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.
護理紀錄
1022：以揮發性麻醉藥誘導全身麻醉，並給予succinylcholine。血氧飽和度為在目前呼吸道和氧氣設定下為99%。1027時，數值從38移至65 mm Hg，伴隨儘管增加通氣量仍上升的吐氣末二氧化碳。護理師確認手術視野仍乾燥，可見失血量極少。麻醉專業人員注意到使用succinylcholine後持續全身性僵硬。血壓為126/74 mm Hg，無需新的升壓藥。手術切口和鋪單保持完整。麻醉深度指標為與誘導後記錄的數值相比未改變。巡迴護理師確認初次手術計數在下一次切開前是正確的。引流管中的尿液仍為清澈黃色，無可見沉澱物或血液。1030時，心率從82移至148/min，伴隨心搏過速且核心體溫快速上升。心電圖導極仍連接。藥物推車立即可在室外取得。個案在手術前區無發燒。未發現任何設備脫落。護理師準備呼叫惡性高熱應變團隊。