Post cardiac arrest care
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)