Malignant Hyperthermia
End Tidal CO2
Post Anesthesia Recovery
Complications
Red Flags
100

Agents and medication that can trigger malignant hyperthermia

What is anesthetic gases and succinylcholine?

100

Normal range for EtCO2 

What is 35mmHg-45mmHg

100

How often post procedure VS Assessment is done

What is every 5 minutes x 20 mins, then depending on stability, every 10-15 minutes until transfer to another unit?

100

Three delirium symptoms

What is agitation, distractibility, inability to focus attention, disorientation to time, person and place, difficulty with memory

100

Three postoperative adverse effects

What is 

  • Airway compromise
  • Cardiovascular depression
  • Pain
  • Nausea and vomiting
  • Delirium
  • Procedure-related adverse effects


200

Medication used in Malignant Hyperthermia

What is Dantrolene Sodium?

200

Indicates when EtCO2 is above the normal range 

What is hypoventilation

200

Immediate goals after general anesthesia

What is maintain airway patency, assure adequate pain control and reduce nausea?

200

Three standard steps to stabilize a patient

What is 

  • Establishing airway
  • Performing CPR if needed
  • Establishing IV access
  • Controlling bleeding
  • Maintaining normothermia
  • Intensively monitoring vital signs, oxygenation, cardiac rhythm, and intake and output
  • Facilitating diagnostic tests to identify and manage complications
  • Consulting with treating clinician to facilitate evaluation and transfer to higher level of care
200

Issues that may arise from general anesthesia

What is 

  • Hypotension
  • Heart rate or rhythm changes
  • Decreased body temperature
  • Respiratory depression
  • Emergence delirium: shivering, trembling, confusion, or hallucinations
  • Malignant hyperthermia


300

The location of malignant hyperthermia cart

What is PACU 1?

300

Indicates when EtCO2 is below the normal range

What is hyperventilation

300

The Aldrete Score when patients can be transferred to the PCU & MST floors

What is 8 or above

300

Drooling, gurgling, snoring, EtCO2 50mmHG & use of accessory muscles

Respiratory Distress

300

The immediate intervention for laryngospasms

What is assist in delivering positive pressure with an Ambu bag device

400

The overhead page for Malignant Hyperthermia

What is Code Blue, Malignant Hyperthermia, Room #

400

Pulse oximetry is more sensitive than EtCO2 in detecting respiratory compromise

What is no?


400

The time period to wait before sending the patient to the floor after IV analgesic unless a PCA pump patient

What is 15 mins.

400

Indication of hypotension, tachypnea, cool skins, agitation symptoms after cardiac catheterization 

What is possible bleeding - perforation, retroperitoneal bleeding, etc..

400

Factors that increase risk of post anesthesia complications 


What is poor health, multiple chronic conditions prior to surgery and events during anesthesia

500

Three signs and symptoms of Malignant Hyperthermia

What is

tachycardia, elevated EtCo2, tachypnea, hypoxemia, arrhythmias, muscle or jaw rigidity, generalized muscle rigidity, increasing fever, myoglobinuria, AKF, multiple organ failure, Metabolic and/or respiratory acidosis, hyperkalemia, DIC, Whole body or cerebral edema, compartment syndrome

500

The location of the EtCO2 cannula and EtCO2 monitor module in ACU

What is the ACU Phase 1 Post Recovery Cart 

500

The time oxygen must be removed prior to transfer to the floors

What is 30 mins.

500

Three signs & symptoms of hypotension

What is 

  • Decreased BP
  • Diaphoresis
  • Dizziness
  • Nausea
  • Pallor
  • Tachycardia
500

The process for advocating for your patient if you are concerned about the care of your patient and not getting timely response or care

What is escalation through Chain of Command

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