A 50 year old male is BIBA post cardiac arrest. The cardiac arrest was witnessed with bystander CPR started immediately. The initial cardiac rhythm was VF.
The patient has had 4 shocks, 2mg adrenaline and 300mg Amiodarone. The patient is intubated and ROSC has been obtained. Below is the patients initial ABG (FiO2 1.0):
pH 7.16 Lactate 6mmol/l
pCO2 46mmHg Glucose 14.3mmol/l
pO2 137 mmHg Sodium 137 mmol/l
HCO3 16mmol/l Chloride 102 mmol/l
B/E -13 Potassium 3.3 mmol/l
sats 97% Cr 101umol/l
- Describe and interpret the VBG
- Discuss the post resuscitation care you would provide for this patient
- What is the latest recommendations for Targeted Temperature Management?