A patient is taking aminophylline for their chronic obstructive pulmonary disease. The patient is about to undergo emergency surgery and will receive an neuromuscular junction (NMJ) blocker as part of the procedure
It is important for the nurse to take what action? A) Make sure the patient receives the aminophylline on a regular schedule to maintain therapeutic levels.
B) Monitor the patient very closely for signs of early arousal and return of muscle function.
C) Carefully explain all that is going on because the patient will be unable to talk.
D) Switch the patient to theophyllines before the procedure begins.
B
Feedback:
Aminophylline can cause a decreased effectiveness of NMJ blockers, leading to reduced paralysis and early return of movement. If a patient has emergency surgery and has been taking aminophylline, the patient should be carefully monitored for early arousal and return of movement. The patient will not be awake during surgery using an NMJ blocker and will be intubated to ensure respirations. Aminophylline and other xanthine derivatives like the theophyllines will have the same effect.
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