MH - S & S and Causes/Triggers
This vital sign often rises first in MH and can be detected on Capnograph.
What is: end-tidal CO2?
LAST stands for:
What is: Local Anesthetic Systemic Toxicity?
the first drug administered for MH treatment.
What is: dantrolene/Ryanodex?
This "medication" is used to treat for LAST.
What are: Lipids 20% Emulsion?
This life-saving medication must be stocked in the MH cart.
What is: dantrolene/Ryanodex?
This inhaled anesthetic and depolarizing neuromuscular blocker are known triggers of MH.
What is: sevoflurane (or isoflurane, desflurane) and succinylcholine?
LAST is triggered by the toxic amounts of this _____ entering the bloodstream.
What is: Local Anesthetics?
The initial dose of dantrolene/Ryanodex is this many mg/kg.
What is: 2.5 mg/kg?
The location of the rescue "medication" for LAST.
What is: the bottom drawer of the block cart?
The MH cart should contain these two IV solutions.
What are: sterile water for injections and cold saline?
This is the first action that should be taken when MH is suspected.
What is: discontinue the triggering agent?
A LAST reaction can occur in a little as _____ minutes.
What is: 5 minutes?
The location of the RMSC MH cart.
What is ...........?
The loading bolus dose for treating LAST.
What is: 1.5 mL/kg over 1 minute?
This person(s) is responsible for daily checks, stocking and exchange of expired supplies/medications on the MH cart.
What is: the nursing staff?
Three teams to notify when there is a suspicion of a MH (or LAST) crisis.
What is: 911, MH Hotline, Anesthesia?
early signs of a LAST reaction include:
What is: agitation, ringing in ears, metallic taste in mouth, tongue and/or circumoral numbness?
Two cooling methods used during MH treatment.
What are: ice packs and cold IV solution?
This is the rate for initial continuous infusion for treating LAST.
What is: 0.25 mL/kg/minute?
This person(s) is responsible for coordinating with materials and pharmacy to keep drugs and supplies updated for MH and Block cart.
Who is: the Anesthetic Tech?
Two questions that should be asked of the patient in the preop assessment.
What is: do you have any personal or family history of MH and Anesthesia complications?
toxic amounts in the bloodstream can be caused by:
What is: accidental intravascular injection, rapid absorption in tissues, repeat doses without elimination?
This national hotline offers MH emergency consultation.
What is: the MH Hotline - 1-800-644-9737?
The continuous infusion should continue for _____ minutes after return of circulatory stability.
What is: 10 minutes?
This checklist helps team respond quickly to MH events.
What is: the MH emergency protocol or MH crisis checklist?