Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition: Patient Teaching Guide



Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition


Patient Teaching Guide


Procedures based on BLS for healthcare providers, Dallas, 2010, American Heart Association (AHA).


This section may be photocopied and distributed to families.


Spanish translation of this handout available at http://evolve.elsevier.com/Wong/clinical.


Source: Wilson D, Hockenberry MJ: Evolve resources for Wong’s clinical manual of pediatric nursing, ed 8. Copyright © 2012, Mosby, St Louis.


Community Resource for Parents and Professionals


American Heart Association; http://www.americanheart.org; (800) 242-8721; may contact regarding local availability of CPR classes and materials for learning CPR.



Infant Cardiopulmonary Resuscitation for the Layperson*†


Cardiopulmonary resuscitation (CPR) is a way to do some of the work of the heart and lungs for a short time. The heart pumps the blood around the body to provide oxygen and nutrients to the different body systems. The lungs are a transfer spot: as the blood flows through the lungs, oxygen is picked up by the blood and carbon dioxide is released. When the infant breathes, oxygen is brought into the body and carbon dioxide is breathed out.


Before beginning CPR, you must assess the infant to determine if both breathing and the heart have stopped. CPR is done when the infant’s heart and breathing have stopped. You can breathe for the infant by blowing air into the lungs. Between breaths, the chest falls and air flows out of the lungs. You can do the work of the heart by doing a chest compression. The heart can be squeezed between the breastbone and the backbone to force blood out of the heart and into the arteries that carry it to the rest of the body. When you remove the pressure, the heart fills with blood so that the next squeeze (compression) will force additional blood out to the body.


All the infant’s caregivers must be able to perform CPR so that you can have relief and help if needed. Prepare for an emergency before it happens. Keep information for your local emergency medical services handy, so visitors, relatives, or babysitters can call in an emergency. Include 911 (if available in your area), the phone number that you are calling from, the address, and directions to the house. When calling in an emergency, be sure to give all this information in addition to a description of what happened, who is involved, and the condition of the infant. Do not hang up the phone until the emergency operator tells you to do so.




Assessment




1. If trauma is suspected, do not move the infant’s head or neck. Avoid moving him unless he is in danger of further injury. If you need to turn the infant over, roll the head and torso as a unit, supporting the head and neck to prevent movement that could cause further injury.


2. Try to wake the infant. Tap the infant, say his name loudly, clap your hands, or flick the bottom of his feet and look for a response or movement. Do not shake the infant.


3. Shout for help.


4. If the infant is still unresponsive, begin CPR at once by performing chest compressions (see later).


5. If there is someone else with you, have that person call the emergency telephone number (911 or other number) for help. If you are alone, do not stop to call, but begin CPR immediately. Do CPR for approximately 2 minutes, then call the emergency number as quickly as possible.

Related posts:

  1. Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition: Patient Teaching Guide
  2. Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition: Patient Teaching Guide
  3. Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition: Patient Teaching Guide
  4. Pain Assessment and Management

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Jan 16, 2017 | Posted by in NURSING | Comments Off on Wilson & Hockenberry: Wong’s Clinical Manual of Pediatric Nursing, 8th Edition: Patient Teaching Guide

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