Rudhramoorthi.M Mr.Vampire

1. CARDIOPULMONARY
RESUSCITATION
Presented by
Monika Devi
Msc(N)
HCN, SRHU

2. INTRODUCTION
 CPR cardiopulmonary resuscitation is a life saving
technique useful in many emergencies including
heart attack or near drowning in which some one’s
breathing or heart beat has stopped.

3. DEFINITION
 Cardiopulmonary resuscitation is a techniques of
basic life support for oxygenating the brain and heart
untill appropriate, definition medical treatment can
restore normal heart and ventilatory action.

4. PURPOSES
 To maintain an open and clear airway
 To maintain breathing by external ventilation.
 To maintain blood circulating by external cardiac
massages.
 To save life of the patient.
 To provide basic life support till medical and
advanced life support arrives.

5. INDICATION
 Cardiac arrest
 Respiratory arrest
 Drowning
 Foreign body in throat
 Smoke inhalation
 Drug overdose
 Suffocation
 Accidental injury
 Coma

6. PRINCIPLES OF CPR
 To restore effective circulation and ventilation
 To prevent irreversible central damage due to
anorexia . When the heart fails to maintain the
cerebral circulation for approximately four minutes
the brain may suffer irreversible damage.

7. STANDARD METHOD OF CPR
 The standard method of CPR has beenA-B-C, ‘A
’
for airway, ‘B’for breathing and ‘C’for
compressions.
 But recently theAmerican HeartAssociation (AHA)
has changed it fromAirway, Breathing & Circulation
(ABC)to Chest compressions, Airway, Breathing
(CAB)

8. STEPS IN CPR :-
Before starting CPR, check:-
 Is the person conscious or unconscious?
 If the person appears unconscious, tap or shake his or
her shoulder and ask loudly,
"Are you OK?"
 If the person doesn't respond, call the local
emergency number and begin CPR.

9. 2.CIRCULATION
 Restore blood circulation with chest compressions.
 Put the person on his or her back on a firm surface.
 Place the heel of one hand over the centre of the
person's chest. Place your other hand on top of the first
hand.
 Use your upper body weight and compress the chest at
least 2 inches.
 Push hard & fast at a rate of about 100 compressions a
minute.
chest compressions to restore circulation

10. 3. AIRWAY
(3)Airway:-
 Clear the airway
 Open the person's airway using the head-tilt,
chin-lift maneuver.

11. CONT…
 Check for normal breathing.
 Look for chest rise, listen for normal breath sounds,
and feel for the person's breath on your cheek.
 If the person isn't breathing normally , begin mouth-
to-mouth breathing.

12. 4. BREATHING
(4) Breathing:-
 Breathe for the person
 Rescue breathing can be mouth-to-mouth breathing or
mouth-to-nose breathing.
 Using Head tilt-Chin lift maneuver give two rescue
breaths.

13. CONT...
 30 chest compressions followed by 2 rescue breaths is
considered 1 cycle. Or 1 cycle = 30: 2
 Continue CPR until 5cycles are completed.
 If the person has not begun moving after five cycles,
administer one shock by using Automated external
defibrillator (AED).
 Continue CPR until there are signs of movement or
emergency medical personnel take over.

14. NURSING MANAGEMENT
 Maintain airway patency with use of airway adjuncts as
required (suction, high flow oxygen with oxygen or
bag valve mask ventilation).
 Assist with intubation and securing of ETT inserts
gastric tube and facilitates gastric decompression past
intubation as required.
 Assists with ongoing management of airway patency
and adequate ventilation.
 Support less experienced staff by coaching ?guidance
e.g. drug preparation.

15. CONT…
 If a shock able rhythm is present ensure manual
defibrillator pads are applied and connected.
 If cpr is an progress, prepare and independently
double of adrenaline.
 Prepare and administer i/v fluids.
 Document medications administered (including
time).

16. SUMMARY

17. REFERENCES

18. THANK YOU