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Cardiac Arrest

Cardiac Arrest. NUR 210 Summer 2006. Cardiac Arrest. Abrupt cessation of effective cardiac pumping activity, resulting in cessation of circulation. Cardiac standstill Ventricular fibrillation, etc. Resuscitation.

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Cardiac Arrest

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  1. Cardiac Arrest NUR 210 Summer 2006

  2. Cardiac Arrest • Abrupt cessation of effective cardiac pumping activity, resulting in cessation of circulation. • Cardiac standstill • Ventricular fibrillation, etc.

  3. Resuscitation • Restoration of vital signs by mechanical, physiological, and pharmacological means.

  4. Death • Clinical death is defined as the absence of the vital signs. • Biologic death refers to irreversible cellular changes.

  5. Team • Nurses • MD’s • ECG technicians • Unit secretaries, etc

  6. Assessment of Cardiac Arrest • Absence of circulation: • Unconscious state preceded by less profound states of mental obtundation • Pulselessness – carotid or femorals • Dilated pupils (takes 45 seconds to longer than 1 minute) • Minimal or absent respirations – in early arrest, may be minimal activity

  7. Complications of Resuscitation Injuries to the sternum, costal cartiledges, ribs, espohagus, stomach, liver, pleura and lung Permanent central nervous damage in a live client which renders the client dependent Medicological considerations

  8. Post pacemaker instructions • Signs of battery failure • Report dizziness, weakness or fatigue, swelling of the ankles or legs, chest pain, or SOB • Medic-Alert bracelet • Avoid contact sports • Airport security alert • Most electrical appliances can be used

  9. Instructions con’t • Avoid transmitter towers and antitheft devices in stores • Instruct that if unusual feelings occur when near any electrical devices to move 5 to 10 feet away and check the pulse

  10. Implanted Cardiac Defibrillators • Monitors cardiac rhythm and detects and terminates episodes of VT and VF • Delivers 25 to 30 joules up to 4 times if necessary • Electrodes placed in the right atrium and ventricle and apical pericardium • Generator implanted in the abdomen

  11. Teaching • Report symptoms of fainting, nausea, weakness, blackouts, and rapid pulse rates to MD • During shock discharge, client may feel faint of SOB • Instruct to lie down or sit if they feel a shock • Family to learn CPR

  12. Teaching • Maintain a diary of any shocks that are delivered; including date, time, preceding activity, # of shocks. • Avoid electromagnetic fields directly over the ICD –can inactivate it. • Medic-alert bracelet • Notify MD if beeping sound is heard when near electomagnetic fields

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