心跳停止可能的原因与治疗方向:(5H5T)
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心跳停止可能的原因與治療方向:(5H5T) T T r r e e a a t t 55H H ①. H ypovolemia - Rapid IV fluid and check Hb/Hct. ②.
H ypoxia - 100% FiO2. Confirm oxygen connections. Check for bilateral breath sounds.
③. H ydrogen ion (acidosis) - Check blood gas for acidosis. Administer sodium bicarbonate.
④. H yperkalemia - Check ABG. Give sodium bicarbonate; glucose + insulin; calcium gluconate.
Hypokalemia - Rapid but controlled infusion of potassium & magnesium.
⑤.H ypothermia - Active warming by forced air blanket.
T T r r e e a a t t55T T
①.T oxins - Consider overdose of medication. Confirm no infusions are running.
②.T amponade (Cardiac) - Consider placing TEE echo to rule out. Treat with pericardiocentesis.
③.T ension Pneumothorax - Unilateral breath sounds, possibly distended neck veins and deviated trachea. Perform emergent needle decompression followed by chest tube placement.
④.T hrombosis (Myocardial Infarction) - Consider using TEE to evaluate wall motion of ventricle. Consider emergent coronary revascularization or fibrinolytic agents.
⑤.T hrombosis (Pulmonary Embolus) - Consider TEE to evaluate right ventricle. Consider fibrinolytic agents.
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