Question 1

Question

A 42-year-old man undergoes therapeutic hypothermia (target temperature 33°C/91.4°F) following cardiac arrest with return of spontaneous circulation. During the cooling phase, he develops shivering, which increases oxygen consumption and interferes with target temperature achievement. He is already on sedation and neuromuscular blockade is being considered. Evaluate the most appropriate management strategy considering both efficacy and safety.

Accepted Answer

Increase sedation and add surface counter-warming of extremities before neuromuscular blockade

Answer

Administer meperidine alone to reduce shivering threshold

Answer

Abandon therapeutic hypothermia due to complications

Answer

Use only mechanical restraints to prevent movement

Answer

Immediate neuromuscular blockade without additional measures

Temperature regulation — MCQs

Temperature regulation — MCQs

On this page

Practice by Chapter

Want unlimited practice?