Critical Care Nursing: CPR Lecture 1
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Questions and Answers

What does CPR stand for?

Cardiopulmonary Resuscitation

What is one of the primary causes of cardiac arrest?

  • Chemical spills
  • Fire
  • Myocardial infarction (correct)
  • Traffic accidents
  • Which of the following is NOT a symptom of cardiac arrest?

  • Fever (correct)
  • Respiratory arrest
  • Unconsciousness
  • Dilation of pupils
  • What are the three basic vital functions involved in CPR?

    <p>Breathing, circulation, consciousness</p> Signup and view all the answers

    The first step in the BLS sequence is to ________.

    <p>shake shoulders</p> Signup and view all the answers

    What should you do if a person is unresponsive but breathing?

    <p>Leave them as you found them</p> Signup and view all the answers

    It is safe to provide care if a conscious person does not give approval.

    <p>False</p> Signup and view all the answers

    How many chest compressions are performed in the BLS sequence before rescue breaths?

    <p>30</p> Signup and view all the answers

    What is the role of early CPR in the Chain of Survival?

    <p>To help circulate blood containing oxygen to vital organs</p> Signup and view all the answers

    The first step in resuscitation is to restore __________.

    <p>circulation</p> Signup and view all the answers

    Study Notes

    CardioPulmonary Resuscitation (CPR) Overview

    • CPR is a critical emergency first-aid procedure to sustain respiration and blood circulation when vital functions fail.
    • Hypoxia is commonly associated with cases requiring CPR.

    Causes of Cardiac Arrest

    • Cardiac causes include:
      • Ischemic heart disease (myocardial infarction)
      • Arrhythmias
      • Electrolytic disorders
      • Valvular disease
      • Cardiac tamponade
      • Pulmonary artery thromboembolism
      • Ruptured aortic aneurysm
    • Extracardiac causes include:
      • Airway obstruction
      • Acute respiratory failure
      • Shock
      • Reflector cardiac arrest
      • Various embolisms
      • Drug overdose, electrocution, and poisoning

    Diagnosis of Cardiac Arrest

    • Diagnostic methods include:
      • Blood pressure measurement
      • Pulse check on peripheral arteries
      • Auscultation of cardiac sounds
    • Symptoms indicating cardiac arrest:
      • Absence of pulse on carotid arteries
      • Respiratory arrest occurring within 30 seconds
      • Pupil enlargement (mydriasis) in approximately 90 seconds

    Main Stages of Resuscitation

    • Follow the C-B-A-D approach:
      • Circulation: Restore circulation with external cardiac massage.
      • Breathing: Initiate artificial ventilation of the lungs.
      • Airway: Ensure airway is clear, possibly via tracheal intubation.
      • Differentiation, Drugs, Fibrillation: Conduct a differential diagnosis, administer medication, and use electric defibrillation if necessary.

    Signs of Cardiac Arrest

    • Key indicators:
      • Unconsciousness within seconds
      • Respiratory arrest (apnea)
      • Absence of pulse
      • Changes in general appearance (color, facial changes)
      • Pupil dilation (mydriasis)

    Chain of Survival

    • Essential components for optimal outcomes include:
      • Early access to emergency services
      • Early CPR
      • Early defibrillation
      • Advanced care

    Basic Life Support (BLS) Sequence

    • Respond to an unresponsive victim:
      • Kneel beside the victim.
      • Shake shoulders and ask, “Are you fine?”
    • If responsive, monitor regularly and do not physically intervene if no approval is given.
    • For unresponsive individuals:
      • Shout for help and open the airway.
      • Check breathing by looking, listening, and feeling for normal breathing (eupnea).

    Performing Chest Compressions in Children Over 1 Year

    • Position above the child’s chest; place one hand on the lower third of the sternum.
    • Compress straight down, avoiding the upper abdomen.

    BLS Sequence Steps for Unresponsive Victim

    • Unresponsive: Shout for help, open the airway, check breathing.
    • Call for emergency assistance (112).
    • Administer 30 chest compressions followed by 2 rescue breaths:
      • Pinch the nose and provide rescue breaths while ensuring a tight seal over the mouth.

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    Description

    This quiz covers the fundamental concepts of CardioPulmonary Resuscitation (CPR) as part of the Critical Care Nursing program for fourth-year students at Al Ameed University. It includes definitions, techniques, and the importance of CPR in emergency situations. Test your knowledge and understanding of this life-saving procedure.

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