Question

Patient who is receiving CPR has a return of spontaneous circulation. The following steps should be followed according to AHA guidelines:

1) Maintain oxygen saturation of greater/equal to 94
2) IV/IO bolus of Normal saline/Lactated Ringers to treat hypotension (systolic blood pressure less than 90 mmHG)
3) Vasopressor infusion consider treatable causes
4) 12 lead ECG (to rule out STEMI or high suspicion of AMI)
5) All of the above

Answer 1

Post-CPR steps according to AHA guidelines include maintaining oxygen saturation >= 94%, administering fluid boluses for hypotension, starting a vasopressor infusion, and obtaining a 12-lead ECG; therefore, 'All of the above' is the correct answer.

Step-by-step explanation:

When a patient receiving CPR has a return of spontaneous circulation (ROSC), the American Heart Association (AHA) guidelines recommend several subsequent steps to optimize patient outcomes: Maintain oxygen saturation of greater or equal to 94% to ensure adequate oxygen delivery to tissues. IV/IO administration of a bolus of Normal saline or Lactated Ringers to treat hypotension (systolic blood pressure less than 90 mmHg). Vasopressor infusion to support blood pressure and is considered a treatable cause of cardiac arrest. Obtain a 12 lead ECG to rule out a STEMI or if there is high suspicion of an acute myocardial infarction (AMI). Thus, the correct answer to the post-CPR care steps according to AHA guidelines is 'All of the above'.