Introduction
Malignant Hyperthermia occurs more often in _____ versus ______.
What is males versus females? or What is young patients versus elderly patients?
MH triggers
What are inhalation anesthetics and depolarizing muscle relaxants (i.e. succinylcholine)
The incidence of Malignant Hyperthermia is.
What is 1 in 50,000 adults and 1 in 15,000 children?
Loading dose of Dantrolene.
What is 2.5 mg/kg?
Location of the MH cart.
What is the hallway outside of OR-7 by the code carts?
Earliest sign of Malignant Hyperthermia
What is increased end tidal CO2?
Medication to treat acidosis.
What is Sodium Bicarbonate?
MH can occur in susceptible persons with what other triggering events? Name one.
What is heat stress, vigorous exercise, emotional distress, caffeine, drugs like cocaine/amphetamines and trauma?
Maximum dose of Dantrolene.
What is 10 mg/kg?
Type of medications that should be avoided if MH is suspected.
What are calcium channel blockers?
In addition to hyperthermia, name at least two other symptom that may occur during Malignant Hyperthermia
What is increased end tidal CO2, jaw spasms, generalized muscle rigidity, tachycardia and tachypnea?
Medication that is given rapidly to block the release of calcium from muscle cells.
What is Dantrolene?
Name a musculoskeletal disorder that increases the risk of MH reaction.
What are Muscular Dystrophy, Myotonia, Central Core Disease (CCD), Duchenne Muscular Dystrophy, King-Denborough syndrome and Minicore myopathy?
Dantrolene comes in a powder to be mixed with ____ of______.
What is 60 mL of preservative free sterile water?
If left untreated MH is fatal to this percent of patients.
What is 70 - 80%?
Name two complications that arise from Malignant Hyperthermia
What is hyperkalemia, acidosis, acute renal failure, arrhythmias and cardiac arrest?
Type of IV that a patient with Malignant Hyperthermia needs
What is a large bore IV?
What is MHAUS or Malignant Hyperthermia Association of the United States?
One vial of Dantrolene contains ___ mg
What is 20 mg?
Temperature goal for a patient in MH crisis.
What is 37.5 - 38 degrees celsius?
Where and when can an MH crisis occur.
It can occur wherever triggering anesthetics and depolarizing muscle relaxants are given and up to 12 hours post triggering agent as well as during heat stress, vigorous exercise and trauma.
Name at least one medication to treat hyperkalemia.
What are Calcium Gluconate, Insulin with glucose and Lasix?
MH is a genetic disorder of what.
What is the skeletal muscles?
Dose of Dantrolene for a 75kg male at 2.5mg/kg.
What is 187.5 mg?
The RN is in the OR with a patient experiencing Malignant Hyperthermia, teams are working together to get the MH cart. Who else can be called and put on speaker to assist?
What is the MHAUS hotline for 24 hour assistance? 1-800-644-9737