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15 Cards in this Set
- Front
- Back
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What starts off the Post-Cardiac Arrest Care Algorithm?
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ROSC!!
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What is the first step in Post-CA care?
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Ensure adequete ventilation and oxygenation
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How do you ensure adequete oxygenation?
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By monitoring continuos wave capnography to make sure it is at least 35-40 mm Hg, and titrating FiO2 so that SpO2 is at least 94%
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What breath rate should you start patients on for Post-CA care?
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10-12 breaths per min
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What step comes after ensuring adequete oxygenation and ventilation?
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Treat hypotension <90 SBP
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How do you treat hypotension?
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Give IVF bolus of 1-2 L NS or LR - chilled to 4'C if you're going to induce hypothermia
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What drugs can you use to treat hypotension?
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Epi
Norepi Dopamine |
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What dose of Epi or Norepi do you give for HYPOTENSION?
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0.1 to 0.5 mcg/kg/min
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What dose of dopamine do you give for hypotension?
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5-10 mcg/kg/min
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What should you titrate all infusions for hypotension to achieve?
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SBP of 90 or greater
MAP of 65 or greater |
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What should you do in the Post-CA Care algorithm after treating hypotension?
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Check ability to follow commands
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What should you do if the patient does not follow commands?
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Consider induced hypothermia to 32-34'C for 12-24 hr
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What should you do if the patient DOES follow commands, or after inducing hypothermia for those that don't?
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Get a 12-lead ECG to determine STEMI or high suspicion of AMI
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What if there was a STEMI or AMI?
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Send to the cath lab for coronary reperfusion
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What is there was not a STEMI or AMI?
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Send to the ICU
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