PHARMACOLOGY
MH TRIGGERS
WHAT ARE INHALATION ANESTHETICS (ANE) AND DEPOLARIZING MUSCLE RELAXANTS (SUCCS)
ANOTHER DISORDER HAS MALIGNANT HYPERTHERMIA BEEN LINKED TO?
WHAT IS MUSCULAR DYSTROPHY
WILL THE PATIENT IN MALIGNANT HYPERTHERMIA PRESENT WITH MUSCLE WEAKNESS OR MUSCLE RIGIDITY?
WHAT IS MUSCLE RIGIDITY
THE FIRST THING YOU SHOULD DO WHEN MALIGNANT HYPERTHERMIA IS SUSPECTED?
WHAT IS STOP THE TRIGGERING AGENT
NAME TWO COMPLICATIONS THAT ARISE FROM MALIGNANT HYPERTHERMIA.
WHAT IS HYPERKALEMIA, ARRHYTHMIAS, ACIDOSIS (METABOIC/RESP), ORGAN FAILURE, BRAIN DAMAGE AND CARDIAC ARREST?
THE DRUG TO TREAT MALIGNANT HYPERTHERMIA IS CALLED AND HOW MANY MG ARE IN EACH VIAL/SYRINGE?
WHAT IS:
DANTROLENE IN 20MG VIALS OR
RYANODEX IN 250MG VIALS
MALIGNANT HYPERTHERMIA CAN BE CAUSED BY THE EXTERNAL ENVIRONMENT? (T/F)
WHAT IS TRUE
THE FIRST SIGN OFTEN SEEN IN MALIGNANT HYPERTHERMIA?
WHAT IS RISING END TIDAL CO2 & MUSCLE RIGIDITY
WHAT SHOULD YOU DO WITH THE PATIENT'S OXYGEN WHEN MALIGNANT HYPERTHERMIA IS SUSPECTED?
WHAT IS HYPERVENTILATE WITH 100% O2
MH CRISIS WILL HAPPEN SIMUTAINOUSLY WITH THE FIRST ADMINISTRATION OF A TRIGGERING AGENT (T/F)
WHAT IS FALSE
WHAT DO YOU DILUTE THE MEDICATION WITH, AND WITH HOW MANY ML'S?
WHAT IS PRESERVATIVE FREE STERILE WATER:
DANTROLENE 60ML'S PER VIAL
RYANODEX 5ML'S PER SYRINGE
THE BUILDUP OF THIS MINERAL CAUSES MUSCULAR RIGIDITY IN MALIGNANT HYPERTHERMIA?
WHAT IS CALCIUM
WHEN THE PATIENT IN A MALIGNANT HYPERTHERMIA CRISIS STARTS TO SHOW VERY DARK URINE, THIS IS KNOWN AS
WHAT IS RHABDOMYOLYSIS
HOW MANY TOTAL VIALS OF DANTROLENE SHOULD ALWAYS BE IN THE M.H. CART?
WHAT IS 36 VIALS
RESPIRATORY AND METABOLIC CHANGES THAT HAPPEN IN MALIGNANT HYPERTHERMIA?
WHAT IS RESPIRATORY & METABOLIC ACIDOSIS
THE CORRECT WEIGHT BASED STARTING DOSE FOR DANTROLENE/RYANODEX?
WHAT IS:
2.5 MG/KG DANTROLENE
1 MG/KG RYANODEX
A CLOTTING DISORDER PATIENTS CAN GO INTO AS A RESULT OF MALIGNANT HYPERTHERMIA?
WHAT IS DISSEMINATED INTRAVASCULAR COAGULATION (DIC)
THIS IS A LATE SYMPTOM OF MH
WHAT IS HYPERTHERMIA (RISE IN BODY TEMPERATURE)
YOU STABILIZE YOUR PATIENT IN MALIGNANT HYPERTHERMIA, WHAT IS THE NEXT STEP?
WHAT IS SEND/ADMIT TO ICU FOR 24-48 HOURS.
NORMAL RANGE OF ETCO2?
WHAT IS 35-45 mm/HG
ACCORDING TO MHAUS, DNTROLENE/RYANODEX SHOULD BE ADMINISTERED WITHIN THIS TIME FRAME WHERE TRIGGERING AGENDS ARE USED.
WHAT IS 10 MINUTES
THE YEAR THAT MH WAS IDENTIFIED
WHAT IS 1960
HOW HIGH HAS THE TEMPERATURE BEEN SEEN TO GET IN MALIGNANT HYPERTHERMIA?
WHAT IS UP TO 110 DEGREES
WHERE SHOULD YOU REFER THE PATIENT AND THEIR FAMILY AFTER A MALIGNANT HYPERTHERMIA EVENT?
WHAT IS MHAUS/ MALIGNANT HYPERTHERMIA ASSOCIATION OF THE UNITED STATES
THE MH CRISIS CAN REOCCUR UP TO HOW MANY HOUR/S AFTER THE INITIAL CRISIS
WHAT IS 1
(most fevers greater than 2 hours postop generally have underlying causes)