Pathophysiology Instruction
Done for clients who go into cardiac arrest If NO caregivers are around to help, you must
meaning the heart has stopped pumping! initiate immediate CPR with high quality
compressions. Start Chest Compressions BEFORE
calling for help if you are the only care giver!
CARDIAC ARREST (Most students get this wrong on exams)
Causes
Immediate CPR with
Caused by a variety of factors from - Hypoxia, high quality compressions
respiratory failure, toxins, blood clots, electrolyte
imbalances & others. They are commonly
described as Hs & Ts.
#1
Hypoxia Respiratory failure Toxins
Immediate CPR with chest compressions helps to
Cl - Cl -
Cl -
+ -
provide IMMEDIATE oxygen or perfusion to the
Na+
Na+ Na+
Blood clots Electrolyte imbalances
brain & vital organs in order to prevent damage
& evene DEATH!
Adult CPR
2 2
During CPR, compressions are
min min
Chest compression Immediately paused every 2 mins to assess
pulse.
KEY Numbers 10 seconds
Rate is 100 - 120/min NCLEX TIP
Depth of at least
2 - 2.4 inches (5 - 6 cm) NCLEX TIP
AED pads (8 years & older) How to SHOCK an Adult
Hands in center of chest lower half 1. Defibrillator pads are placed
Upper right chest near
of sternum
the shoulder 2. Call out & look to make sure
Breaths: everyone is clear
Left lateral chest near
Manual: 30 compressions the anterior axillary line 3. Continue chest compression
& 2 rescue breaths below the nipple immediately after the shock
Intubation: Every 6 seconds
without interruption
Upper right chest
0 00:00:00
AED
₂
O
00:06
LOWER HALF
OF STERNUM
NO IV sedation needed.
Left lateral chest
NO synchronized button.
That is for cardioversion
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