Nurses' Notes
1022: General anesthesia was induced with a volatile agent, and succinylcholine was administered. The oxygen saturation is 99% with the current airway and oxygen settings. At 1027, the value moved from 38 to 65 mm Hg with rising end-tidal carbon dioxide despite increased ventilation. The nurse confirms that the operative field remains dry with minimal visible blood loss. The anesthesia professional notes persistent generalized rigidity after succinylcholine. The blood pressure is 126/74 mm Hg without a new vasopressor requirement. The surgical incision and drapes remain intact. The anesthetic depth indicator is unchanged from the value recorded after induction. The circulating nurse confirms that the initial surgical count was correct before the next incision. Urine in the drainage tubing remains clear yellow without visible sediment or blood. At 1030, the heart rate moved from 82 to 148/min with tachycardia and a rapidly rising core temperature. The electrocardiogram leads remain attached. The medication cart is immediately available outside the room. The client had no fever in the preoperative area. No equipment disconnection is found. The nurse prepares to call the malignant hyperthermia response team.
Nurses' Notes
1022: General anesthesia was induced with a volatile agent, and succinylcholine was administered. The oxygen saturation is 99% with the current airway and oxygen settings. At 1027, the value moved from 38 to 65 mm Hg with rising end-tidal carbon dioxide despite increased ventilation. The nurse confirms that the operative field remains dry with minimal visible blood loss. The anesthesia professional notes persistent generalized rigidity after succinylcholine. The blood pressure is 126/74 mm Hg without a new vasopressor requirement. The surgical incision and drapes remain intact. The anesthetic depth indicator is unchanged from the value recorded after induction. The circulating nurse confirms that the initial surgical count was correct before the next incision. Urine in the drainage tubing remains clear yellow without visible sediment or blood. At 1030, the heart rate moved from 82 to 148/min with tachycardia and a rapidly rising core temperature. The electrocardiogram leads remain attached. The medication cart is immediately available outside the room. The client had no fever in the preoperative area. No equipment disconnection is found. The nurse prepares to call the malignant hyperthermia response team.