Post-Resuscitation Care
Ensuring Patient Stability and Recovery
After successful resuscitation, it's vital to provide appropriate care to maintain stability and support recovery.
1. Breathing and Oxygen Administration
Key Point: Monitor breathing and administer oxygen as needed to support the patient's respiratory function.
- Continue bag-mask ventilation until the patient demonstrates normal breathing, typically 12 to 20 breaths per minute.
- Transition to a non-rebreather mask at 15 litres per minute once normal breathing is established.
2. Temperature Management
Important Consideration: Focus on post-resuscitation cooling rather than heating to prevent clotting complications.
- Avoid thermal blankets or heating devices; instead, maintain a gentle cooling approach to regulate body temperature.
- Research supports keeping the patient cooler to improve outcomes, without the need for aggressive cooling methods.
3. Patient Comfort and Communication
Guidance: Prioritize patient comfort and open communication with family members throughout the post-resuscitation period.
- Keep the patient in a comfortable position, such as the recovery position, to facilitate airway management and comfort.
- Ensure clear communication with family members, providing updates on the patient's condition and care plan.
4. Readiness for Potential Recurrence
Preparedness: Maintain readiness for potential recurrence of cardiac arrest by keeping defibrillator and resuscitation equipment accessible.
- Keep the defibrillator turned on and accessible, with the lid open, to enable immediate response if needed.
- If the patient reverts to a shockable rhythm, initiate resuscitation protocols promptly, starting from the beginning.
Conclusion: Prioritising Patient Wellbeing
Post-resuscitation care plays a crucial role in supporting the patient's recovery and enhancing their chances of survival. By following established protocols and maintaining vigilance, healthcare providers can contribute significantly to positive outcomes.
- IPOSi Unit two LO1.6
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