Introduction
Malignant Hyperthermia occurs most often in children and adults under age ________
Who is under 30 years old?
MH triggers
What are inhalation anesthetics and depolarizing muscle relaxants (i.e. succinylcholine)
The incidence of Malignant Hyperthermia is.
What is 1 in 50,000 adults and 1 in 15,000 children?
Loading dose of Ryanodex.
What is 2.5 mg/kg?
Obtaining the MH cart
What is hallway that contains locked MH cart?
Earliest sign of Malignant Hyperthermia
What is increased end tidal CO2?
Medications to treat acidosis.
What is Sodium Bicarbonate?
MH can occur in susceptible persons with what other triggering events? Name one.
What is heat stress, vigorous exercise, emotional distress and trauma?
Maximum dose of Ryanodex
What is 10 mg/kg?
What is Dantrolene?
In addition to hyperthermia, name at least one other symptom that may occur during Malignant Hyperthermia
What is jaw spasms, generalized muscle rigidity, tachycardia and tachypnea?
Medication that is given rapidly to help return ETCO2 to normal.
What is Ryanodex?
Chance of having Malignant Hyperthermia in kids and siblings of patients with MH.
What is 50% chance of having MH?
Ryanodex comes in a powder to be mixed with ____
What is 5 mL of sterile water?
Most cases of Malignant Hyperthermia occur in the OR, however there is an additional critical time period.
What is delay of 1 to 12 hours post triggering event?
Name two complications that arise from Malignant Hyperthermia
What is hyperkalemia, acute renal failure, arrhythmias and cardiac arrest?
Type of IV that a patient with Malignant Hyperthermia needs
What is a large bore IV?
In cases of Malignant Hyperthermia, what percentages of susceptible patients have 1-2 exposures to the triggering agents without a reaction?
What is 50% of patients?
One 5ml vial of Ryanodex contains ___ mg
What is 250 mg?
Malignant Hyperthermia carts generally are stocked with how many bottles of Ryanodex.
What is 5 bottles of Ryanodex?
Is it a true statement that MH can only occur in the operating room
What is false? It can also can occur wherever triggering anesthetics and depolarizing muscle relaxants are given as well as during heat stress, vigorous exercise and trauma.
Name at least two medications to treat hyperkalemia.
What are Glucose, Insulin and Calcium?
Type of genetic disorder
What is a rare autosomal disorder?
Administer Ryanodex for 75kg male (administering 1mg/kg so 75mg to be given)
(Vial contains 250mg of Ryanodex in 5ml solution)
How much do you draw up?
What is 1.5 mL of Ryanodex?
The RN is in the OR with a patient experiencing Malignant Hyperthermia, teams are working together to get the MH cart. Who else can be called and put on speaker to assist?
What is the MHAUS hotline for 24 hour assistance? 1-800-644-9737