Post-arrest care Flashcards
Post-Cardiac Arrest Syndrome;
Post-arrest ? injury.
Post-arrest ? dysfunction.
Systemic ?/? response.
Persistent precipitant pathology
brain
myocardial
ischemia
reperfusion
Airway/ Breathing;
If arrest was brief, patients will not require tracheal ?/?.
o Give oxygen via ? if SpO2 %.
o Hyperoxaemia generally increases oxidative stress to the ? and ?, so avoid ? oxygen therapy if not necessary.
Any patient with dulled ? function should be ? and ?, with admission to ?.
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Circulation;
If there is ST ?/? on ECG, ? ? intervention is indicated, even if they remain comatose and ?.
Perform ? to assess the extent of myocardial dysfunction.
0 Patients will often require ? support initially.
0 Titrate ? support/? to maintain adequate ? output.
There is often transient ?, which can cause arrhythmias.
0 Give IV ? to maintain ?
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Disability;
In most patients, ? auto-regulation is lost following arrest, so maintain
blood pressure near to ? ? pressure.
It is common practice to sedate and ventilate patients for ? hours following arrest; although there is no high level evidence to say this improves outcomes.
If targeted temperature management is used, ? is necessary.
? may be required to detect seizures in ? patients.
o These should be treated appropriately
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Exposure;
A period of ? is common in the first ? hours after arrest.
o This is associated with poor outcomes.
Targeted temperature management;
o Cooling to ? degrees is ?-protective, reducing the inflammatory response to ?.
o Indicated for those who remain ? following ????.
o Cooling ?, ?, or ? heat exchangers can be used.
o They require ? to prevent ?.
o Cool for >? hours.
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