Hypothermia and Hyperthermia

Question 1

Mild hypothermia temperature range

Answer 1

32-35 C

Question 2

Moderate hypothermia temperature range

Answer 2

28-32 C

Question 3

Severe hypothermia temperature range

Answer 3

< 28 C

Question 4

Classic EKG waveform in hypothermia

Answer 4

J wave

Question 5

Length of time for pulse check in hypothermia

Answer 5

30-60 seconds

Question 6

Do you provide CPR if you feel a pulse, no matter how slow?

Answer 6

No

Question 7

Temperature below which you should avoid drugs in cardiac arrest in hypothermia

Answer 7

< 30 C

Question 8

Potential complication of subclavian and IJ central line insertion in hypothermia

Answer 8

arrhythmias

Question 9

Temperature definition for heat stroke

Answer 9

> 40 C

Question 10

Most rapid form of cooling

Answer 10

Conductive (ice bath)

Question 11

Does lavage help with heating or cooling a patient as effective as conductive methods?

Answer 11

No

Question 12

Etiology of malignant hyperthermia

Answer 12

Defect in Ca++ transport in the skeletal muscle

Question 13

Classic vital sign change in patients with early malignant hyperthermia

Answer 13

Increased EtCO2 or PaCO2

Question 14

Medication used to treat malignant hyperthermia

Answer 14

Dantrolene 2-3 mg/kg max 10 mg/kg

Question 15

Drug class for HTN contraindicated in malignant hypertermia

Answer 15

Calcium channel blockers

Question 16

Drug for replacement of dopamine in neuroleptic malignant syndrome

Answer 16

Bromocriptine

Question 17

Definition of rhabdomyolysis

Answer 17

CK > 1000 or 5x ULN

Question 18

Why to not treat hypocalcemia unless symptomatic in patients with rhabdomyolysis

Answer 18

Replacement can precipitate calcium in the muscles

Question 19

Urine output goal for IV fluid treatment of rhabdo

Answer 19

2-3 ml/kg/h

Question 20

2 types of fluids used in treatment of rhabdo

Answer 20

NS or Bicarb containing