Post cardiac arrest care: Difference between revisions

Revision as of 17:37, 12 March 2011

Maintain perfusion (cerebral)
1. Tx hypotension
2. ignore HTN
3. normal PaCO2 (~40)
Normoxia
1. PaO2 80-120
Mild Hypothermia (except in trauma)
1. 32-34 deg C for 12-24 hrs
2. aggresivly Tx hyperthermia (acetamin)
3. prevent shivering (meperidine, buspirone, and/or dexmetomidine)
Aggressively Tx hyperglycemia
1. no IVFs with glucose
2. RISS
Aggressive Seizure Tx
1. prophylaxis unproven
Minimize Irritation
1. sedatives +/- paralytics
2. supine flat

2/17/06 DONALDSON (adapted from Rosen)

Authors:

@@ Line 1: / Line 1: @@
 ==Treatment==
+#Maintain perfusion (cerebral)
+##Tx hypotension
-)  Maintain perfusion (cerebral)
+##ignore HTN
+##normal PaCO2 (~40)
-     -Tx hypotension
+#Normoxia
+##PaO2 80-120
-     -ignore HTN
+#Mild Hypothermia (except in trauma)
+##32-34 deg C for 12-24 hrs
-     -normal PaCO2 (~40)
+##aggresivly Tx hyperthermia (acetamin)
+##prevent shivering (meperidine, buspirone, and/or dexmetomidine)
-)  Normoxia
+#Aggressively Tx hyperglycemia
+##no IVFs with glucose
-     -PaO2 80-120
+##RISS
+#Aggressive Seizure Tx
-)  Mild Hypothermia (except in trauma)
+##prophylaxis unproven
+#Minimize Irritation
-     -32-34 deg C for 12-24 hrs
+##sedatives +/- paralytics
+##supine flat
-     -aggresivly Tx hyperthermia (acetamin)
-     -prevent shivering (meperidine, buspirone, and/or dexmetomidine)
-)  Aggressively Tx hyperglycemia
-     -no IVFs with glucose
-     -RISS
-)  Aggressive Seizure Tx
-     -prophylaxis unproven
-)  Minimize Irritation
-     -sedatives +/- paralytics
-     -supine flat
 ==Source==
 /17/06   DONALDSON (adapted from Rosen)
 [[Category:Cards]]