Difference between revisions of "Post cardiac arrest care"

(Created page with "==Treatment== 1) Maintain perfusion (cerebral) -Tx hypotension -ignore HTN -normal PaCO2 (~40) 2) Normoxia -PaO2 80-120 3) Mild Hypothermia (except...")
 
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==Treatment==
 
==Treatment==
 
+
#Maintain perfusion (cerebral)
 
+
##Tx hypotension
1)  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)
2)  Normoxia
+
#Aggressively Tx hyperglycemia
 
+
##no IVFs with glucose
    -PaO2 80-120
+
##RISS
 
+
#Aggressive Seizure Tx
3)  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)
 
 
 
4)  Aggressively Tx hyperglycemia
 
 
 
    -no IVFs with glucose
 
 
 
    -RISS
 
 
 
5)  Aggressive Seizure Tx
 
 
 
    -prophylaxis unproven
 
 
 
6)  Minimize Irritation
 
 
 
    -sedatives +/- paralytics
 
 
 
    -supine flat
 
 
 
 
  
 
==Source==
 
==Source==
 
 
 
2/17/06  DONALDSON (adapted from Rosen)
 
2/17/06  DONALDSON (adapted from Rosen)
 
 
 
 
 
  
 
[[Category:Cards]]
 
[[Category:Cards]]

Revision as of 17:37, 12 March 2011

Treatment

  1. Maintain perfusion (cerebral)
    1. Tx hypotension
    2. ignore HTN
    3. normal PaCO2 (~40)
  2. Normoxia
    1. PaO2 80-120
  3. 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)
  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

Source

2/17/06 DONALDSON (adapted from Rosen)