Adult Post-Cardiac Arrest

Question 1

When is a patient admitted to an adult post-cardiac arrest center?

Answer 1

AFTER obtaining ROSC

Question 2

What is the initial therapy at an adult post-cardiac arrest center and parameters?

Answer 2

1. Manage airway with ET tube
2. Manage respirations (10 breaths/min, SPO2 92-98%, PaCo2 35-45)
3. Manage hemodynamic stability (sys BP > 90; MAP > 65)

Question 3

After making sure a patient is stabilized at an adult post-cardiac arrest center, what is the next step and purpose of this step?

Answer 3

Obtain a 12 lead EKG

r/o STEMI, cardiogenic shock, and determine if mechanical circulation support is necessary

Question 4

after obtaining an EKG and r/o cardiac problems, what do you do for adult post-cardiac arrest center?

Answer 4

Assess if the patient FOLLOWS COMMANDS

so after cardio assessment = neuro assesment

Question 5

If a patient does NOT follow commands they are ____ while if they DO follow commands, they are _____

Answer 5

comatose
awake

Question 6

Management of comatose patient

Answer 6

TTM
Obtain brain CT
EEG
Critical care management

Evaluate and treat reversible etiologies and consult for continued management

Question 7

Management of awake patient

Answer 7

Critical care management

Evaluate and treat reversible etiologies and consult for continued management