SOLVED426

Intraoperative Note: J.T. is transferred to the operating room. The anesthesiologist gives the patient several preoperative medications, including those to prevent post-operative nausea and vomiting (PONV). The anesthesia of choice is Halothane, a volatile gas. The patient first receives succinylcholine prior to intubation, followed by anesthetic gas. Within minutes, the anesthesiologist notes that J.T.’s carbon dioxide levels are beginning to rise. Just as the surgeon is to begin, the patient sustains a cardiac arrest. The anesthesiologist immediately stops the insufflation of the gas and begins to administer 100% oxygen. A code response is initiated by the operating team. Sam who is performing chest compressions notes that the patient’s skin is very warm, and the patient is very stiff. The patient’s temperature, temporally was 105 0 C. While resuscitative efforts continue, blood for laboratory evaluation is obtained by Elda. The arterial blood gas results demonstrate a pH of 6.9, partial pressure of oxygen (PaO2) of 90 mm Hg, and a partial pressure of carbon dioxide (PaCO2) of 45 mm Hg, with an HCO 3 of 18 mEq/L. The patient also has an elevated heart rate of 120 bpm. 1. The patient’s symptoms indicate a rare condition called ________. 2. What immediate
SCIENCE
HEALTH SCIENCE
NURSING

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