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On CPR

Basic life support (BLS) involves maintaining an open airway, providing rescue breathing, and external chest compressions. BLS is used for life-threatening illnesses or injuries until full medical care can be provided in a hospital setting. It consists of chest compressions, establishing an airway, breathing, circulation, and defibrillation if needed. The stages of resuscitation include opening the airway, providing ventilation, promoting circulation through chest compressions, and defibrillation to restore heart rhythm if needed. Nursing management focuses on maintaining an open airway, assisting with intubation if required, monitoring the patient closely, and documenting treatments provided.

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Piyush Dutta
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1K views32 pages

On CPR

Basic life support (BLS) involves maintaining an open airway, providing rescue breathing, and external chest compressions. BLS is used for life-threatening illnesses or injuries until full medical care can be provided in a hospital setting. It consists of chest compressions, establishing an airway, breathing, circulation, and defibrillation if needed. The stages of resuscitation include opening the airway, providing ventilation, promoting circulation through chest compressions, and defibrillation to restore heart rhythm if needed. Nursing management focuses on maintaining an open airway, assisting with intubation if required, monitoring the patient closely, and documenting treatments provided.

Uploaded by

Piyush Dutta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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BASIC LIFE SUPPORT :( BLS)

BLS is used for patients with life threatening


illnesses or injury until the person can be
given full medical care at hospital.BLS is
provided in a pre hospital set up and can be
provided without medical group
• BLS Consist of chest compression, airway,
breathing, circulation, defibrillation.
Main stages of resuscitation:
• 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.
STAGES OF
CPR
A) AIRWAY :-
• Head tilt chin lift manoeuvre
• Jaw thrust manoeuvre
Bag mask ventilation

Method:
• Mouth to mouth ventilation
• Mouth to mask ventilation
• Bag mask ventilation
Mouth to mouth ventilation
Place your mouth over the victims mouth and
exhale
Mouth to mask ventilation
Bag mask ventilation
BAG SIZE
Assess pulse( infant)
CHEST
COMPRESSION
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
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
• Energy level:
• Pediatric : 2-4 J/kg
• Adult:
• Monophasic=> 360J
• Biphasic truncated=> 150-200J
• Biphasic rectilinear=> 120 J
STEPS:-
• switch on
• select paddle mode
• assess rhythm
• press paddles firmly over the chest
• deliver the shock
• resume cpr
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
POST CARDIAC ARREST
MANAGEMENT:-
• 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
Medical management

• Adrenaline (epinephrine) is the main drug


used during resuscitation from cardiac arrest.
• Atropine: as a single dose of 3mg is sufficient
to block vagal tone completely and should be
used once in cases of asystole. It is also
indicated for symptomatic bradycardia in a
dose of 0.5mg - 1mg.
• Amiodarone:It is an antiarrhythmic drug.
Nursing Management
• Maintains airway patency with use of airway adjuncts as required (suction,
high flow oxygen with O2 or bag valve mask ventilation).
• Assist with intubation and securing of ETT
• Inserts gastric tube and/or facilitates gastric decompression post intubation
as required.
• Assists with ongoing management of airway patency and adequate
ventilation
• Supports less experienced staff by coaching/guidance e.g. drug preparation
• If a shockable rhythm is present (VF/VT) ensure manual defibrillator pads
are applied and connected.
• If CPR is in progress, prepare and independently double check and label 3
doses of adrenaline
• Prepare and administer IV fluids
• Document medications administered (including time)

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