what nurses need to do during and after cprROLE OF NURSE IN CPR.pptx

what interventions the nurses to do during and after cpr

1. ROLE OF NURSE IN CPR

2. Outline Knowledge Aspect Skills Aspects Admin Aspects Legal Aspect Social Aspect

3. Knowledge and Skill Aspects

4. What is CPR? Cardiopulmonary resuscitation  ( CPR ) is a basic emergency procedure for life support consisting of artificial respiration and manual external cardiac massage. What is Cardiac Arrest Occurs when the heart malfunctions and stops beating unexpectedly. Cardiac arrest is an “ELECTRICAL” problem.

5. CPR Quality Push hard (5 cm) Push fast (100-120) Minimize interruption in compression Avoid excessive ventilation Rotate compressor every two minutes or sooner if fatigued

6. CPR Quality Shock energy for defibrillation Biphasic: recommendations from 120-200J Monophasic: 360 J Drug Therapy Epinephrine: 1 mg every 3-5 min Amiodarone: 1 st dose: 300 mg/ 2 nd dose 150 mg Lidocaine: 1 st dose: 1-1.5 mg/kg/ 2 nd dose: 0.5 - 0.75 mg/kg

7. Advanced Airway Waveform capnography or capnometery to confirm and monitor ET tube placement Once advanced airway in place give one breath every 6 seconds PETCO2 should be 20 mmhg during CPR, less than 10 means we need to improve CPR quality Abrupt increase of PETCO2 more than 35 mmhg means ROSC

8. Admin and legal Aspects

9. CODE BLUE Team Responsibilities

10. Elements of team dynamics Closed loop communication Clear messages Clear roles and responsibilities Knowing one’s limitation Knowledge sharing Constructive Feedback Reevaluation and summarizing Mutual respect

11. CRASH CART Before and after the Code

12. INFECTION CONTROLL PRACTICESS

13. IF PATIENT EXPIRES… Ensure the replacement and Death Notification has been filled up completely by the Physician Arrangement of supplies and equipment Proper documentation

14. Social Aspects

15. Thank You