Other conditions that have similar reaction to MH - ANSWER-
Allergy to bone cement
PE
Allergy to anesthesia
Blood Transfusion reaction steps - 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 - ANSWER-Blood in urine
Urine output decrease
Hypotension
Hyperthermia
Excessive or unusual bleeding
IVS ready for discharge - ANSWER-stay awake for 20 minutes
without stimulation
MH crisis patient observed - ANSWER-36 hours post op
Local Anesthesia toxicity
initial and increased - ANSWER-initial- hypertension
increased-hypotension
Local Anesthesia hypersensitivity - ANSWER-tachycardia
Laser Safety- OR fire - 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 - 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 -
Pediatric intubation - ANSWER-straight laryngoscopes
Uncuffed to 8 years
Suction lumens 5-10french
ET tube 5.0mm
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