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ADULT IMMEDIATE POST-CARDIAC ARREST CARE ALGORITHM

VENTILATION/OXYGENATION

Avoid excessive ventilation. Start at 10 to 12 breaths/min and titrate to target PETCO2 of 35 to 40 mm Hg.

DOSES/DETAILS

IV Bolus:

1 to 2 Liters normal saline or Lactated Ringers. If inducing hypothermia, concider 4°C fluid.

EPINEPHRINE IV INFUSION:

0.1 to 0.5 mcg/kg per minute

DOPAMINE IV INFUSION:

5 to 10 mcg/kg per minute

Norepinephrine IV Infusion:

0.1 to 0.5 mcg/kg per minute

REVERSIBLE CAUSES:

  • Hypovolemia
  • Hypoxia
  • H+ (acidosis)
  • Hypothermia
  • Hypo-/hyperkalemia
  • Tamponade, cardiac
  • Toxins
  • Tension pneumothorax
  • Thrombosis, pulmonary
adult post cardiac arrest algorithm