ADMINISTERING CARDIOPULMONARY RESUSITATION (CPR) Definition:A life saving skills to maintain tissue oxygenation by providing external cardiaccomprehension.Purposes:1 . E s t a b l i s h a i r w a y 2 . I n i t i a t e b r e a t h i n g 3.

Maintain circulation4 . E l e v a t e s u f f e r i n g 5 . P r o l o n g l i f e Principles:1 . M a i n t a i n p r o p e r body mechanics2 . C h e s t c o m p r e h e n s i o n b o a r d 3.Body substance isolating items Gloves Face shield Mask/CPR oral barrier 4 . A m b u b a g 5 . O r a l a i r w a y 6.Emergency resuscitation c a r t 7 . D o c u m e n t a t i o n f o r m s Rationale:1 . P r e v e n t i n j u r y t o t h e c l i e n t w h o i s n o t e x p e r i e n c i n g c a r d i a c o r r e s p i r a t o r y a s s i s t , a l s o assisting the level of consciousness.2 . A c t i v a t e s a s s i s t a n c e f r o m t h e p e r s o n n e l t r a i n e d i n a d v a n c e d s u p p o r t . A l s o o n e person cannot perform CPR indefinitely. If the rescuer is alone, provide 1 minuteCPR before activating the emergency responses system to help the risk of braindamage.3 . P r o p e r p o s i t i o n i n g o f f a c i l i t i e s a s s e s s m e n t o f t h e c a r d i a c a n d r e s p i r a t o r y s t a t u s a n d successful internal cardiac massage. And to prevent further head and neck injury.4 . P r e v e n t t r a n s m i s s i o n o f d i s e a s e . 5 . P r o p e r p o s i t i o n i n g p r e v e n t s r e s c u e r f a t i g u e a n d f a c i l i t i e s C P R b y a l l o w i n g t h e rescuer to move from the chest compression to artificial breathing with minimalmovements.6 . A p a t i e n t s airway is essential to successful artificial respiratory. The head tilt a s s i s t in preventing the tongue from blocking the airway. The jaw thrust is uses when thehead or neck injury is suspected because it prevents extension and decrease the potential for further injury.7 . C P R s h o u l d n o t b e a d m i n i s t e r i n g t o a c l i e n t w i t h s p o n t a n e o u s r e s p i r a t o r y o r p u l s e due to potential risk for injury.

8.Pressing the nostrils and performing all over the clients mouth will p r e v e n t a i r leakage and provide full infiltration of the lungs. Excessive air volume and rapidinspiration flow rate can create pharyngeal pressures that are greater than theesophageal and opening pressure. That will allow air into the stomach. Resulting ingastric distention and increase vomiting.9 . V i s u a l a s s e s s m e n t o f t h e c h e s t m o v e m e n t h e l p s c o n f i r m a n o p e n a i r w a y . A v o l u m e of 800-1200ml is sufficient to make the chest rise in most adult.10.Performing chest comprehension on the individual with a pulse could result ininjury. Additionally, the carotid pulse may persist. Hyperventilation assists inmaintaining blood oxygen level.11.Irreversible brain and tissue damage can occur if a clients is hypoxia for over 46minutes. Proper positioning is essential for the following reason: Allow maximum compression of the heart between the sternum andvertebrae. Comprehension over the xyphoid process can lacerate the liver. Keeping fingers of the chest during the compression reduce the risk of the ribfracture.12.Faster rates increases blood flow to the key organ tissue.13.Determine return of the spontaneous pulse

and respiratory and the need to continueCPR.14.Proper positioning allows 1 rescuer to perform artificial respiratory while other administers chest compressions without getting each others way.15.Two rescuer are needed because one person cannot maintain CPR. When rescuer becomes fatigued chest compression can be ineffective.Reference:www.allrefer.com