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Anesthetic considerations for the patient with severe RA:

a) Use a volatile anesthetic to minimize myocardial depression
b) Avoid neuromuscular blockade due to potential adverse effects
c) Administer high-dose opioids to control pain and reduce sympathetic response
d) Maintain normothermia to prevent exacerbation of rheumatoid symptoms

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Final answer:

Anesthetic considerations for a patient with severe rheumatoid arthritis (RA) include using a volatile anesthetic, avoiding neuromuscular blockade, administering high-dose opioids, and maintaining normothermia.

Step-by-step explanation:

Anesthetic considerations for a patient with severe rheumatoid arthritis (RA) include:

  1. Using a volatile anesthetic to minimize myocardial depression.
  2. Avoiding neuromuscular blockade due to potential adverse effects.
  3. Administering high-dose opioids to control pain and reduce sympathetic response.
  4. Maintaining normothermia to prevent exacerbation of rheumatoid symptoms.
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