|
Malignant Hyperthermia (MH)
MH Hotline (800) 644-9737
Outside US (315) 464-7079
For the name and telephone number of the MH consultant physician on call, dial the MH Hotline of MHAUS (Malignant Hyperthermia Association of the United States). For further information, visit MHAUS website http://www.mhaus.org.
Once the diagnosis of MH has been made:
• Stop anesthesia and curtail surgery immediately.
• Hyperventilate with 100% oxygen.
• Administer dantrolene 2.5 mg/kg IV, which may be repeated every 5鈥�10 minutes toward a total dose of 10 mg/kg but more as needed if symptoms persist.
• Give sodium bicarbonate 2鈥�4 mEq/kg IV and more as guided by arterial pH and Paco2.
• Initiate cooling.
• Maintain urine output with mannitol 25 g IV, furosemide 20 mg IV, and copious intravenous fluid administration.
• Monitor patient and continue therapies until the patient is stable and further until the danger of additional episodes is past.
恶性高热(晚上)
晚上热线(800)644-9737
(315)464-7079美国以外
的名字和电话号码的顾问医生的电话,拨打热线的氢mhaus(恶性高热协会美国)。为进一步的信息,mhaus http://www.mhaus.org访问网站。
一旦诊断已经取得的荣誉勋章:
•麻醉和减少手术立即停止。
•深呼吸100%氧气。
•辖丹曲林2.5毫克/公斤四,这可能是重复每5鈥�10分钟对总剂量为10毫克/公斤,但更多的需要,如果症状持续。
•给予碳酸氢钠2鈥�4毫克当量/千克四和更多的指导下动脉和动脉血二氧化碳分压。
•开始冷却。
•维持尿量25克四甘露醇,速尿20毫克四,和丰富的静脉输液。
•监测病人和继续治疗的病人是稳定的,直到进一步直到额外的危险事件已经过去了。 |
|