Cardiac Arrest

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16 Νοε 2013 (πριν από 3 χρόνια και 11 μήνες)

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Cardiac Arrest

NUR 210

Summer 2006

Cardiac Arrest


Abrupt cessation of effective cardiac
pumping activity, resulting in cessation of
circulation.


Cardiac standstill


Ventricular fibrillation, etc.


Resuscitation


Restoration of vital signs by mechanical,
physiological, and pharmacological
means.

Death


Clinical death is defined as the absence of
the vital signs.


Biologic death refers to irreversible cellular
changes.


Team


Nurses


MD’s


ECG technicians


Unit secretaries, etc

Assessment of Cardiac Arrest


Absence of circulation:


Unconscious state preceded by less profound
states of mental obtundation


Pulselessness


carotid or femorals


Dilated pupils (takes 45 seconds to longer
than 1 minute)


Minimal or absent respirations


in early
arrest, may be minimal activity

Complications of Resuscitation

Injuries to the sternum, costal cartiledges,
ribs, espohagus, stomach, liver, pleura
and lung

Permanent central nervous damage in a live
client which renders the client dependent

Medicological considerations

Post pacemaker instructions


Signs of battery failure


Report dizziness, weakness or fatigue,
swelling of the ankles or legs, chest pain,
or SOB


Medic
-
Alert bracelet


Avoid contact sports


Airport security alert


Most electrical appliances can be used

Instructions con’t


Avoid transmitter towers and antitheft
devices in stores


Instruct that if unusual feelings occur when
near any electrical devices to move 5 to 10
feet away and check the pulse


Implanted Cardiac Defibrillators


Monitors cardiac rhythm and detects and
terminates episodes of VT and VF


Delivers 25 to 30 joules up to 4 times if
necessary


Electrodes placed in the right atrium and
ventricle and apical pericardium


Generator implanted in the abdomen

Teaching


Report symptoms of fainting, nausea,
weakness, blackouts, and rapid pulse
rates to MD


During shock discharge, client may feel
faint of SOB


Instruct to lie down or sit if they feel a
shock


Family to learn CPR

Teaching


Maintain a diary of any shocks that are
delivered; including date, time, preceding
activity, # of shocks.


Avoid electromagnetic fields directly over
the ICD

can inactivate it.


Medic
-
alert bracelet


Notify MD if beeping sound is heard when
near electomagnetic fields