Correct!
4. Succinylcholine is the induction agent of choice in hyperkalemia patients

Succinlycholine is a depolarizing neuromuscular blocking agent that results in an efflux of potassium ions from the muscle cells into the serum. The resultant increase in hyperkalemia can precipitate severe cardiac events, including cardiac arrest. Acidosis can result in an increase in serum potassium, albuterol can acutely reduce serum potassium and intravenous calcium chloride is usually considered the drug of choice for arrthymias secondary to hyperkalemia.

Urology was consulted and requested an abdominal CT which confirmed the marked bilateral hydronephrosis and demonstrated new liver and probable left lung metastases. They recommended bilateral ureteral stent placement as a palliative procedure.

However, the patient's prothrombin time (PT) and partial thromboplastin time (PTT) were modestly elevated.

Which of the following is (are) true? (Click on the correct answer to move to the next panel)

1. Dialysis should be performed to remove the rivaroxaban
2. Rivaroxaban should be held for 2-4 days before performing the procedure
3. The elevated PT and PTT are likely due to liver metastases
4. The increased PT and PTT are likely secondary to renal failure
5. All of the above

Home/Critical Care