Diferencia entre revisiones de «Post cardiac arrest care»

Línea 6: Línea 6:
#Normoxia
#Normoxia
##PaO2 80-120
##PaO2 80-120
#Mild Hypothermia (except in trauma)
#[[Therapeutic Hypothermia]]
##32-34 deg C for 12-24 hrs
##aggresivly Tx hyperthermia (acetamin)
##prevent shivering (meperidine, buspirone, and/or dexmetomidine)
#Aggressively Tx hyperglycemia
#Aggressively Tx hyperglycemia
##no IVFs with glucose
##no IVFs with glucose

Revisión del 05:47 3 dic 2013

Treatment

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

See Also

Source

2/17/06 DONALDSON (adapted from Rosen)