CARDIO PULMONARY RESUSCITATION

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CARDIO PULMONARY RESUSCITATION

• Mrs. Jeyalinda
• Lecturer
• College of Nursing
• CMC, Vellore

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• CPR BLS ACLS

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COMPONENTS OF CPR

• A Airway
• B Breathing
• C Circulation
• D Drugs / Defibrillation

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• FOLLOW UNIVERSAL
• PRECAUTION

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STEP 1

• Check responsiveness
• SHAKE AND SHOUT

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STEP 2

• Call for help

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STEP 3

• Open and maintain the airway
• Head tilt and chin lift
• Jaw thrust
• Lateral position
• Remove the foreign body
• Oropharyngeal airway
• Suction
• ET tube intubation

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The head-tilt/chin lift maneuver in an adult.
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The head-tilt/chin lift maneuver in an infant.
Do not overextend the head and neck.
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Use the jaw thrust to open your patient's airway
if you suspect a cervical spine injury.
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Suction fluids from your patients airway.
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Your unconscious patients tongue may fall and
close the upper airway.
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OROPHARYNGEAL AIRWAY
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Use an oropharyngeal airway for unconscious
patients without a gag reflex.
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Malpositon of oropharyngeal airway
Too short
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The nasopharyngeal airway rests between the
tongue and the posterior pharyngeal wall.
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Endotracheal Intubation
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STEP 4

• Check for spontaneous breathing
• Look, listen and feel for 10 sec.

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STEP 5

• Start artificial ventilation

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Use a bag-valve mask to ventilate patients
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STEP 6

• Check carotid pulse for 10 sec.

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STEP 7

• Start external cardiac compression
• Place Two fingers above Xiphisternum
• Depth One and a half two inches (4
• 5cm)
• Rate 100/min
• Ratio 302 for adults and children
• Push hard, Push fast

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DRUGS

• Cardiac output Stroke Volume x Heart Rate
• Inj. Adrenaline stroke volume
• (1ml 1mg)
• Inj. Atropine heart rate
• (1ml 0.6mg)

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DEFIBRILLATION

• Indications
• Pulseless ventricular tachycardia
• Ventricular fibrillation
• Asystole

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COMPLICATIONS OF CPR

• Rib and sternal fractures
• Pneumothorax
• Pericardial tamponade
• Pulmonary contusion
• Aspiration
• Aortic laceration

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Thank You
Any Questions ?