MALIGNANT HYPERTHERMIA
MH PART 2
LAST
LAST PART 2
FIRE
FIRE PART 2
100

THIS IS OFTEN THE EARLIEST SIGN OF MALIGNANT HYPERTHERMIA.

WHAT IS A RAPID RISE IN C02?

100

THESE ARE THE LOCATIONS OF BOTH OF THE MH CARTS.

WHAT IS PACU AND OB?

100

THE ACRONYM LAST IS ALSO KNOWN AS THIS.

WHAT IS LOCAL ANESTHETIC SYSTEMIC TOXICITY?

100

THESE PATIENT POPULATIONS ARE AT A HIGHER RISK FOR LAST DUE TO DECREASED PROTEIN BINDING.

WHAT ARE NEONATES AND ELDERLY PATIENTS

100

THIS ACRONYM HELPS YOU TO REMEMBER WHAT TO DO DURING A FIRE.

WHAT IS RACE?

RESCUE, ALARM, CONTAIN, EVACUATE

100

THIS ACRONYM HELPS YOU REMEMBER THE STEPS IN USING A FIRE EXTINGUISHER.

WHAT IS PASS?

PULL, AIM, SQUEEZE, SWEEP

200

THIS MANY VIALS OF DANTROLENE (20 MG PER VIAL FORMULATION) SHOULD BE STOCKED IN THE MH CART AT ALL TIMES

WHAT IS 36?

200

DURING AN MH CRISIS THE PATIENT'S BLOOD PH WOULD TYPICALLY REVEAL THIS.

WHAT IS ACIDOSIS?

NORMAL PH IS 7.35-7.45

ACIDOTIC PH IS

ALKALINE PH IS 

200

THIS OCCURS WHEN LOCAL ANESTHETIC IS ACCIDENTALLY INJECTED INTRAVASCULARLY.

WHAT IS TOXICITY?

200

THIS IS WHERE YOU WOULD FIND THE RESCUE LIPIDS.

WHAT IS THE OR CORE PYXIS AND THE PACU PYXIS.

200

THIS IS THE MINIMUM AMOUNT OF TIME TO ALLOW AN ALCOHOL-CONTAINING PREP TO DRY BEFORE DRAPING.

WHAT IS 3 MINUTES?

200

THESE ARE THE COMPONENTS REQUIRED FOR A FIRE TO OCCUR IN THE OPERATING ROOM

WHAT ARE IGNITION SOURCE, OXIDIZER, AND FUEL?

300

THE RECOMMENDED INITIAL DOSE OF DANTROLENE IS THIS MANY MG/KG.

WHAT IS 2.5 MG/KG?

300

THIS MEDICATION TREATS ACIDOSIS.

WHAT IS SODIUM BICARBONATE?

300

THIS HELPS PREVENT INTRAVASCULAR INJECTION DURING ADMINISTRATION.

WHAT IS ASPIRATING OR ASPIRATION?

300

THIS LOCAL ANESTHETIC IS MOST ASSOCIATED WITH SEVERE CARDIOTOXICITY.

WHAT IS BUPIVACAINE?

300

THIS IS THE REASON DRAPES ARE TENTED AT THE HEAD OF THE BED.

WHAT IS TO PREVENT BUILD UP OF FLAMMABLE GASSES?

300

THIS TYPE OF FIRE EXTINGUISHER IS THE MOST APPROPRIATE FOR OR FIRES.

WHAT IS AN ABC FIRE EXTINGUISHER?

400

THIS IS THE COLOR OF THE POSTER IN EVERY OR THAT HAS THE MH HOTLINE NUMBER LISTED ON IT.

WHAT IS RED?

400

GLUCOSE, INSULIN AND CALCIUM ARE MEDICATIONS USED TO TREAT THIS.

WHAT IS HYPERKALEMIA?

400

THIS IS THE FIRST STEP WHEN LAST IS SUSPECTED.

WHAT IS STOP INJECTING THE LOCAL ANESTHETIC?

400

THIS LOCAL ANESTHETIC HAS THE FASTEST ONSET AND HIGHEST CNS TOXICITY RISK.

WHAT IS LIDOCAINE?

400

THIS IS THE MOST COMMON AREA FOR A SURGICAL FIRE TO OCCUR.

WHAT IS HEAD, NECK, OR UPPER CHEST (44%)?

400

NAME ONE IGNITION SOURCE IN THE OPERATING ROOM THAT CAN LEAD TO A FIRE.

WHAT IS AN ESU (BOVIE), LASER, FIBEROPTIC LIGHT SOURCE, AND DRILLS?

500

DURING MH, THIS CORE TEMPERATURE THRESHOLD IS CONSIDERED CRITICAL AND LIFE-THREATENING.

WHAT IS >104 DEGREES F OR 40 DEGREES CELCIUS?

500

THIS IS WHEN DANTROLENE ADMINISTRATION WOULD STOP.

WHAT IS WHEN SYMPTOMS RESOLVE?

500

THESE SYMPTOMS ARE USUALLY THE FIRST SIGN OF TOXICITY IN A PATIENT.

WHAT IS PERIORBITAL NUMBNESS, METALLIC TASTE IN THE MOUTH, AND TINNITIS?

SYMPTON ONSET OCCURS 30 SECONDS TO AN HOUR

500

THIS MEDICATION SHOULD BE AVOIDED IN A PATIENT EXPERIENCING SEIZURES FROM LAST.

WHAT IS PROPOFOL?

SHOULD USE MIDAZOLAM BECAUSE IT CAUSES LESS CARDIAC DEPRESSION THAN PROPOFOL

500

SHELVES MUST BE KEPT FREE OF CLUTTER HOW MANY INCHES BELOW THE CEILING.

WHAT IS 18 INCHES.

THIS ENSURES AN UNOBSTRUCTED, EVEN SPRAY PATTERN FROM SPRINKLERS DURING A FIRE AND PREVENTS ITEMS FROM ACTING AS FUEL FOR FIRE SPREAD.

500

THIS SUTURE IS PACKAGED IN ALCOHOL AND CAN BE A FUEL SOURCE FOR A SURGICAL FIRE.

WHAT IS A CHROMIC SUTURE?

600

THESE MEDICATIONS ARE LOCATED IN THE REFRIDGERATOR OF THE MH CART.

WHAT ARE IV 0.9% NACL AND INSULIN?

600

HOW MANY HOURS AFTER EXPOSURE TO VOLITILE ANESTHETIC GASSES CAN MH OCCUR?

WHAT IS UP TO 12 HOURS?

600

THIS IS THE TREATMENT FOR LOCAL ANESTHETIC SYSTEMIC TOXICITY.

WHAT ARE 20% EMULSIFIED LIPIDS ALSO KNOWN AS RESCUE LIPIDS?

600

CARDIAC TOXICITY AS A RESULT OF LAST, IS OFTEN RESISTANT TO THIS COMMON RESUSCITATION METHOD ALONE.

WHAT IS ACLS?

600

THE FIRE SCORE FOR A PATIENT HAVING GENERAL ANESTHESIA FOR A HIP ARTHROPLASTY PREPPED WITH BETADINE.

WHAT IS TWO?

600

THIS IS THE FIRE SCORE FOR A PATIENT HAVING A HAMMERTOE PROCEDURE UNDER MAC ANESTHESIA WITH PREP USING CHLORAPREP.

WHAT IS A THREE?

ALCOHOL BASED PREP

MAC ANES = SUPPLEMENTAL OXYGEN

SAWS AND DRILLS IN USE

700

YOU CAN'T FIND THE OR MH CART DURING A CRISIS - YOUR NEXT BEST ACTION IS THIS.

WHAT IS HAVE OB BRING DOWN THEIR CART?

700

THESE TEMPERATURES ARE WHEN YOU START AND STOP COOLING A PATIENT IN MH CRISIS.

WHAT IS START COOLING AT 102 DEGREES F

STOP COOLING AT 100 DEGREES F.

700

THIS IS THE RECOMMENDED INITIAL BOLUS DOSE OF LIPID EMULSION THERAPY.

WHAT IS 1.5 MG/KG OF 20% LIPID EMULSION.

700

THIS IS THE OUTSIDE AGENCY YOU SHOULD CALL TO ASSIST YOU DURING A LAST EVENT.

WHAT IS THE INDIANA POISON CENTER?

1-800-222-1222

700

THIS IS THE AVERAGE NUMBER OF SURGICAL FIRES EACH YEAR IN THE OPERATING ROOM.

WHAT IS 200-240?

700

THIS OXYGEN CONCENTRATION IS RECOMMENDED TO REDUCE FIRE RISK DURING POCEDURES INVOLVING THE HEAD, NECK, OR UPPER CHEST.

WHAT IS 30% OXYGEN CONCENTRATION?