Which treatment is listed for agitation delirium during cardiac arrest?

Which treatment is listed for agitation delirium during cardiac arrest?

• A. Sodium Bicarbonate 50 mEq IV/IO
• B. Normal Saline 1 L
• C. Epinephrine 0.01 mg/kg
• D. Magnesium Sulfate 40 mg/kg

Answer: (A)

During cardiac arrest, agitation delirium can be linked to severe metabolic disturbances from poor perfusion, especially acidosis. Sodium bicarbonate acts as a buffer to help correct metabolic acidosis, which can help stabilize the patient’s internal environment and support overall resuscitation efforts. The other options don’t specifically address this metabolic aspect: a large saline bolus targets volume status but not delirium, epinephrine is essential for circulation but doesn’t directly treat delirium itself, and magnesium sulfate is reserved for certain rhythm problems like torsades de pointes. Hence, sodium bicarbonate is the best match for agitation delirium in this context.

During cardiac arrest, agitation delirium can be linked to severe metabolic disturbances from poor perfusion, especially acidosis. Sodium bicarbonate acts as a buffer to help correct metabolic acidosis, which can help stabilize the patient’s internal environment and support overall resuscitation efforts. The other options don’t specifically address this metabolic aspect: a large saline bolus targets volume status but not delirium, epinephrine is essential for circulation but doesn’t directly treat delirium itself, and magnesium sulfate is reserved for certain rhythm problems like torsades de pointes. Hence, sodium bicarbonate is the best match for agitation delirium in this context.