LAST
LAST, BUT NOT LEAST
MH
MH PART 2
FIRE
AIRWAY
100

THE ACRONYM LAST IS ALSO KNOWN AS THIS.

WHAT IS LOCAL ANESTHETIC SYSTEMIC TOXICITY?

100

THESE PATIENT POPULATIONS ARE AT A HIGHER RISK FOR LAST DUE TO DECREASED PROTEIN BINDING.

WHAT ARE NEONATES AND ELDERLY PATIENTS

100

THIS IS OFTEN THE EARLIEST SIGN OF MALIGNANT HYPERTHERMIA.

WHAT IS A RAPID RISE IN C02?

100

THESE ARE THE LOCATIONS OF BOTH OF THE MH CARTS.

WHAT IS PACU AND OB?

100

THIS ACRONYM HELPS YOU TO REMEMBER WHAT TO DO DURING A FIRE.

WHAT IS RACE?

RESCUE, ALARM, CONTAIN, EVACUATE

100

AN LMA DOES NOT PROTECT THE PATIENT FROM THIS.

WHAT IS ASPIRATION?

200

THIS OCCURS WHEN LOCAL ANESTHETIC IS ACCIDENTALLY INJECTED INTRAVASCULARLY.

WHAT IS TOXICITY?

200

THESE ARE THE TWO PLACES WHERE YOU WOULD FIND THE RESCUE LIPIDS.

WHAT IS THE OR CORE PYXIS AND THE PACU PYXIS.

200

THIS MANY VIALS OF DANTROLENE (20 MG PER VIAL FORMULATION) SHOULD BE STOCKED IN THE MH CART AT ALL TIMES.

WHAT IS 36?

200

DURING AN MH CRISIS THE PATIENT'S BLOOD PH WOULD TYPICALLY REVEAL THIS.

WHAT IS ACIDOSIS?

NORMAL PH IS 7.35-7.45

ACIDOTIC PH IS

ALKALINE PH IS 

200

THIS ACRONYM HELPS YOU REMEMBER THE STEPS IN USING A FIRE EXTINGUISHER.

WHAT IS PASS?

PULL, AIM, SQUEEZE, SWEEP

200

THIS MANEUVER IS THE FIRST-LINE INTERVENTION FOR RELIEVING UPPER-AIRWAY OBSTRUCTION IN A DROWSY PACU PATIENT.

WHAT IS HEAD TILT/CHIN LIFT OR JAW THRUST?

300

THIS HELPS PREVENT INTRAVASCULAR INJECTION DURING ADMINISTRATION.

WHAT IS ASPIRATING OR ASPIRATION?

300

THIS LOCAL ANESTHETIC IS MOST ASSOCIATED WITH SEVERE CARDIOTOXICITY.

WHAT IS BUPIVACAINE?

300

THE RECOMMENDED INITIAL DOSE OF DANTROLENE IS THIS MANY MG/KG.

WHAT IS 2.5 MG/KG?

300

THIS MEDICATION TREATS ACIDOSIS.

WHAT IS SODIUM BICARBONATE?

300

SHELVES MUST BE KEPT FREE OF CLUTTER HOW MANY INCHES BELOW THE CEILING.

WHAT IS 18 INCHES.

THIS ENSURES AN UNOBSTRUCTED, EVEN SPRAY PATTERN FROM SPRINKLERS DURING A FIRE AND PREVENTS ITEMS FROM ACTING AS FUEL FOR FIRE SPREAD.

300

A NASOPHARYNGEAL AIRWAY MUST BE EMERGENTLY PLACED FOR A PATIENT WHO IS SEMICONSCIOUS WITH DECREASING SATURATION DUE TO SEDATION. THE NURSE KNOWS THAT THE PROPER WAY TO SIZE THE NASOPHARYNGEAL AIRWAY IS TO MEASURE FROM THIS TO THIS.

WHAT IS EARLOBE TO TIP OF THE NOSE?

400

THESE SYMPTOMS ARE USUALLY THE FIRST SIGN OF TOXICITY IN A PATIENT.

WHAT IS PERIORBITAL NUMBNESS, METALLIC TASTE IN THE MOUTH, AND TINNITIS?

SYMPTON ONSET OCCURS 30 SECONDS TO AN HOUR

400

THIS LOCAL ANESTHETIC HAS THE FASTEST ONSET AND HIGHEST CNS TOXICITY RISK.

WHAT IS LIDOCAINE?

400

THIS IS THE COLOR OF THE POSTER IN EVERY OR THAT HAS THE MH HOTLINE NUMBER LISTED ON IT.

WHAT IS RED?

400

GLUCOSE, INSULIN AND CALCIUM ARE MEDICATIONS USED TO TREAT THIS.

WHAT IS HYPERKALEMIA?

400

THIS IS THE TYPE OF FIRE EXTINGUISHER LOCATED IN THE PACU.

WHAT IS An ABC?

400

STRIDOR IN THE PACU AFTER EXTUBATION MOST COMMONLY INDICATES THIS COMPLICATION.

WHAT IS LARYNGOSPASM OR AIRWAY EDEMA?

500

CARDIAC TOXICITY AS A RESULT OF LAST, IS OFTEN RESISTANT TO THIS COMMON RESUSCITATION METHOD ALONE.

WHAT IS ACLS?

500

THIS MEDICATION SHOULD BE AVOIDED IN A PATIENT EXPERIENCING SEIZURES FROM LAST.

WHAT IS PROPOFOL?

SHOULD USE MIDAZOLAM BECAUSE IT CAUSES LESS CARDIAC DEPRESSION THAN PROPOFOL

500

DURING MH, THIS CORE TEMPERATURE THRESHOLD IS CONSIDERED CRITICAL AND LIFE-THREATENING.

WHAT IS >104 DEGREES F OR 40 DEGREES CELCIUS?

500

THIS IS WHEN DANTROLENE ADMINISTRATION WOULD STOP.

WHAT IS WHEN SYMPTOMS RESOLVE?

500

THERE ARE HOW MANY FIRE EXTINGUISHERS IN THE PACU?

WHAT IS ONE?

500

A PATIENT WHO UNDERWENT A BRONCHOSCOPY DEVELOPS A LARYNGOSPASM UPON ARRIVAL TO THE PACU.  THIS IS THE INITIAL TREATMENT.

WHAT IS POSITIVE-PRESSURE VENTILATION?

600

THIS IS THE TREATMENT FOR LOCAL ANESTHETIC SYSTEMIC TOXICITY.

WHAT ARE 20% EMULSIFIED LIPIDS ALSO KNOWN AS RESCUE LIPIDS?

600

HOW MANY HOURS AFTER EXPOSURE TO VOLITILE ANESTHETIC GASSES CAN MH OCCUR?

WHAT IS UP TO 12 HOURS?

600

THESE MEDICATIONS ARE LOCATED IN THE REFRIDGERATOR OF THE MH CART.

WHAT ARE IV 0.9% NACL AND INSULIN?

600

HOW MANY HOURS AFTER EXPOSURE TO VOLITILE ANESTHETIC GASSES CAN MH OCCUR?

WHAT IS UP TO 12 HOURS?

600

THE PLACES WHERE THE FIRE ALARMS ARE LOCATED IN PACU.

WHAT IS BY THE STAIRWELL AND JUST OUTSIDE OF THE SCHEDULING OFFICE BY THE OR DOORS?

600

A PATIENT ARRIVES TO PACU AND EXPERIENCES A LARYNGOSPASM POST-EXTUBATION.  UPON ARRIVAL, THE PATIENT DEVELOPS A MOIST COUGH, DYSPNEA, AND EXPECTORATES PINK, FROTHY SPUTUM.  THE NURSE SHOULD SUSPECT THAT THE PATIENT HAS DEVELOPED THIS.

WHAT IS NON-CARDIOGENIC PULONARY EDEMA?

700

THIS IS THE RECOMMENDED INITIAL BOLUS DOSE OF LIPID EMULSION THERAPY.

WHAT IS 1.5 MG/KG OF 20% LIPID EMULSION.

700

THIS IS THE OUTSIDE AGENCY YOU SHOULD CALL TO ASSIST YOU DURING A LAST EVENT.

WHAT IS THE INDIANA POISON CENTER?

1-800-222-1222

700

YOU CAN'T FIND THE OR MH CART DURING A CRISIS - YOUR NEXT BEST ACTION IS THIS.

WHAT IS HAVE OB BRING DOWN THEIR CART?

700

THESE TEMPERATURES ARE WHEN YOU START AND STOP COOLING A PATIENT IN MH CRISIS.

WHAT IS START COOLING AT 102 DEGREES F

STOP COOLING AT 100 DEGREES F.

700

THIS IS THE LOCATION OF THE GAS SHUT OFF VALVES FOR THE PACU.

WHAT IS IN THE HALL, ACROSS FROM MICHELE'S OFFICE, IN BETWEEN THE HANGING ART?

700

THIS IS HOW MANY MINUTES IT TAKES FOR A PATIENT TO REACH MAXIMAL RESPIRATORY DEPRESSION FOLLOWING IV MORPHINE SULFATE.

WHAT IS 7 MINUTES?

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