uh...CPR questionRegister Today!
- by ISRN Sep 16, '12Hello!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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- Sep 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.
- Sep 16, '12 by JustBeachyNurseRespiratory 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
- Sep 17, '12 by classicdameRemember, 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.
- Sep 17, '12 by JustBeachyNurseQuote 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
- Sep 17, '12 by Esme12Quote 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.
- Sep 17, '12 by GrnTeaAdministering 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.