Professional Documents
Culture Documents
COLLEGE OF NURSING
SEMINAR
ON
CARDIO PULMONARY
RESUSCITATION
Airway equipment.
Suction equipment.
Intravenous equipment.
Pulmonary: COPD.
Airway obstruction.
Atelectasis.
Assessment
It is of crucial importance. It
includes
Assess responsiveness
by calling the person;
shouting and shaking.
Assess breathing by
look, listen and feel: Look
for chest movements,
listen for breath sounds
and feel for the
movements of the air flow.
Assess circulation-
feel the carotid
pulse.
BASIC LIFE SUPPORT
Airway management
It is accomplished
by placing one hand
on each side of the
victim’s head,
grasping the angles
of the victim’s lower
jaw, lifting with both
hands.
FINGER-SWEEP MANEUVER:
-
With the victim’s head up, opens the
victim’s mouth by grasping both tongue
and the lower jaw between the thumb
and fingers and lifting (tongue-jaw lift).
Begin compression.
It is asynchronous cardio-version
that is used in emergency situation.
Defibrillation completely depolarizes the
all myocardial cells at once, allowing the
sinus node to recapture its role as the
pacemaker.
IMPORTANCE OF EARLY
DEFIBRILLATIONS
Most frequent arrest
frequent arrest rhythm
VF/VT
Treatment is defibrillation.
Successful conversion
diminished over time.
VF tends to deteriorate to A
systole.
NOT USED FOR
Sinus rhythm
Bradycardia
A systole
DEFIBRILLATION: GENERAL
CONCEPT
Immediate defibrillation if
witnessed arrest and
automated external
defibrillation available
compressions before
defibrillation if unwitnessed or
arrival at the scene >4-5
minutes. One shock followed
by immediate CPR ( beginning
with chest compression)
KEY POINTS TO REMEMBER
WHILE DEFIBRILLATING
Use a conducting agent
between the skins the paddles
such as saline pads or electrode
paste. This decreases the
electrical impedance and helps to
prevent burns.
HUMAN MENTATION:
INJ EPINEPHRIN
INJ ATROPINE
INJ LIDNOCAINE
INJ MAGNESIUM SULPHATE
INJ DOPAMINE
INJ DOBUTAMINE
INJ SODA BI CARB
INJ CALCIUM GLUCONATE
TERMINATION OF BASIC
LIFE SUPPORT:
CPR is stopped as a result of a number
of circumstances; these are typically restoration of
spontaneous respiration and circulation, complete
rescuer exhaustion, or medical decision. Signs of
restored ventilation and circulation include:
Struggling movements
Improved color
Return of or strong pulse
Return of systemic blood pressure
NURSING TEAM LEADER
(USUALLY SENIOR WARD
NURSE)
Identifies self as Nursing Team Leader, responsible for co-
coordinating and directing emergent nursing care of the patient.
Reassigns nursing staff once the PICU nurse and additional staff arrive
as required.
Ensures the outside copy of the CR8545 form is placed on the Charge
Nurse desk and the inside copy is placed in the clinical record.
AIRWAY NURSE
(USUALLY THE PATIENTS NURSE OR THE
NURSE WHO FINDS THE PATIENT)