A patient is scheduled for an operative procedure in which isoflurane (Forane) will be used as the ...

2,4
Rationale 1: There is no contraindication between vitamin C therapy and use of isoflurane (Forane).
Rationale 2: St. John's wort should be discontinues 2 to 3 weeks prior to administration of isoflurane (Forane) due to possible risk of hypotension.
Rationale 3: Being NPO for surgery is a standard treatment.
Rationale 4: High fever and seizures might indicate that the brother had malignant hyperthermia. If so, the patient may have a genetic tendency. Additional investigation should be done.
Rationale 5: Levodopa should be discontinued 6 to8 hours before isoflurane (Forane) administration.

Global Rationale: St. John's wort should be discontinues 2 to 3 weeks prior to administration of isoflurane (Forane) due to possible risk of hypotension. High fever and seizures might indicate that the brother had malignant hyperthermia. If so, the patient may have a genetic tendency. Additional investigation should be done. There is no contraindication between vitamin C therapy and use of isoflurane (Forane). Being NPO for surgery is a standard treatment. Levodopa should be discontinued 6 to8 hours before isoflurane (Forane) administration.