Clinical Pathway for the Care of Children Post-CPR

Admission Testing for All Post-CPR Patients

Laboratory Studies for all patients on admission Basic metabolic panel, magnesium, phosphorous
Amylase, lipase
Ionized calcium
Glucose
CBC
PT/PTT/fibrinogen
Troponin
ABG, lactate
Type and screen
Other Labs to Consider Urine tox
Serum tox
Urine HCG
Cortisol
Venous co-oximetry
BNP
Cultures
  • Blood
  • Urine
  • Respiratory
Other Studies CXR
ECG
Echocardiogram

Minimum lab schedule for patients treated with controlled Normothermia

q 6 hrs ABG Supergas (glucose, ionized calcium, lactate)
q 12 hrs BMP, Mg, Phos
Daily CBC
PT/PTT/ fibrinogen
Hepatic function
Amylase, lipase

Minimum lab schedule for patients treated with Hypothermia

q 2 hrs Glucose
q 6 hrs ABG Supergas (glucose, ionized calcium, lactate)
Q 6hrs BMP, Mg, Phos
Daily CBC
PT/PTT/ fibrinogen
Hepatic function
Amylase, lipase