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)