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    Ppt Cpr Madhu. Yadav

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    Madhu Yadav

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    Ppt Cpr Madhu. Yadav

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    Madhu Yadav
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    1 views29 pages

    Ppt Cpr Madhu. Yadav

    Uploaded by

    Madhu Yadav

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 29

    MADHU YADAV

    M.SC. NURSING FIRST YEAR


    APEX COLLAGE OF NURSING
    INTRODUCTION

     Approximately 50% of all death are


    due to cardio vascular disease.
    CPR is the basic life support
    To maintain tissue oxygenation
    In clinical death: first 4-6 min at this
    time someone completely by CPR
    MEANING OF CPR

    Cardio means “ of the heart” &


    pulmonary means “ of the lungs.
    Resuscitation is the medical word that
    mean “to revive “ to bring to back to
    life.
    The person give CPR is called rescuer.
    DEFINITION OF CPR

     CPR IS AN ARTIFICIAL METHOD OF


    CIRCULATING BLOOD &OXYGEN THROUGH
    A BODY AND ATTEMPTING TO KEEP THE
    BRAIN ALIVE
     CPR IS EMERGENCY LIFESAVING
    PROCEDURE THAT IS DONE WHEN
    SOMEONE’S BREATHING OR HEARTBEAT
    HAS STOPPED.
    PURPOSE OF CPR

    • To maintain the sufficient


    perfusion of the brain
    • To maintain the sufficient
    perfusion other vital organ until
    an adequate spontaneous cardiac
    output can established.
    • To prevent brain damage.
    INDICATION OF CPR
     CARDIAC ARREST
     RESPIRATORY ARREST
     DROWNING
     HEAD INJURY WITH UNCONSCIOUSNESS
     ELECTRIC SHOCK
     AIRWAY OBSTRUCTION
     ACUTE MI
     HYPOVOLEMIC SHOCK
     DRUG OVERDOSE PULMONARY EDEMA

    PHYSIOLOGY

    PERMANENT BRAIN DAMAGE


    BEGINS AFTER ONLY 4 MINUTES
    WITHOUT OXYGEN &DEATH CAN
    OCCUR AS SOON AS 4-6 MINUTES
    LATER. CPR CAN RESTORE
    CIRCULATION OF OXYGEN RICH
    BLOOD TO THE BRAIN
    STEP OF CPR PROCEDURE
    CHECK FOR RESPONSIVENESS:-
    Shake or tap the person gently see
    if the person moves make a noise.
    Seen safe.
     CALL 108 IF THERE IS NO
    RESPONSE:-
    Shout for help &send someone to call
    108 skilled assistance if you are alone
     POSITION OF THE PERSON
    Carefully place the person on their back
    on hard surface if there a chance
    The person has spinal injury two people
    should move the person to prevent the
    head neck twisting.
    CHECK PULSE & RESPIRATION.
    PERFUME CHEST COMPRESSION:
    DURING CPR REMEMBER THE ORDER C A B
    COMPRESSION: Push hand and
    fast on the center of victim’s chest
    AIRWAY: Tilt the victim’s head back,
    and lift the chin to open the airway.
    OPEN THE AIRWAY
    Lift the chin with two finger. At the same
    time tilt the head by pushing down on
    the forehead with the other hand. If
    foreign bodies are present in the airway
    they must be removed.
    Head tilt contraindication
    in cervical injury.
    BREATHING : give mouth to mouth rescue breath

    Place the heal of one hand on the breastbone-


    right b/w the nipples.

    Place the heal of your other hand on the top of


    the first hand.
    Now your shoulder, elbow, and heel should form
    a straight line towards the compression sites.

    Position your body directly over your hand


    BREATHING:-
    Place your ear close to the person’s mouth &
    nose watch for chest movement. Feel for
    breath on your cheek

    if the person is not breathing or has trouble


    breathing

    cover the victim’s mouth tightly with your


    mouth

    Pinch the nose closed. Keep the chin lifted &


    head tilted.

    Give two rescue breaths. Each breath should


    take about a second & make the chest rise.

    Continue CPR (30 chest compression followed


    by 2) until the person recovers or help arrives.
    CHEST COMPRESSION IN
    INFANT(0-12MONTHS)
    Chest pulse at brachial lower half of sternum
    between the nipples.

    Compression method: two finger or thumb


    encircling if multiple providers.

    Depth: at least 1.5 inches (4cm)

    Compression to ventilation ratio 30:2.If single


    rescuers.
    Rotate compression every 2 minutes.
    CHEST COMPRESSION IN CHILDERN
    AGED 1 YEAR TO ADOLESCENCE
    Check pulse at carotid artery

    compression landmark: lower half of sternum


    between the nipples.

    Depth: at least 2 inches (5cm)

    compression to ventilation ratio 30:2 if single


    rescuer, 15:2 if multiple rescuers.

    AIRWAY

    children: head tilted, chin lifted.


    Infant: sniffing position.
    DEFIBRILLATION
    If an AED (automated external defibrillation)
    for adult is available use it as soon as possible.

    Most frequent arrest rhythm ventricular


    fibrillation/ ventricular tachycardia.

    Treatment is defibrillation.

    Successful conversion diminishes over time

    volt 20-200joule

    volt for children 2j/kg


    DIFIBRILATION NOT USED FOR
    Peacemaker
    Sinus rhythm
    bradycardia
    asystole

    WHEN TO USE AN AED (DEFIBRILLATOR)


    You should only use an AED on a person if:

    their heart suddenly stops beating

    they are experiencing sudden cardiac arrest


    (SCA). Symptoms are immediate and drastic and
    include:

    no breathing, or gasping noises paired with


    abnormal breathing ,unresponsive, no pulse
    TERMINATION OF CPR:
    -Struggling movements
    -return of pulsation
    -spontaneous respiration
    -recordable BP improved color

    PRECAUTION
    :Do not leave victim alone

    do not give chest compression if the victim has a pulse.

    Do not give the victim anything to eat or to drink

    avoid moving the victim head or neck if spinal injury is


    possibility

    do not slap the victim face and throw water on the face
    to try & revive the person

    do not place a pillow under the victim head


    FACTS ABOUT CPR:
    CPR doubles a person’s chance of survival
    from sudden cardiac arrest
    75% of all cardiac arrest happen in people’s
    homes.
    If CPR is started within 4 minutes of collapse
    and defibrillation provided within 10 minutes a
    person has a 40% chance of survival.

    INJURY BY CPR:
    rib fracture
    rib separation
    laceration liver, lung, spleen.
    Air or blood in chest cavity.
    Vomiting

    OVERCOMING BY:
    proper hand location.
    Compression straight down.
    CONTRAINDICATION:

    Do not resuscitate when a decision not to resuscitate


    has been noted in chart. This order is often
    abbreviation to DNR (do not resuscitate ) is one
    something referred to as no code, and is now
    discussion with the client on admission and is referred
    to as an advanced directive

    POST RESUSCITATION CARE:

    maintain airway and breathing

    check for circulation

    disability optimizing neurological recovery


    MEDICAL MANEGEMENT
    Adrenaline (epinephrine) is the main drug used
    during resuscitation from cardiac arrest.

    ATROPINE:

    atropine as a single dose of 3mg is sufficient to


    block vagal tone completely and should be used
    once in cases of asystole.

    It is also indicated for symptomatic bradycardia


    in a dose of 0.5mg-1mg.

    AMIODARONE:

    it is an antiarrhythmic drug.
    NURSING MANAGEMENT

    maintain airway patency with use of airway adjuncts as required.


    Assist with intubation and securing of ETT

    insert gastric tube and /or facilitates gastric decompression post


    intubation as required.

    Assist with ongoing management of airway patency and adequate


    ventilation.

    Support less experienced staff by coaching /guidance.


    E.G. Drug preparation.

    If shock able rhythm is present ensure manual defibrillation pad are


    applied and connected.

    If CPR is in progress prepare and independently

    double check and label 3 does of adrenaline

    prepare and administer IV fluids.


    SUMMARY:

    Till now we had discussed about

    Definition of cpr.

    Purpose of cpr

    Indication of cpr.

    Explain the step of cpr procedure

    Explain the cab

    Used of defibrillation

    Medical management of cpr

    Nursing management of cpr


    CONCLUSION:

    CPR is a lifesaving technique that prevent cessation


    of blood flow to vital organ dependent an oxygen
    supply for life support.

    Survival rate and neurological outcome are poor in


    patient with cardiac arrest, through early
    appropriate resuscitation involving BCLS and ACLS
    techniques leads to improved survival and better
    outcome

    ASSIGNMENT:

    Role of nurse in management patient with CPR


    BIBILOGRPHY:

    Brunner and siddhartha’s a text of medical surgical


    nursing 13th. Edition published by wolters kluwer
    india pvt.

    “ Lakh winder kour “a text book of nursing


    foundation pee vee publications.

    Sr. Nancy, principals & practice of nursing, N.R.P


    publishing house.

    “The trained nurse association of india” a text book


    of fundamental of nursing procedure manual by
    secretary-general.

    WWW.SLIDESHARE.COM
    WWW.SCIBD.COM

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