THIS GIRL (OR GUY) IS ON FIRE
WHAT IS THE FIRST SIGN USUALLY SEEN IN MH?
RISING ETCO2
WHAT IS THE CODE BLUE NUMBER?
71234
IS INCAPACITATED TEMPORARY OR PERMANENT?
BOTH.
WHAT DRUG IS USED TO TREAT MH?
MH IS FOUND IN WHAT OTHER ANIMIALS?
PIGS, HORSES, DOGS
WHAT ARE THE TRIGGERS FOR MH?
GENERAL ANESTHESIA/SUCCINYLCHOLINE/HEAT/EXERCISE
WHAT ELSE SHOULD YOU DO TO GET HELP DURING A CODE?
Who determines what team is sent to an emergency, including incapacitated provider?
Operator
WHAT IS THE INITIAL LOADING DOSE OF DANTROLENE?
2.5MG/KG
WHAT IS THE FIRST THING YOU SHOULD DO WHEN MH IS SUSPECTED?
STOP THE PROCEDURE/TRIGGERING AGENT
WILL THE PATIENT IN MH PRESENT WITH MUSCLE WEKNESS OR MUSCLE RIGIDITY?
MUSCLE RIGIDITY
WHAT IS THE ROLE OF THE MD DURING A CODE?
COMPRESSIONS, VENTILATIONS, CALLING CODE, OR GETTING CRASH CART.
A NURSE BECOMES INCAPCITATED IN THE PROCEDURE ROOM. ANESTHESIA WILL NOTIFY CHARGE. WHO COMES INTO HELP?
THE ADMISSION/RECOVERY NURSE.
SHOULD THE PATIENT BE HYPOVENTILATED OR HYPERVENTILIATED?
If we are not doing CPR or having trouble breathing, this team is most likely to come first.
MERT--BUT THIS CAN BE UPGRADED BY MERT TEAM AT ANYTIME IF TROUBLE TURNS SOUTH
WHAT CLOTTING DISORDER CAN PATIENTS GO INTO AS A RESULT OF MH?
DISSEMINATED INTRAVASCULAR COAGULATION (DIC)
SHOULD WE USE THE AED BEFORE THE CODE TEAM ARRIVES?
ABSOLUTELY!
IF ANESTHESIA IS IN TROUBLE, AND NO OTHER ANESTHESIA IS AVAILABLE. WHAT HAPPENS?
THE PROCEDURE IS ABORTED, GI-MD WILL STAY WITH PATIENT UNTIL THEY ARE FULLY AWAKE.
HOW QUICKLY SHOULD DANTROLENE BE ADMINISTERED?
WITHIN 10MIN.
WHO ARE YOU GOING TO CALL DURING AN MH CRISIS?
CODE (71234)
MH CART (67320)
PHARMACY (68890)
MHAUS HOTLINE (1-800-644-9737)
WHAT ELEMENT IS RESPONSIBLE FOR THE BODYS DEREGULATION IN AN MH CRISIS?
CALCIUM
HOW OFTEN DO WE SWITCH PROVIDERS TO MAINTAIN QUALITY CPR?
EVERY 2 MINUTES.
IF THE GI-MD IS INCAPACITATED, WHO TAKES OVER THE SCOPE UNTIL ANOTHER MD ARRIVES?
PROCEDURE ROOM NURSE.
DURING A CODE, OF OFTEN IS ADEQUATE BREATHS PROVIDED?
1 BREATH EVERY 6 SECONDS.
WORK FLOW FOR THE CRASH CART IS ________ TO _______.
BOTTOM TO TOP