Return of Spontaneous Circulation (ROSC) Medical Directive Flashcards

1
Q

ROSC MD

What are the indications for the ROSC MD?

A

Patient with return of spontaneous circulation (ROSC) after the resuscitation was initiated.

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2
Q

ROSC MD

What are the conditions for 0.9% NaCl Fluid Bolus?

A

Age: ≥2 years
SBP: Hypotension
Other: Chest auscultation is clear.

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3
Q

ROSC MD

What are the contraindications to 0.9% NaCl Fluid Bolus?

A

Fluid overload.

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4
Q

ROSC MD

How should ventilation and oxygenation be optimized?

A

Titrate oxygenation 94-98%.
Avoid hyperventilation and target ETCO2 to 30-40 mmHg with continuous waveform capnography (if available).

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5
Q

ROSC MD

What is the ROSC fluid bolus dosing for ages ≥2 years to <12 years?

A

Route: IV
Infusion: 10 ml/kg
Infusion interval: immediate
Reassess every: 100 ml
Max volume: 1000 ml

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6
Q

ROSC MD

What is the ROSC fluid bolus dosing for ages ≥12 years?

A

Route: IV
Infusion: 10 ml/kg
Infusion interval: immediate
Reassess every: 250 ml
Max volume: 1000 ml

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