less effective for
plasma volume
expansion.
Hyperkalemia is an
immediate conse-
quence of the
marked metabolic
and respiratory aci-
dosis that occur dur-
ing an MH crisis and
that often follow the
severe muscle injury
associated with MH.
That means the typi-
cal surgical fluid,
Ringer's lactate, is not the best treatment option.
3. How much sterile water should you have on hand to reconstitute
dantrolene?
a. 5 5-ml to 10-ml vials
b. 15 50-ml to 60-ml vials
c. 2 1-liter bags
d. a or b
e. a, b & c
Answer: d
The reason: The 3 available preparations of dantrolene (Dantrium,
Revonto and Ryanodex) appear to be equally efficacious in reversing
O C T O B E R 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 3 7
• PUSH FOR SAFETY Base your stock of dantrolene on the formulation you use, and
always have enough on hand to stabilize obese patients.
Pamela
Bevelhymer,
RN,
BSN,
CNOR
