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Post-Operative Fever: Malignant Hyperthermia

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Post-Operative Fever: Malignant Hyperthermia

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Questions and Answers

What is the early sign of the condition described in the text?

Hypothermia

Bradycardia

Tachycardia (correct)

Hypotension

Which of the following is NOT a clinical feature of the condition?

Rhabdomyolysis

Muscle rigidity

Hypernatremia (correct)

Acidosis

What treatment is recommended for this condition?

Increase minute ventilation to lower ETCO2 (correct)

Administer insulin

Administer beta-blockers

Apply heat packs

Which lab test is NOT suggested for diagnosing this condition?

Hemoglobin level (C) Signup and view all the answers

Post-Operative Fever occurring between POD 3-7 is most likely due to:

Infection/hematoma (B) Signup and view all the answers

What symptom is specifically associated with pneumonia as a cause of Post-Operative Fever?

Tachycardia (A) Signup and view all the answers

What is the recommended outpatient treatment for pneumonia?

Amoxicillin and a macrolide (A) Signup and view all the answers

Which of the following is NOT a symptom of a urinary tract infection?

Hematuria (C) Signup and view all the answers

How should a post-operative wound infection be managed?

Local wound care, culture, and antibiotics (D) Signup and view all the answers

Which of the following is NOT a symptom of deep vein thrombosis (DVT)?

Shortness of breath (A) Signup and view all the answers

What is the recommended diagnostic approach for a suspected pulmonary embolism (PE)?

Well's Score and D-Dimer (A) Signup and view all the answers

Which of the following is a potential cause of post-operative fever 7 days after surgery?

Drug fever (D) Signup and view all the answers

What is the proposed mechanism of malignant hyperthermia?

Leakage of Ca+2, creatinine kinase, and myoglobin (B) Signup and view all the answers

Which of the following anesthetic agents has NOT been found to cause malignant hyperthermia?

Propofol (D) Signup and view all the answers

What is the most common trigger for malignant hyperthermia?

Muscle relaxant (D) Signup and view all the answers

Which of the following is NOT considered a safer anesthetic agent compared to halogenated agents for individuals at risk of malignant hyperthermia?

Digitalis (C) Signup and view all the answers

What is the key factor that leads to increased O2 consumption and CO2 production in malignant hyperthermia?

Depletion of ATP (A) Signup and view all the answers

Which of the following is a critical consequence of malignant hyperthermia if not recognized and treated promptly?

Rhabdomyolysis (D) Signup and view all the answers