uh...CPR question

  1. 0 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!
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  3. Visit  ISRN} profile page

    About ISRN

    Joined Apr '12; Posts: 2.

    12 Comments so far...

  4. Visit  Scrubmouse RN} profile page
    4
    If the victim has a pulse, I think you go straight to rescue breathing. One breath every 5-6 seconds for adults or 3-5 seconds for infants and children. If no pulse then start chest compressions
    CallieNM, DTW90, SwansonRN, and 1 other like this.
  5. Visit  wish_me_luck} profile page
    1
    Scrubmouse, 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.
    NewRN2008 likes this.
  6. Visit  JustBeachyNurse} profile page
    1
    Respiratory 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
    wish_me_luck likes this.
  7. Visit  classicdame} profile page
    0
    Remember, effective compressions can also make the lungs kick in, so you are not depriving the patient of oxygen. There is a little still in the body but it needs to circulate, which is why compressions are done first.
  8. Visit  netglow} profile page
    1
    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
    JustBeachyNurse likes this.
  9. Visit  JustBeachyNurse} profile page
    1
    Quote from netglow
    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
    Wouldn'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.
    netglow likes this.
  10. Visit  Esme12} profile page
    0
    Quote from ISRN
    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!
    Like every other code starts....you assess non responsiveness, check for a pulse and respiration's, you call for help.

    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.
  11. Visit  GrnTea} profile page
    1
    Administering 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.
    KelRN215 likes this.
  12. Visit  That Guy} profile page
    2
    Give it enough time and resp will preogress to full blown cardiac too so just wait if you dont know
    Altra and netglow like this.
  13. Visit  NurseOnAMotorcycle} profile page
    0
    Ok, so here's what you do in the simplest terms...

    If you're out on the street and EVER feel like "Should I be doing CPR?" The answer is always YES!

    If you are "with it" enough to think quickly through it or have help (coworkers), you'll just do the part they need.
  14. Visit  netglow} profile page
    0
    Yup and dead people don't breathe.

    Justbeachy, I had a similar experience last summer when I re-upped at a refresher held at a hospital near me where 6 of that hospital's own RNs (one PACU, one L&D, and the others I was not sure of) failed the written portion by a lot of questions and had to sit down and rethink them. The nurse I had to partner with kept trying to do compressions on the child dummy just below it's belly button This poor old retired firefighter instructor kept coming over and moving her hand up This nurse told me she has been with the hospital for 10 years... ... ...
  15. Visit  KelRN215} profile page
    0
    Quote from ISRN
    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!
    Think about these situations. If someone goes into respiratory arrest, what is happening? If the patient isn't breathing, what is oxygen going to do? It doesn't matter if you're blowing 100% FiO2 in someone's face... if they're not breathing, it's not going to get to the lungs. What kind of answers did you find on google? I'm having a hard time thinking that you couldn't find a definitive answer... for respiratory arrest, you administer rescue breaths. If there is a pulse, you do rescue breaths only and if there is not a pulse, you begin CPR. Why would you start compressions on someone with a pulse?


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