Show:
Malignant Hyperthermia
End Tidal CO2
Post Anesthesia Recovery
Complications
Red Flags
100

Agents and medication that can trigger malignant hyperthermia

What is anesthetic gas and succinylcholine?

100

EtCO2 normal range

What is 35mmHg-45mmHg

100

How often are post procedure VS Assessments done in Phase I

What is every 5 minutes x 20 mins, then depending on stability, every 10-15 minutes until transfer to another unit?

100

Name three delirium symptoms

What is agitation, distractibility, inability to focus attention, disorientation to time, person and place, difficulty with memory

100

Three postoperative adverse effects

What is 

  • Airway compromise
  • Cardiovascular depression
  • Pain
  • Nausea and vomiting
  • Delirium
  • Procedure-related adverse effects


200

Medication used for malignant hyperthermia

What is Dantrolene Sodium?

200

Indicates this when EtCO2 is above the normal range 

What is hypoventilation

200

Immediate goals after general anesthesia

What is maintain airway patency, assure adequate pain control and reduce nausea?

200

Name three potential complications post general anesthesia

What is 

  • Respiratory Depression or Distress
  • Hypertension
  • Hypotension
  • N/V
  • Delirium
  • Residual Muscle Paralysis
  • Malignant Hyperthermia
  • Psychological Distress
200

Name three symptoms to report to physician

What is 

  • Hypotension or hypertension
  • Heart rate or rhythm changes
  • Decreased body temperature
  • Respiratory depression
  • Emergence delirium: shivering, trembling, confusion, or hallucinations
  • Malignant hyperthermia symptoms
  • Excessive bleeding
  • ALOC
  • CVA/TIA symptoms
  • Neurovascular changes


300

The location of malignant hyperthermia cart

What is PACU 1?

300

Indicates this when EtCO2 is below the normal range

What is hyperventilation

300
The Aldrete Score when you can bring patients to the PCU & MST floors

What is 8 or above

300

When your patient is drooling, gurgling, snoring, EtCO2 50mmHG & use of accessory muscles.  What is happening?

What is Respiratory Distress

300

The immediate intervention for laryngospasms

What is assist in delivering positive pressure with an Ambu bag device

400

The overhead page for malignant hyperthermia

What is Code Blue, Malignant Hyperthermia, Room #

400

Which is more sensitive to detecting respiratory compromise pulse oximetry or EtCO2 

What is EtCO2?


400

The time period to wait before sending the patient to the floor after IV analgesic unless a PCA patient

What is 15 mins.

400

Indication of hypotension, tachypnea, cool skins, agitation symptoms after cardiac catheterization 

What is possible bleeding - perforation, retroperitoneal bleeding, etc..

400

Factors that increase risk of post anesthesia complications 


What is poor health, multiple chronic conditions prior to surgery and events during anesthesia

500

Name three signs and symptoms of malignant hyperthermia

What is

tachycardia, EtCo2 to more than 55mmHg, tachypnea, hypoxemia, arrhythmias, muscle or jaw rigidity, generalized muscle rigidity, increasing fever, myoglobinuria, AKF, multiple organ failure, Metabolic and/or respiratory acidosis, hyperkalemia, DIC, Whole body or cerebral edema, compartment syndrome

500

Where are the EtCO2 cannula and EtCO2 monitor module located in ACU

What is the ACU Phase 1 Post Recovery Cart 

500

The time oxygen must be removed prior to transfer to the floors

What is 30 mins.

500

Three signs & symptoms of hypotension

What is 

  • Decreased BP
  • Diaphoresis
  • Dizziness
  • Nausea
  • Pallor
  • Tachycardia
500

The process for advocating for your patient if you are concerned about the care of your patient and not getting timely response or care

What is escalation through Chain of Command