In muscle relaxant overdose, what is the priority in management?

• A. Airway, breathing, and circulation
• B. Diet and hydration
• C. Skin care
• D. Temperature control

Answer: (A)

The priority is protecting the airway and ensuring adequate breathing and circulation. Muscle relaxants can paralyze the respiratory muscles, including the diaphragm, so a patient can rapidly develop respiratory failure and hypoxia. If breathing is insufficient or the airway cannot be protected, immediate steps like airway assessment, oxygen support, and, if needed, endotracheal intubation with ventilatory support are essential. Only after breathing and circulation are secured should other aspects of care (fluid and nutrition considerations, skin care, temperature control) be addressed. This focus on airway and ventilation prevents rapid deterioration and survival hinges on maintaining oxygen delivery.