Cebu Doctors’ University

College of Nursing
1 Dr. P. V. Larrazabal Jr. Avenue, North Reclamation, 6014 Mandaue City, Cebu, Philippines Tel. No. +63 (32) 2388746
local 8191-8192 Web: www.cebudoctorsuniversity.edu E-mail: cdu-cn@cebudoctorsuniversity.edu
_______________________________________________________________________________________________

Maternal and Child Nursing II: Individual and Family as Client

Related Learning Experience, Skills Laboratory

Cardio-Pulmonary Resuscitation

Definition and Rationale:

The combination of artificial respiration and manual chest compression to supply

oxygen to the lungs and circulates the blood. CPR is recommended for the use in cases
of cardiac arrest. It requires special supplemental training in the recognition of cardiac
arrest and the performance of CPR.

Objectives: After 4.5 hours of various classroom and laboratory activities, the Level II
students will be able to:

1. define the following terms:

1.1 airway. 1.9 external cardiac compression.

1.2 artificial respiration.
1.3 basic life support.
1.4 cardiac arrest.
1.5 cardioversion.
1.6 CPR.
1.7 Crackles.
1.8 defibrillation.
1.10 Heimlich’s maneuver.
1.11 jaw thrust technique.
1.12 respiratory arrest.
1.13 resuscitation.
1.14 ronchi.
1.15 ventilation.
1.16 wheezing.

2. state the general principles of circulation.

3. explain the ABS of basic life support.
4. identify causes of cardiac and respiratory arrest.
5. enumerate signs and symptoms of cardiac and respiratory arrest.
6. methods of artificial respiration.
7. discuss the following:
7.1 indications and contraindications of CPR.
7.2 techniques of external cardiac compression.

8. show the table of comparison for performing CPR in:

8.1 adult.
8.2 child.
8.3 infant.
8.4 pregnant women.

9. determine ways in checking the effectiveness of CPR.

10. list the guidelines in performing CPR.
11. discuss the indications and steps for:

11.1 Heimlich’s maneuver.

11.2 jaw thrust technique.
11.3 back blows for infant and pregnant women.
11.4 chest thrust.
11.5 finger sweep

12.demonstrate beginning skills in:

12.1 one-man rescuer CPR

12.2 two-man rescuer CPR
12.3 artificial respiration
 Cebu Doctors’ University
College of Nursing
1 Dr. P. V. Larrazabal Jr. Avenue, North Reclamation, 6014 Mandaue City, Cebu, Philippines Tel. No. +63 (32) 2388746
local 8191-8192 Web: www.cebudoctorsuniversity.edu E-mail: cdu-cn@cebudoctorsuniversity.edu
_______________________________________________________________________________________________

Criteria for Mastery:

1. 75% score on the quiz

2. Submission of Procedure Guide with rationales
3. Individual Return Demonstration

Enrichment Activities:
A. Read from the following references:

National League of Philippine Government Nurses, Incorporated. (2007). Public Health

Nursing in the Philippines. Manila: National League of Philippine Government
Nurses, Incorporated.

National League of Philippine Government Nurses, Incorporated. (2000). Community

Health Nursing Services in the Philippines. Manila: National League of Philippine
Government Nurses, Incorporated

Famorca, Z. U., Nies, M. A., & McEwen, M. (2013). Nursing Care of the Community.
Singapore: Elsevier Inc.
 Cebu Doctors’ University
College of Nursing
1 Dr. P. V. Larrazabal Jr. Avenue, North Reclamation, 6014 Mandaue City, Cebu, Philippines Tel. No. +63 (32) 2388746
local 8191-8192 Web: www.cebudoctorsuniversity.edu E-mail: cdu-cn@cebudoctorsuniversity.edu
_______________________________________________________________________________________________

Materials needed for Cardio-Pulmonary Resuscitation

Equipment:

- Cardiac board
- Clean gloves
- Bag Valve Mask

Procedure Guide for Cardio-Pulmonary Resuscitation

PROCEDURE RATIONALE

1. Assume rescuer’s position. (1 Learner) Louise

The rescuer's posture is set for
stability as well as access to the
patient for ventilation and
compression.

2. Determine the patient’s level of consciousness (2 Learner) Philip, Katrina

and response. Tap or shake patient while saying in The patient’s level of consciousness
a modulated voice, “Hey, hey are you okay?” and response determines whether
he/she requires immediate medical
attention.

This shall also prevent any further

injury from attempted resuscitation
on a person who is actually not
unconscious.

3. Call for help and activate EMS (Emergency Medical ( 2 learner) Lanz, Renz
System). Simultaneously assess for the pulse, rise and EMS is activated when there is an
fall of the chest and breathing pattern. incident wherein a person is having
health problems.

Being able to palpate pulse helps

confirm that the patient has some
level of cardiac output and that a
heartbeat is present. Assessing the
rise and falling of the chest and the
client’s breathing pattern helps to
know whether the client’s
respiratory rate is within the
normal range or not.
4. If the victim is pulseless, perform chest (3 Learners) Julianne, Ester, Loi
compression. Interlock fingers with heel of the hand
properly positioned over the sternum, nipple line. Compressing the chest moves
Compress appropriate depth and rate (at least 2 blood through the brain, keeping it
inches and 30 compressions/ cycle) guided by the working until the heart can get
following:
started again. It's critical to keep
a. keep both arms straight the blood flowing without
b. maintain stability by locking the elbows interruption. It is possible to revive
c. ascertain chest recoil in between compression someone with chest compressions
alone (without rescue breathing)
(Brouhard, 2021).
Compressions should be deep
enough to produce a palpable
brachial, femoral, or carotid pulse.
Chest compressions mimic how the
heart pumps. These compressions
help keep blood flowing
throughout the body. To begin
compressions on an adult, push
straight down on their chest for at
least 2 inches with your upper
body. Compressions should be
done at a rate of 100 to 120 per
minute. Between compressions,
allow their chest to recoil.

Precision in hand placement is

essential to avoid serious injury.
Allowing complete chest recoil
gives the heart time and room to
fill with blood. A partially
compressed heart will eject less
blood than one that is allowed to
fill properly.

5. Establish an open airway by performing head – (2 learners) Izza, Denis

tilt – chin – lift. Ventilate the victim following Establishing an open airway
ventilation guidelines: pertains to the principles of CPR
a. blow by sealing the entire circumference which is CAB – Compressions,
of the victim’s mouth
Airway, and Breathing.
b. occlude the nostrils with your thumb and
index finger deliver one artificial blow per
second. a. Maintaining the
head-tilt-chin-lift position
allows keeping the airway
clear
b. Occluding the nostrils with
your thumb and index finger
ensures a good seal to
prevent air from leaking out
when delivering rescue
breaths.
 6. Repeat the procedure / step # 4 and 5 until the
victim recovers or the EMS arrives. CPR is
completed in 5 cycles (30 chest compressions: 2
ventilations in every cycle)
(2 learner) Ingreso, Villaplana
The ratios 30:2 for chest
compressions and ventilations
respectively allow for oxygenation
and ventilation at the proper ratios
to maintain optimal recovery. This
ensures that the procedure is being
delivered effectively. Stopping
midway will lessen the patient’s
chances of being rescued.

7. Assume a recovery position. (1 learner) Yanni

Note: If the victim has pulse but is
breathless, perform only step # 5.
Revised June 2016
This position allows an open airway
as well as ensures that vomit or any
fluid flows freely, preventing the
patient from choking.

References:

Brouhard, R. (2021). Everything You Need to Know About Doing CPR. Retrieved on February 12, 2002 from
https://www.verywellhealth.com/how-to-do-cpr-1298446

Cardiopulmonary Resuscitation. (n.d.). Retrieved from

https://www.peppsite.com/docs/26540_prc17_prc18.pdf

Staff, P. (2020, April 8). Basic First Aid: What is the Recovery Position? ProCPR.
https://www.procpr.org/blog/training/basic-first-aid