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Cardiopulmonary Emergencies

Cardiopulmonary Emergencies. Cardiac Compromise. Chest pain Dyspnea Anxious Nausea Abdominal pain Sweating Abnormal HR and RR. Abnormal HR. Bradycardia Slower than 60 BPM Tachycardia Faster than 100 BPM Palpitations Irregular or rapid heart beats that cause fluttering in the chest.

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Cardiopulmonary Emergencies

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  1. Cardiopulmonary Emergencies

  2. Cardiac Compromise • Chest pain • Dyspnea • Anxious • Nausea • Abdominal pain • Sweating • Abnormal HR and RR

  3. Abnormal HR • Bradycardia • Slower than 60 BPM • Tachycardia • Faster than 100 BPM • Palpitations • Irregular or rapid heart beats that cause fluttering in the chest

  4. Patient Care • Place pt in position of comfort • High-concentration O2 • Transport IMMEDIATELY if: • No hx of cardiac problems, does not have nitroglycerin, or systolic BP < 90 • Nitroglycerin • Repeat if needed • Aspirin??

  5. Common Causes • Coronary Artery Disease • Aneurysm • Angina Pectoris • Congestive Heart Failure • Acute Myocardial Infarction

  6. Cardiac Arrest • 1-2% of calls • Chain of Survival: • Early access • Early CPR • Early defibrillation • Early advanced care

  7. Adult CPR • Head tilt-chin lift • Check breathing and give 2 breaths • Check carotid pulse • Compressions • Hands 2 fingers above the ziphoid process • 1.5 – 2 inches depth • 100/minute • Ratio 30:2

  8. Child CPR • Between 1 year and puberty • Open airway, assess, and give breaths • Carotid pulse < 60 • Compressions • May use 1 hand for small victims • 1/3 to 1/2 depth of chest • 100/minute • 30:2 (1-rescuer) 15:2 (2-rescuer)

  9. Infant CPR • Less than 1 year old • Open airway, assess, and give breaths • Check brachial pulse < 60bpm • Compressions • Place 2 fingers below nipple line • 1/3 to 1/2 depth of chest • 100/minute • 30:2 (1-rescuer) 15:2 (2-rescuer)

  10. AEDs • Verify cardiac arrest • Start CPR • Turn on AED • Apply AED and clear pt • Press analyze

  11. Shock Indicated • Deliver 1 shock • Perform 2 minutes of CPR • Press analyze • Deliver 1 more shock • After 3 shocks prepare for transport

  12. No Shock Indicated • Perform CPR for 2 minutes • Press analyze

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