| Introduction to MH | MH on the fly | Anesthetist role in MH | All about MH | MH treatment + History |
|---|---|---|---|---|
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What is Phlebitis
This is a local side effect of Dantrolene
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What is the OR front desk, by pharmacy
Where the MH cart is located
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What is Dantrolene
Administration of this drug is the life saving treatment of MH.
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What is the Malignant Hyperthermia Association of the United States
This organization provides education, support and resources to healthcare providers during an MH crisis
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What is 2.5 mg/kg IV
This is the initial dose of Dantrolene
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What is Skeletal muscle
Rigidity is a characteristic of this type of muscle
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What are Calcium Channel Blockers
If _____ is used in conjuction with Dantrolene to treat arrhythmias, cardiac arrest may occur
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What is Mannitol
The diuretic that is combined with Dantrolene
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What is myoglobinuria, rhabdomyolysis
Brown or coca cola colored urine is a symptom of this.
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What is Discontinuation of all volatile agents and succinylcholine
The first line of treatment of MH
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What are inhaled agents and Succinylcholine
These are known MH triggers.
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36 hours
A patient should be monitored in the PACU or SICU for what duration of time after a MH crisis is resolved.
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What is Sterile water
Dantrolene is reconstituted with this solution
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What is muscle rigidity, INCREASED ETCO2, increase in core temp, tachycardia, tachypnea
What are the early signs of MH
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Remove vaporizers, add filters, flush system with 100% oxygen at 10L
How do you prepare your anesthesia machine for a MH susceptible case
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What are Non-depolarizing muscle relaxants
These medications can be potentiated by administration of Dantrolene.
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1mg/kg q 4-6hours
After resolution of the initial MH crisis, what is your Dantrolene dosage for the next 24hours
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What are Activated charcoal filters aka Vapor-Clean
These filters should be placed on the insp and exp limbs of the anesthesia machine to quickly reduce the level of gas
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1-800-644-9737
Be prepared to give your name, number, facility,etc
In the event of an MH crisis, how would you contact MHAUS?
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What is Revonto and Ryanodex
These are the two new trade names that can be given to treat MH
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What is Calcium
The uncontrolled release of this ion causes intense muscle contraction
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Caffeine Halothane Contracture Test (CHCT), muscle biopsy
What is the standard testing for MH
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Calcium Chloride, Calcium Gluconate, D50+regular insulin
What medications can be given to treat hyperkalemia (K+>5.9)
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neuromuscular, myopathies
There is a link between this type of disorder and MH
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What is HALOTHANE
This agent was the culprit for the first published case of MH.
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Ryanodine receptor
A genetic mutation in this protein causes uncontrolled release of calcium.
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