Risk Factors
Signs of MH
MH Treatment
MH Response
100

True/False: MH patients are predominantly male patients. 

True
100

What are the early signs of Malignant Hyperthermia?

  • Unexplained increase in heart rate (tachycardia).
  • Unexplained increase in carbon dioxide produced by your body.
  • Rapid breathing (tachypnea).
  • Muscle rigidity.
100

The main treatment for Malignant Hyperthermia is a drug called ________

Dantrolene

100

If you needed to get bulk ice where would you go to find it at Pender?

By the charge desk in the operating room, or any ice machine

200

True/False: Patients under the age of 18 account for the largest population (30-60%) of MH Patients.

True

200

What are the later signs of Malignant Hyperthermia?

  • Dark pee.
  • Muscle breakdown showing up on blood tests.
  • Heart rhythm problems.
  • Fever
200

Treatment methods to manage of the symptom of rapidly rising body temperature is...

  • Body cooling measures, such as cold IV fluids and ice packs, for hyperthermia (high fever).
200

The first thing you should do if you suspect Malignant Hyperthermia is to

Stop the triggering agent (Anesthetic gases and succinylocholine)

300

What inhaled medications place patients at greatest risk for Malignant Hyperthermia?

  • Halothane.
  • Desflurane.
  • Sevoflurane.
  • Isoflurane.
300

Malignant Hyperthermia can occur anytime during the ____________ and ___________ periods. 

Intraoperative and Postoperative

300

Where is the MH Cart Located at BJCWC?

Between C&D on the lower level

300

This medication inhibits Ca+ release and reduces muscle twitch

Dantrolene

400

What intravenous medication places patients at risk for Malignant Hyperthermia?

  • Succinylcholine (fast-acting muscle relaxant).
400

If signs of hypermetabolism such as metabolic and respiratory acidosis or an elevation in body temperature accompany the muscle spasm, a diagnosis of ______________ must be considered.

Malignant Hyperthermia

400

How many bottles of Dantrolene do we have in the MH cart?

36

400

What are additional tasks that you can do during an MH crisis?

Lower the temperature in the room

Discontinue all warming measures

500

People who are susceptible to malignant hyperthermia have a ___________ that causes them to have abnormal proteins in their body’s muscle cells.

Genetic Mutation

500

What is the best indicator that a patient may have a malignant hyperthermia event during surgery?

Severe muscle rigidity or spasms

Increased CO2

500

Where do you find the MH Crisis Hotline telephone number?

On the MH Cart

500

Survival is highly dependent on?

Early recognition of signs and symptoms

supplies in close proximity

knowledgeable staff

timely administration of Dantrolene

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