Cardiopulmonary Resuscitation CPR

Cardiopulmonary Resuscitation CPR PowerPoint PPT Presentation


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Cardiopulmonary Resuscitation (CPR). Who Needs Resuscitation?. Collapsed patient in shock due to:Hypovolemia Cardiogenic reasonsAnaphylaxisSepsisAfter cardiac arrest. Cardiopulmonary Resuscitation (CPR). Objectives of Resuscitation. Establish blood circulation in the tissuesEstablish normal fu

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Cardiopulmonary Resuscitation CPR

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1. Cardiopulmonary Resuscitation (CPR)

2. Cardiopulmonary Resuscitation (CPR) Who Needs Resuscitation? Collapsed patient in shock due to: Hypovolemia Cardiogenic reasons Anaphylaxis Sepsis After cardiac arrest

3. 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

4. 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

5. Cardiopulmonary Resuscitation (CPR) Resuscitation in Obstetrics Pregnancy: Less than 25 weeks: Routine or normal resuscitation protocol 25–32 weeks: Use wedge CPR Immediate cesarean section

6. 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

7. 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

8. Cardiopulmonary Resuscitation (CPR) Resuscitation Procedure for Hypovolemic Shock (cont’d) Provide support: Cardiovascular system if needed Respiratory system if needed Renal system by dopamine

9. 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

10. Cardiopulmonary Resuscitation (CPR) Resuscitation Procedure for Cardiogenic Shock (cont’d) Respiration support if needed Renal support Correct restrictive volume: IV fluids Analgesics Sedatives

11. Cardiopulmonary Resuscitation (CPR) Resuscitation Procedure for Anaphylactic Shock Adrenaline Oxygen by mask Steroids IV fluid: Appropriate selection

12. 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

13. 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

14. 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

15. Cardiopulmonary Resuscitation (CPR) Resuscitation Procedure for Sepsis (cont’d) Provide support: Cardiovascular system if needed Respiratory system if needed Renal system by dopamine Antibiotics

16. 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

17. 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

18. 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

19. 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

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