MH Facts
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What is the number to the MH Hotline?
This individual immediately d/d triggering agents.
What is the CRNA?
Also notifies surgeon and circulating nurse, admin O2, supportive med/fluids, must travel with patient to ER
This intervention is used to flush volatile anesthetics and lower ETCO2
What is hyperventilate with 100% oxygen at 10L/min?
This will help shift potassium back into the cells
What is 10 units of regular insulin and 50mL of 50% dextrose? (adult dose)
Pediatric dosing is diffrent (refer to ppt)
Dantrolene is the only drug available to treat MH and works by relaxing the muscles
What is true
These are early signs of MH
(provided at least 3)
What is...
Increased ETCO2
Skeletal muscle rigidity
Muscle spasm
tacycardia
metabolic & respiratory acidosis
tacypnea
sweating
hyperkalemia
Call overhead to notify area of MH crisis
Retrieve MH cart
Call MHAUSPrepare chart for transfer/documentation
What is the role of the circulating nurse?
This is used to cool a MH crisis patient
What is artic sun and cold saline
This medication is used to treat ventricular Tach/Fib
What is Amiodarone?
Malignant hyperthermia is inherited
What is true
1 in 100,000 surgeries in adults
and
1 in 30,000 surgical procedures in children
What is the Incidence of MH?
This person assign Dantrolene and Medications RN.
What is the OR Charge RN
Also assigns PACU RN to call 911, cooling help, assures MHAUS has been called, point person, everyone one functioning in their roles and present
This is placed for accurate I&O
What is an indwelling foley catheter?
This may be considered treatment of metabolic acidosis
What is Sodium Bicarbonate?
1-2 mEq/kg
Prophylactic dantrolene is recommended for MH susceptible patients
What is False
It is not recommended
Fever
Dark Urine
Cyanosis
Cardiovascular collapse
DIC
What are late signs of MH?
This person determines dose of Dantrolene.
What is the Anesthesiologist?
Also...
places central lines, runs the code, coordinates transfers and contacts ED
These are to be monitored continuously
What are blood gases, CK, ETCO2, urine output/myogloblin, body temp, Coags, electrolytes, cbc
This medication reduces the risk of Ventricular Fibrillation
What is calcium gluconate or chloride?
Calcium gluconate 10-50mg/kg
Calcium chloride 10mg/kg
MH patients cannot have surgery
Yes they can avoid triggers, be familiar with signs/treatment, continuous monitoring, have MH kit or cart within OR
The dosage for dantrolene
Patient weighs 190lbs
what is 216 mg
This person would grab the crash cart if needed
Obtain cold fluids/ice from PACU fridge
Run lab
Help move/transfer patient
What is the OR Support Tech
This medication may cause cardiac arrest or hyperkalemia in the presence of Dantrolene
What are calcium Channel blockers
2.5mg/kg rapidly through large bore IV
What is the dosage for dantrolene
Gastric lavage with LR is recommended for cooling
What is false
Peritoneal lavage with cool saline and use of an artic sun is recommended