Post cardiac arrest care

Revision as of 17:37, 12 March 2011 by Rossdonaldson1 (talk | contribs)

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)