Nursing Student Class Projects (Formerly MSN)

Academic Term

Summer 2020

Document Type

Project

Course Number

NURS 6810

Course Name

Advanced Pathophysiology

Professor’s Name

Dr. Chovan

Keywords

Malignant, Hyperthermia, Hypermetabolic, Ryanodine, Mortality

Subject Categories

Critical Care Nursing | Medicine and Health Sciences | Nursing

Abstract

Malignant hyperthermia (MH) is a condition in which the body goes into a hypermetabolic state affecting skeletal muscle in response to receiving inhaled anesthetics or the neuromuscular blocking agent, succinylcholine. MH is an autosomal dominant disorder that is most closely related to a defect in the ryanodine receptor. The defective receptor causes a rapid increase of intracellular calcium causing hyperthermia, tachycardia, tachypnea, hypercapnia, increased oxygen consumption, acidosis, hyperkalemia, muscle rigidity, and rhabdomyolysis. With the complexity of this disorder and its unique pathophysiological process it is crucial that all parts of the surgical team, especially anesthesia providers, understand how to treat a patient with MH. Certified registered nurse anesthetists (CRNA) serve as anesthesia providers and are responsible for monitoring patients very closely. Clinical signs of MH must be recognized and treated early in order to decrease morbidity and mortality. Future anesthesia providers must be educated on MH as their skill set can determine the fate of a patient.

Keywords: malignant, hyperthermia, ryanodine, hypermetabolic, pathophysiology, mortality

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.