Cardiac Arrest Cardiopulmonary Resuscitation Essay Example

Question

Group 1: 42-year-old female who just received the third dose of chemotherapy with an unwitnessed cardiac arrest. Cardiopulmonary resuscitation is in progress at a local emergency department.

Based on your group number, find which medical emergency your group will be managing. As a group, develop a written case study that will be presented to your classmates.

In the case study:

Introduce the patient and provide information about the medical emergency.

Provide the appropriate steps and processes the RN would use to care for the patient experiencing the medical emergency, include rationales for each step as you prioritize. Describe which of the steps can be delegated to a UAP and why they can be delegated.

Identify and describe the importance of three specific resources the RN needs to care for the patient.

Provide three recommendations for communicating with colleagues and families about the patient’s medical emergency, include the mode of communication and the rationale why you chose this communication style.

Support the case study with the use of scholarly resources that have been published in the last 5 years. Include at least two evidence-based practices in the case study.

Step 1/5

Patient Introduction: Our group is managing a 42-year-old female who has just received her third dose of chemotherapy and has an unwitnessed cardiac arrest. The patient is currently undergoing cardiopulmonary resuscitation (CPR) at a local emergency department. RN’s Steps and Processes: As RNs, our primary focus is on the patient’s airway, breathing, and circulation. We would follow the American Heart Association’s Basic Life Support (BLS) protocol, which includes initiating chest compressions, providing rescue breaths, and using an automated external defibrillator (AED) if available.

Step 2/5

The RN would also administer epinephrine and other appropriate medications as ordered by the physician. Since the patient has recently undergone chemotherapy, we would monitor her for any signs of anaphylaxis, which is a potentially life-threatening allergic reaction that can be triggered by chemotherapy drugs. Delegation of Tasks to UAP: Some tasks can be delegated to a UAP, such as obtaining the patient’s vital signs and recording them in the medical record. UAPs can also assist with CPR by performing chest compressions, freeing up the RN to manage other tasks.

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Step 3/5

Resources for RN’s Care: The RN would need three specific resources to care for the patient: Advanced Cardiac Life Support (ACLS) trained staff: Since the patient has experienced a cardiac arrest, it’s important to have ACLS trained staff available to provide advanced interventions such as intubation, defibrillation, and medication administration. AED: An AED can be used to restore the patient’s heart rhythm to a normal beat. Emergency medications: The RN would need access to emergency medications such as epinephrine and atropine to stabilize the patient’s condition.

Step 4/5

Communication with Colleagues and Families: When communicating with colleagues and families about the patient’s medical emergency, we would recommend the following: Clear and concise communication: Use clear and concise language to convey the patient’s condition, prognosis, and treatment plan. Face-to-face communication: Face-to-face communication is preferred as it allows for immediate feedback and ensures that all parties are on the same page. Empathetic communication: It’s important to convey empathy and understanding when communicating with families, as they may be anxious and scared.

Step 5/5

Evidence-based Practices: Two evidence-based practices that can be applied in this case study include: The use of high-quality CPR: High-quality CPR, which includes compressions of at least 2 inches deep and a rate of 100-120 compressions per minute, has been shown to increase the likelihood of survival in patients who experience cardiac arrest. Early administration of epinephrine: Early administration of epinephrine during cardiac arrest has been shown to improve patient outcomes, including higher rates of return of spontaneous circulation and improved survival to hospital discharge.

Final answer

In conclusion, the management of a patient who has experienced an unwitnessed cardiac arrest after receiving chemotherapy requires immediate and comprehensive action by the RN. By following BLS and ACLS protocols, delegating tasks to UAPs, utilizing appropriate resources, and communicating effectively with colleagues and families, we can provide the best possible care for the patient. Cardiac Arrest Cardiopulmonary Resuscitation Essay Example