Malignant Hyperthermia Flashcards

1
Q

what is malignant hyperthermia characterised by?

A
  • following administration of anaesthetic agent
  • hyperpyrexia
  • muscle rigidity
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2
Q

what is the mechanism behind malignant hyperthermia?

A
  • excessive release of Ca2+ from the sarcoplasmic reticulum of skeletal muscle
  • associated with defects in a gene on chromosome 19
  • autosomal dominant
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3
Q

what are the causative agents in malignany hyperthermia?

A
  • halothane
  • suxamethonium
  • antipsychotics
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4
Q

what investigations can be undertaken in malignant hyperthermia?

A
  • CK raised
  • contracture tests with halothane and caffeine
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5
Q

what is the management of malignant hyperthermia?

A

dantrolene

prevents Ca2+ release form the sarcoplasmic reticulum

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