Malignant Hyperthermia (MH) Flashcards
0
Q
Not MH triggers
A
IV anesthetics (Propofol) Opiates Non-depolarizing muscle relaxants Ketamine Sedatives and tranquilizers
1
Q
Known chemical MH triggers
A
Forane (Isoflurane)
Sevoflurane
Suprane
Anectine (Succinylcholine)
2
Q
Specific clinical signs of MH
A
Muscle Rigidity
Dramatically increased CO2 production
Rhabdomyolysis
Profound hyperthermia
3
Q
Non-Specific clinical signs of MH
A
Tachycardia
Tachypnea
Acidoses (both resp & metabolic)
Hyperkalemia
4
Q
Dantrolene
A
Dantrium
5
Q
Treatment of acute MH
A
D/C anesthetic gas
100% hyperventilate
1-2mg/kg of bicarb
Dantrolene dose of 2.5mg/kg IV push + PRN
Cool pt
NO Calcium Channel Blockers
Monitor coagulation and electrolytes for (DIC)
6
Q
Dantrolene (Dantrium) dose for acute MH
A
2.5mg/kg IV push and repeat PRN