MC - 6 - Post Resuscitation Care - Adult and Pediatric

Question 1

In the ROSC patient, oxygen saturations should be titrated to greater than ______%.

Answer 1

C. 94%

Question 2

What is the optimal end tidal CO2 in post-ROSC care?

Answer 2

35-45 mmHg

Question 3

What is the minimum number of vascular access sites in the post-ROSC patient?

Answer 3

B. 2

Question 4

T/F: Only 1 IO may be placed in the adult medical ROSC patient.

Answer 4

True

Question 5

For penetrating trauma, what is the term used for hypotension in resuscitation?

Answer 5

“Permissive hypotension”

• Restoring BP to “normal” range will disrupt clots and disrupt hemostasis.

Question 6

For medical, adult post-ROSC patients, what is the minimum systolic blood pressure? The MAP?

Answer 6

Greater than 90 mmHg; 65 mmHg

Question 7

Formula for MAP

Answer 7

1, 2, 3

MAP = SBP + (2xDBP/3)

Question 8

For medical, pediatric post-ROSC patients, what is the minimum SBP? The MAP?

Answer 8

70 + (age x 2); 65 mmHg

Question 9

If an adult, medical post-ROSC patient is unable to follow commands, what is administered to optimize perfusion?

Answer 9

2L NS IV

Question 10

If a pediatric or traumatic post-ROSC patient is unable to follow commands, what is administered to optimize perfusion?

Answer 10

NS bolus of 20 mL/kg (Maximum of 2L)

Question 11

What may be administered to medical patients who remain hypotensive following NS bolus?

Answer 11

Over 18 YO: 5-10 mcg/kg/min dopamine

Under 18 YO: 0.1-0.5 mcg/kg/min 1:10,000 epinephrine

Question 12

How does one make push-dose pressors?

Answer 12

1. Take 1:10,000 epi (1 mg)
2. Remove 9 mL of epi
3. Replace with 9 mL of NS
4. Produces 1:100,000 epi (1 mL = 10 mcg)

*1:10,000 epi = 100 mcg/1 mL)