Procedure of CPR

It is useful content for B.Sc.N. & GNM Students.
Students will easily understand this procedure & helps them to remember also.

1. BY- AHMED SODHA
M.Sc.(N)- M.S.N.

2. INTRODUCTION

attack or near drowning, in whic
someone's breathing or heartbeat has
stopped.

3. DERNMITON

appropriate,
treatment can restore normal heart
and ventilatory action.

4. PURPOSES

« To maintain Blood circulation by external
cardiac massages (C).

+ To save life of the Patient.

« To provide basic life support till medical
and advanced life support arrives.

5. INDICATION

« Asystole
« Pulse less electrical activity

6. Drug overdose
Suffocation
Accident, injury

Coma
Epiglottis paralysis.

7. Principles ef CPR

damage due to anoxia. When the
heart fails to maintain the cerebral
circulation for approximately four

minutes the brain may suffer
irreversible damage.

8. CHEST COMPRESSIONS AND PULMONARY
VENTILATION PERFORMED BY ANYONE

WHO KNOWS HOW TO DO
IT, ANYWHERE, IMMEDIATELY, WITHOUT
ANY OTHER EQUIPMENT

10. ey,

Open airway

Check breathing
Call 108
30 chest compressions

2 rescue breaths

11. Open airway

Check breathing
Call 112
30 chest compressions

2 rescue breaths

12. If he responds

* Leave as you find him.
« Find out what is wrong.

« Reassess regularly.

13. ey,

Open airway

Check breathing
Call 112
30 chest compressions

2 rescue breaths

14. Check breathing
Call 112

30 chest compressions

2 rescue breaths

15. No need for finger sweep
unless solid material can be seen

in the airway

16. Head tilt, chin lift + jaw thrust

17. Approach safely

Check response

Shout for help

) Check breathing

18. ey,

« Do not confuse
agonal breathing

with NORMAL
breathing

19. * Described as barely, heavy, noisy or
gasping breathing

« Recognise as a sign of cardiac arrest

20. ey,

FF Approach safely

f e À | Check response

Shout for help

Call 108

21. (A. Approach safely

+ À Check response

Shout for help

22. — Rate 100 min"!
— Depth 4-5 cm (1.5 to 2 inch)

— Equal compression :
relaxation

+ When possible change CPR
operator every 2 min

23. ey,

Approach safely

Check response

Shout for help

24. ey,

mout

Blow until the chest
rises

Take about 1 second
Allow chest to fall
Repeat

25. - Respiratory rate
give each breaths over about 1s with enough
volume to make the victim’s chest rise

- Chest-compression-only
continuously at a rate of 100 min

27. PLICATIONS

LE COM

« Hemothorax
¢ Interference with ventilation

28. + Sternal fracture

29. MEDICA MANAGE Ile hil

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 -

img.
Amiodarone
« Itis an antiarrhythmic drug.

30. MANAGEMENT

« 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

31. » 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)