It's all about the Symptoms
It's one of the initial symptoms to manifest in MH
What is: Increasing end-title carbon dioxide (C02)
This lab order determines Acidity or Alkalinity
What is an ABG or PH
Sodium Bicarbonate is administered to correct Acidosis or Alkalosis?
Sodium Bicarbonate is used to treat Acidosis.
This is part of the MH Cart: Hint it cools the solution
What is a refrigerator
Name the drug used in the treatment of MH
What is Dantrolene
Which one of these symptoms will you see? Generalized Muscle Flaccidity or Muscle Rigidity
What is Rigidity
This grouping of test includes Na, K+, Cl, Ca, and Glucose
What is electrolytes
This drug is used to treat hyperkalemia
What is Calcium Chloride, Calcium Gluconate, Sodium Bicarbonate, or dextrose
This is the location of the MH cart at the main OR
What GI Lab inside the Anesthesia Work Room
What is the just inside the B side of PACU
Dantrolene (Datrium) requires ____(this many mls)of sterile preservative free bacteriostatic water for reconstitution
What is 60 mls of preservative free bacteriostatic sterile water for each vial.
Which one: In MH, the patient's heart rate is noted to be bradycardic or tachycardic
What is tachycardic
Venous blood from this site may be better than an arterial blood gas from the radial site
What is femoral
What protocols should be followed to treat Dysrhythmia's (Hint: You can find these protocols on the Crash Cart)
What is ACLS Algorhythms
This is available as a resource on the MH Cart
What is the MH Protocol
Dantrolene (Datrium) contains 20 mg per vial. The initial bolus dose is 2.5 mg/kg IV rapid continuous push. How many vials of Dantrolene is needed for an initial bolus for a patient who is 72 kg?
What is 9 vials
Myoglobinuria is another sign. What color is MH patient's urine when myoglobinuria is present?
What is Brown
You can expect this during the acute phase of MH Hyperkalemia or Hypokalemia
What is Hyperkalemia
This action is started when core temperature is greater than 39 degrees C
What is cool the patient down
This organizations toll free number is available on the MH Cart to help answer questions and help guide treatment during an MH Crisis
Who is MHAUS (Malignant Hyperthermia of the United States)
When reconstituting Dantrolene, this action must be performed until the solution is clear
What is shake the vial until solution is clear
A prolong spasm in this muscle is observed after administration of the drug succinylcholine
What is the masseter muscle
Creatine Kinase levels is measured 8 to 12 hours in the post MH Crisis. What will an elevated CK level indicate?
What is skeletal muscle injury
You can expect this action by anesthesiologist when MH is suspected
What is discontinue inhalation agent and succinylcholine
Who is responsible for bringing the MH cart to the patient's bedside
Who is anyone (all staff) can go retrieve and bring the MH cart
Dantolene is administered 1 mg/kg increments until this happens
What is the symptoms abate (i.e., hypercarbia and/or rigidity resolves.