The Other Dantrolene
Name the other drug of choice which is a concentrated version of dantrolene
What is Ryanodex
This lab is checked hourly and corrected.
Hint: Treatment includes Insulin
What is Blood Glucose Levels
These animals were studied extensively during the eighties after it was observed they developed MH like symptoms during extreme stress
What are pigs
True or False: The genes that cause malignant hyperthermia are inherited. In most cases, no signs or symptoms of the condition exists until you are exposed to anesthesia.
What is True
CSTs, GI lab Techs, Cath Lab Techs, Radiology Techs can receive this reward for outstanding work performance
What is the Rose Award.
How many vials of Ryanodex will need to be reconstituted for an initial bolus dose if the vial is 250mg/vial
What is 1 vial
Watch for this coagulopathy, especially if hyperthermia is >42 degrees C. Hint: Called DIC
What is Disseminated Intravascular Coagulation
Which One: Diabetes, Hypertension or Central Core Diseases
Persons with this disorder have a higher likelihood of experiencing MH.
What are central core diseases such as muscular dystrophy or myostonia
Yes or No:
Can MH occur outside of the operating room?
What is: Yes. While most cases of MH occur during general anesthesia, the one hour period immediately following surgery is also a critical time.
RNs can receive this type of reward for outstanding work performance
What is the Daisy Award
How many mls of preservative free bacteriostatic sterile water is required for reconstitution of Ryandodex
What is 5 mls
Urine output should be maintained at ____ to ____
mls/per Kg/per hour.
what is 1 to 2 mls per kg/per hour
True or False: Lidocaine is considered safe to use for MH susceptible individuals
What is True
How much does a vial of Dantrolene Cost? Ryanodex Cost?
What is: Dantrolene cost $110 per vial
Ryanodex $3, 128.74 per vial
Remember it takes 9 vials of Dantrolene for an initial dose at a cost of $ 110.00 x 9 vials = $990.00 dollars
There are 13, TJC (The Joint Commission National Patient Safety Goals) Name as many as you can.
1.Improve the accuracy of patient identification
2.Eliminate transfusion errors related misidentification
3. Timely communicate critical test and diagnostic procedure results
4. Improve the safe use of medications
5. Safe use of anticoagulant therapy
6. Medication reconciliation: communicate accurate patient medication information (inpatient and outpatient settings)
7. Improve the safety of clinical alarm systems
8. Reduce the risk of health - care -associated infections
9. Implement evidence -based practices to prevent DRO's and CLABSIs
10. Prevent surgical site infections
11. Implement evidence - based practices to prevent indwelling catheter associated urinary tract infections (CAUTI)
12. The hospital identifies safety risk inherent in it's patient population
13. Universal Protocol before any Procedure
1.Conduct a preprocedure verification process
2. Mark the procedure site
3. Time out is performed before the procedure
What color does Ryanodex turn after the vial is shaken
What is Orange
Aggressively maintain body temperature below ____(this many) degrees C.
What is 39 degrees C
Yes or No: Can MH susceptible individuals be treated in an outpatient setting
Yes.
The patient susceptible to MH undergoing outpatient surgery may be discharged on the day of surgery if the anesthetic has been uneventful. A minimum period of one hour in PACU monitoring vital signs at least 15 minutes and an additional 1 hour in Phase 2 PACU step down is required.
Ratio of reported MH incidents.
1:_____ thousands (how many adult surgeries)
1:_____thousands(how many pediatric surgeries)
1: 10, 000 adult surgeries
1: 30, 000 pediatric surgeries
The exact incidence of MH is unknown worldwide. High incidence areas in the US include Wisconsin, Nebraska, West Virginia and Michigan.
What do CRNAs, ORPR, PACU, OR, GI lab, Cath Lab , IR and Shared Area staff have in common?
They have a UBC (Unit Base Council)
What must you remember not to do once Ryanodex is reconstituted
What is do not further dilute or transfer to another container prior to administartion
If body temp falls below this level, report it, as this indicates , hypothermia
What is 38 degrees C.
When should MH patients be discharged from ambulatory facilities after an episode of a masseter Spasm.
What is: A patient who experiences marked rigidity of the masseter muscle should not be discharged. Overnight observation is recommended.
Of the three ratios, how many patients harbor a genetic marker making them susceptible to MH?
1:100
1: 1000
1: 2000
What is 1:2000
What year and month was the New Parkland Hospital open to the Public?
October 2014
August 2015
Dec 2016
What is August 2015