i am a nurse

i am a nurse

Sunday, November 21, 2010

CPR a.k.a Cardiopulmonary Resuscitation

What is CPR?
CPR a.k.a Cardiopulmonary Resuscitation.

Definition:
CPR is a lifesaving technique useful in many emergencies, including heart attack or near drowning, in which someone's breathing or heartbeat has stopped. 
CPR involves combination of : 
-chest compressions  
-mouth-to-mouth rescue breathing




Indikasi:
-Cardiac Arrest victim
-Respiratory Arrest victim




(DRBC)
Danger      - Make sure the environment are safe.
Respon     - Check for the responsiveness
Airway      - Check for patient's airway 
Breathing   - Check for patient's breathing
Circulation - Check for patient's circulation

CPR Procedure
1. Check is the person conscious or unconscious. If patient appear unconscious, tap or shake the patient's shoulder & ask loudly, 'Are u ok?'. If no respon, call 999.
2. If an AED immediately available, deliver one shock if instructed by the device, then begin CPR.
3. Clear the airway.
-put the person on his @ her back on the firm surface.
-kneel next to the patient's neck & shaoulder.
-open airway using head tilt,chin lift.
-check for normal breathing(taking not more than 5 @ 10 sec.).Look for the chest movement, Listen for 
  normal breathing sound,Feel for the person breath on your cheek & ear.
-if patient isn't breathing normally, start mouth-to-mouth breathing.
-if patient is unconscious, directly perform chest compression.
4. Breath for the patient
-with the airway open(use head tilt,chin lift),pinch the nostril give mouth-to-mouth breathing.
-Give 2 rescue breath; give the 1st rescue breath & look if the chest rises.if does not a rise,give the 2nd 
  rescue breath.
5.Begin chest compression to restore circulation
-place the heel of one hand over the center of the person's chest, between the nipples.
-place your other hand on top of the 1st hand.
-makesure your elbows straight & position your shoulders directly above your hand.
-use your upper body weight as you push straight on the chest 2 inches.push hard as a rate of 30 compression
-after finish 30 compression, check for the carotid pulse.
-if there has a pulse but no breathing, just give rescue breathing.if there are no pulse & breathing, give 2 
 rescue breathing with 30 compression till there are sign of movement or emergency medical personnel take 
 over.
6.Recovery position
-put patient in recovery position when there are sign of breathing & pulse.

CAUTION!!!
If patient has pulse,do not perform chest compression.Just give 2 rescue breathing.
It is because chest compression would be disturb the normal heart beat.

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