Case details - Emergency

Basic information

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Emergency
No. Manifestation Clinical Finding (Maximum Score) Choose
1 End-tidal CO2 > 55 mm Hg, PaCO2 > 60 mm Hg Respiratory acidosis (15) Yes
2 Unexplained sinus tachycardia, ventricular tachycardia, or ventricular fibrillation Cardiac involvement (3) Yes
3 Base deficit > 8 mEq/L, pH < 7.25 Metabolic acidosis (10) Yes
4 Generalized rigidity, severe masseter muscle rigidity Muscle rigidity (15) Yes
5 Serum creatine kinase concentration > 20,000/L units, cola-colored urine, excess myoglobin in urine or serum, plasma [K+] > 6 mEq/L Muscle breakdown (15) Yes
6 Rapidly increasing temperature, T > 38.8° C Temperature increase (15) Yes
7 Rapid reversal of MH signs with dantrolene (score=5) Other Yes
Elevated resting serum creatine kinase concentration (score=10) Other Yes
8 Consistent with autosomal dominant inheritance Family history (15) No

Very likely ( 35-49 )

Calculation result

mg rapid IV bolus, repeat PRN
mg maintenance IV q4-6hr
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