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Cardiopulmonary Resuscitation CPR ReproLine

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					Cardiopulmonary Resuscitation (CPR)
             Who Needs Resuscitation?

!   Collapsed patient in shock due to:
      Hypovolemia
      Cardiogenic reasons
      Anaphylaxis
      Sepsis
!   After cardiac arrest




                     Cardiopulmonary Resuscitation (CPR)
             Objectives of Resuscitation

!   Establish blood circulation in the tissues
!   Establish normal functioning of myocardium
!   Establish normal functioning of respiratory system and of gas
    exchange
!   Correct malfunctioning of different system




                     Cardiopulmonary Resuscitation (CPR)
             Objectives of Resuscitation

!   Correct acid-base status and electrolyte status
!   Correct glycemic status
!   Provide support to different system if needed
!   Ensure tissue perfusion and urine output
!   Abolish hypoxia and hypercarbia




                     Cardiopulmonary Resuscitation (CPR)
             Resuscitation in Obstetrics

Aortocaval compression due to pregnant uterus makes resuscitation
(CPR) less effective
Pregnancy:
!   Less than 25 weeks: Routine or normal resuscitation protocol
!   25–32 weeks:
      Use wedge
      CPR
      Immediate cesarean section



                     Cardiopulmonary Resuscitation (CPR)
    Resuscitation Procedure for Hypovolemic
                     Shock

!    Oxygen by mask
!    Establish IV line: 16–18 gauge cannula
!    Place patient in supine position with head down initially or leg
     raised
!    Replace volume as required by proper fluids
         Crystalloids
         Colloids
         Whole blood
         Blood component


                      Cardiopulmonary Resuscitation (CPR)
    Resuscitation Procedure for Hypovolemic
                 Shock (cont’d)

!    Monitor:
       Cardiovascular system: Pulse, blood pressure, central
        venous pressure
       Central nervous system: Responding to command
       Urine output
       Respiration rate
       General condition




                       Cardiopulmonary Resuscitation (CPR)
    Resuscitation Procedure for Hypovolemic
                 Shock (cont’d)

!    Provide support:
       Cardiovascular system if needed
       Respiratory system if needed
       Renal system by dopamine




                     Cardiopulmonary Resuscitation (CPR)
    Resuscitation Procedure for Cardiogenic
                     Shock

!    Oxygen by mask
!    Supine position
!    Pulse, blood pressure and electrocardiogram monitoring
!    Cardiovascular system support by medicines
       Coronary dilators
       Anti-arrhythmic drugs
       Thrombolytic drugs




                       Cardiopulmonary Resuscitation (CPR)
    Resuscitation Procedure for Cardiogenic
                 Shock (cont’d)

!    Respiration support if needed
!    Renal support
!    Correct restrictive volume: IV fluids
!    Analgesics
!    Sedatives




                      Cardiopulmonary Resuscitation (CPR)
    Resuscitation Procedure for Anaphylactic
                     Shock

!    Adrenaline
!    Oxygen by mask
!    Steroids
!    IV fluid: Appropriate selection




                      Cardiopulmonary Resuscitation (CPR)
    Resuscitation Procedure for Anaphylactic
                  Shock (cont’d)

!    Supine position: Head-down tilt
!    Cardiogenic drugs/support
!    Sedative if required
!    Renal protection
!    Respiratory support




                        Cardiopulmonary Resuscitation (CPR)
         Resuscitation Procedure for Sepsis


!   Oxygen by mask
!   Establish IV line: 16–18 gauge cannula
!   Place patient in supine position with head down initially or leg
    raised
!   Replace volume as required by proper fluids
        Crystalloids
        Colloids
        Whole blood
        Blood component


                     Cardiopulmonary Resuscitation (CPR)
Resuscitation Procedure for Sepsis (cont’d)

!   Monitor:
     Cardiovascular system: Pulse, blood pressure, central
      venous pressure
     Central nervous system: Responding to command
     Urine output
     Respiration rate
     General condition




                     Cardiopulmonary Resuscitation (CPR)
Resuscitation Procedure for Sepsis (cont’d)


!   Provide support:
     Cardiovascular system if needed
     Respiratory system if needed
     Renal system by dopamine
 Antibiotics




                   Cardiopulmonary Resuscitation (CPR)
                       Resuscitation
                      Cardiac Arrest

Diagnosis of cardiac arrest:
!   No central or peripheral pulse
!   Absence of heart sounds
!   Dilated pupils
!   Respiratory arrest
!   Absence of bleeding
!   General appearance: Pallor, cyanosis, no signs of circulation




                     Cardiopulmonary Resuscitation (CPR)
                     Resuscitation
                   Basic Life Support

!   Given when special equipment is not available
!   Consists of:
      Supine position
      Airway control by head-chin lift
      Clearance of airway and mouth-to-mouth ventilation




                    Cardiopulmonary Resuscitation (CPR)
                     Resuscitation
                   Basic Life Support

!   Chest compression after initial thump
!   Compression/ventilation ratio of 15:2 for non-intubated
    patients
!   Compression/ventilation ratio of 5:1 for patients with
    endotracheal intubation
!   Rate of compression should be 80–100/minute
!   HELP SHOULD BE SOUGHT as soon as possible




                     Cardiopulmonary Resuscitation (CPR)
                   Resuscitation
               Advanced Life Support

!   Given with the use of special equipment and drugs
!   Consists of:
      Airway control by endotracheal tube/laryngeal mask
       airway
      Use of drugs to stimulate heart and support of systems
      Use of defibrillator to resume normal heart beat




                    Cardiopulmonary Resuscitation (CPR)

				
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posted:7/24/2011
language:English
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