Meds/Equip
This medication is mixed with 5mL sterile water, and the and is administered to treat muscle spasms.
Ryandex
Who runs the MH crisis?
Anesthesia
This happens when calcium is released form skeletal muscles and causes a hypermetabolic state.
Malignant Hyperthermia
These are the earliest signs of MH.
Tachycardia
Sudden increase in ECO2/ decrease o2 saturation
Muscle rigidity
Tachypnea
This is the first medication for treatment of MH crisis.
RYANODEX
What is the first piece of equipment that is should be brought to the patient's bedside?
MH cart
MHAUS gives what support during crisis?
Advise on prompt diagnosis and immediate treatment during MH episode through HOTLINE.
What are the main triggering agents that cause MH crisis?
Succinylcholine
Inhalation agents
How quickly will the core body temperature rise if the patient is in a MH crisis?
1° - 2° C every 5 minutes
Where do you place ice on a paient in MH crisis?
Neck
Axilla
Groin
This emergency cart contains additional medications and equipment that may be needed to treat signs and symptoms of MH.
Code cart
What is the circulator's role during MH crisis in the operating room?
Get equipment
Call MHAUS, place on speaker phone
Delegate task!
This is the temperature that you should stop cooling the patient during MH treatment.
38.5° C
What test measures the release of the electrolyte that is low in the blood during a MH crisis?
calcium
The first immediate action needed when MH crisis is recognized.
immediately stop triggering agent, switch to Non triggering agent
change circuit
This medication is given to treat hyperkalemia and cardiac arrhythmias.
Insulin
What is the scrubs role during MH crisis?
Assist surgeon unless surgery is stopped
Get MH cart and Code cart
Get ice
This test is used to determine the degree of metabolic acidosis in a patient during MH crisis.
arterial blood gas
How long do you continue to assess a patient after the patient has an MH crisis?
24-48 hours
What percent of oxygen should be delivered to your patient in crisis?
100%
Ryanodex must be available within how many minutes to treat MH?
10 minutes
What is anyone's role during MH crisis?
If you are not giving direct patient care, stop what you are doing and assist anesthesia with the patient.
When can MH occur (three answers)?
on induction of anesthesia
during emergence from anesthesia
up to 24-48 hours after an anesthetic
What are some later signs of MH?
increased core body temperature
hyperkalemia
acidosis
dark urine
This organ can be affected during MH crisis.
What is it? and
What are some treatments?
Kidney
foley catheter
diuretic and fluid boluses