Double Bolus Alteplase Therapy during Cardiopulmonary Resuscitation for Cardiac Arrest due to Massive Pulmonary Embolism Guided by Focused Bedside Echocardiography

Table 1

Patient characteristics.

Variable	Value	Target range
Pulse	140/minute	60–100/minute
Respiratory rate	34–50/minute	12–14/minute
Blood pressure	109/67 mmHg	120/80 mmHg
Temperature	97°F	97–99°F
Oxygen saturation
Room air	70%	88–100%
100% oxygen	70–79%	88–100%
ABG on 15 L oxygen nonrebreather (NRB)
Ph	6.8	7.4
pO2	188 mmHg	100 mmHg
pCO2	58.6 mmHg	40 mmHg
HCO3	9.2 mmol/L	25 mmHg
Laboratory data
WBC	4.5 × 10^9/L	4–10 × 10^9/L
Neutrophil	73%	50–60%
Hemoglobin	7.2 g/dl	12–14 g/dl
Hematocrit	22.83%	35–45%
Platelets	133 × 10^9/L	130–450 × 10^9/L
Sodium	140 mEq/L	135–145 mEq/L
Potassium	4.5 mEq/L	3.6–5 mEq/L
Chloride	96 mEq/L	98–110 mEq/L
CO2	19 mEq/L	25 mEq/L
BUN	17 mg/dL	25 mg/dL
Creatinine	0.96 mg/dL	1.0 mg/dL
Anion gap	15 mEq/L	10–12 mEq/L
Lactic acid	4.4 mmol/L	<2.0 mmol/L
Troponin	4.2 ng/mL	<0.03 ng/mL
Calcium	6.6 mg/dL	8 mg/dL
Ionized calcium	<1.0 mmol/L	1.1 mmol/L
AST	372 U/L	45 U/L
ALT	214 U/L	40 U/L
ALP	156 U/L	100 U/L
T. bilirubin	1.0 mg/dL	1.0 mg/dL
CPK	203 IU/L	50 IU/L

ABG: arterial blood gas.