F for CAS
The duration of general anesthesia after which monitoring of core Temperature is required.
What is 30 minutes?
This feature, in the setting of hypermetabolism and the presence of neuromuscular blockade, is pathognomonic for MH and present 40% of the time.
What is generalized muscular rigidity?
Sounds tasty, but is responsible for 50% of transfusion related deaths.
What is transfusion-associated circulatory overload (TACO)?
Initial treatment of serious hyperkalemia before the crash cart arrives.
What is ventolin?
Number of vials of dantrolene needed for the initial treatment of a 100kg person and number of cc's of sterile water used.
What are 12.5 vials and 750mL of sterile water
100kg x 2.5 mg/kg x 1 vial/20 mg
60 cc/vial x 12.5 vials = 600 + 150=750cc
Two of these must be used where Luer neuraxial connectors are used for an epidural infusion.
What are labels?
What is >90%?
With a quoted risk of 1/50,000 this transfusion-related complication is associated with the triad of fever, hypotension and tachycardia.
What is bacterial contamination?
Dose of regular IV insulin and IV glucose for emergency hyperkalemia management in a paeds patient.
What is 0.1u/kg of regular insulin and 1 mL/kg of D50W and
The dose of calcium used to treat K+>6
What is 1.5 - 3 g of Calcium gluconate or 0.5-1 g of calcium chloride?
Calcium gluconate (15-30 mL of 10% solution; 1mL/kg for paediatric patients)
Calcium chloride (5-10 mL of 10% solution)
The range of platelet count for which there should be shared-decision making between patient and anesthetist.
What is 50 - 70 million platelets/mL?
In paediatric patients, this is the most common presenting clinical finding.
What is sinus tachycardia?
The percentage drop in platelets after the transfusion of 10-12 units of packed RBCs. (within 15%)
What is 50%?
Dose of IV midazolam for generalized seizures.
What is 3.5 mg?
Active cooling measures should be instituted when this temperature is reached and discontinued when temperature drops to this temperature?
What are 39 and 38 degrees C?
The dose of caffeine that is recommended along with rest, hydration and analgesics (tylenol, NSAID and opioids) for treatment of Post Dural Puncture Headaches.
What is 300 mg?
The 2 criteria to be met before initiating treatment for MH.
What are rising EtCO2 (despite compensatory increases in minute volume) and one other clinical sign (hyperthermia, rigidity, tachycardia or EKG changes of hyperkalemia).
The target value for fibrinogen for large obstetrical bleeding.
What is >2g/L?
Bolus and infusion dosing for intralipid for an arrest 60 minutes after regional anesthesia with marcaine.
100mg IV followed by in an infusion of 15 - 20 mg/min.
1.5 mL/kg IV, followed by infusion at 0.25 mL/kg/minute IV
Before the dantrolene begins, the initial 4 steps of treating MH.
1. Call for help and the MH cart
2. Notifiy the surgeon
3. Optimize O2 and minute ventilation
4. D/C triggers
This medication group (in oral or IV form) is recommended for all women presenting for Cesarean delivery.
What are H2-receptor blockers?
These are the three most common laboratory findings in an active MH crisis; the DIC and CK findings come later.
What are metabolic acidosis, respiratory acidosis and hyperkalemia?
These blood components are recommended for transfusing patients with Hodgkin's Lymphoma.
What are irradiated blood componenets?
What is 1mg/kg of IM Roc?
What is 4 mg/kg of IM Succinylcholine?
The base defecit threshold to give 1-2 mEq/kg of NaHCO3 IV.
What is 8 (mmol/L)?