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Early sign of MH ✔Correct Answer-Tachycardia
Signs of MH ✔Correct Answer-HR increase 120;
require increase 02;
purple splotches;
tight jaws
Other conditions that have similar reaction to MH ✔Correct Answer-Allergy to bone cement
PE
Allergy to anesthesia
Blood Transfusion reaction steps ✔Correct Answer-1st- STOP transfusion
Replace tubing with 0.9% NACL
Report to surgeon and blood bank
Anticipate orders for emergency drugs
Signs of reaction to blood transfusion ✔Correct Answer-Blood in urine
Urine output decrease
Hypotension
Hyperthermia
Excessive or unusual bleeding
IVS ready for discharge ✔Correct Answer-stay awake for 20 minutes without stimulation
MH crisis patient observed ✔Correct Answer-36 hours post op
Local Anesthesia toxicity
initial and increased ✔Correct Answer-initial- hypertension
increased-hypotension
Local Anesthesia hypersensitivity ✔Correct Answer-tachycardia
Laser Safety- OR fire ✔Correct Answer-Communicate
Pour saline slowly on patient
Remove drapes
Consult with anesthesia
Remove airway circuit
Turn off O2
Remove ET tube
Pour saline in airway
Re establish airway
Prevent Laser OR fire ✔Correct Answer-Gel coat facial hair
ET tube filled with Saline and Dye
Non reflective instruments
ESU rubber coated
, Do not TENT drapes
OR room Temperatures Pediatric ✔Correct Answer-Infants 80-85
Older children 75-80
Pediatric intubation ✔Correct Answer-straight laryngoscopes
Uncuffed to 8 years
Suction lumens 5-10 french
ET tube 5.0mm
Blocks 4 of them ✔Correct Answer-Retrograde-extremity
Pudendal-gynecology
Intercostal- thoracic
Field- hernia
Insufflation initial flow and pressure ✔Correct Answer-9L at 14-16 mm Hg
Fast Acting anesthetic ✔Correct Answer-Brevital (methohexital), nitrous and halothane
Injectable agent faster spread and resolve local edema ✔Correct Answer-Wydase
MH medications doses ✔Correct Answer-Bicarbonate 1-2 mg/kg
Dantrolene 2.5mg/kg q 5 minutes max of 10mg/kg
ASA classifications ✔Correct Answer-PS-1 normal
PS-2 mild
PS-3- severe
PS-4- threat to life
PS-5 Die without surgery
PS-6- Brain Dead
MH reactions ✔Correct Answer-hypercarbia
tachycardia
tachypnea
hypoxia
metabolic and respiratory acidosis
MH last manifestation ✔Correct Answer-increase in body temperature
MH Crisis 1 st thing to do ✔Correct Answer-discontinue triggering agents
hyperventilate
Dantrolene
Sodium bicarbonate
Inhalation anesthesia not to use for MH ✔Correct Answer-Halothane
Isoflurane
Desflurane
Esoflurane
Succycholine
Sevoflurane