IMPORTENT FOR MEDICAL FIELD

3. SEMINAR ON
CARDIOPULMONERY
RESUSCITATION
PRESENTED BY
SANTOSH SINGH
1st Yr M.sc.

4. HISTORICAL REVEIW
 5000- First artificial mouth to mouth respiration
 3000 BC – Ventilation
 1780-First attempt of newborn resusitation by blowing
 1874- first experimental cardiac massage
 1901-first sucessful diract cardiac massage in man
 1960- indiract cardiac massage.
 1980- development of cardiopulmonery resuscitation due
to the work of peter safar.

6. INTRODUCTION
 Cardiopulmonary resuscitation (CPR) is a life
saving technique useful in many emergancies,
including heart attach or near drowning, in which
someones’s breathing or heartbeat has stopped.

7. ANOTOMY AND PHYSIOLOGY

8. DEFINATION
 CARDIO PULMONARY RESUSCITATION
means cardiac and pulmonary .cardio means heart
and pulmonary means lungs and resuscitation
means to restore. so cardio pulmonary
resuscitation means to restore heart and lung
function

9. CONT…
 Cardio pulmonary resuscitation is a technique of
basic life support for the purpose of oxygenating
the brain and heart until appropriate, definitive
medical treatment can restore normal heart and
ventilatory action

10. PURPOSES
 To maintain an open and clear airway(A)
 To oxygenate the heart and lungs.
 To restore the function of heart and lungs.
 To prevent the brain death and damage.
 To maintain circulation in brain and heart.
 To save life of the patient

11. CONT……
 To maintain breathing by external ventilation (B)
 To maintain blood circulation by external cardiac
massages (C)

12. INDICATION:-
 Cardiac arrest
 VENTRICULAR FIBRILATION (VF)
 VENTRICULAR TACHYCARDIA (VT)
 ASYSTOLE
 PULSE LESS ELECTRICAL ACTIVITY

13. SIGN & SYMPTOMS OF
CARDIAC ARREST
Collapse
No Pulse
No
Breathing

14. CONT.....
Loss Of
Consciousness
Fatigue
Vomiting

15. RESPIRATORY ARREST
 Drowning
 Stroke
 Foreign body in throat
 Smoke inhalation
 Drug overdose
 Suffocation
 Coma
 Epiglottis paralysis.

17. PRINCIPALS OF CPR
 To restore effactive circulation and ventilation.
To prevent irreversible cerebral damage due to anoxia.
When the heart fails to maintain the cerebral
circulation for approximately four minutes the brain
may suffer irreversible damage.

18. SEQUENCE OF CPR

19. CHARACTERISTICS OF HIGH
QUALITY CPR

20. HIGH QUALITY OF CPR

21. CPR PROCEDURE
APPROACH SAFELY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
CALL 108
30 COMPRESSIONS
2 RESCUE BREATHS

22. CARDIAC ARREST

23. CHECK RESPONSE
SHAKE SHOULDER GENTELY
ASK ARE YOU ALL RIGHT
IF HE RESPONDS
LEAVE AS YOU FIND HIM.
FIND OUT WHAT IS WRONG
REASSESS REGULARLY

24. STEPS
 ASSESSMENT

38. POSSIBLE COMPLICATION
 CORONERY VESSEL INJURY
 DIAPHRAGM INJURY
 HEMOPERICARDIUM
 HEMOTHORAX
 LIVER INJURY
 PNEUMOTHORAX
 RIB FRACTURES
 STERNAL FRACTURE

39. MEDICAL MANAGEMENT
ADRENALINE
 Adrenaline (epinephrine) is the main drug used during
resuscitation from cardiac arrest.
 ATROPIN
atropin as a single dose of 3mg is sufficient to block
vagal tone completely and should be used once of
asystole.
AMIDORONE
It is antiarrhythimic drug.

40. NURSING MANAGEMENT
 ASSIST THE INTUBATIO AND SECURING
ETT
 ASSIST WITH ONGOING MANAGEMENT OF
AIRWAY PATENCY AND ADEQUATE
VENTILATION.
 PREPARE AND ADMINISTER IV FLUID.
 IF CPR IS IN PROGRESS ,PREPARE AND
IDEPENDENTLY DOUBLE CHEAK AND
LABEL 3 DOSES OF ADRENALINE
 DOCUMENT MEDICATION ADMINISTERD (
INCLUDING TIME)

41. ANY DOUBT

42. SUMMERIZATION

44. 
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
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 Lewis L. Shaeon, Disker Ruff. Shanon, Medical Surgical Nsg. 7th
Edition, Noida, Mosby ElsvierPublicaiton, 2009.
 KloerWoltes, Wilkins &WIlliumLipin Colt, Manuals of Nursing
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 Basavanthapa BT, Medical Surgical Nursing, 2nd edition, New
Delhi, Jaypee Brother Publishers (P) Ltd., 2009.
 LonglBaibox, Phipps. J. Wilima, Medical Surgical Nursing, 7th
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 www.circ.ahajournals.org.
 www.eccguidelines.heart.org