Hyper K+ due to scoline is seen in all except
C i.e. Abdominal sepsis Succinyl choline may cause life threatning hyperkalemia in Burn injuryQ, Massive trauma Q, Neurological disorder (ex paraplegia) Q, Tetanus Q and Extensive soft tissue & muscle injuryQ. Maximum chances of hyperkalemia is usually in 7-10 days following injury and between 3 days & 6 months after onset of paraplegia. Hyperkalemia may lead to cardiac arrest refractory to routine CPR. Duration of action is prolonged in Pregnancy, Hypothermia, liver failure, Renal failure, Low level of Pseudocholinestrase. The Sch is mainly metabolized by plasma pseudocholinesterase enzyme; so it is not contraindicated in hepatic failure.Q Conditions causing susceptibility to succinylcholine induced hyperkalemia and lit cardiac dysarrythmias & cardiac arrest 1. Acidosis 10. Prolonged total body immobilization 2. Burns 11. Severe Parkinson's disease 3. Barre Gullian Syndrome 12. Severe intra abdominal infectionQ 4. Closed Head injuryQ 13. Spinal cord injury (paraplegiaQ) 5. Cerebral Aneurysm Rupture (Cerebral stroke) Q 14. StrokeQ 6. Drowning (Near Drowning) 15. Massive TraumaQ causing extensive soft tissue & 7. Encephalitis muscle injury 8. Haemorrhagic shock with metabolic acidosis 16. Myopathy (like Duchenne's dystrophy)Q 9. Polyneuropathy 17. Near drowning, Neurological disorders 18. TetanusQ
Crush injury
Burn
Abdominal sepsis
Muscular dystrophy