Post cardiac arrest care

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Treatment

1) Maintain perfusion (cerebral)

    -Tx hypotension
    -ignore HTN
    -normal PaCO2 (~40)

2) Normoxia

    -PaO2 80-120

3) Mild Hypothermia (except in trauma)

    -32-34 deg C for 12-24 hrs
    -aggresivly Tx hyperthermia (acetamin)
    -prevent shivering (meperidine, buspirone, and/or dexmetomidine)

4) Aggressively Tx hyperglycemia

    -no IVFs with glucose
    -RISS

5) Aggressive Seizure Tx

    -prophylaxis unproven

6) Minimize Irritation

    -sedatives +/- paralytics
    -supine flat


Source

2/17/06 DONALDSON (adapted from Rosen)