Malignant Hyperthermia
These are 3 early signs of MH.
What is...elevated ETCO2/hypercapnia, masseter muscle rigidity, tachycardia, tachypnea, hyperkalemia?
This form of anesthesia is used to create a state of controlled unconsciousness that requires airway support from a CRNA/Anesthesiologist
What is General anesthesia
This class of medication is often given pre-operatively for its anti-anxiety and sedative effects.
What is a benzodiazepine?
Excessive blood loss would require calling the blood bank and initiating this protocol to prevent hypovolemic shock/death.
What is…MTP (Massive Transfusion Protocol)?
These are 3 nursing interventions to attempt if your patient becomes hypoxic.
What is (any three will do) Reposition head/sit up/assess airway patency, ask to take breaths/stimulate/sternal rub, chin lift, apply oxygen, insert oral airway, bag ventilation, alert anesthesia for rapid reintubation prn?
This is the medication given to treat, and reduce recurrence of malignant hyperthermia.
Dantrolene (Bonus: what is the loading dose?)
This type of anesthesia uses sedatives, anxiolytics, and/or analgesics given by an anesthesia provider to relax a patient during a procedure and is often referred to as a “twilight”.
What is Monitored Anesthesia Care (MAC)
These labs are monitored to assess kidney function.
What is BUN & creatinine?
This color-coded item provides emergency medication dosing, and equipment information, for pediatric patients based on their size.
What is Broselow Tape?
This assessment is often done by the surgeon and should always be in the surgical patient’s chart prior to bringing into the O.R.
What is the History & Physical?
This is often mistaken for an early sign but is a late sign of MH.
What is an elevated temperature/fever?
This type of anesthesia uses medications that cause a minimally depressed state of consciousness where the patient is able to support their airway, follow commands/instructions during the procedure, and is often given by a trained RN.
What is IVCS/Conscious Sedation
Fluctuations in this electrolyte, both high and low, put a patient at risk for cardiac arrhythmias.
What is Potassium? (Bonus: what is the normal range?)
This is the number to call in order to overhead a code, or other urgent notifications
What is 166?
Early ambulation helps prevent these 3 potential complications after surgery.
What is atelectasis/pneumonia, DTV, and gas pains/constipation/ileus?
The MH box is located here.
What is in Patrick's office?
This anesthesia uses medication to block nerve impulses to a specific part of the body in order to prevent or reduce pain.
What is Local anesthesia?
Thrombocytopenia is when this type of cell is below this number, putting the patient at increased risk for bleeding.
What is Platelets; below 150,000 per microliter of blood (150/L)?
This equipment may be useful in an airway emergency, is kept outside of anesthesia’s office, and should always be plugged in when not in use.
What is the Glidescope?
The nurse caring for post-surgical patient must be able to assess the difference between this normal response to injury and this problem.
What is inflammation and infection?
These are anesthetic agents that can trigger a MH crisis.
What are halothane, sevoflurane, desflurane and the depolarizing muscle relaxant succinylcholine (Rare cases can be caused by vigorous exercise and heat)
This type of anesthesia involves injecting a local anesthetic or opioid to block sensation to a region of the body, effects lasting about 2-4 hours depending on the dose and requires the patient to walk and move normally prior to going home.
What is Spinal anesthesia?
This infusion is used to treat a Local Anesthetic Systemic Toxicity (LAST).
What is lipids?
This is a life-threatening reaction that can happen when local anesthetics are absorbed into the body systemically. It can lead to seizures, cardiac arrhythmias, and respiratory arrest.
What is LAST (Local Anesthetic Systemic Toxicity)
This type of surgery requires extra protocols for infection because the consequences of an infection in the surgical site are so serious.
What is a joint replacement?