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When is succinylcholine CI for paralysis?

User Radex
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Final answer:

Succinylcholine is contraindicated for patients with malignant hyperthermia, susceptibility to hyperkalemia, neuromuscular disease, muscle myopathies, and those with recent major burns or crush injuries, due to potential severe complications.

Step-by-step explanation:

Succinylcholine is a medication used to induce muscle paralysis during surgery or when a patient is being ventilated mechanically. However, its use is contraindicated (CI) in certain conditions due to potential adverse effects. Specifically, succinylcholine is CI in patients with a history of malignant hyperthermia, a hypermetabolic reaction to certain anesthesia drugs, which can be life-threatening. Additionally, it is contraindicated in patients with known susceptibility to hyperkalemia, as succinylcholine can cause an acute rise in serum potassium levels, potentially leading to cardiac arrest. Other contraindications include patients with neuromuscular disease, a personal or family history of skeletal muscle myopathies, and those whom have experienced major burns or crush injuries within a certain time frame. It is essential to review a patient's medical history and existing conditions before administering succinylcholine to prevent these severe complications.

User Catharz
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