Question

What questions should you consider if inadequate response to initial NMB reversal is unsuccessful?

Are there underlying metabolic disorders?

Answer 1

If an inadequate response to initial NMB reversal is unsuccessful, consider underlying metabolic disorders, electrolyte imbalances, and drug interactions.

Step-by-step explanation:

If an inadequate response to initial neuromuscular blockade (NMB) reversal is unsuccessful, there are several questions that should be considered:

1. Is there an underlying metabolic disorder that is affecting the response?
2. Are there any electrolyte imbalances that could be contributing to the inadequate response?
3. Are there any drug interactions that could be interfering with the NMB reversal agents?

Metabolic acidosis, for example, can affect the response to NMB reversal. Inadequate amounts of bicarbonate in the blood can disrupt the proper ratio of bicarbonate and carbonic acid, leading to complications. It is important to address any potential metabolic disorders or imbalances to ensure a successful NMB reversal.