CAPA Hypothermia / Hyperthermia / Malignant Hyperthermia
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| What is the most accurate method of ,easuring core temperature? | show 🗑
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| show | Nasopharynx
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| What is the definition of hypthermia? | show 🗑
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| show | Core temperature greater than 38 degrees (100.4)
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| show | Through basal metabolic rate
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| True/False: The body's core temperature may vary with environmental changes. | show 🗑
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| show | Hypothalamus
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| What is the only natural internal source of heat? | show 🗑
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| show | In proportion to their metabolic rates.
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| show | 500%
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| show | Through catabolism of brown fat cell by the newborn
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| How does heat flow? | show 🗑
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| show | Radiation (from warmer to cooler)
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| What account for 25-35% of heat loss? | show 🗑
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| show | Conduction
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| True/False: Almost all patients receiving an anesthetic become hypthermic unless they are actively warmed. | show 🗑
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| Anesthetic cause a drop in temperature due to what? | show 🗑
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| show | 1-1.5 degrees C (primarily caused by core-to-peripheral redistribution)
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| Why would hypothermia during surgery be planned? | show 🗑
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| What are the most common times planned perioperative hypothermia would occur? | show 🗑
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| What effect does hypothermia have on the brain? | show 🗑
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| show | extreme ages, female, room temp, length/type of surgery, cachexia
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| show | platelet function is reduced and clotting cascade is slowed; blood loss is increased
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| show | Elimination of injectable drugs is prolonged; Duration of anesthestic agents are prolonged
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| What impact does hypothermia have on wound healing? | show 🗑
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| What causes Malignant Hyperthermia? | show 🗑
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| What does MH cause? | show 🗑
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| What population is MH more common in? | show 🗑
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| show | Succinylcholine, ALL volative inhalation agents, d-Tubocurarine, IV potassium if given rapidly
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| What are POSSIBLE MH triggers? | show 🗑
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| What are safe anesthetic agents to use with patients at risk for MH? | show 🗑
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| show | Duchenne muscular dystrophy, Central Core Disease, Myotonia, Myopathies
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| What is the most reliable way to diagnose MH? | show 🗑
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| What is a test that can help identify potential for MH, but is unreliable? | show 🗑
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| What are EARLY signs of MH? | show 🗑
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| What are LATE signs of MH? | show 🗑
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| show | Immediate discontinuation of anesthesia and surgery, 100% Oxygen, Dantrolene
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| How do you reconstitute Dantrolene? | show 🗑
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| show | 2.5mg/kg up to a total of 10 mg/kg body weight. May exceed if syndrome not under control
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| show | Initiate patient cooling, maintain fluid and electrolyte balance, and monitor cardiac output
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| Once MH is under control what is treatment for the patient? | show 🗑
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| How may a Duchenne muscular dystrophy patient present if not identified as at risk for MH? | show 🗑
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| How do you treat a muscular dystrophy patient who was given succs or a volatile inhalation agent and is symptomatic? | show 🗑
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| show | Thyrotoxicosis has no muscle rigidity, little to no acidosis, and no myoglobinuria.
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| In what disease that mimics MH is dantrolene of little or no value? | show 🗑
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| show | Mannitol and steroids
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| show | Myelogram
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| show | jerking of muscles in legs progress to whole body tonic activity and leads to seizures and hyperthermia
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| Neuroleptic malignant syndrome occurs in patients taking what? | show 🗑
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| What is the treatment for Neuroleptic melignant syndrome? | show 🗑
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