<![CDATA[CPR NorthwestCPR and first aid Training - CPR Blog]]>Sat, 15 Oct 2016 08:48:57 -0700Weebly<![CDATA[Heart Failure Medications]]>Tue, 02 Feb 2016 05:13:31 GMThttp://cprnorthwest.com/cpr-blog/heart-failure-medicationsHeart failure patients need multiple medications. Each one treats a different symptom or contributing factor. Each medication comes with its own instructions and rules. They can't do their job if you don't take them correctly. You and your caregivers should work with your healthcare team to understand the medications and how they should be taken; when, how often and in what amounts. It's important to discuss all of the drugs you take with your doctor and understand their desired effects and possible side effects. Remember that your healthcare provider and pharmacist are your best sources of information. Don't hesitate to ask them questions about your medicines.

The following chart gives you a quick "at-a-glance" look at many typical cardiac medications. Your prescription may have a different name from the ones listed on this chart. Brand names commonly available in the U.S. are shown in parentheses after the generic name for each drug.

*Some of the major types of commonly prescribed cardiovascular medications are summarized in this section. For your information and reference, we have included generic names as well as major trade names to help you identify what you may be taking; however, the AHA is not recommending or endorsing any specific products. If your prescription medication isn't on this list, remember that your healthcare provider and pharmacist are your best sources of information. It's important to discuss all of the drugs you take with your doctor and understand their desired effects and possible side effects. Never stop taking a medication and never change your dose or frequency without first consulting your doctor.

*Some cholesterol-lowering medications may interact with grapefruit, grapefruit juice, pomegranate and pomegranate juice. Please talk to your health care provider about any potential risks.

Use these handy "At-A-Glance" charts to gain a quick understanding of these common cardiac medications you may be prescribed. If you need more help understanding what medication you're taking and why you're taking it, print this chart out and take it to your doctor.

Cardiac Medications At-A-Glance Anticoagulants

(Also known as Blood Thinners.)
Commonly prescribed include:

  • Dalteparin (Fragmin), Danaparoid (Orgaran)
  • Enoxaparin (Lovenox)
  • Heparin (various)
  • Tinzaparin (Innohep)
  • Warfarin (Coumadin)
What the Medication Does

Decreases the clotting (coagulating) ability of the blood. Sometimes called blood thinners, although they do not actually thin the blood. They do NOT dissolve existing blood clots. Used to treat certain blood vessel, heart and lung conditions. 

Reason for Medication

  • Helps to prevent harmful clots from forming in the blood vessels.
  • May prevent the clots from becoming larger and causing more serious problems.
  • Often prescribed to prevent first or recurrent stroke.
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<![CDATA[Tips for Dealing With a Picky Eater]]>Sat, 23 Jan 2016 22:06:52 GMThttp://cprnorthwest.com/cpr-blog/tips-for-dealing-with-a-picky-eaterWhen you get home from a long day at work, the last thing you want to do is wage war over broccoli at the dinner table. That’s why it’s so easy to fall into the trap of making mac-n-cheese or ordering pizza. It keeps you out of an “eat your vegetables” fight. The good news is, getting a picky eater to eat a nutritious meal doesn’t have to be a battle. Here are some tips for dealing with a picky eater:
  1. Start by introducing healthier elements into foods that your child already likes. For example, offer blueberry pancakes, carrot muffins, fruit slices over a favorite cereal, chunks of bell pepper in a potato salad, or shredded veggies over rice.
  2. Include your kids in the prep work. By being involved in grocery shopping and food preparation, your kids will have more ‘buy-in.’ If they feel some ownership over the meal, they may be more likely to eat it.
  3. Don’t buy unhealthy foods. Out of sight, out of mind. If the chips and cookies aren’t around, your kids can’t eat them. They may resist at first, but when they get hungry, they’ll start munching the carrot sticks. Keep healthy foods on hand — 100 percent juice instead of colas or sugary drinks, and a bag of apples instead of a bag of chips.
  4. Schedule snack time and stick to it. Most kids like routine. If your kids know they will only get food at certain times, they’ll eat what they get when they get it. Try to have snacks incorporate two food groups. For example, offer cheese and whole-grain crackers or apple slices with low-fat yogurt or cottage cheese.
  5. Have healthy finger foods available. Kids like to pick up foods, so give them foods they can handle. Fruit and veggie chunks (raw or cooked) are great finger-food options.
  6. Repeal the “clean your plate” rule. Kids know when they’re full, so let them stop. Overeating is one of the major reasons we get too many calories.
  7. Encourage kids to “eat their colors.” This game works well with younger kids. Food that’s bland in color often also lacks nutrients. Eating a variety of brightly colored foods provides more nutrients in greater variety.
  8. Don’t cut out treats altogether. Think moderation. A scoop of ice cream or a serving of Oreos is all right occasionally. If you cut out all the goodies, your kids will be more likely to overeat when they do get them. Make sure to moderate the treat consumption.
  9. Veg out at the dinner table, not the TV. Eating in front of the TV is distracting, and kids may not notice that they’re full because they’re wrapped up in the show. Eating as a family is a great time to catch up.
  10. Be a good role model. The best way to influence kids is by example. Don’t expect them to eat spinach if you won’t touch it
  11.  To take a class give us a call (503)538-2610 or www.cprnorthwest. com
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<![CDATA[What are the Symptoms of high Blood Pressure]]>Sat, 16 Jan 2016 19:02:04 GMThttp://cprnorthwest.com/cpr-blog/what-are-the-symptoms-of-high-blood-pressure
The myth of symptoms

There's a common misconception that people with high blood pressure, also called hypertension, will experience symptoms such as nervousness, sweating, difficulty sleeping or facial flushing. The truth is that HBP is largely a symptomless condition. If you ignore your blood pressure because you think symptoms will alert you to the problem, you are taking a dangerous chance with your life. Everybody needs to know their blood pressure numbers, and everyone needs to prevent high blood pressure from developing.

The myth of symptomatic headaches

The best evidence indicates that high blood pressure does not cause headaches except perhaps in the case of hypertensive crisis (systolic/top number higher than 180 OR diastolic/bottom number higher than 110).

In the early 1900s, it was assumed that headaches were more common among people with high blood pressure. However, research into the subject doesn't support this view. According to one study, people with high blood pressure seem to have significantly fewer headaches than the general population.

In a study published in the journal Neurology, people with higher systolic blood pressure (the top number in blood pressure readings) were up to 40 percent less likely to have headaches compared to those with healthier blood pressure readings. The researchers also looked at another measurement called the pulse pressure, which is the change in blood pressure when the heart contracts. Pulse pressure is calculated by subtracting the bottom number (diastolic reading) from the top number (systolic reading). Those with higher pulse pressure had up to 50 percent fewer headaches. The researchers think that the higher the pulse pressure, the stiffer the blood vessels. The stiffer the blood vessel, the less likely the nerve endings are working properly. If the nerve endings aren't functioning correctly, the less likely a person will feel pain.

Therefore, headaches or the lack of headaches are not reliable indicators of your blood pressure. Instead, work with your doctor and know your numbers.

The myth of symptomatic nosebleeds

Except with hypertensive crisis, nosebleeds are not a reliable indicator for HBP. In one study, 17 percent of people treated for high blood pressure emergencies at the hospital had nosebleeds. However, 83 percent reported no such symptom. Although it's also been noted that some people in the early stages of high blood pressure may have more nosebleeds than usual, there are other possible explanations. If your nosebleeds are frequent (more than once a week) or if they are heavy or hard to stop, you should talk to your healthcare professional.

Keep in mind that nosebleeds can be caused by a variety of factors, with the most common one being dry air. The lining of the nose contains many tiny blood vessels that can bleed easily. In a hot climate like the desert Southwest or with heated indoor air, the nasal membranes can dry out and make the nose more susceptible to bleeding. Other causes include vigorously blowing your nose; medical conditions like allergies, colds, sinusitis or a deviated septum; and side effects from some anticoagulant drugs like warfarin (Coumadin®) or aspirin.

Other inconclusively related symptoms

You should not try to evaluate your symptoms in an attempt to self-diagnose high blood pressure. Diagnosis should only be made by a healthcare professional. A variety of symptoms may be indirectly related to HBP but are not always caused by HBP, such as:

  • Blood spots in the eyes
    Yes, blood spots in the eyes, or subconjunctival hemorrhage, are more common in people with diabetes or high blood pressure, but neither condition causes the blood spots. Floaters in the eyes are not related to high blood pressure. However, an ophthalmologist may be able to detect damage to the optic nerve caused by untreated HBP.
  • Facial flushing
    Facial flushing occurs when blood vessels in the face dilate. The red, burning face can occur unpredictably or in response to certain triggers such as sun exposure, cold weather, spicy foods, wind, hot drinks and skin-care products. Facial flushing can also occur with emotional stress, exposure to heat or hot water, alcohol consumption and exercise, all of which can raise blood pressure temporarily. While facial flushing may occur while your blood pressure is higher than usual, HBP is not the cause of facial flushing.
  • Dizziness
    Although it is not caused by HBP, dizziness can be a side effect of some high blood pressure medications. Nonetheless, dizziness should not be ignored, especially if you notice a sudden onset. Sudden dizziness, loss of balance or coordination and trouble walking are all warning signs of a stroke. HBP is one of the leading risk factors for stroke.
     
    As mentioned above, only when blood pressure readings soar to dangerously high levels (systolic of 180 or higher OR diastolic of 110 or higher) may obvious symptoms occur. Blood pressure this high is known as hypertensive crisis, and emergency medical treatment is needed.
    • Severe headaches
    • Severe anxiety
    • Shortness of breath
    • Nosebleeds

  • In addition to extreme readings, a person in hypertensive crisis may experience:

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<![CDATA[First Aid Tips You Must Know]]>Wed, 13 Jan 2016 04:58:05 GMThttp://cprnorthwest.com/cpr-blog/first-aid-tips-you-must-knowIn case of these emergencies, be ready to act, but act appropriately! There have been a few changes in some of the basics of medical care, here are a few updates:
Give us a call to take a class (503)538-2610

Seizures: DO NOT HOLD THE VICTIM DOWN, OR HOLD STILL! Only move objects out of harm's way, and cushion their head. DO NOT PLACE ANYTHING IN THEIR MOUTH! This was shown to cause more harm to the victim. In case of a seizure, allow the victim to space to move and stay by their side. Call 911 if they are not prone to seizures, if this is a rare occurance, or the victim had been sick.

Nose Bleeds: DO NOT LEAN THE HEAD BACK! We are to lean our head slightly forward, allowing the blod to clot and to slow the blod flow faster.

Bleeding: DO NOT USE TOURNIQUETS! These are almost a thing of the past, unles you are an hour or more from the hospital. Use pressure points (the same as pulse points) to slow the blood flow, and elevate the wound above the heart will also slow it down.

Burns: DO NOT USE VASELINE OR BUTTER! These home remedies make things worse. Use cool water over a burn, until the pain subsides. Allow the burn to "sweat" by allowing air to escape from the skin. Don't cover the wound so tight that it can not breathe, only protect it from further damage.

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<![CDATA[50 Years of CPR]]>Wed, 25 Nov 2015 23:31:02 GMThttp://cprnorthwest.com/cpr-blog/50-years-of-cpr50 Years of CPR Over the past fifty years, cardiopulmonary resuscitation, or CPR, has become a household term. In fact, it's become a term commonly heard and a concept taught in schools, community centers, houses of worship and places of business daily around the country. For many people, it's hard to remember or imagine a time before CPR.
I think about what a huge advancement CPR has been and wonder what life-saving emergency procedures were like before it. Then I thought about other discoveries that also occurred over the past 50 years. CPR is in good company with the pacemaker, in-vitro fertilization, MRI's, GPS, DNA fingerprinting, jet liners, smoke detectors and cell phones. It's incredible to think about what life was life before any of these.

Just recently, the American Heart Association had released new guidelines. I am happy to include these guidelines as a regiment in my training. There are big advancements to the new procedures that make both learning and training simpler than before. There are also more ways to participate in classes, from kits, online CPR video instruction, phone applications and classes.

Since the documentary, I became so inspired by all of the heartfelt stories, that I made it a life priority to train 5000 people over the next year as my personal crusade. This I felt to be a most fitting way to honor both the survivors and rescuers.

Please join my cause by contacting Heart Savers and Educators, Inc., and ensure that your workplace has the proper CPR and First-Aid training.

Yes, it's true, in 50 years so much has changed. But we still know that the most important thing in our lives is a beating heart.
Rick Schmitt   503-538-2610   www.cprnorthwest.com

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<![CDATA[Keeping Halloween Safe]]>Sun, 25 Oct 2015 17:52:03 GMThttp://cprnorthwest.com/cpr-blog/keeping-halloween-safePicture
Halloween is almost upon us, and if you have children, that means time for trick-or-treating. While trick-or-treating is an inherently safe activity, here are five easy extra steps you can take to ensure everyone has a great time, and that you don’t spend the evening worrying.

Safety in numbers. If you’re going trick-or-treating along with your child then this doesn’t apply, but older kids want to roam the neighborhood with their friends. Make sure your child will be in a group that will travel together, and that these are children that both you and your child know and trust.

Know where your child is going. Find out the route your child wants to take trick-or-treating, so you can foresee any problems that might arise. Establish clear neighborhood boundaries so that your child doesn’t get swept up in the excitement and end up too far from home.

Use extra caution with streets. Children aren’t the only ones who celebrate Halloween. Plenty of adults do, too, and unfortunately some of them take the wheel when they should be taking a cab. Have a talk with your child about using extra care when crossing streets, and tell them not to assume anything with approaching cars.

Use a light, if needed. If your child’s costume is very dark (or even if it isn’t) you can add some extra visibility by clipping a bike light on the back of it. If your child doesn’t like this idea, you can compromise that they have to use the light when nearing a street.

Stay in contact. If you are your child’s contact should they need anything, then make sure to keep your phone with you. If you are going out and they are under someone else’s care, make sure that person is within easy reach. This way if plans change for your child, or they have a question, you can help them out. All too often children make unwise or unsafe choices because they couldn’t reach an adult.

Above all make sure to have fun!


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<![CDATA[The Evolution of CPR]]>Fri, 02 Oct 2015 16:24:34 GMThttp://cprnorthwest.com/cpr-blog/the-evolution-of-cpr  Many of our customers have taken CPR courses before, and they often wonder why they are required to re-certify every two years. One reason being that the majority of us simply do not use the skill that often, and it is easy to forget the exact protocol. It never hurts to have a refresher. But, the main reason is that the American Heart Association along with other groups are routinely analyzing CPR data and survey results. Often, this leads to slight changes in technique in an attempt to make the use of CPR more effective.


    If you have taken an AHA CPR course before, then the main change you will notice is in the sequence. Before, you probably leaned that the correct sequence was ABC (A: open the airway, B: give breaths, and C: compressions). However, now the sequence has been changed to CAB. The reason behind this is due the fact that research has concluded compressions are the most effective when given as early as possible.

    Additional research indicates that compressions alone may be the most effective mechanism in CPR. Often, in the “layman” CPR classes, we stress the benefits of hands-only CPR. Even if you think you know it perfectly, it’s easy to lose yourself in an emergency situation. If you forget the exact ratio, or are not immediately comfortable with mouth-to-mouth, then it’s best to go ahead put your hands in the middle of the chest, and “start pumping hard and fast.”  This way, by jumping in with compressions, you are automatically having a positive effect on the victim’s survival chances.


    Far too often, people who know CPR freeze and panic. This change in the sequence is not only more effective, but it is an effort to get people to respond, and for them to realize that their actions can only help. Attempting to do something is always better than regretting that you stood by and did nothing. 

If you would like to take a CPR class give us a call at (503) 538-2610

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<![CDATA[Five Child-Proofing Tips You May Have Overlooked]]>Sun, 24 May 2015 12:13:33 GMThttp://cprnorthwest.com/cpr-blog/five-child-proofing-tips-you-may-have-overlookedPicture
Most people know to guard electrical outlets and lock up cabinets with chemicals inside, but there might be some extra steps you’ve overlooked. Here are a few common hazards for children found in most homes.

  1. Keep venetian blind cords out of reach. Venetian blind cords are a very real choking danger, since they can easily fit around a child’s neck and then pull up once the child’s weight activates the pulley mechanism. Either install a hook to hang them out of reach, or tie them up in a high knot.
  2. Anchor high bookcases to the wall. Bookcases can make a tempting climbing obstacle, so in addition to teaching your child not to climb on them, anchor the top of them to the wall. If your bookcase didn’t come with this hardware, it should be sold at any hardware store.
  3. Keep computer cables and phone chargers out of reach. If your computer has a USB cable attached with nothing on the open end, that’s a real danger to a child if they put it in their mouth. Same goes for phone chargers, which are often plugged in with nothing attached.
  4. Put a traction mat in your bathtub. Some bathtubs can be very slippery, and even the best-behaved child wants to stand up in the bath from time to time. A rubber mat on the bottom can prevent nasty slips.
  5. Watch for new corners to pad. Many parents pad hard corners when a baby is just learning to walk, but as your child sprouts up into a toddler, they’ll encounter new corners, such as dining room tables. As your child grows, see what new edges they might bonk into.
  6.  CPR Northwest 503-538-2610

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<![CDATA[Emergency First Aid - How to Perform CPR for Infants]]>Mon, 20 Apr 2015 10:25:50 GMThttp://cprnorthwest.com/cpr-blog/emergency-first-aid-how-to-perform-cpr-for-infantsCPR stands for cardiopulmonary resuscitation. It is a lifesaving procedure that is done when someone's breathing or heartbeat has stopped. This may happen after choking, suffocation, drowning, or other injuries. CPR involves:
  • Rescue breathing, which provides oxygen to the lungs.
  • Chest compressions, which keep the blood flowing.
If blood flow stops permanent brain damage or death can occur within minutes. Therefore, you must not stop these procedures until the heartbeat and breathing of the infant return, or trained medical help arrives. This article discusses CPR performed on an infant. Considerations
CPR can save life, but it is best done by someone has undergone CPR course or training. The procedures outlined here are not a substitute for CPR training. Parents and those who take care of children must know infant and child CPR if they haven't already. The newest techniques emphasize compression over rescue breathing and airway, reversing long-standing practice.

Causes
 There are many factors that make the breathing and heartbeat of infant to stop. Other reasons you may need to do CPR on an infant are the following:
  • Choking
  • Drowning
  • Electrical shock
  • Excessive bleeding
  • Head trauma or serious injury
  • Lung disease
  • Poisoning
  • Suffocation
Symptoms
Cardiopulmonary Resuscitation should be done if the infant has the following symptoms:
  • No breathing
  • No pulse
  • Unconsciousness
First Aid 
The following CPR steps are based on instructions from the American Heart Association.
  1. Check for alertness:
    • Shake or tap the infant gently. See if the infant moves or makes a noise. Shout, "Are you OK?"
  2. If there is no response, shout for help. Tell someone to call 911 or your local emergency number. Do not leave the infant yourself to call 911 until you have done CPR for about 2 minutes.
  3. Carefully place the infant on their back. If there is a chance the infant has a spinal injury, two people should move the infant to prevent the head and neck from twisting.
  4. Perform chest compressions:
    • Place 2 fingers on the breastbone -- just below the nipples. Make sure not to press at the very end of the breastbone.
    • Keep your other hand on the infant's forehead, keeping the head tilted back.
    • Press down on the infant's chest so that it compresses about 1/3 to 1/2 the depth of the chest.
    • Give 30 chest compressions. Each time, let the chest rise completely. These compressions should be FAST and hard with no pausing. Count the 30 compressions quickly: "1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30, off."
  5. Open the airway. Lift up the chin with one hand. At the same time, tilt the head by pushing down on the forehead with the other hand.
  6. Look, listen, and feel for breathing. Place your ear close to the infant's mouth and nose. Watch for chest movement. Feel for breath on your cheek.
  7. If the infant is not breathing:
    • Cover the infant's mouth and nose tightly with your mouth.
    • Or, cover just the nose. Hold the mouth shut.
    • Keep the chin lifted and head tilted.
    • Give 2 rescue breaths. Each breath should take about a second and make the chest rise.
  8. Continue CPR (30 chest compressions followed by 2 breaths, then repeat) for about 2 minutes.
  9. After about 2 minutes of CPR, if the infant still does not have normal breathing, coughing, or any movement, leave the infant if you are alone and call 911.
  10. Repeat rescue breathing and chest compressions until the infant recovers or help arrives.
Keep re-checking for breathing until help arrives. DO NOT 
  • Do NOT Lift the infant's chin while tilting the head back to move the tongue away from the windpipe. If you think the baby has a spinal injury, pull the jaw forward without moving the head or neck. Don't let the mouth close.
  • If the infant has normal breathing, coughing, or movement, DO NOT begin chest compressions. Doing so may cause the heart to stop beating.
 When to Contact a Medical Professional
  • If you have help, tell one person to call 911 while another person begins CPR.
  • If you are alone, shout loudly for help and begin CPR. After doing CPR for about 2 minutes, if no help has arrived, call 911. You may carry the infant with you to the nearest phone (unless you suspect spinal injury).


Prevention 
Most children need CPR because of a preventable accident. The following tips may help prevent some accidents in children:
  • Never underestimate what an infant can do. Assume the baby can move more than you think.
  • Never leave an infant unattended on a bed, table, or other surface from which the infant could roll off.
  • Always use safety straps on high chairs and strollers. Never leave an infant in a mesh playpen with one side down. Follow the guidelines for using infant car seats.
  • Teach your baby the meaning of "Don't touch." The earliest safety lesson is "No!"
  • Choose age-appropriate toys. Do not give infants toys that are heavy or fragile. Inspect toys for small or loose parts, sharp edges, points, loose batteries, and other hazards.
  • Create a safe environment. Watch children carefully, particularly around water and near furniture.
  • Keep toxic chemicals and cleaning solutions safely stored in childproof cabinets.
  • To reduce the risk of choking accidents, make sure infants and small children cannot reach buttons, watch batteries, popcorn, coins, grapes, or nuts.
  • Sit with an infant while he or she eats. Do not allow an infant to crawl around while eating or drinking from a bottle.
  • Never tie pacifiers, jewelry, chains, bracelets, or anything else around an infant's neck or wrists. 
  • www.cprnorthwest.com or 503-538-2610
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<![CDATA[Good Samaritan "CPR"]]>Mon, 13 Apr 2015 06:33:08 GMThttp://cprnorthwest.com/cpr-blog/good-samaritan-cprDo your poor choices in the past disqualify you from making good choices in the future?…Does what you did yesterday define who are today or who you will be tomorrow? Sergio Leyva, an inmate in the LA county jail, learned he could redeem himself though something as simple as CPR.

Back in August of this year, one of his correctional officers collapsed while suffering from a heart attack. Sergio and several other inmates rushed to help their fallen jailer.

“No breathing. No heartbeat,” Sergio said. “I did CPR on him. And, basically brought him back to life.”

“I didn’t see him as an officer. He’s a person. I was going to help that person, regardless of the uniform or no uniform,” he explained. “That man is someone’s father and I have a father. I would like someone to be able to help my father if that happened to him.”

“I’m really not a bad person.” he continued. “I’m actually a good person, I just made bad choices. That’s all. I know that if it were me laying on the ground, dying, that man would have helped me.”

And thanks to Sergio, his correctional officer is alive today because of his quick thinking and determination to show compassion in the most unlikely setting.

To take a CPR or first aid class give us a call at 503-538-2610 or www.cprnorthwest.com



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