A patient develops muscle rigidity, rapidly rising temperature and tachycardia during general anaesthesia. Which treatment should the nurse prepare for?

Correct answer: A. Intravenous dantrolene administration

  • A. Intravenous dantrolene administration
  • B. Oral paracetamol administration
  • C. Subcutaneous insulin administration
  • D. Intramuscular promethazine administration

Explanation

Rigidity, hyperthermia and tachycardia during anaesthesia suggest malignant hyperthermia, a life-threatening emergency treated with dantrolene and supportive measures. Antipyretics alone do not correct the abnormal muscle metabolism.

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Covers preoperative assessment, informed consent, surgical preparation, anaesthesia, intraoperative safety and postoperative recovery. It includes sterile technique, surgical positioning, wound and drain care, pain and nausea management, fluid balance, prevention of infection and recognition of complications such as haemorrhage, atelectasis and shock.

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