Wednesday, August 22, 2012

Management of VF arrest

Passive rewarming

  • Temperature is very important during rewarming as temperature commonly overshoots normal. Warming the patient too quickly or allowing continued shivering causes dangerous electrolyte shifts, leading to potentially lethal arrhythmias
  • Controlled rewarming of 0.15° to 0.5° C per hour is recommended. 
  • To maintain tight temperature control throughout rewarming a neuromuscular blockade is usually employed.  
  • Careful fluid monitoring during rewarming is crucial because of the vasodilation that accompanies a body temperature rise. Volume replacement may be needed to prevent fluid deficit and hypotension.
  • Electrolytes shift out of the cells back into the serum during rewarming, so frequent electrolyte monitoring is needed during this phase to prevent critically elevated levels. Slow, controlled rewarming allows the kidneys to excrete excess potassium, preventing hyperkalemia
  • Hypoglycemia can occur during rewarming as the insulin resistance of earlier hypothermia phases diminishes. Glucose levels must be monitored frequently, with insulin titration and dextrose boluses used as needed to maintain the patient within ordered ranges.




Anonymous said...

This can be incredibly frustrating, often causing them
to settle for something that is considerable less. Also, you can
find great fabric outlets online. As a matter of fact there is lot of
income opportunity for the enterprising home interior design
professionals in this field.

Also visit my web blog pictures of car interior ideas
Also see my webpage :: House Interior Decor Furnishings Photograph

Anonymous said...

To clean a HU 400, you will only need to place it
under tap water while it is still running. Manual and handy is small and
simple it is designed to prepare small volume of fruit juice especially citrus.
The main idea of a juicer is to get more nutrients.

my website :: juicer and food processor

Anonymous said...

Toronto wedding decor would never be complete without ribbons.

Look for images that epitomise these words, the web
is very useful here. Here are a few ideas to get you started.

my blog - country rustic wedding decor

Anonymous said...

It should be inside a clear, decorative vase with colorful glass stones, greenery
or a floating flower. There is also a Better Homes and Gardens brand at Walmart,
which features wonderful Fall colors that would make a perfect backdrop for your leaf designs.
DIY centerpieces can be used as guest favors.

Feel free to surf to my page; Unique Coffee Table B

Anonymous said...

I am extremely impressed with your writing talents as smartly
as with the layout for your weblog. Is this a paid theme or did you customize
it your self? Either way keep up the excellent quality writing, it
is uncommon to see a nice blog like this one today.

Feel free to visit my blog:

Anonymous said...

I am now not certain the place you're getting your information, however great topic. I must spend a while finding out more or working out more. Thanks for excellent information I used to be searching for this info for my mission.

Also visit my page :: what is pain gone pen

Anonymous said...

They come with a guarantee and help you to set your own realistic
goals and achieve them not on time but ahead of time. All the best to you and hope
you achieve your dream of looking better and staying healthier.
It becomes difficult to lead a normal and healthy life.

Stop by my homepage: new weight loss prescription

Anonymous said...

Communication is essential, and the quicker the designer can learn about your needs and desires, the better job he or she
will do. Some people find it useful to rent groups of experts to help alleviate the stress in
the process. Taffeta, damask, chenille, silk and velvet are some traditional fabric choices.

Also visit my weblog: custom car interior ideas

Anonymous said...

After exploring a number of the blog articles on your web site, I truly
like your technique of blogging. I bookmarked it to my bookmark website list and will be checking
back soon. Please visit my web site too and let me know your opinion.

My blog post :: quantrim usage

Anonymous said...

Anything goes concerning styling a the baby room. Tiny ones space
must be as easy as you can nevertheless it has got to
accommodate the youngsters demands. To begin with, the sound insulation of
windows and wall need to be fantastic enough to avoid the
influence of outdoors sound.

Also visit my page - Room Decor Games Photograph

Anonymous said...

I like the helpful info you provide in your articles.

I will bookmark your blog and check again here
regularly. I'm quite sure I will learn plenty of new stuff right here! Best of luck for the next!

Also visit my blog post ... how often should I take quantrim

Anonymous said...

Her current area of specialism is chest of drawers. Unless you want your
child to party alone, you will need to send
invitations to notify young friends and classmates about where
and when. Table lamps let you pull off a great makeover
for any room without having to cost a fortune.

Visit my blog ...

Anonymous said...

electronic cigarette starter kit, electronic cigarette, e cigarette health, ecigs, electronic cigarettes, smokeless cigarette