A 67 year old man with possible cardiomyopathy and renal impairment is seen post ROSC.
His blood tests show:Acute uncompensated metabolic acidosis secondary to elevated lactate (hypoperfusion during cardiac arrest), life threatening hyperkalaemia requiring treatment and mild hyperglycaemia and renal impairment.
Anion gap = 14, normal
Compensation: Winter’s – expected CO2 29, actual 42
He should have an urgent ECG to exclude STEMI requiring Angiogram
Aims of management:
Post resuscitation care
Investigate cause of cardiac arrest