How to treat after cardiopulmonary resuscitation
summary
Cardiopulmonary resuscitation is a very common operation, patients will have different clinical symptoms, such as low blood pressure or weak myocardial contraction, which will pose a certain threat to the safety of patients, so postoperative patients should pay more attention. Now let's talk about the treatment after cardiopulmonary resuscitation.
How to treat after cardiopulmonary resuscitation
First, pay attention to correct hypotension. After heart beating, hypotension often occurs due to central nervous system dysfunction, weak myocardial contraction, insufficient blood volume, respiratory insufficiency, electrolyte disorder, acidosis or microcirculation failure. We should find out the cause in time and treat all kinds of cases in order to maintain effective blood circulation. Pressor drugs can increase blood pressure, but after long-term application, it will increase the resistance of brain, heart and kidney vessels and aggravate the anoxia of anmen.
Second: do artificial respiration, heart rate recovery, should do artificial respiration, early correction of hypoxia, remove carbon dioxide. If the respiration does not recover, brain edema should be considered to affect the respiratory center. More attention should be paid to the problems related to the recovery of consciousness and the final success of rescue. At the beginning of the rescue, ice should be used as early as possible to reduce the temperature, and it is better to use ice bags or ice caps for selective cooling of the head.
Third, hypokalemia and electrolyte disturbance must be corrected. 5% sodium bicarbonate or 11.2% sodium lactate is commonly used as basic buffer. 5% sodium bicarbonate (ML) = [normal CO2 binding force (60 vol%) - measured CO2 binding force / 2.24] × 0.5 × body weight (kg). First add half quantity, then increase or decrease according to the situation.
matters needing attention
The treatment after cardiopulmonary resuscitation is very critical, patients should pay more attention to their body changes, always pay attention to their blood pressure, don't let their condition serious and cause other complications. At the same time, we should be ready for artificial respiration at any time for emergency rescue.