Chandrapur Call girls 8617370543 Provides all area service COD available
2. CPR.pptx
1.
2. INTRODUCTION:-
⚫Sudden death occur when heartbeat &
breathing stop suddenly or unexpectedly.
the major role of CPR is to provide oxygen to
heart ,brain,& the other vital organ until
medical treatment (advance cardiac life
support-ACLS) can restore normal heart
action.
3. DEFINITION:-
⚫Angela Morrow RN
Cardiopulmonary resuscitation
(CPR) is a procedure used when a patient's heart stops
beating and breathing stops. It can involve
compressions of the chest or electrical shocks along
with rescue breathing.
⚫Mosby medical dictionary
CPR is a basic emergency
procedure for life support consisting of artificial and
manual external cardiac massage
.
10. EQUIPMENTS
i. Ambu bag and masks with different size.
ii. Oropharyngeal airways.
iii. Endotracheal tubes of appropriate
sizes and stillet.
E
T
T
U
B
E
11. iv. Paediatric laryngoscope
with straight (Miller) and
curved (McIntosh)
blade – Appropriate sizes.
v. Suction apparatus.
vi. NG tube.
12. i. IV equipments & fluids
ii. Pulse-oxymetry
iii. Oxygen sources
iv. Automated external defibrillator
v. Emergency drugs
vi. Cardiac monitor
13. STEPS FOR CPR:-
➢Airway:-Maintaining an open airway.
➢Breathing:-Providing artificial ventilation by rescue
breathing.
➢Circulation:-Promoting artificial circulation by
external cardiac compression.
➢Defibrillation:-Restoring the heart beat.
14. Shake shoulders gently
Ask “Are you all right?”
If he responds
• Leave as you find him.
• Find out what is wrong.
• Reassess regularly.
CHECK RESPONSE
27. • Place the heel of one hand in
the centre of the chest
• Place other hand on top
• Interlock fingers
• Compress the chest
– Rate 100 min-1
– Depth 3-5 cm(1.5 to 2 inches)
– Equal compression : relaxation
• When possible change CPR
operator every 2 min
CHEST COMPRESSIONS
31. (D) DEFIBRILLATION:-
⚫Device that delivers direct electrical current
across the myocardium. The aim is to produce
synchronous depolarization of cardiac muscle
STRATEGIES:
Test defibrillate for
▪ full battery charge
▪ switch on power button
▪ change paddle mode
32.
33. ⚫Key issues:
Paddle site: Rt intraclavicular region
lt lower axillary region
Paddle size: 8cm -12 cm
wave form patterns :
monophasic
biphasic truncated exponential
biphastic rectilinear
36. ⚫STEPS:-
➢ switch on
➢ select paddle mode
➢ assess rhythm
➢ press paddles firmly over the chest
➢ deliver the shock
➢ resume cpr
37. Intensive care:-(shifting in ICU)
✓ transfer to ICU
✓ monitor closely and continuously
✓ monitor vital signs every hour
✓ watch for convulsions
✓ intubate if necessary
✓ catheterize the patient and monitor output
✓ record the procedure
38. POST CARDIAC ARREST MANAGEMENT:-
Continued care
➢ To ensure hemodynamic monitoring
➢ To minimize the effect of loss of spontaneous
circulation of various organs
➢ To recognize and treat recurrent cardiac arrests
Objectives:
➢ Optimize cardio pulmonary function& systemic
perfusion
➢ Transport victim out of hospital
➢ Identify and treat thre precipating factor
➢ Intitute measure to prevent recurrence and improve
neurological function
39. ⚫Respiratory system;
Intubate & mechanically ventilate until they are stable
Administer supplemental oxygen
Obtain chest x ray
Administer drugs
Avoid hyperventilation
⚫Cardio vascular system:
Obtain expert consultation
Monitor ecg , x-ray, lab analysis,
Monitor intra arterial blood pressure
Administer drugs
40. COMPLICATIONS OF CPR:-:-
⚫Rib fractures
⚫Laceration related to the tip of
the sternum
⚫Liver, lung, spleen
⚫Aspiration
⚫Vmiting
