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12 Cards in this Set
- Front
- Back
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At what level should O2 saturation be maintained?
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At or greater than 94%
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Below what SBP should treatment be initiated for hypotension?
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90mmHg
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Name 3 vasopressors and infusion rates/dosing that may be used in the setting of hypotension?
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Vasopressor Infusion:
Epi 0.1 - 0.5mcg/kg / min Dopamine 5-10mcg/kg/min Norepinephrine Infusion 0.1-.05mcg/kg/min |
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What IV fluids can be used in the treatment algorithm for hypotension?
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IV/IO fluid bolus 1-2L: NS or Lactated Ringers
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What are target PACO2 or PETCO2 ranges for assisted ventilation?
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PETCO2 = 35 - 40 mmHg
PACO2 = 40 - 45 mmHg |
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What are the deleterious side effects of excessive ventilation?
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Increased intrathoracic pressure
Potential decreases in cerebral blood flow when Paco2 decreases |
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What is the target blood pressure when administering vasopressors?
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>90 mmHg or MAP > 65mmHg
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What is the indication for epinephrine after ROSC?
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Patients who are not in cardiac arrest but require inotropic or vasopressor support
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What is the indication for norepinephrine after ROSC?
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Severe hypotension <70mm Hg who fail to respond to less potent drugs such as dopamine
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What is the appropriate management of comatose patietns who spontaneously develop a mild degree of hypothermia after ROSC?
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Avoid active rewarming
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What is the role of induced hypothermia
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Only intervention demonstrated to imporve neurologic recovery after cardiac arrest
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What is the optimal duration of therapeutic hypothermia
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At least 12 hours
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