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Post-Operative Fever: Malignant Hyperthermia

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18 Questions

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

Tachycardia

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

Hypernatremia

What treatment is recommended for this condition?

Increase minute ventilation to lower ETCO2

Which lab test is NOT suggested for diagnosing this condition?

Hemoglobin level

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

Infection/hematoma

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

Tachycardia

What is the recommended outpatient treatment for pneumonia?

Amoxicillin and a macrolide

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

Hematuria

How should a post-operative wound infection be managed?

Local wound care, culture, and antibiotics

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

Shortness of breath

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

Well's Score and D-Dimer

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

Drug fever

What is the proposed mechanism of malignant hyperthermia?

Leakage of Ca+2, creatinine kinase, and myoglobin

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

Propofol

What is the most common trigger for malignant hyperthermia?

Muscle relaxant

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

Digitalis

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

Depletion of ATP

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

Rhabdomyolysis

Learn about malignant hyperthermia, risk factors, evaluation, diagnosis, and treatment of febrile patients in the post-operative period. Explore the definition of malignant hyperthermia as a pharmacogenetic disorder that manifests as a hypermetabolic response to certain triggers.

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