A patient was transferred to the postanesthesia care unit from the operating room after the induction of halothane anesthesia. The patient has no significant medical history
On admission, the patient appeared comatose and extremely diaphoretic, with severe muscle rigidity and tremors. The patient's vital signs were heart rate, 145 beats/min; monitor reveals sinus tachycardia; blood pressure, 85/50 mm Hg; respiratory rate, 35 breaths/min; and temperature, 103.8° F. Arterial blood gases on 100% oxygen by ventilator were PaO2, 70%; PaCO2, 35 mm Hg; pH, 7.21; HCO3, 16 mm Hg; and SaO2, 90%. Fluid resuscitation and vasoactive therapy were started. Initial abnormal laboratory results were BUN, 66 mg/dL; sodium, 155 mEq/L; potassium, 5.5 mEq/L; glucose, 68 mg/dL; creatinine, 2.4 mg/dL; and creatine phosphokinase, 1896 U/L. The nurse would anticipate a diagnosis of a. noncardiogenic pulmonary edema. c. malignant hyperthermia.
b. sepsis. d. emergency delirium.
C
Clinical manifestations of malignant hyperthermia include hypoxemia; metabolic acidosis; respiratory acidosis; hyperkalemia; myoglobinuria; elevated creatine phosphokinase; tachycardia; tachypnea; ventricular dysrhythmias; cyanosis; skin mottling; fever or hot, flushed skin; rigidity; profuse sweating; and unstable blood pressure.
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A white cast to the skin resulting from a congenital inability to form melanin is known as ____________________
Fill in the blank(s) with correct word
A patient is prescribed a beta-blocker. The nurse realizes that which of the following will occur in this patient?
1. increased blood pressure 2. decreased preload 3. increased contractility 4. decreased heart rate
An NP would prescribe the liquid form of ibuprofen for a 6-year-old child because:
1. Drugs given in liquid form are less irritating to the stomach. 2. A 6-year-old child may have problems swallowing a pill. 3. Liquid forms of medication eliminate the concern for first-pass effect. 4. Liquid ibuprofen does not have to be dosed as often as the tablet form.
The nurse is aware that in an absence seizure the patient will:
a. Have an aura b. Be fully aware during the seizure c. Have a sudden cessation of motor activity d. Have a lengthy post-ictal period