Question

Mr. Bond is a 32-year-old Caucasian man who plays professional football. He was admitted for repair of a rotator cuff injury sustained in a game. In excellent shape, Mr. Bond has a muscular build and his body fat is 18%. Mr. Bond is transferred to the operating room, and the anesthesiologist begins to administer general anesthesia. During the induction of anesthesia, Mr. Bond develops tachycardia and dysrhythmias. His condition continues to deteriorate and he becomes severely hypotensive and exhibits decreased cardiac output. The anesthesiologist states that Mr. Bond is developing malignant hyperthermia. a. What risk factor does Mr. Bond have for malignant hyperthermia? b. What clinical manifestations of malignant hyperthermia does Mr. Bond demonstrate? c. Based on the patient's condition, the surgical procedure is stopped and 100% oxygen is started. Additionally, a muscle relaxant and sodium bicarbonate are administered. What are the rationales for these medications?

Answer 1

Answer:

a)Risk factors:

Anaestheti agents cause malignant hyperthermia.

most volatiu anaesThelic sevo Tlunare ass Juch as halo hane, de spluare, Tsofleware t Enpluaane dopolazing musdi elanasnt SunameThonium and ducamohonium usd paimaly anaasthesia S gerlal

B)clinical manifestation of malignant hyperthermia:

p cd Clnical manitestation: dan geously high Blocd pssuau 4 devue mqsde dpasms ast heaut 1at ta chypnea hPARkalemia mogtobiuia mutipu ogan 1ala

C)rational for sodium bicarbonate:

430dium Breauloonat s admiis taed DMAauenousd neuded to contzol The assouatid oith maliank aitdosis hypthemia

Rationale for muscle relaxant:

9elanans 0ant2olune isa museh kcazcu The That appeaus to wok db2ecty y anodin 2ecpton 1.6 PROuerk ela se caluum. 300 moatality mattgnant hypahemia seu o o. to The 11. 2 255 dein ANOP CIS 96