year-old patient who is scheduled to receive succinylcholine as part of general anesthesia
When collecting the nursing history, what condition would require the nurse to notify the anesthesiologist of the need for caution? A) Bone fracture
B) Malnutrition
C) Fluid volume overload
D) Narrow-angle glaucoma
E) Pregnancy
A, B, D
Feedback:
Succinylcholine should be used with caution in patients with fractures because the muscle contractions it causes might lead to additional trauma; in patients with narrow-angle glaucoma or penetrating eye injuries because intraocular pressure increases. Extreme caution is necessary in the presence of genetic or disease-related conditions causing low plasma cholinesterase levels (e.g., cirrhosis, metabolic disorders, carcinoma, burns, dehydration, malnutrition, hyperpyrexia, thyroid toxicosis, collagen diseases, exposure to neurotoxic insecticides).
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Exogenous insulin is a required part of treatment for all individuals with
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