Week 8: Cardiopulmonary Resuscitation Flashcards

1
Q

What is the chain of survival

A

The chain of survival symbolises the best approach to the treatment of the deteriorating

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2
Q

Components of the Chain of Survival

A

Early Recognition: To prevent cardiac arrest
Early CPR: To buy time
Early Defibrillation: To restart the heart
Post Resus Care: To restore quality of life

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3
Q

When assess vital signs

A
  • On admission
  • Change in health stats
  • Before and after any activity/procedure that may alter vital signs
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4
Q

Significant of vital signs

A

Recognising acute deterioration relies on detecting, understanding and interpreting abnormal vital signs and
other observations, and escalating care appropriately

Abnormalities in respiratory rate, pulse & blood pressure are early cues to detecting the deteriorating patient

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5
Q

NSQHS Standard Requirements

A
  • Staff to recognise clinical deterioration
  • Means to escalate care
  • Respond to clinical deterioration
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6
Q

Failure to recognise and respond to clinical deterioration

A
  • Not monitoring physiological observations consistently
  • Not understanding observed changes in physiological observations
  • Lack of knowledge of signs and symptoms that could signal deterioration
  • Lack of formal systems for responding to deterioration and
  • Lack of skills to immediately manage the deteriorating patient
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7
Q

Chain of Prevention

A
  • Education
  • Monitoring
  • Recognition
  • Call for Help
  • Response
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8
Q

What does Chain of prevent assist in

A
  • Deterioration
  • Cardiac arrests and deaths
  • Admissions to ICU
  • Inappropriate resuscitation attempts
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9
Q

Common factors seen in cardiac arrests:

A
  • Most arrests are predictable
  • Deterioration in up to 80% of patients prior to cardiac arrest
  • Tachypnoea early sign - hypotension often later
  • Hypoxaemia and hypotension common pre-arrest in review of arrested patients
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