By Philip Jevon
Resuscitation carrier : an outline -- Resuscitation gear -- attractiveness and therapy of the significantly unwell sufferer -- rules of cardiac tracking and ECG acceptance -- Bystander uncomplicated existence aid -- Airway administration and air flow -- Defibrillation and electric cardioversion -- complicated existence help -- Resuscitation in exact events -- Anaphylaxis -- Acute coronary syndromes -- administration of peri-arrest arrhythmias -- Post-resuscitation care -- Bereavement -- moral matters in resuscitation -- Resuscitation documents -- Resuscitation education
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Extra info for Advanced cardiac life support: a guide for nurses
I – leads, rate, rhythm, and cardiac axis. , Brady, W. & Camm, J. (Eds) ABC of Clinical Electrocardiography, p. 1. Reprinted with permission from Wiley-Blackwell. Principles of Cardiac Monitoring and ECG Recognition P 49 T QRS Fig. 2 The ECG and its relation to cardiac contraction. heart rate. Atropine blocks the vagus nerve causing an increase in heart rate • Sympathetic nerve – prepares the body for ‘fight and flight’ and will result in an increase in heart rate and an increase in the force of myocardial contraction.
These patients rarely survive to discharge; the only approach that is likely to be successful is prevention of the cardiopulmonary arrest (Gwinnutt, 2006). For this prevention strategy to be successful, recognition and effective treatment of patients at risk of cardiopulmonary arrest is paramount. , 2005). , 2004). , 1999). Junior staff frequently fail to recognise and appreciate the severity of illness and when therapeutic interventions are implemented these have often been delayed or are inappropriate.
A low SaO2 could indicate respiratory distress or compromise. B. the pulse oximeter does not detect hypercapnia and the SaO2 can be normal in the presence of a very high PaCO2 (Resuscitation Council (UK), 2006b). 36 Advanced Cardiac Life Support: A Guide for Nurses Listen to the breathing: normal breathing is quiet. Rattling airway noises indicate the presence of airway secretions, usually due to patient being unable to cough sufficiently or unable to take a deep breath in (Smith, 2003). The presence of stridor or wheeze indicates partial, but significant, airway obstruction (see above).
Advanced cardiac life support: a guide for nurses by Philip Jevon