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CARDIO PULMONARY RESUSCITATION

CARDIO PULMONARY RESUSCITATION. Mrs. Jeyalinda Lecturer College of Nursing CMC, Vellore. CPR = BLS + ACLS. COMPONENTS OF CPR. A – Airway B – Breathing C – Circulation D – Drugs / Defibrillation. FOLLOW UNIVERSAL PRECAUTION. STEP 1. Check responsiveness “SHAKE AND SHOUT”.

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CARDIO PULMONARY RESUSCITATION

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  1. CARDIO PULMONARY RESUSCITATION Mrs. Jeyalinda Lecturer College of Nursing CMC, Vellore

  2. CPR = BLS + ACLS

  3. COMPONENTS OF CPR A – Airway B – Breathing C – Circulation D – Drugs / Defibrillation

  4. FOLLOW UNIVERSAL PRECAUTION

  5. STEP 1 Check responsiveness “SHAKE AND SHOUT”

  6. STEP 2 Call for help

  7. STEP 3 Open and maintain the airway • Head tilt and chin lift • Jaw thrust • Lateral position • Remove the foreign body • Oropharyngeal airway • Suction • ET tube intubation

  8. The head-tilt/chin lift maneuver in an adult.

  9. The head-tilt/chin lift maneuver in an infant. Do not overextend the head and neck.

  10. Use the jaw thrust to open your patient's airway if you suspect a cervical spine injury.

  11. Suction fluids from your patient’s airway.

  12. Your unconscious patient’s tongue may fall and close the upper airway.

  13. OROPHARYNGEAL AIRWAY

  14. Use an oropharyngeal airway for unconscious patients without a gag reflex.

  15. Malpositon of oropharyngeal airway Too short

  16. The nasopharyngeal airway rests between the tongue and the posterior pharyngeal wall.

  17. Endotracheal Intubation

  18. STEP 4 Check for spontaneous breathing Look, listen and feel for 10 sec.

  19. STEP 5 Start artificial ventilation

  20. Use a bag-valve mask to ventilate patients

  21. STEP 6 Check carotid pulse for 10 sec.

  22. STEP 7 Start external cardiac compression Place : Two fingers above Xiphisternum Depth : One and a half – two inches (4 – 5cm) Rate : 100/min Ratio : 30:2 for adults and children “Push hard, Push fast”

  23. DRUGS Cardiac output = Stroke Volume x Heart Rate Inj. Adrenaline – stroke volume (1ml = 1mg) Inj. Atropine – heart rate (1ml = 0.6mg)

  24. DEFIBRILLATION Indications • Pulseless ventricular tachycardia • Ventricular fibrillation • Asystole

  25. COMPLICATIONS OF CPR • Rib and sternal fractures • Pneumothorax • Pericardial tamponade • Pulmonary contusion • Aspiration • Aortic laceration

  26. Thank You Any Questions ?

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