Medical Surgical Nursing I
Module 2 – Altered Oxygenation: Cardiovascular
SuggestedTime Frame: 10 Hours
Goal Statement
The...
3. Describe common signs and symptoms of altered cardiac functioning.
4. Discuss the pathophysiology of specific arterial ...
Week 1 Module 2 – Altered Oxygenation: Cardiovascular
Column I
Content Outline Theory
Objectives
Objective 1
Describe anat...
Module 2 – Altered Oxygenation: Cardiovascular
Column I
Content Outline Theory
Objectives
Objective 2
Describe the health ...
Module 2 – Altered Oxygenation: Cardiovascular
Column I
Content Outline Theory
Objectives
Objective 3
Describe common sign...
Module 2 – Altered Oxygenation: Cardiovascular
Column I
Content Outline Theory
Objectives
Objective 4
Discuss the pathophy...
Module 2 – Altered Oxygenation: Cardiovascular
Column I
Content Outline Theory
Objectives
Objective 5
Identify major nursi...
Module 2 – Altered Oxygenation: Cardiovascular
Column I
Content Outline Theory
Objectives
Objective 6
Define anemia and th...
Module 2 – Altered Oxygenation: Cardiovascular
Column I
Content Outline Theory
Objectives
Objective 7
Identify the essenti...
cardiovascular system lecture objective - Merritt College
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cardiovascular system lecture objective - Merritt College

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cardiovascular system lecture objective - Merritt College

  1. 1. Medical Surgical Nursing I Module 2 – Altered Oxygenation: Cardiovascular SuggestedTime Frame: 10 Hours Goal Statement The goal of this module is to provide the learner with the key information needed to be able to describe and apply the nursing process for planning and implementing care for the client with altered oxygenation related to the cardiac system. Module Description Module 2 provides a review of clients with health problems involving cardiac function. Peripheral vascular disease, hypertension, deep vein thrombosis, anemia are emphasized. The module contains multiple client situations to establish relevance in applying the nursing process to clinical practice. Objectives At the completion of Module 2, the student will be able to: 1. Describe anatomy and physiology of cardiovascular system and trace circulation of blood through the heart and vasculature. 2. Describe the health history and physical examination relevant to a cardiovascular examination.
  2. 2. 3. Describe common signs and symptoms of altered cardiac functioning. 4. Discuss the pathophysiology of specific arterial and venous diseases/complications. 5. Identify major nursing diagnosis for clients with specific disorders related to altered cardiac function. 6. Define anemia and the client’s physiological response to this disorder. 7. Identify the essential data to be collected as part of an assessment of the hematological system.
  3. 3. Week 1 Module 2 – Altered Oxygenation: Cardiovascular Column I Content Outline Theory Objectives Objective 1 Describe anatomy and physiology of cardiovascular system and trace circulation of blood through the heart and vasculature. Read Linton Text Ch 35 A. Discuss the basic structure and function of the heart and peripheral vasculature. 1. Chambers and Valves 2. Conduction system 3. Coronary Arteries 4. Cardiac Cycle and Output 5. Systemic Circulation Column II Suggested Learning Activities (Applies to Theory Objectives 1-8) Required Reading In Primary text chapters related to:  Cardiac Anatomy and Physiology  Cardiac health history and assessment  Manifestations of altered cardiac function  Arterial/venous disorders  Nursing diagnosis associated with altered oxygenation: Cardiac  Nursing Diagnosis Association (NANDA)  Lecture/Discussion Internet Resources:  http://www.cardiacassessment  Identify and summarize an internet site on hypertension Column III Clinical Objectives (Applies to Theory Objectives 1-8)  Define “PMI” & its relations to the apical pulse.  Describe correct location of the stethoscope for apical pulse auscultation.  Describe rationale & correct assessment technique for determining Homans sign.  Interpret assessment data R/T peripheral circulation  Complete & document a physical assessment using the techniques of inspection, palpation, percussion and auscultation.  Correctly apply an elastic wrap, elastic hose, and sequential TEDS Column IV Clinical Activities (Competencies Skills) (Applies to Theory Objectives 1- 8)  Complete Cardiac Assessment  Practice and perform expected clinical objectives  Role Play assessments.  Identify heart and breath sounds using simulators
  4. 4. Module 2 – Altered Oxygenation: Cardiovascular Column I Content Outline Theory Objectives Objective 2 Describe the health history and physical examination relevant to a cardiovascular examination. Read Linton pp 632-4 Ch 35 A. Subjective/Objective data B. Chief complaint C. Past or present occurrence of abnormal cardiac signs and symptoms. D. Cardiovascular history E. Functional health patterns 1. Health perception 2. Activity, sleep & rest 3. Nutrition 4. Elimination 5. Lifestyle F. Vital Signs G. Peripheral vascular system 1. Inspection 2. Palpation 3. Percussion 4. Auscultation Column II Suggested Learning Activities (Applies to Theory Objectives 1-8) AV Resources  Video: Cardiac Assessment  See Text & Video– Hypertension/Angina/MI/ CAD  Cardiovascular Disorders  Signs & Symptoms of altered Cardiac Function Study Guide 2.1  Complete study guide “The Patient with Peripheral Arterial Disease”,Page 2.10 Case Study  Complete case study: “Researching a patient with cardiovascular disease.” Classroom Discussion (iftime permits)  Group Activity (4 groups)  Demonstrate the blood flow through the heart – Need: red and blue markers,poster board, toilet paper, yarn and scissors. Column III Clinical Objectives (Applies to Theory Objectives 1-8)  Relate principles & rational for correct measurement/ application of each device  Apply the nursing process in providing care for patients with alterations in oxygenation- cardiovascular disorders.  Perform and record a cardiovascular assessment including auscultation and differentiation of heart sounds.  Discuss the differentiation of chest pain.  Identify the nurses role in interviewing for a patient with chest pain. Column IV Clinical Activities (Competencies Skills) (Applies to Theory Objectives 1- 8)  Perform a cardiovascular assessment on patient in clinical setting or role play with peer in post conference.  Safely administer the following medications: digitalis preparations, diuretics, antihypertensives, calcium channel blockers, antiarrhythmics.  Develop a care plan for patient with altered oxygenation: cardiac. Nursing Skills Lab – Mosby’s Pathophysiology for Nurse Series  Hypertension, 32 min.  Health Failures - Edema, 34 min.  Coronary Artery Disease and Angina Pectoris,30 min.
  5. 5. Module 2 – Altered Oxygenation: Cardiovascular Column I Content Outline Theory Objectives Objective 3 Describe common signs and symptoms ofaltered cardiac functioning. A. Signs and symptoms: 1. Fatigue 2. Fluid retention 3. Irregular heartbeat 4. Dyspnea 5. Pain 6. Tenderness in calf 7. Dizziness, light-headed 8. Altered neurological function 9. Leg pain 10. Hypertension Column II Suggested Learning Activities (Applies to Theory Objectives 1-8)  Group presentation on modifiable and non-modifiable risk factors. Column III Clinical Objectives (Applies to Theory Objectives 1-8)  Describe rationale and correct technique for determining Homan’s sign. Column IV Clinical Activities (Competencies Skills) (Applies to Theory Objectives 1- 8)  Complete and document a physical assessment using techniques of inspection, palpation, percussion and auscultation for assigned patient with a cardiac diagnosis.
  6. 6. Module 2 – Altered Oxygenation: Cardiovascular Column I Content Outline Theory Objectives Objective 4 Discuss the pathophysiology of specific arterial and venous diseases/complications. Read pp 685-714 Ch 36 A. Peripheral Vascular Disease B. Primary and Secondary hypertension 1. Signs and Symptoms 2. Diagnostic tests 3. Complications 4. Management a. Non-pharmacological b. Pharmacological C. Deep Vein Thrombosis 1. Signs and Symptoms 2. Diagnostic tests 3. Complications Column II Suggested Learning Activities (Applies to Theory Objectives 1-8) Required Reading In Primary text:  Define clinical manifestations  Define hypertension, list causes, define b/p classification for adults Normal = SBP (mm Hg) <120 DBP (mm Hg) <80 Prehypertension = SBP 120 – 139 / DBP 80-89 Stage I Hypertension = SBP 140-159 / DBP 90-99 Stage II Hypertension = SBP >160 / DBP >100  Define thrombosis Column III Clinical Objectives (Applies to Theory Objectives 1-8)  Complete nursing diagnosis following assessment of patient.  Define prevalence and risk factors.  Define etiology and high risk factors for thrombosis. List one nursing diagnosis for a patient with thrombosis.  Column IV Clinical Activities (Competencies Skills) (Applies to Theory Objectives 1- 8)  Auscultate abdomen and listen for presence of bruits o Palpate pulses and record o Inspect nails for thickening and opacity o Inspect skin for shiny, atrophic, hairless, dry appearance o Assess for pain in legs with exercise in feet at rest o Assess for ulcers of toes and feet  In clinical setting, develop a teaching plan to identify lifestyle modifications for client with hypertension.  List considerations in selecting drug therapy for patient’s with hypertension.  Develop a teaching plan for a patient with thrombosis that does not include pharmacologic therapies: include bed rest,elimination of extremity, compression, dry heat, moist heat
  7. 7. Module 2 – Altered Oxygenation: Cardiovascular Column I Content Outline Theory Objectives Objective 5 Identify major nursing diagnosis for clients with specific disorders related to altered cardiac function. A. Decreased cardiac output reduced preload, afterload, R/T contractibility, decreased least rate B. Risk for injury, bleeding, R/T dissolution of protective clots. C. Risk for infection, R/T surgical incision and swelling. D. Anxiety, R/T chest pain, uncertain prognosis E. Impaired physical mobility, R/T pain and imposed restrictions F. Acute pain, R/T imbalance in oxygen supply and demand G. Impaired (Tissue Perfusion), R/T decreased blood flow. Column II Suggested Learning Activities (Applies to Theory Objectives 1-8)  Identify an appropriate nursing diagnosis related to cardiac disorders using the NANDA List. Column III Clinical Objectives (Applies to Theory Objectives 1-8)  Demonstrate Nursing Assessment to reach nursing diagnosis. Column IV Clinical Activities (Competencies Skills) (Applies to Theory Objectives 1- 8)  When diagnosis is reached, apply correct nursing diagnosis from examples given in Column I.
  8. 8. Module 2 – Altered Oxygenation: Cardiovascular Column I Content Outline Theory Objectives Objective 6 Define anemia and the patients physiological response to this disorder. Read pp 582-7 A. Define Anemia B. Causes of Anemia 1. Iron deficiency 2. Chemotherapy 3. Renal Failure 4. Menstral Disorders 5. Leukemia 6. Sickle Cell 7. Aplastic C. Laboratory Findings D. Treatment for : 1. Iron Replacement a. Nursing precautions when giving iron. b. Patient teaching regarding iron replacements. Column II Suggested Learning Activities (Applies to Theory Objectives 1- 8) Required Reading In Primary text chapters related to:  Medical-Surgical Nursing on Anemia Lecture/Discussion AV Resources  Video – Anemia and the Causes Column III Clinical Objectives (Applies to Theory Objectives 1-8)  List clinical manifestations of patients with anemia.  List two possible nursing diagnosis for patients with anemia. Column IV Clinical Activities (Competencies Skills) (Applies to Theory Objectives 1- 8)  Complete a care plan for a client with anemia. Include points on nutrition, good sources of iron, well balanced diet.  Teach patient about iron supplementation.  Encourage follow up laboratory studies, include visits to health care provider.
  9. 9. Module 2 – Altered Oxygenation: Cardiovascular Column I Content Outline Theory Objectives Objective 7 Identify the essential data to be collected as part ofan assessment of the hematological system. Read Elkin on Cardiac Assessment A. Laboratory Results 1. Erythrocytes 2. Leukocytes 3. Platelets 4. Hemoglobin B. Skin Color C. Capillary Filling Test D. Respiratory Distress 1. Shortness of Breath Column II Suggested Learning Activities (Applies to Theory Objectives 1-8) Required Reading In Primary text chapters related to:  Characteristics of cellular components  Discussion in small groups – role of the following when assessing hematological system: o Erythrocytes o Leukocytes o Platelets o Hemoglobin Column III Clinical Objectives (Applies to Theory Objectives 1-8)  Complete a review of systems to determine clues of a hematologic dysfunction. Column IV Clinical Activities (Competencies Skills) (Applies to Theory Objectives 1- 8)  Complete a care plan or concept map on a patient with a disorder of the hematological system.

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