OBICE, JERICHO Q.
MARTE, KRISTINE
CI: MS. MODESTA GONZAGA
WEEK 1 – August 16-18, 2021
NSO PROCEDURE
Cardiopulmonary resuscitation(CPR)

Cardiopulmonary resuscitation is an emergency procedure that combines chest compressions often
with artificial ventilation in an effort to manually preserve intact brain function until further
measures are taken to restore spontaneous blood circulation and breathing in a person who is in
cardiac arrest.
OBJECTIVES:
General Objectives:
 Acquisition and application of knowledge, skills, and attitudes through the utilization
of nursing process and performance of professional management and leadership skills
in the care of sick adult clients with life-threatening conditions, acutely ill / multi-organ
problems, high acuity and emergency situation toward health promotion, disease
prevention, restoration and maintenance, and rehabilitation.
Specific Objectives:
 Doctors sometimes use a small device to look into your throat and larynx, or voice box.
This procedure is called laryngoscopy.
 They may do this to figure out why you have a cough or sore throat, to find and
remove something that’s stuck in there, or to take samples of your tissue to look at
later.
YES
NO
PURPOSE:
 Your doctor may do it to find out why you have a sore
throat that won’t go away or to diagnose an ongoing
problem such as coughing, hoarseness, or bad breath.
They also might do one when:
 You have something stuck in your throat.
 You have trouble breathing or swallowing.
 You have an earache that won’t go away.
 They need to examine something that could be a
sign of a more serious health problem such as
cancer.
 They need to remove a growth.
 To detect lesions, strictures, or foreign bodies.
 To remove benign lesions or foreign bodies from
the larynx.
 To help diagnose laryngeal or upper airway
abnormalities.

To examine the larynx when indirect
laryngoscopy is inadequate.
PREPARATIONS:
Check that the area is safe, then perform the
following basic CPR steps:
1. Call 911 or ask someone else to.
2. Lay the person on their back and open their
airway.
3. Check for breathing. If they are not breathing,
start CPR.
4. Perform 30 chest compressions.
5. Perform two rescue breaths.
6. Repeat until an ambulance or automated
external defibrillator (AED) arrives.
Preparation of the Client and the Environment
BEFORE THE PROCEDURE:
RATIONALE:
1. Explain the procedure to the
client in order to win his
confidence and co-operation.
2. To prevent unnecessary
gagging during the inspection of
the larynx, the client is
approached calmly and gently.
In an indirect laryngoscopy,
the co-operation of the
client is very important.
The client should be
instructed to breathe quietly
through the mouth or to
“pant like a dog” to prevent
gagging.
If the laryngeal mirror is
used, the spot light is
directed to the head mirror
which reflects the light of
the larynx.
a. Food and fluids are
withheld for a period of 4 to
6 hours to prevent
regurgitation and possible
aspiration.
3. The room should be darkened
so that the doctor can see more
clearly the structures lighted by
the scope.
4. For the direct laryngoscopy,
the client should be prepared as
for a surgical procedure.
b. The client is given a preoperative sedation.
c. If the laryngoscopy is to
be done under general
anesthesia, a written consent
is taken.
d. If the laryngoscopy is
done under local anesthesia
the throat is sprayed with a
topical anesthetic.
5. If a biopsy or excision of
tissues is expected the necessary
articles are kept ready.
AFTER CARE OF THE
PATIENT:
1. Following laryngoscopy the
client who had general
anesthesia is kept flat in bed
without a pillow under the head.
2. The client is given nothing to
eat or drink until the gag reflex
returns.
3. The nurse should see for the
safety of the client, if a
preoperative sedation was given.
4. Watch for the signs of
complications.
The procedure is done under
strict aseptic technique.
RATIONALE:
If it is done under local
anesthesia the swallowing
reflexes are absent in the
client; therefore, the client is
kept in a side lying position
to drain the saliva.
Before oral feeds are
started, provide sips of
water to check the client’s
ability to swallow. Water is
least dangerous if accidently
aspirated.
The client will be drowsy
with the sedation.
The following signs and
symptoms may be looked
for, especially if a biopsy
was done.
a. Coughing and spitting of
blood.
b. Pain in the throat and
neck
c. Swelling of the throat and
neck.
d. Restlessness and
breathing difficulty.
e. Impaired respiration.
(Have resuscitation
equipment ready at hand).
5. Record the procedure in the
nurse’s record with date and
time.
DIAGRAMS / ILLUSTRATIONS
REFERENCES:


https://www.canestar.com/laryngoscopy---preparation-of-client-and-after-care.-a-simpleguide-for-nurses.html
https://www.webmd.com/oral-health/what-is-laryngoscopy

https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/directlaryngoscopy/