Malignant Hyperthermia (MH) Nursing Interventions for Certified Perioperative Nurse (CNOR)
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Outline
Malignant Hyperthermia (MH) Nursing Interventions
Guidelines:
- Often fully identified post-op
- Triggers
- Anesthetic gasses (“ane”)
- Succinylcholine
- Unknown
- Rhabdomyolysis
- Family history, muscle biopsy
- Previous exposure does not guarantee safety
- DANTROLENE
- MH cart
- Cold IVF
- Ryanodex (brand name, $$, important to know which you have)
Considerations:
- Recognize-act
- Rising-etCO2
- fighting vent settings
- Tachy
- Acidotic
- “Marathon”
- Hyperthermia
- could be late
- Rhabdo- late sign
- Rigidity- masseter typically visible
- 1:100,000, 2:1, m:f
- MH chart checks
- Training!
- DIC late sign, with end stage organ fail
Nurse’s role:
- Nurse’s role
- Awareness/identification
- Dantrolene party
- Screening
- Labs/foley/ICU
Pitfalls:
- Failure to identify
- Statistical probability dismissal
- Previous exposure
- Low volume high risk
- Cart
- Training
Examples:
- Pt arrived in PACU,tachy, hypertherm, rigid, arrhythmia (suspect MH, activate protocol, Anes stat, dantrolene party)
Linchpins (Key Points):
- MH must be identified and treated quickly, butthe low frequency makes this treatment particularly high risk
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Transcript
References
- Association of periOperative Registered Nurses. (2022). Guidelines for Perioperative Practice (2022 ed.).
- Rosenbaum, H & Rosenberg, H (2022). Malignant hyperthermia: Diagnosis and management of acute crisis. UpToDate. https://www.uptodate.com/contents/malignant- hyperthermia-diagnosis-and-management-of-acute-crisis
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Adaptive Brain SIMCLEX Study Plan – 30 Jan 2026
Concepts Covered:
- Concepts of Population Health
- Factors Influencing Community Health
- Intraoperative Nursing
- Communication
- Perioperative Nursing Roles
- Fundamentals of Emergency Nursing
- Medication Administration
- Preoperative Nursing
- Basics of NCLEX
- Noninfectious Respiratory Disorder
- Respiratory Emergencies
- Shock
- Shock
- Developmental Considerations
Study Plan Lessons
Care for Native American Patient Populations
Care for Asian-Indian Patient Populations
Malignant Hyperthermia (MH) Nursing Interventions for Certified Perioperative Nurse (CNOR)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Response to Diversity for Progressive Care Certified Nurse (PCCN)
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Pulmonary Hypertension for Progressive Care Certified Nurse (PCCN)
Pulmonary Embolism for Progressive Care Certified Nurse (PCCN)
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cultural Considerations (Interpretive Services, Privacy, Decision Making) for Certified Emergency Nursing (CEN)