Post cardiac arrest care
Revision as of 17:37, 12 March 2011 by Rossdonaldson1 (talk | contribs)
Treatment
- Maintain perfusion (cerebral)
- Tx hypotension
- ignore HTN
- normal PaCO2 (~40)
- Normoxia
- PaO2 80-120
- Mild Hypothermia (except in trauma)
- 32-34 deg C for 12-24 hrs
- aggresivly Tx hyperthermia (acetamin)
- prevent shivering (meperidine, buspirone, and/or dexmetomidine)
- Aggressively Tx hyperglycemia
- no IVFs with glucose
- RISS
- Aggressive Seizure Tx
- prophylaxis unproven
- Minimize Irritation
- sedatives +/- paralytics
- supine flat
Source
2/17/06 DONALDSON (adapted from Rosen)