Post cardiac arrest care

Revision as of 14:34, 10 January 2015 by Neil.m.young (talk | contribs)

Treatment

  1. Maintain perfusion (cerebral)
    1. Tx hypotension
    2. ignore HTN
    3. normal PaCO2 (~40)
  2. Normoxia
    1. PaO2 80-120
  3. Therapeutic Hypothermia
  4. PCI
    1. Early reperfusion therapy is important to ID coronaries as ECG cannot reliably predict them in these cases[1]
  5. Aggressively Tx hyperglycemia
    1. no IVFs with glucose
    2. RISS
  6. Aggressive Seizure Tx
    1. prophylaxis unproven
  7. Minimize Irritation
    1. sedatives +/- paralytics
    2. supine flat

See Also

Source

  • Rosen
  1. ↑ 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
Retrieved from "https://www.wikem.org/w/index.php?title=Post_cardiac_arrest_care&oldid=28811"