Cpr ppt

IMPORTENT FOR MEDICAL FIELD

1. WELCOME VISWASS COLLEGE OF NURSING

2. SEMINAR ON CARDIOPULMONERY RESUSCITATION PRESENTED BY SANTOSH SINGH 1 st Yr M.sc.

3. Historical reveiw 5000- First artificial mouth to mouth respiration 3000 BC – Ventilation 1780-First attempt of newborn resusitation by blowing 1874- first experimental cardiac massage 1901-first sucessful diract cardiac massage in man 1960- indiract cardiac massage. 1980- development of cardiopulmonery resuscitation due to the work of peter safar .

4. introduction Cardiopulmonary resuscitation (CPR) is a life saving technique useful in many emergancies , including heart attach or near drowning, in which someones’s breathing or heartbeat has stopped.

5. ANOTOMY AND PHYSIOLOGY

6. DEFINATION CARDIO PULMONARY RESUSCITATION means cardiac and pulmonary .cardio means heart and pulmonary means lungs and resuscitation means to restore. so cardio pulmonary resuscitation means to restore heart and lung function

7. CONT… Cardio pulmonary resuscitation is a technique of basic life support for the purpose of oxygenating the brain and heart until appropriate, definitive medical treatment can restore normal heart and ventilatory action

8. PURPOSES To maintain an open and clear airway(A) To oxygenate the heart and lungs. To restore the function of heart and lungs. To prevent the brain death and damage. To maintain circulation in brain and heart . To save life of the patient

9. Cont …… To maintain breathing by external ventilation (B) To maintain blood circulation by external cardiac massages (C)

10. INDICATION:- Cardiac arrest VENTRICULAR FIBRILATION (VF) VENTRICULAR TACHYCARDIA (VT) ASYSTOLE PULSE LESS ELECTRICAL ACTIVITY

11. SIGN & SYMPTOMS OF CARDIAC ARREST

12. Cont.....

13. RESPIRATORY ARREST Drowning Stroke Foreign body in throat Smoke inhalation Drug overdose Suffocation Coma Epiglottis paralysis.

14. Principals of cpr T o restore effactive circulation and ventilation. To prevent irreversible cerebral damage due to anoxia. When the heart fails to maintain the cerebral circulation for approximately four minutes the brain may suffer irreversible damage.

15. SEQUENCE OF CPR

16. CHARACTERISTICS OF HIGH QUALITY CPR

17. HIGH QUALITY OF CPR

18. Cpr procedure APPROACH SAFELY CHECK RESPONSE SHOUT FOR HELP OPEN AIRWAY CHECK BREATHING CALL 108 30 COMPRESSIONS 2 RESCUE BREATHS

19. CARDIAC ARREST

20. CHECK RESPONSE SHAKE SHOULDER GENTELY ASK ARE YOU ALL RIGHT IF HE RESPONDS LEAVE AS YOU FIND HIM. FIND OUT WHAT IS WRONG REASSESS REGULARLY

21. STEPS ASSESSMENT

22. POSSIBLE COMPLICATION CORONERY VESSEL INJURY DIAPHRAGM INJURY HEMOPERICARDIUM HEMOTHORAX LIVER INJURY PNEUMOTHORAX RIB FRACTURES STERNAL FRACTURE

23. MEDICAL MANAGEMENT ADRENALINE Adrenaline (epinephrine) is the main drug used during resuscitation from cardiac arrest. ATROPIN atropin as a single dose of 3mg is sufficient to block vagal tone completely and should be used once of asystole . AMIDORONE It is antiarrhythimic drug.

24. NURSING MANAGEMENT ASSIST THE INTUBATIO AND SECURING ETT ASSIST WITH ONGOING MANAGEMENT OF AIRWAY PATENCY AND ADEQUATE VENTILATION. PREPARE AND ADMINISTER IV FLUID. IF CPR IS IN PROGRESS ,PREPARE AND IDEPENDENTLY DOUBLE CHEAK AND LABEL 3 DOSES OF ADRENALINE DOCUMENT MEDICATION ADMINISTERD ( INCLUDING TIME)

25. ANY DOUBT

26. SUMMERIZATION

27.   BIBLIOGRAPHY   Linton Adrianne Dill. Introduction to Medical Surgical Nursing;4 th ed.New Delhi:reed elseiver (p)ltd;2014. P.14-19. Kuruvilla j. Essentials of critical care nursing;1 st ed.New Delhi:jaypee brothers medical publishers(p)ltd;2007.p.2-15. Black joyce m. Clinical management for positive outcomes;8 th ed.New Delhi:reed elseiver India(p)ltd;2009.p.38-49. Lewis L. Shaeon , Disker Ruff. Shanon , Medical Surgical Nsg . 7 th Edition, Noida , Mosby ElsvierPublicaiton , 2009. KloerWoltes , Wilkins & WIlliumLipin Colt, Manuals of Nursing Practice, 9 th edition, New Delhi, Who Klowee India Pvt. Ltd.: 2009. Basavanthapa BT, Medical Surgical Nursing, 2 nd edition, New Delhi, Jaypee Brother Publishers (P) Ltd., 2009. LonglBaibox , Phipps. J. Wilima , Medical Surgical Nursing, 7 th Edition, New Delhi, Publication Pvt. Ltd, 2009. www.circ.ahajournals.org . www.eccguidelines.heart.org