Post cardiac arrest care: Difference between revisions
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==Treatment== | ==Treatment== | ||
*Maintain perfusion (cerebral) | |||
**Tx hypotension | |||
**ignore HTN | |||
**normal PaCO2 (~40) | |||
*Normoxia | |||
**PaO2 80-120 | |||
*[[Therapeutic Hypothermia]] | |||
*PCI | |||
**Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases<ref>Kern, KB. Optimal Treatment of Patients Surviving Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol Intv. 2012; 5(6):597-605. doi:10.1016/j.jcin.2012.01.017</ref> | |||
*Aggressively Tx hyperglycemia | |||
**no IVFs with glucose | |||
**RISS | |||
*Aggressive Seizure Tx | |||
**prophylaxis unproven | |||
*Minimize Irritation | |||
**sedatives +/- paralytics | |||
**supine flat | |||
==See Also== | ==See Also== | ||
| Line 22: | Line 22: | ||
*[[Adult Cardiac Arrest]] | *[[Adult Cardiac Arrest]] | ||
== | ==References== | ||
[[Category:Cards]] | [[Category:Cards]] | ||
Revision as of 11:51, 18 July 2015
Treatment
- Maintain perfusion (cerebral)
- Tx hypotension
- ignore HTN
- normal PaCO2 (~40)
- Normoxia
- PaO2 80-120
- Therapeutic Hypothermia
- PCI
- Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases[1]
- Aggressively Tx hyperglycemia
- no IVFs with glucose
- RISS
- Aggressive Seizure Tx
- prophylaxis unproven
- Minimize Irritation
- sedatives +/- paralytics
- supine flat
See Also
References
- ↑ Kern, KB. Optimal Treatment of Patients Surviving Out-of-Hospital Cardiac Arrest. J Am Coll Cardiol Intv. 2012; 5(6):597-605. doi:10.1016/j.jcin.2012.01.017