STEPS RATIONALE SCIENTIFIC NURSING

PRINCIPLE PRINCIPLE
  Sociology Individuality
Activates mechanism for
additional personnel

1. Shout and Tap

Shout and gently tap the child on the
shoulder. If there is no response and not
breathing or not breathing normally, position
the infant on his or her back and begin CPR.

To restore cardiac functioning

Anatomy and physiology Therapeutic
Increases blood flow with
increased flow to the brain and Effectiveness
2. the heart.
Give 30 Compressions
Give 30 gentle chest compressions at the rate
of 100-120/minute. Use two or three fingers
in the center of the chest just below the
nipples. Press down approximately one-third
the depth of the chest (about 1 and a half
inches).

Anatomy and physiology Therapeutic

3. Open The Airway
Open the airway using a head tilt lifting of
chin. Do not tilt the head too far back
effectiveness.
In the absence of sufficient
muscle tone the tongue or
epiglottis will obstruct the
pharynx and larynx.
.

Anatomy and physiology

Forms air tight seal and prevent
Therapeutic
Give 2 Gentle Breaths air from escaping from the effectiveness
If the baby is not breathing nose.
or not breathing normally,
cover the baby's mouth and
nose with your mouth and
give 2 gentle breaths. Each
breath should be 1 second
long. You should see the
baby's chest rise with each breath. Continue
with 30 pumps and 2 breaths until help
arrives Principles of body
mechanism
Allows performance of rescue
and chest compressions. Anatomy and physiology. Therapeutic
2 thumb-encircling hand technique:
effectiveness
When two rescuers are present, the
compression: ventilation ratio drops to 15:2,
the same as for children.

1. To perform this technique, position Results in maximum

yourself at the infant’s feet. compressions of heart between Anatomy and physiology safety
sternum and vertebrae

Determine return of pulse and Anatomy and physiology Therapeutic

respiration and the need to effectiveness
2. Place your thumbs side by side on the continue CPR
center of the infant’s chest just below
the nipple line. Encircle the infant’s
chest so that the fingers of both hands
support the infant’s back

3. Use your thumbs to deliver

compressions at the appropriate depth
and rate (100-120
compressions/minute; 1/3 of the depth
of the chest or approximately 1 ½ Increases blood flow with
inches).This position allows another increased flow to the brain and Physiology
rescuer to support airway and breathing heart.
Therapeutic effec
without getting in the way of the
ness.
rescuer performing chest compressions,
and is therefore the preferred technique
when two rescuers are present.
 4. This technique also allows for more
consistent chest compressions and
superior blood flow and blood pressure
compared to the 2-finger technique

Prevent injury from attempting

Resustation Anatomy and physiology Safety individuali

CPR in children above 1 year of age

1. Pull the victim out of standing water,
Activates mechanism for
traffic, or other dangerous situation. You Good workmansh
additional personnel
should be safe before you begin Basic Life
Support.

2. Check for a response. If the victim is

unresponsive and has abnormal respirations
 Carotid artery pulse will persist
(no respirations or gasping/agonal breathing), When more peripheral pulses
are no longer palpable. Anatomy and physiology Therapeutic
yell for help, and send someone for an AED.
effectiveness
Use a cell phone if one is available.

3. For no longer than 10 seconds, check for a

pulse at the carotid or femoral artery. A heart
rate of less than 60 beats per minute is
considered cardiac arrest in children and
infants.If there is a pulse and breathing,
continue to monitor and support breathing. If
there is a pulse and no/abnormal breathing,
start rescue breathing (1 breath every 3-5
seconds or every 6 seconds if advanced
airway in place).
Promotes adequate cardiac
Therapeutic
If there is no pulse and no/abnormal output. Physiology effectiveness
breathing:

 Start high-quality CPR To allow heart to fill Physiology Therapeutic

  Compress to at least one-third of effectiveness
the anterior-posterior diameter or
To maintain hearts function
about 2 inches
Physiology
 Allow the chest to fully recoil Therapeutic
Increase blood flow with effectiveness
Physiology
increased flow to the brain and
he heart
Continue CPR for 2 minutes OR until Therapeutic
AED is on, powered up, and ready for effectiveness

use.

 Single rescuer: 30 compressions

To meet the emergency
to 2 breaths, 100-120 compressions per Physiology
minute Therapeutic
effectiveness
 Two rescuers: 15 compressions
to 2 breaths, 100-120 compressions per
minute

 If help is not available, leave the

child to get help and an AED ( The
automated external defibrillator )