Difference between revisions of "Post cardiac arrest care"

(Source)
(Treatment)
Line 6: Line 6:
 
#Normoxia
 
#Normoxia
 
##PaO2 80-120
 
##PaO2 80-120
#Mild Hypothermia (except in trauma)
+
#[[Therapeutic Hypothermia]]
##32-34 deg C for 12-24 hrs
 
##aggresivly Tx hyperthermia (acetamin)
 
##prevent shivering (meperidine, buspirone, and/or dexmetomidine)
 
 
#Aggressively Tx hyperglycemia
 
#Aggressively Tx hyperglycemia
 
##no IVFs with glucose
 
##no IVFs with glucose

Revision as of 05:47, 3 December 2013

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. Aggressively Tx hyperglycemia
    1. no IVFs with glucose
    2. RISS
  5. Aggressive Seizure Tx
    1. prophylaxis unproven
  6. Minimize Irritation
    1. sedatives +/- paralytics
    2. supine flat

See Also

Source

2/17/06 DONALDSON (adapted from Rosen)