Post resuscitation care Flashcards
1
Q
Goals of post ressucitation care
A
Normal cerebral function
Stable cardiac rhythm
Perfusion good enough to maintain organ function
Good quality of life
2
Q
Most common cause of death for patients surviving to ITU
A
Brain injury
3
Q
Targeted temperature management
A
32-36 degrees for 24 hours
Followed by rewarming at a rate of 0.25 degrees per hour
4
Q
Complications of hypothermia
A
Arrhythmias - bradycardia
Increased infection rates
Hyperglycaemia
Diuresis and electrolyte abnormalities - hypophosphataemia, hypokalaemia, hypomagnesaemia, hypocalcaemia
Impaired coagulation
Increased amylase concentration
Reduced clearance of sedative drugs
5
Q
When should neurological outcome be assessed
A
At least 72 hours after ROSC using a structured multimodal approach
