Pulseless electrical activity laboratory findings: Difference between revisions
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{{Pulseless electrical activity}} | {{Pulseless electrical activity}} | ||
{{CMG}} | {{CMG}} | ||
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== Overview == | |||
Athough there are no [[diagnostic]] [[laboratory]] findings associated with PEA(pulseless electrical activity) testing should be ordered to rule out the most common reversible [[causes]] of PEA(pulseless electrical activity) like [[Hyperkalemia]] or [[Hypokalemia]], [[hypoxia]] and [[acidosis]] which can be seen with[[ABG]], [[exsanguination]] [[hematocrit]]. | |||
==Laboratory Findings== | ==Laboratory Findings== | ||
*[[Hyperkalemia]] should be ruled out | *There are no [[diagnostic]] [[laboratory]] findings associated with pulseless electrical activity. | ||
*A stat arterial blood gas will provide information regarding the presence of [[hypoxia]] and [[acidosis]] | *[[Laboratory]] findings consistent with the [[causes]] of pulseless electrical activity include:<ref name="pmid24297818">{{cite journal |vauthors=Myerburg RJ, Halperin H, Egan DA, Boineau R, Chugh SS, Gillis AM, Goldhaber JI, Lathrop DA, Liu P, Niemann JT, Ornato JP, Sopko G, Van Eyk JE, Walcott GP, Weisfeldt ML, Wright JD, Zipes DP |title=Pulseless electric activity: definition, causes, mechanisms, management, and research priorities for the next decade: report from a National Heart, Lung, and Blood Institute workshop |journal=Circulation |volume=128 |issue=23 |pages=2532–41 |date=December 2013 |pmid=24297818 |doi=10.1161/CIRCULATIONAHA.113.004490 |url=}}</ref><ref name="pmid30020721">{{cite journal |vauthors=Oliver TI, Sadiq U, Grossman SA |title= |journal= |volume= |issue= |pages= |date= |pmid=30020721 |doi= |url=}}</ref> | ||
*A stat [[hematocrit]] can also be checked on the [[arterial blood gas]] to evaluate the patient for [[exsanguination]] | *[[Hyperkalemia]] or [[Hypokalemia]] should be ruled out | ||
*A stat [[arterial blood gas]] will provide information regarding the presence of [[hypoxia]] and [[acidosis]] | |||
*A stat [[hematocrit]] can also be checked on the [[arterial blood gas]] to evaluate the [[patient]] for [[exsanguination]] | |||
*Any [[patient]] with [[drug overdose]] can undergo a rapid [[urine]] or [[blood screen]] to identify the cause of the problem. | |||
==References== | ==References== | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
[[Category: | [[Category:Uptodate]] | ||
[[Category:Medicine]] | |||
Latest revision as of 21:33, 2 June 2020
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Differentiating Pulseless Electrical Activity from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Athough there are no diagnostic laboratory findings associated with PEA(pulseless electrical activity) testing should be ordered to rule out the most common reversible causes of PEA(pulseless electrical activity) like Hyperkalemia or Hypokalemia, hypoxia and acidosis which can be seen withABG, exsanguination hematocrit.
Laboratory Findings
- There are no diagnostic laboratory findings associated with pulseless electrical activity.
- Laboratory findings consistent with the causes of pulseless electrical activity include:[1][2]
- Hyperkalemia or Hypokalemia should be ruled out
- A stat arterial blood gas will provide information regarding the presence of hypoxia and acidosis
- A stat hematocrit can also be checked on the arterial blood gas to evaluate the patient for exsanguination
- Any patient with drug overdose can undergo a rapid urine or blood screen to identify the cause of the problem.
References
- ↑ Myerburg RJ, Halperin H, Egan DA, Boineau R, Chugh SS, Gillis AM, Goldhaber JI, Lathrop DA, Liu P, Niemann JT, Ornato JP, Sopko G, Van Eyk JE, Walcott GP, Weisfeldt ML, Wright JD, Zipes DP (December 2013). "Pulseless electric activity: definition, causes, mechanisms, management, and research priorities for the next decade: report from a National Heart, Lung, and Blood Institute workshop". Circulation. 128 (23): 2532–41. doi:10.1161/CIRCULATIONAHA.113.004490. PMID 24297818.
- ↑ Oliver TI, Sadiq U, Grossman SA. PMID 30020721. Missing or empty
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