MH 101
A rare genetic condition caused by hypermetabolic state.
what is malignant hyperthermia?
Early or Late Sign of MH:
Tachycardia
What is early?
The location where the MH cart is kept at MWH and SH.
What is PACU?
The diluent used to reconstitute dantrolene powder for administration.
What is preservative-free sterile water?
The first thing you should do in an MH crisis.
What is call for help!
Medication used to treat MH.
(multiple answers accepted)
What is Dantrolene?
or
What is Ryanodex?
Early or Late Sign of MH:
Increased CO2 production
What is early?
This and the MH cart must immediately be retrieved and taken to the site of an MH crisis.
What is the code cart?
The organization to call for step by step instructions and support during an active MH crisis.
Who is MHAUS (Malignant Hyperthermia Association of the United States)?
(800)644-9737
The surgeon's immediate responsibility upon onset of an MH crisis.
What is FINISH THE SURGERY?
(stop surgery and close the patient to prepare for transfer of care)
MH is triggered in susceptible patients when exposed to succinylcholine and one of these.
What are inhaled anesthetic agents?
(example: Desflurane, halothane, Sevoflurane etc.)
Early or Late Sign of MH:
Muscle rigidity
What is early?
Location to retrieve ice for patient cooling measures.
MWH- PACU Med room
SH- SDS nutrition room/PACU Med room
During post-acute phase the patient is monitored continuously for at least 24 hours in case of this.
What is MH relapse?
(relapse occurs in 25% of MH events)
What actions the CRNA will take immediately once MH is suspected.
What is discontinue all volatile anesthetics agents and succinylcholine?
The most common triggering agent for an MH crisis
What is succinylcholine?
Early or Late Sign of MH:
Hyperkalemia induced cardiac arrest
What is late?
The number of bottles of Dantrolene on the MH Cart.
What is 36 vials?
The length of time not to be exceeded from recognition to first dose of dantrolene being given.
What is 10 minutes?
The only definitive way to determine if an at-risk patient carries the MH disorder.
What is a muscle biopsy?
MH occurs when the intracellular concentration of this ion is too high.
What is calcium?
Early or Late Sign of MH:
Hyperthermia
What is late
According to MWHC policy, a known MH susceptible patient should be scheduled for surgery at this time of day.
What is first case in the morning?
The weight-based dosage for initial administration of dantrolene.
What is 2.5mg/kg?
The temperature at which you can stop cooling the MH patient.
What is < 38˚C or < 100.4˚F?