Dantrolene/MH
Offending agent commonly used in the ED
What is succinylcholine?
What are must be administered within 4 hours of reconstitution and must be administered through a designated line
Given to prevent further brain tissue damage/death due to an ischemic stroke
What is Tenecteplase (TNK)?
Use of this program is required for adult insulin infusions
What is Glucommander?
Adjustment of this is based on aPTT or Anti-Xa levels
What is a heparin infusion?
Early indication of the development of malignant hyperthermia due to increased muscle metabolism and oxygen consumption
What is spike in ETCO2?
Most common side effects of Kcentra
What are headache, hypotension, nausea/vomiting, and thromboembolism?
Max dosage of TNK for ischemic stroke
What is 25 mg (5ml)?
This should be discontinued when a patient is being managed using Glucommander
What is the personal insulin pump?
This is the interval for checking levels and adjusting infusion rates (dose changes)
What is 6 hours?
Results from and uncontrolled release of calcium
What is muscle rigidity?
These are the two dosages for Kcentra
What are 1,500 and 2,000?
Patient should be monitored for the development of this condition post TNK
What is angioedema?
This is the management for hypoglycemia in a conscious patient without IV access
What is a 15 gram carb snack
This needs to be modified with every rate change
What is the heparin order?
Initial dose of Dantrolene for MH
What is 2.5 mg/kg?
This can result if blood enters the syringe containing Kcentra
What is fibrin clot formation?
Required to be performed every 15 minutes x 2 hours post TNK administration
What are vital signs and neuro checks?
Pregnant patients with a FSBS less than this are considered hypoglycemic
What is 70 mg/dl?
This needs to be documented in the MAR with every rate change
What are the protocol action and next time due?
Treatment for MH includes
What is remove offending agent, manage ABCs, cool pt, administer sodium bicarb, insulin, and dextrose, and supportive care?
Kcentra administration is contraindicated for what types of patients
What are patients with known hypersensitivity to medication, refusal blood products, and known HIT?
Required to be completed with the first 15 minutes of arrival for stroke patients
What are BEFAST, vital signs, FSBS, provider evaluation, dry head CT?
This documentation is required for a FSBS reading less than 50 mg/dl in a non pregnant adult patient
What are critical result and hypoglycemic event notes
If there is an extended delay in performing a rate change, the nurse should do what
What is notify the provider and perform a redraw?