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 - ANSWER✔✔ Infants 80-85
Older children 75-80
Pediatric intubation - ANSWER✔✔ straight laryngoscopes
Uncuffed to 8 years
Suction lumens 5-10 french
ET tube 5.0mm
Blocks 4 of them - ANSWER✔✔ Retrograde-extremity
Pudendal-gynecology
Intercostal- thoracic
Field- hernia
Insufflation initial flow and pressure - ANSWER✔✔ 9L at 14-16 mm Hg
Fast Acting anesthetic - ANSWER✔✔ Brevital (methohexital), nitrous and
halothane
Injectable agent faster spread and resolve local edema - ANSWER✔✔ Wydase
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