PHARMACOLOGY
MH TRIGGERS
WHAT ARE INHALATION ANESTHETICS ("ANE") AND DEPOLARIZING MUSCLE RELAXANTS (SUCCS)
WHAT OTHER DISORDER HAS MALIGNANT HYPERTHERMIA BEEN LINKED TO?
MUSCULAR DYSTROPHY
WILL THE PATIENT IN MALIGNANT HYPERTHERMIA PRESENT WITH MUSCLE WEAKNESS OR MUSCLE RIGIDITY?
MUSCLE RIGIDITY
WHAT IS THE FIRST THING YOU SHOULD DO WHEN MALIGNANT HYPERTHERMIA IS SUSPECTED?
STOP THE TRIGGERING AGENT/ALERT THE TEAM OF A CRISIS
WHAT RESPIRATORY AND METABOLIC CHANGES HAPPEN IN MALIGNANT HYPERTHERMIA?
ACIDOSIS
WHAT IS THE DRUG TO TREAT MALIGNANT HYPERTHERMIA CALLED AND HOW MANY MG ARE IN EACH VIAL?
DANTROLENE 20MG VIALS
WHAT TRIGGERS MALIGNANT HYPERTHERMIA IN PATIENTS? WHICH DRUG SPECIFICALLY?
GENERAL ANESTHESIA /SUCCINYLCHOLINE
THE PATIENT IN MALIGNANT HYPERTHERMIA STARTS TO SHOW VERY DARK URINE. WHAT IS THIS CALLED?
RHABDOMYOLYSIS
WHAT SHOULD YOU DO WITH THE PATIENT'S OXYGEN WHEN MALIGNANT HYPERTHERMIA IS SUSPECTED?
HYPERVENTILATE WITH 100% O2
THE ORGANIZATION THAT IS REQURIED TO BE NOTIFIED OF THE MH CRISIS
WHO IS MHAUS
WHAT DO YOU DILUTE A VIAL OF DANTROLENE WITH AND WITH HOW MANY ML'S?
60ML PRESERVATIVE FREE STERILE WATER
THE BUILDUP OF WHAT MINERAL CAUSES MUSCULAR RIGIDITY IN MALIGNANT HYPERTHERMIA?
CALCIUM
WHAT IS THE FIRST SIGN OFTEN SEEN IN MALIGNANT HYPERTHERMIA?
RISING END TIDAL CO2 OR MUSCLE RIDGITY
HOW MANY TOTAL VIALS OF DANTROLENE SHOULD ALWAYS BE AVAILABLE?
36 VIALS
WHAT IS THE NORMAL RANGE OF ETCO2?
35-45 mmHG
WHAT IS THE CORRECT WEIGHT BASED STARTING DOSE FOR DANTROLENE?
2.5 MG/KG
MH CAN BE CAUSED BY EXTERNAL ENVIRONMENT
WHAT IS TRUE
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?
TRANSFER TO ICU
THE YEAR THAT MH WAS IDENTIFIED
WHAT IS 1960
According to MHAUS, Dantrolene must be accessible within this time frame where triggering agents are used
What is 10 minutes
WHAT CLOTTING DISORDER CAN PATIENTS GO INTO AS A RESULT OF MALIGNANT HYPERTHERMIA?
DISSEMINATED INTRAVASCULAR COAGULATION (DIC)
HOW HIGH HAS THE TEMPERATURE BEEN IN PATIENTS WITH MALIGNANT HYPERTHERMIA?
UP TO 110 DEGREES
WHERE SHOULD YOU REFER THE PATIENT AND THEIR FAMILY AFTER A MALIGNANT HYPERTHERMIA EVENT?
MHAUS/ MALIGNANT HYPERTHERMIA ASSOCIATION OF THE UNITED STATES
THIS IS THE PERCENTAGE OF MH CASES THAT RELAPSE AFTER THE INITIAL CRISIS
WHAT IS 25 PERCENT