CARDIAC ARREST MR. ROMAN BAJRANG BASIC BS.C NURSING 2 ND YEAR RELIANCE INSTITUTE OF NURSING LIMTAR DHAMATRI
cardiac arrest is the condition in which the noord suddeny and un . Expectally stop blood circulation what this stop following to the brain and otnor vital oragn it also Called sudden cardiac arrest or an expected cardiac arrest . sudden cardic arrest usvally result for an cardiac resul for use vally the electrical distributance in heart. sudden cardiac arrest is not in something the as heart attack. INTRODUCTION :-
“According to Lippen cott ” cardiac arrest is a medical emargency it is not alreated within a few minutes cardiac arrest cause the deatn . “ According to medical dictionary” Cardic arrest occure whenthe heard suddenly Stop blood circulation . DEFINATION:-
ANATOMY & PHYSIOLOGY OF HEART
Anatomy of the Heart The heart is a mascular oragen roughty the size of the closed first it side in the chest it weight 360 gm . The cardiovascular system can be compared to a muscular pump equipped with one-way valves and a system of large and small plumbing tubes within which the blood travels.
CHAMBAR OF THE HEART The heart has four hollow chambers, or cavities: two atria and two ventricles:- Receiving chambers. The two superior atria are primarily the receiving chambers, they play a lighter role in the pumping activity of the heart. Discharging chambers. The two inferior, thick-walled ventricles are the discharging chambers, or actual pumps of the heart wherein when they contract, blood is propelled out of the heart and into the circulation. Septum. The septum that divides the heart longitudinally is referred to as either the interventricular septum or the interatrial septum, depending on which chamber it separates.
The heard constista of the foure chembar . Upper chembar :- the two uppert chembar (the recive blood ) for the body a the lungs . Lower chembar :- the two upper chembar (they discharge blood) the left atria and left ventricleare separte fro the right atria and left ventricle by wall of muscle called the septum .
LYEAR OF THE HEART The heart muscle has three layers and they are as follows:- Epicardium . The epicardium or the visceral and outermost layer is actually a part of the heart wall. Myocardium. The myocardium consists of thick bundles of cardiac muscle twisted and whirled into ringlike arrangements and it is the layer that actually contracts. Endocardium . The endocardium is the innermost layer of the heart and is a thin, glistening sheet of endothelium hat lines the heart chambers.
VALVE OF THE HEART The four main valve of the heart contration of the valve it won to maintain the blood flow in backwords . Tricuspid valve. Biscupid valve. Anti vantiovalve . Pulmonary valve.
PHYSIOLOGY OF THE HEART The two main fuction of the heart these are :- Pumping:- the heard are the pumping. Clrulating :- the circulating the blood :- The heart contrect at the different notes depending on many factors At rest it mignt . At right side of the heart recive deoxygeted blood and scends it to lungs . The right atrium condruts and blood passes to the right vendricle . One the right ventricle is full it contact pumos the blood throug and to the lungs the plumonary contory when it pick up oxygen and offiade carbon dioxide . Thwe left atrium contrects pushing blod into the left ventricle .
ELECTRIC NOTE OF SA NODE The heart are the genorated the electric impuleas and the transmit :- (1) AV Node (2) SA Node Sinoatrial (SA) node :- The SA node has the highest rate of depolarization in the whole system, so it can start the beat and set the pace for the whole heart; thus the term “ pacemaker “. Atrial contraction :- From the SA node, the impulse spread through the atria to the AV node, and then the atria contract.
CLASSIFICATON Cardiac arrest is classified upon the rastnym into . venticular fibriation :- venticulor fibrilla and pulseless venticulor tacycandic . Astyole :- astoylo and electrical activity . Artanal filxalation
CAUSES Most cause of the cardiac arrest these. Cornonary heart disease :- Approcimedy 60 to 70 % of SCD is releted to cornory heart diseases . damage of the heart stacture :- Cardiomy pathy Cardiac rasthym Hyporve heart disease Congestive heard failare
PATHOPHYSIOLOGY Damaged eloctrical conduction on system of heart faillure of heart to contraest of fectum serve cardiac arhytnmia impaired corbrperfusion iscnemia in brain tissue
indoquto oxygen and nutrotion recaching brain infection death
CLINICCAL MANIFESTAION Unconsiouness . No breathing. No blood pressure. Puplis begin dialiping with in few sound . Sezivrs . Chest discopmfort . Dypena . Cougning . Chest pain. Nausea. Shortness breth .
3. Blood test . 4. MRI. 5. Physical examination. 7. History collection .
MANAGEMENT MEDICAL MANAGEMENT To provide the proper oxygen therpy teratment for the cardiac arrest incloude the provide of immediate , cardiac plumonary resultio . CPR is a critical part of mangement of cardiac arrest . The pation pravide the prone position to the palpated of the neard of patiend easily .
PHARMACOLOGICAL MANGEMENT s.no Name of the drug Dose Route Action Side effect 01 Vasopressin 1ml. IV Vasopression drug is the change of return of spontam arulast during cardia arrest . Headace , nause . 02 Amiafarone 150mg. IV Amiodarone used intne spontanous areclation of blood. Plumonary , nause . 03 Ildocaine 10ml/mg IV, IM This mens worn the blocking the sodium cnanel and dereling . Swelling , edema , constipto , nause . 04 Asprin IV Aspir slow blood cloting . Nause , vomiting 05 Cattlgvlco Orally, IM Decrese the blood prevent the bra cydia . Nause , vomiting
SURGICAL MANGEMENT
To assese the client condition. To check the vital sign . To provide the comfortable position . Provide the proper breating exchange. Provide to knowledge of patient acute to disese condition . NURSING MANGEMENT
Maintain healthy weight. Donot smooke . Eat a healthy food. Physical activity part of your routine. Get enough sleeps. Explore stress – reducing activity. Regular exercise. Be careful with pain killas . Lower salt in your diet. PREVENTION:-
HEALTH EDUCATION Intake output:- 1. Drink safe water. 2. Drink water 50ml/dl. 3. Use chlorine in drinking water. Hygiene:- 1. maintain person hygiene. 2. Wash the hand before intake water and food. Excersize :- 1 . Active and pasive excersize . 2. To protecte the injury. 3. To maintain health. Rest and sleep:- 1. Giving the active in patient to feel better in rest, sleep. 2. Rest for 8-10 hour.