Pericardial Effusion and Cardiac Tamponade
First Things First (assess & treat for the following)
- Assess patient.
- Measure HR, BP, oxygen sat, RR, and temp.
- Determine if patient is in shock. Are feet warm or cold?
- If patient is asymptomatic and vitals are stable, continue to watch closely.
- If in shock or unstable, think “full and fast.”
- Place large-bore IV.
- Institute fluids and possibly inotropes while arranging for urgent pericardiocentesis.
- Invasive monitors (A-line, CVP, PAC)
- Helpful in managing patient
- But do not delay life-saving intervention for the patient in extremis in order to place them.
- Helpful in managing patient
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Last updated: May 10, 2010
Citation
"Pericardial Effusion and Cardiac Tamponade." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534082/all/Pericardial_Effusion_and_Cardiac_Tamponade.
Pericardial Effusion and Cardiac Tamponade. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534082/all/Pericardial_Effusion_and_Cardiac_Tamponade. Accessed January 14, 2025.
Pericardial Effusion and Cardiac Tamponade. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534082/all/Pericardial_Effusion_and_Cardiac_Tamponade
Pericardial Effusion and Cardiac Tamponade [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2025 January 14]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534082/all/Pericardial_Effusion_and_Cardiac_Tamponade.
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