LAST
Malignant Hyperthermia
Safety
ABP's (ACLS, BLS & PALS)
Potpourri
100

This is what the acronym LAST means.

What is Local Anesthetic Systemic Toxicity
100

This is the medication primarily used to treat Malignant Hyperthermia.

What is Dantrolene Sodium?

100

This is what should be done every time we change oxygen delivery routes.

What is 'tracing the line'?

100

This is the correct number of compressions to breaths during 2-rescuer pediatric resuscitation.

What is 15-2?

100

This acronym refers to the initial assessment that must be performed on any patient suspected of having a stroke.

What is BE FAST?

200

This is the primary treatment for LAST syndrome

What is 20% Lipid Emulsion

200
This is the dilutant required to reconstitute the medication used to treat Malignant Hyperthermia.

What is sterile water for injection?

200

This checklist aids in reducing errors during handoff between stages of care in surgery or other procedural areas.

What is the WHO Safety Checklist?

200

These are the two rhythms that can be treated with unsynchronized defibrillation.

What are pulseless ventricular tachycardia and ventricular fibrillation?
200

The maximum amount of time it should take a patient to appropriately emerge from anesthesia.

What is 30-45 minutes?

300

Staff should notify this team if a severe LAST event occurs.

What is the Cardiopulmonary Bypass Team

300

This is the proper dose for the medication primarily used to treat MH.

What is 2.5 mg/kg as fast as possible?

300

The piece of monitoring equipment that will best reflect a patient's ventilatory status.

What is an End Tidal CO2 Monitor?

300

This cardiac dysrhythmia is normally treated with IV magnesium.

What is Torsades de Pointes?

300

When administering cold IV fluids during an MH crisis, you may not use these two routes of administration.

What are subclavian and internal jugular?

400

Staff should use this antiarrhythmic medication for patients in LAST syndrome.

What is Amiodarone?

400

This is the type of antiarrhythmic you must not use when treating MH? 

What is a Calcium Channel Blocker

400

These are 3 signs that a patient may be experiencing a complication related to their local anesthetic nerve block.

What are (tinnitus, perioral numbness, metallic taste, agitation, seizure activity, tachycardia, Hyper/Hypotension, cardiac arrest)? *Any 3 of these*

400

This is the dose of epinephrine for pediatric resuscitation patients.

What is 0.01mg/kg?

400

This is a specific indicator of normal respirations in a patient with a chest tube.

What is tidaling?

500

This local anesthetic is considered highest-risk secondary to its highly lipophilic nature.

What is bupivacaine?

500

This drug combination may be used in an MH Crisis if hyperkalemia occurs.

What is glucose and insulin?

500

These are 2 ways that PeriAnesthesia staff can reduce the incidence of Surgical Site Infections.

What are (hand hygiene, clean linens, Triple AIM preparation, maintaining normothermia, timing of antibiotic prophylaxis, patient education)? *Any 2*

500

These are the two key interventions proven to increase survivability of cardiac arrest.

What are high quality CPR and early defibrillation (of shockable rhythms)?

500

Three specific symptoms that may indicate internal bleeding in a robotic surgery patient.

What are (abdominal distention, increasing pain, Grey Turner's Sign / flank bruising, drop in H&H)? *Any three*