Signs and Symptoms
Treatment
Miscellaneous
Locations
True/False
100
Name 5 signs/symptoms of Malignant Hyperthermia
What is Increased ETCO2, Increased Metabolism, Increased HR or Tachycardia, Increased RR or Tachypnea, Dysrhythmias, Muscle Rigidity, Hypotension, Cyanosis, Myoglobinuria, Elevated Temperature?
100
This is the drug of choice AND dose to treat MH.
What is Dantrolene 2.5 mg/kg?
100
This is how long you flush the Anesthesia Machine before a MH case.
What is 90 minutes?
100
This Cart is located next to the biohazard closet and back exit.
What is Malignant Hyperthermia Cart?
100
Malignant hyperthermia is inherited as an autosomal dominant trait in humans.
What is true.
autosomal dominant with variable penetrance.
200
This is usually an early sign of MH.
What is Increased ETCO2?
200
Name at least 3 interventions for MH.
What is CALL FOR HELP, Stop triggering agents,
Hyperventilate pt. with 100% O2,
Administer Dantrolene 2.5 mg/kg,
Cool patient,
Monitor and treat acidosis, Treat hyperkalemia, Treat Dysrhymias, Call MHAUS 1-800-644-9737 or
1-800-MHHYPER
200
This is whom you would notify in the event MH happened with a patient under General Anesthesia.
What is Notify Mariam Cheif CRNA and Carolyn Lane, RN you have a MH crisis and state that you need to get Dantrolene STAT? Call MH hotline (1-800-644-9737) or 1-800-MHHYPER
200
These items are located in the refrigerator in the anesthesia supply room.
What are cold packs and normal saline.
200
Low or normal ETCO2 would be unusual during an intraoperative episode of malignant hyperthermia.
What is true.
Normal or low ET carbon dioxide pressure makes MH very unlikely.
300
This is usually a late sign of MH.
What is Elevated Temperature?
300
This is the name of the test for MH.
What is Caffeine Halothane Contracture Test (CHCT)?
300
This is what you can do while waiting for help during the MH crisis.
What is get iced saline packs and put on pressure points to cool patient, Infuse cold IVF's, help mix dantrolene, assist with CPR, be a runner if you are free. Pray, Pray, Pray!!!!!
300
This item is located in the Anesthesia work room refrigerator.
What is Regular Insulin?
300
Cocaine intoxication may mimic malignant hyperthermia.
What is true.
This has been described.
400
This is when signs and symptoms for MH will appear.
What is shortly after anesthesia is given, and in rare cases MH may occur as late as 24 hours after surgery?
400
True or False: No general anesthetic should be given without ready access to dantrolene.
What is true.
400
This is the element that is responsible for the body's deregulation in an MH crisis.
What is Calcium?
400
This cart is located between procedure room 5 and Mariam's desk.
What is Crash cart?
400
Calcium channel blockers are useful adjuncts in treating malignant hyperthermia.
What is false.