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AMS-Cardiopulmonary Resusitation (CPR) - RN

The document outlines the goals and procedures for managing cardiac arrest, emphasizing the importance of rapid response, high-quality CPR, and the use of defibrillation. It details the Basic Life Support (BLS) guidelines, including the updated CPR sequence (C-A-B), compression rates, and the use of an Automated External Defibrillator (AED). Key components and recommendations for adult CPR are also provided, along with a learning activity section for review.

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Somie Jr. Sanchez
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18 views8 pages

AMS-Cardiopulmonary Resusitation (CPR) - RN

The document outlines the goals and procedures for managing cardiac arrest, emphasizing the importance of rapid response, high-quality CPR, and the use of defibrillation. It details the Basic Life Support (BLS) guidelines, including the updated CPR sequence (C-A-B), compression rates, and the use of an Automated External Defibrillator (AED). Key components and recommendations for adult CPR are also provided, along with a learning activity section for review.

Uploaded by

Somie Jr. Sanchez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Cardio Pulmonary

Resuscitation
(CPR)
1
© 2019 Assessment Technologies Institute®, LLC
Goals for management of cardiac arrest

• Rapid identification of the signs and symptoms of cardiac arrest


• Quick initiation of both circulatory and respiratory support
• Activation of the emergency medical system
• Utilization of emergency equipment and cardiac monitoring
• Stabilization of the client following the arrest
• Diagnosis and treatment of the cause of the cardiac arrest

2
CPR - Emphasis on High-Quality CPR

• CPR is the process of externally supporting the circulation and


respirations of an individual who has experienced a cardiac arrest.
Defibrillation is used in the presence of ventricular fibrillation and
ventricular tachycardia. Neither of these rhythms provides sufficient
cardiac output to support life.

• CPR and defibrillation significantly increase the client’s chances of


survival when initiated immediately.

• Pre-facility care greatly improves the chance of survival for clients who
have experienced cardiac arrest.

3
Goals of Basic Life Support (BLS)

• The goal of BLS is to provide oxygen to the vital organs until appropriate
advanced resuscitation measures can be initiated or until resuscitative
efforts are ordered to be stopped.
• BLS involves Airway, Breathing and Circulation (ABCs) of CPR. Note that
the sequence of these steps has recently been changed to C – A – B
(chest compressions, airway, breathing) because the vast majority of
cardiac arrests occur in adults for whom the critical elements of BLS are
chest compressions and early defibrillation.
• In the ABC sequence, chest compressions are often delayed while the
responder opens the airway to give breaths, retrieves a barrier device or
gathers/assembled ventilation equipment.

4
Key Components of Adult CPR: 2015 AHA Recommendations

Recognition No breathing or no normal breathing (i.e., only gasping)


No pulse palpated within 10 seconds for all ages (for Health Care Providers only)

CPR sequence C-A-B


Compression rate At least 100-120 /min
Compression depth Adult: At least 2 inches (5 cm) but not greater than 2.4 inches (6 cm)
Child: At least 1/3 AP Diameter, approximately 2 inches
Infant: At least 1/3 AP Diameter, approximately 1 ½ inches
Chest wall recoil Allow complete recoil between compressions
Providers rotate compressors every 2 minutes
Compression interruptions Minimize interruptions in chest compressions
Attempt to limit interruptions to < 10 seconds
Airway Head tilt-chin lift
Jaw thrust is suspected trauma
Compression-to-ventilation ratio Adult: 30:2, 1 or 2 rescuers
(until advanced airway placed) Children and infants: 30:2 single rescuer; 15:2 2 rescuers

Ventilations: when rescuer Compressions only


untrained or trained and not
proficient

Ventilations with advanced airway 1 breath every 6 seconds


Asynchronous with chest compressions
Visible chest rise
Defibrillation Attach and use automated external defibrillator (AED) as soon as possible. Minimize
interruptions in chest compressions before and after shock; resume CPR beginning with
compressions immediately after each shock.

5
Use of the AED:
1. Power on the AED.
2. Attach electrode pads to the client’s bare chest.
Use correct electrode pads. Use child pads for
children less than 8 years of age if available.
One electrode should be placed on the upper
right side of the chest to the right of the
breastbone, directly below the collarbone. The
other pad to the left of the nipple, a few inches
below the left arm pit.
3. ‘Clear’ the client and analyze the rhythm.
4. If the AED advises a shock, it will tell you to be
sure to ‘clear’ the client. Push the shock button if
the AED advises.
5. As soon as the AED gives a shock, begin CPR
starting with chest compressions.
6. After 2 minutes of CPR, the AED will prompt you
to repeat steps 3 and 4.

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Learning Activity Review Questions

1. What is the recommended sequence of BLS steps?


2. What is the rate for chest compressions?
3. What is the ratio of compressions-to-ventilations?
4. When using an AED, what rhythms is shock advised?

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