Cardiac Arrest

capricioustelephoneUrban and Civil

Nov 16, 2013 (4 years and 7 months ago)


Cardiac Arrest

NUR 210

Summer 2006

Cardiac Arrest

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

Cardiac standstill

Ventricular fibrillation, etc.


Restoration of vital signs by mechanical,
physiological, and pharmacological


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

Biologic death refers to irreversible cellular




ECG technicians

Unit secretaries, etc

Assessment of Cardiac Arrest

Absence of circulation:

Unconscious state preceded by less profound
states of mental obtundation


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

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

Electrodes placed in the right atrium and
ventricle and apical pericardium

Generator implanted in the abdomen


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

Family to learn CPR


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.

alert bracelet

Notify MD if beeping sound is heard when
near electomagnetic fields