initial 2.5 mg/kg dose
can be administered
with a single vial.
"Ryanodex can be
reconstituted more
quickly and with a
smaller volume of
sterile water," says Dr.
Hamlin. "The active
medication is exactly
the same as the other
drugs, which require
quite a bit of elbow
grease to ready for
administration."
Colleen Bradley,
BSN, RN, CNOR, a
surgical services staff
nurse at UNC REX
Healthcare in Raleigh,
N.C., agrees that
Dantrium and
Revento can be challenging and time-consuming to prepare, and that
Ryanodex is easier to reconstitute. But you have to decide if it makes
sense to pay more for a drug that takes less time to administer in an
emergency situation that, in all likelihood, you won't face before it
expires. There's no right answer. (MHAUS does not endorse one for-
mulation over the other.)
In fact, UNC REX stocks both formulations. The care team treats
patients with Ryanodex during the onset of an MH crisis and, once
J U L Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 3 7
• TEAM LEADER Colleen Bradley, BSN, RN, CNOR, led efforts to improve MH
response protocols at UNC REX Healthcare in Raleigh, N.C..
Jonathan
Rodriguez/UNC
REX
Healthcare
