Malignant Hyperthermia Flashcards
1
Q
Malignant Hyperthermia Triggers
A
- Volatile Anesthestics
- Succinylcholine
2
Q
Malignant Hyperthermia: Signs of Onset
A
- Tachycardia
- Tachypnea
* Rapidly Increasing ETCO2 - Skin Mottling
- Arrhythmias
- Hyperthermia
- Unstable BP
- Dark Urine
- Muscle Rigidity
- Masseter
3
Q
Malignant Hyperthermia: Medication Treatment
A
Dantrolene 2.5 mg/kg IV
repeat q 5-10 mins
MAX 10 mg/kg
4
Q
Treatment of Malignant Hyperthermia
A
- STOP triggering agent
- Hyperventilate w/ 100% FiO2 at HIGH FLOW
- Administer Dantrolene
- Correct Metabolic Acidosis
- Correct Hyperkalemia
- Actively cool patient
- Check labs q 15 minutes until stable
- Maintain urine output > 2ml/kg/hr with hydration, mannitol or lasix
