Download Advanced cardiac life support: a guide for nurses by Philip Jevon PDF

By Philip Jevon

Resuscitation carrier : an outline -- Resuscitation gear -- acceptance and therapy of the seriously ailing sufferer -- rules of cardiac tracking and ECG acceptance -- Bystander uncomplicated existence aid -- Airway administration and air flow -- Defibrillation and electric cardioversion -- complex lifestyles aid -- Resuscitation in targeted events -- Anaphylaxis -- Acute coronary syndromes -- administration of peri-arrest arrhythmias -- Post-resuscitation care -- Bereavement -- moral matters in resuscitation -- Resuscitation files -- Resuscitation education

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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. Beta blockers shield the heart from sympathetic nerve stimulation, resulting in a fall in heart rate and blood pressure and a reduction in myocardial workload The ECG and its relation to cardiac contraction 1.

Most of these survivors will have received prompt and effective defibrillation for a monitored and witnessed ventricular fibrillation arrest, caused by primary myocardial ischaemia (Resuscitation Council (UK), 2006b). , 2000). , 2005). These arrests are not usually sudden or unpredictable: cardiopulmonary arrest usually presents as a final step in a sequence of progressive deterioration of the presenting illness, involving hypoxia and hypotension (Resuscitation Council (UK), 2006b). These patients rarely survive to discharge; the only approach that is likely to be successful is prevention of the cardiopulmonary arrest (Gwinnutt, 2006).

References Adam S, Osborne S (2005) Critical Care Nursing Science and Practice, 2nd Ed. Oxford University Press, Oxford. Baudouin S, Evans T (2002) Improving outcomes for severely ill medical patients. Editorial. Clinical Medicine (March/April) Bellomo R, Goldsmith D, Shigehiko U et al. (2003) A prospective before and after trial of a medical emergency team. Medical Journal of Australia 179(6):283–7. Bristow PJ, Hillman KM, Chey T et al. (2000) Rates of in-hospital arrests, deaths and intensive care admissions: the effect of the medical emergency team.

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