Which client should NOT receive succinylcholine for rapid-se… | MyMerci
Medical Emergencies PA
Question

Which client should NOT receive succinylcholine for rapid-sequence intubation?

Explanation
Correct (2): Succinylcholine causes potassium efflux from muscle. In conditions with upregulated extra-junctional acetylcholine receptorsmajor burns >24 hours, spinal cord injury >72 hours, prolonged immobility, denervation injuries, muscular dystrophy, rhabdomyolysis — hyperkalemia surge can cause cardiac arrest. Use a non-depolarizing NMBA (rocuronium) instead. (1,3,4) Not contraindications.

In-depth explanation

Memory Tip Succinylcholine hyperK risk = "Burn·SCI·Stroke·Dystrophy·Denervation·Rhabdo." Safe alternative = rocuronium. Avoid if K already >5.

Clinical scenario

Scenario ED needs rapid-sequence intubation for a critically ill client; succinylcholine on hand.

Key concepts

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For study reference only. Always follow current clinical guidelines and your institution’s protocols.