MEDICATIONS
TOO COOL FOR SCHOOL
THE ART OF MH METABOLICS
I SPY WITH MY LITTLE EYE
CRISIS OVER?
100

THIS DRUG IS A MUST HAVE FOR MALIGNANT HYPERTHERMIA.

WHAT IS DANTROLENE, DANTRIUM OR RYANODEX?

100

THESE ARE RECOMMENDED COOLING INTERVENTIONS.

WHAT ARE CHILLED IV FLUIDS, ICE PACKS, AND COOLING BLANKETS?

100

MALIGNANT HYPERTHERMIA CAUSES THIS METABOLIC CRISIS.

WHAT IS METABOLIC ACIDOSIS?

100

THE CHARCOAL FILTERS ARE LOCATED IN THIS DRAWER.

WHAT IS DRAWER 4- AIRWAY?

100

PATIENTS SHOULD BE MONITORED FOR LENGTH OF TIME AND IN WHAT DEPARTMENT?

WHAT IS 24 HOURS IN CCU OR ICU?

200

COMBINED WITH GENETICS, THE USE OF THESE CAN TRIGGER A MH CRISIS.

WHAT ARE INHALATIONAL ANESTHETICS (HALOTHANE, SEVOFLAURANE) AND MUSCLE RELAXORS (SUCCINYLCHOLINE)?

200

THIS IS THE TEMPERATURE IN WHICH YOU SHOULD STOP COOLING MEASURES TO PREVENT HYPOTHERMIA.

WHAT IS 38 DEGREE CELSIUS?
200

THE BUILD UP OF THIS ELEMENT CAUSES MUSCLE RIGIDITY AND SPASMS IN MALIGNANT HYPERTHERMIA.

WHAT IS CALCIUM?
200

THIS IS THE LOCATION TO RETREIVE ICE FOR COLD PACKS.

WHAT IS THE COOLER OUTSIDE THE DOORS NEAR MATERIALS?

200

MALIGNANT HYPERTHERMIA COULD MANIFEST POSTOPERATIVELY, SOMETIMES UP TO THIS MANY HOURS.

WHAT IS 12 HOURS?

300

THIS IS THE RECOMMENDED AMOUNT OF TIME TO PROVIDE DANTROLENE.

WHAT IS 24 HOURS?

300

THIS IS USUALLY THE FIRST SIGN OF ONSET OF MALIGNANT HYPERTHERMIA.

WHAT IS TACHYCARDIA?

300

THIS IS THE GENETIC MUTATION MOST ATTRIBUTED TO SUSECPTIBILITY TO MALIGNANT HYPERTHERMIA.

WHAT IS MUTATION OF RYR1 GENE?

300

METABOLIC ACIDOSIS CAN BE MONTIORED BY USING THE ITEMS IN THIS DRAWER.

WHAT IS DRAWER 2- ART LINE SUPPLIES?

300

THESE ARE THE NORMAL LEVELS OF END TIDAL CO2.

WHAT IS 35-45MMHG?

400

NAME TWO OTHER DRUGS YOU MIGHT EXPECT TO BE IN A MH CART?

WHAT ARE LIDCAINE, SODIUM BICARB, DEXTROSE, AND MANNITOL?

400

TEMPERATURES CAN RISE AS QUICK AS....

WHAT IS 1-2 DEGREES CELCIUS EVERY 5 MINUTES?

400
MALIGNANT HYPERTHERMIA CAUSES THESE CONDITIONS IF NOT TREATED QUICKLY.

WHAT ARE DIC, RHABDOMYLOSIS, AND MULTIPLE ORGAN FAILURE?

400

THIS ITEM IN DRAWER 5 HELPS MONITOR ACCURATE CORE TEMPERATURES.

WHAT ARE RECTAL THERMOMETER PROBES?

400

RELAPSE EVENTS OCCUR THIS PERCENTAGE OF TIMES.

WHAT IS 25%?

500
THIS IS THE RECOMMENDED DOSING FROM MHAUS FOR RYANODEX.
WHAT IS 2.5MG/KG?
500

ALONG WITH FEVER/INCREASED TEMPERATURE, THESE ARE LATE SIGNS OF MALIGNANT HYPERTHERMIA TO WATCH FOR.

WHAT ARE RHABDOMYOLSIS, MOTTLED SKIN, AND MYOGLOBINURIA?
500

THIS IS THE GOLD STANDARD IN GENETIC TESTING TO ESTABLISH A DIAGNOSIS.

WHAT IS THE CAFFEINE HALOTHANE CONTRACTURE TEST (CHCT)?
500

NAME 3 ESSENTIAL ITEMS IN DRAWER 4 THAT ANESTHESIA WILL NEED IMMEDIATELY.

WHAT ARE CHARCOAL FILTERS, LITHOLYME, A NEW BREATHING CIRCUIT?
500

RHABDOMYOLSIS AND MYOGLOBINURIA SHOULD BE PRESUMED WHEN CREATINIE KINASE LEVELS EXCEED THIS NUMBER.

WHAT IS 10,000 IU/L?

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