This document provides an overview of topics related to critical care nursing, including acute coronary syndromes, heart blocks, heart failure, shock states, respiratory alterations, and gastrointestinal alterations. It lists objectives, definitions, signs and symptoms, and treatments for each topic. The objectives are to understand various cardiovascular and pulmonary conditions, be able to distinguish between different types, recognize signs and symptoms, and identify standard treatments.

10. Coronary Circulation

11. I AVR V1 V4 II AVL V2 V5 III AVF V3 V6 II V 12 Lead ECG

14. Coronary Arteries

15. Anterior Wall MI

16. Inferior Wall MI

21. Balloon Angioplasty

22. Vascular Stent Deployment

23. Atherectomy

29. Aortic Aneurysms

35. Aortic Dissections

36. Aortic Dissections

43. Harley

49. Cardiomyopathies

52. Normal Sinus Rhythm Heart Rate 60 - 100 bpm Rhythm Regular P Wave Before each QRS & identical PR Interval (in seconds) 0.12 to 0.20 QRS (in seconds) < 0.12

80. Peripheral Vascular Disease SYMPTOMS PAIN PAIN RELIEF EDEMA PULSES INTEGUMENT CHANGES ULCERS SKIN TEMPERATURE SEXUAL ISSUES ARTERIAL Upon walking On resting, standing or dependent position of lower limbs None Decreased or absent Hair loss Skin shiny Nail thickening Pallor when elevated Red when dependent Ulcers located on toes, lateral areas or site of trauma Gangrene possible Cool Impotency Sexual dysfunction VENOUS While standing Elevation of extremities Present, edematous May be difficult to palpate Brownish pigmentation May be cyanotic when extremities are dependent Ulcers located on ankles, medial or pre-tibial areas Normal or warm Not present

85. Acute Respiratory Distress Syndrome

88. ARDS

97. Pneumothorax

98. Tension Pneumothorax

103. Flail Chest

108. Respiratory Failure TYPE I Hypoxemia without hypercapnia TYPE II Hypoxemia with hypercapnia

117. Gastrointestinal Bleeding