NURS 420 Lecture Notes - Lecture 5: Bag Valve Mask, Tracheal Intubation, Basic Life Support
Document Summary
Outcomes of in-hospital cardiac arrests, study in nejm (2012) n = 84,625. Both survival and neurologic outcomes after in-hospital cardiac arrest have improved during the past decade at hospitals participating in a large national quality improvement registry. External support of circulation and ventilation for a patient with cardiac or respiratory arrest through cpr keep the oxygen circulating the blood. Guidelines for the management of mi, acute myocardial ischemia, pulmonary edema, shock, stroke, drowning, hypothermia, and drug overdose. Endotracheal intubation to maintain airway and oxygenation ventilating w bag valve mask @ 100% Know how to call/initiate process in your institution. Check carotid pulse no pulse start compressions. Epinephrine (first drug of choice) ventricular fibrillation/pulseless ventricular tachycardia; asystole; pea (restore electrical activity) Hypotension, shock *if rhythm is back check the pulse &bp >if low placed on dopamine drip. Only intervention demonstrated to improve neurologic recovery after cardiac arrest. Via ice packs, cooling blankets, cooling pads, ivs, or catheters.