- 0Sep 16, '12 by ISRNHello!I must be overthinking,but all of a sudden found myself puzzled by the following:In the event of a respiratory arrest, do we start compressions? Or do we administer oxygen? I've googled this and have not yet found one definite answer..Mauve someone could share from experience?Much appreciated!
- 1Sep 16, '12 by wish_me_luckScrubmouse, you are correct. The whole point is to fill in what the patient doesn't have. If they aren't breathing, but have a pulse, then you only give rescue breaths. If they don't have a pulse as well; you do both. If you do compressions on someone who has a pulse, you can cause them to have a dysrhythmia.
- 1Sep 16, '12 by JustBeachyNurse, LPNRespiratory arrest with pulse: rescue breathing once every 3-5 seconds infant/child, every 5-6 seconds adult. The ONLY pulse check is about 2 minutes after rescue breathing, if pulse keep breathing; no pulse start compressions. If you have the tools, BVM with supplemental O2 is preferred to pocket mask or BVM with no O2. Call 911/code team ASAP after establishing unresponsiveness.
See slide #12, 17, 20; slide #30 for pedi here: http://www.choa.org/health-professionals/~/media/CHOA/Documents/Health-Professionals/Physician Resources/AHA_Update_2010.ashx
You can also google "CPR algorithm"Last edit by JustBeachyNurse on Sep 16, '12 : Reason: added resource
- 1Sep 17, '12 by JustBeachyNurse, LPNQuote from netglowWouldn't you know that very question was asked at the class I took last week...I sat through a full class as the refreshers conflicted with my schedule. It was entertaining to say the least.So you know the next question is always ... "There is no pulse, I am sure of that, but I can't tell if they are breathing, what should I do???" LOL
- 0Sep 17, '12 by Esme12, BSN, RN Senior ModeratorQuote from ISRNLike every other code starts....you assess non responsiveness, check for a pulse and respiration's, you call for help.Hello!I must be overthinking,but all of a sudden found myself puzzled by the following:In the event of a respiratory arrest, do we start compressions? Or do we administer oxygen? I've googled this and have not yet found one definite answer..Mauve someone could share from experience?Much appreciated!
If there is a pulse you begin rescue breathing (mouth to mouth) until the ambu (BMV...bag, mask, valve) arrives as per the AHA CPR recommendations. When you loose the pulse you begin CPR........with the exception of neonates and infants.
- 1Sep 17, '12 by GrnTea, BSN, MSN, RNAdministering oxygen won't do a dang thing if you don't supply ventilation to get it down to the alveoli and CO2 out (which is even more important).
While it is now standard that if you are doing chest compressions for pulselessness, this is going to provide adequate ventilation, you would NOT do chest compressions for ventilation if there is a pulse--- cardiac compressions on a beating heart are not a great idea.