The nurse suspects that a patient recovering from surgery in the postanesthesia recovery unit (PACU) is developing malignant hyperthermia. Place these interventions in the order in which they should be performed.Choice 1. Administer oxygen with a nonrebreather mask.Choice 2. Check IV access.Choice 3. Notify the anesthesia provider.Choice 4. Administer Dantrolene.
Fill in the blank(s) with the appropriate word(s).
1, 2, 3, 4
Choice 1. As soon as the nurse suspects malignant hyperthermia is occurring, oxygen should be administered by nonrebreather mask. Oxygen is necessary to support tissues that rapidly become hypermetabolic.
Choice 2. The nurse should then be certain that IV access is still patent and should notify the anesthesia provider. The IV access step is done first as it is quick and if not patent, can be restarted while the anesthesia provider responds.
Choice 3. The nurse should then be certain that IV access is still patent and should notify the anesthesia provider. The IV access step is done first as it is quick and if not patent, can be restarted while the anesthesia provider responds.
Choice 4. Dantrolene is given IV, so a patent IV is essential.
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