Medication
These medications are known to cause an MH reaction in those that are predisposed.
Sevoflurane, Succinylcholine, Desflurane
Ways to identify susceptible patients
Thorough preop call
History & Physical
Staff communication
T/F A patient will always have an MH reaction their first surgery when given triggering medications.
False
This 24 hour hotline was established in 1982 to assist medical professionals in treating Malignant Hyperthermia in an emergency
MHAUS (Malignant Hyperthermia Association of the United States)
PO benzodiazepine used in preop to sedate and calm for IV insertion
What is Midazolam (Versed)
Anesthesia steps in the OR to prevent patient contact with potentially fatal anesthetics and paralytic
Clearing line with O2, changing soda absorb filter, changing circuit, not having Succ accidentally pulled for case
Earliest signs of MH reaction
Tachycardia, increased ETCO2, and tachypnea
Special ice is kept in THIS ONE special place for this special reason...
Med room freezer
These sedative medications can be used as alternatives in MH precautions.
Ketamine, Nitrous oxide, Fentanyl, Propofol
Ways proven to properly communicate MH precautions
On paper chart
Echart (progress note, allergies, problem block)
Verbally
Wrist band
Teams message
T/F Urine output will initially increase in MH reaction
False
The MH cart is located here when not saving lives
PACU by the door
Dantrolene
Who can benefit from MH education
Nursing staff
Physicians
Patients and families
EVERYONE!
Later signs of a reaction
Febrile and muscle rigidity
T/F Stopping the anesthetic gases is an important step to take.
True