Gerontological Nurse Ventures
*Home>>>Nursing Process

CPR; during cardiopulmonary resuscitation why would nurse have to locate xyphoid process?


(nurse must plae one finger on xyphoid process and other hand just above the lower half of sternum)
what complication would arise if the nurse places hand on xyphoid process

for the purposes of this question the nurse has to put a finger on the xyphoid.........

While the xyphoid process is easily detached if to much pressure is applied to it, I do question why the nurse or anyone would be looking for it when preforming CPR. The xyphoid process is on the very lower end of the sternum and as per the 2005 American Heart Association guidelines when a person performs CPR you are to place your hand on the middle of the chest over the sternum. Gone are the days when we located the xyphoid and measured two fingers width and then placed our hands upon the chest. Placing your hands mid-chest is quicker and more accurate.

If you were to apply pressure around the xiphoid process during CPR you would likely cause a fracture.

What is the nurse doing during this CPR? I assume doctors are present. When you can't get the patient to breath, sometimes as a last resort, the DOCTOR will insert a tube through the xyphoid process to get air into the lungs. And I'm talking last resort here. It had better be a good anesthesiologist during it.

you would not want to break it off.

if the xyphoid process is pressed, it could easily be broken off which could cause internal damage to organs.

The xyphoid is a piece of cartilage that can be rather easily bent backwards and 'spear' the liver under it, causing internal bleeding and complications.

Locating the xyphoid this way is no longer taught in American Heart, American Red Cross, or other programs. We now use 'the center of the chest', or 'mid-line on the chest, between the nipples'.

Tags
  Care Planning   Nursing Research   Nursing Program   Nursing Process   Nursing Practice   Nursing Management   Nursing Info   Nursing Clinic   Nursing Care   Nurse Call
Related information
  • What are the process of nasogastric tube?

    I think the a nasogastric tube can also work in reverse, it can be placed into the patient's nose, led to the stomach and hooked to a bedside suction to empty the stomach. I have heard this me...

  • Any nursing students have the book "Nursing Theorists and their Work" by Tomey and Alligood?

    It wasn't a book we used in our nursing program (many years ago) but I did find three of them on ebay. Maybe you can contact one of those sellers for the information or repurchase the book as...

  • How difficult is a Pharmacology test for nursing?

    They usually are not that hard. Calculate a drip rate, answer questions like "the md ordered 12.5 mg of phenergan it come in 25 mg/1 cc concentration. How much will you give?" What kind ...

  • I recently stopped nursing and my breasts are so hard and sore. Any suggestions on how to ease the pain?

    You can express milk manually to relieve some of the pressure (you will be expressing such a small amount, it won't effect the amount of milk your body is producing). I used heating pads or...

  • Experience with Supplemental Nursing System (SNS)?

    I haven't used the SNS, but I've heard of adoptive mothers using it to establish their milk. So, it sounds like a a great idea if you are trying to re-establish your own milk. It is just ...

  • BNE (nursing)?

    Keep any letter to the point and concise. Board members get a large amount of correspondence and often only read the first parts of the letters, especially, if they have the accompanying documents...

  • Iam a nurse and was wondering what is the process in opening up your own nurse agency business in ill, chic ?

    I would check the state requirements first and then go from there.

    ...
  • What are the steps of the Writing Process"?

    The art of writing is the art of applying the seat of the pants to the seat of the chair. - Mary Heaton Vorse But seriously folks, look at other APA articles to get an idea of the format, ask...

  •  

    Categories--Copyright/IP Policy--Contact Webmaster