Sign and Symptoms: Increase in: HR, CO2, jaw muscle rigidity and temperature.
D Dantrolene must be administered immediately. Begin with 2.5mg/Kg. Multiply the patients weight in kg by 2.5 mg and you will get you initial dose.
R Reconstitute the dantrolene with 60 ml of sterile water. Each vial gives you 20 mg.
U Until the patient temperature reaches 101F or 38.3C
G Group supplies: Put sterile water, 60cc syringe and infusion pins with mixing instructions in a bag for easy access and preparation.
C cancel the anesthetic gases and depolorizing muscle relaxants.
O Provide 100% Oxygen once you’ve cancelled gases.
L Cold liquids are an integral part, start infusion of refrigerated saline. Place ice packs on the patient and irrigate wound with cold saline.
D Treat dysrthmias
M Monitor electrolytes
H Hyperkalemia is the cause of most of the dysrthmias in MH
A Arterial Blood Gas. Patients go into both metabolic and respiratory acidosis. You will need to administer sodium bicarb and 100% oxygen as needed.
U Urine may be coffee colored. Insert a f/c to monitor UOP. Have lasix or mannitol available to increase UOP as needed.
S Significant others and family members are a priority during an MH crisis. Be sure to update them.
Source: Outpatient Surgery Magazine