Page 203 - Inovacije i izazovi u obrazovanju i sestrinskoj skrbi - KNJIGA SAŽETAKA

INOVACIJE I IZAZOVI U OBRAZOVANJU I SESTRINSKOJ SKRBI - KNJIGA SAŽETAKA

Specifics of Nurses Interventions in Cardiopulmonary

Resuscitation of Pregnant Women

Cardiopulmonary resuscitation of pregnant women is a rare intervention that occurs on one
pregnant woman out of 30,000. In early pregnancy, the procedure of cardiopulmonary
resuscitation of a pregnant woman does not differ from the resuscitation of other adults. Only
when the uterus can be palpated at the level and above the navel, it is necessary to adjust the
cardiopulmonary resuscitation. Palpation of the uterus above the navel is possible in the 20th
week of pregnancy. Due to the numerous changes that occur in the pregnant woman's body due
to pregnancy, the cardiopulmonary and respiratory systems also change, which is why it is
necessary to adapt interventions to these changes in order for the cardiopulmonary resuscitation
of a pregnant woman to be effective. Total blood volume and heart rate increase, and arterial
blood pressure decreases. Functional residual lung capacity and expiratory reserve volume
decrease. Oxygen consumption and hyperemia and edema of the upper airways increase. The
motility of the digestive system is reduced and the risk of regurgitation and aspiration of
stomach contents is increased. While the ABCDE examination is used for adults, the
ABCDEFG approach is applied for pregnant women. Apart from the specific approach, obesity,
breast hypertrophy or increased need for oxygen are some of the complicating factors of
cardiopulmonary resuscitation of a pregnant woman. Therefore, there are some specific
interventions by nurses such as placing the pregnant woman in the left semi-lateral position,
and the abdomen moves to the left and upwards. This can be done manually or with the help of
a wedge. In addition, an emergency caesarean section is sometimes necessary after
cardiopulmonary resuscitation. Due to the extremely rare need for cardiopulmonary
resuscitation of pregnant women and the possible forgetting of interventions, it is necessary to
repeat and practice some specifics in cardiopulmonary resuscitation of pregnant women more
often.

Key words: pregnancy, uterus, semi-lateral position

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