What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive agents?
Hypotension, a systolic blood pressure < 90 mmHg should be treated and the administration of fluids and vasoactive medications can be used to optimize the patient’s hemodynamic status.
What is the minimum systolic pressure?
The minimum acceptable blood pressure is determined by adequate perfusion of the vital organs without symptoms of hypotension. This is usually more than 90 mm Hg systolic and 60 mm Hg diastolic, although there can be great variation between patients.
Which of these test should be performed for a patient with suspected stroke within 25 minutes?
The CT scan should be completed within 25 minutes from the patient’s arrival in the ED and should be read within 45 minutes.
What does PETCO2 of 8 mm Hg mean?
Carbon dioxide is produced in the body as a by-product of metabolism and is eliminated by exhaling. Continuous Waveform Capnograpy is written as PETCO2 which stands for patient end-tidal carbon dioxide. Normal PETCO2 Values: 35-40 mm Hg PETCO2 less than 10 indicates ineffective chest compressions.
What is the recommended duration of targeted temperature management?
The temperature should be maintained between 32ºC and 36ºC (class I, level of evidence: B-R) It is reasonable to maintain TTM for at least 24 hours (class IIa, level of evidence: C-EO)
What is the recommended step after a defibrillation attempt?
Abstract. Aim: Current consensus guidelines for cardiopulmonary resuscitation (CPR) recommend that chest compressions resume immediately after defibrillation attempts and that rhythm and pulse checks be deferred until completion of 5 compression:ventilation cycles or minimally for 2min.
What raises the systolic blood pressure?
Isolated systolic hypertension can be caused by underlying conditions such as: Artery stiffness. An overactive thyroid (hyperthyroidism) Diabetes.
What is the highest systolic blood pressure recorded?
The highest pressure recorded in an individual was 370/360. With slow exhalation, the mean BP was 198/175 when the same 100% maximum was lifted (p <. 005). A reduced pressor response was also noted at 85% maximal lifting with slow exhalation.
Which site is systolic blood pressure the highest?
The systolic blood pressure is defined as the maximum pressure experienced in the aorta when the heart contracts and ejects blood into the aorta from the left ventricle (approximately 120 mmHg).
What is the biggest risk factor for stroke?
High blood pressure and stroke High blood pressure (hypertension) is the most significant risk factor for stroke. Blood pressure refers to the pressure inside the arteries. Normal blood pressure is around 120/80, while high-normal blood pressure is 120/80 to 140/90.
Which test should be performed for a patient with suspected stroke?
Because treatment depends on the type of stroke, your doctor may use head CT or head MRI to help diagnose your condition. Other tests may include blood tests, electrocardiogram (ECG or EKG), carotid ultrasound, echocardiography or cerebral angiography.
Is aspirin a contraindication for tPA?
Single or combination (e.g., aspirin and clopidogrel) antiplatelet therapy is not a contraindication to treatment with alteplase.
What does a capnography of 8 mean?
During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What does this mean? Chest compressions may not be effective. The use of quantitative capnography in intubated patients. allows for monitoring of CPR quality.
What is the normal range for capnography?
Normal value between of 35 – 45 mm Hg.
What ETCO2 confirms adequate ventilation?
A higher ETCO2 reading during resuscitation correlates with improved cardiac output and patient outcomes. An ETCO2 reading above 15 mm HG indicates compressions are generating perfusion . The higher the ETCO2, the better the perfusion generated by CPR, and the better the chances of survival are.