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|Part A – Cardiovascular |
|Behavioral Objectives |Content Outline |Clinical Objectives |Learning Opportunities |
|Apply the terms listed in the content column |Application of terms | |Readings: |
|appropriate to the patient situations involving the|Afterload | |McKinney |
|cardiovascular system. |Ascites | |Lewis |
| |Bruit | |Estes |
| |Corpulmonale | |Adams |
| |Gallop rhythm | |Berman & Snyder |
| |Jugular vein distention | | |
| |Paroxysmal nocturnal dysnea (PND) | |TVCC Library – Nursing Education on Video |
| |Perfusion | | |
| |Point of maximal impulse (PMI) | | |
| |Polycythemia | |Heart Medications: Blood |
| |Preload | |Pressure Medications and Anticoagulants |
| |Pulsus paradoxes | | |
| |Syncope | |Heart Medications: Heart |
|Compare and contrast the normal anatomy and | | |Failure Medications and Cholesterol- |
|physiology to the pathophysiology of selected |Anatomy & Physiology of Cardiovascular system | |Lowering Agents |
|commonly occurring disease processes in the |Developmental considerations | | |
|cardiovascular system. |Infant | |VCR: |
| |Child | |#1011 – Care of the Patient With Heart |
| |Adolescent | |Failure |
| |Adult | |#1141 – Hypertension |
| |Older adult | |#1129 – Heart Failure & Pulmonary |
| | | |Edema |
| |Pathophysiology of cardiovascular system | |#1190 – Coronary Artery Disease and |
| |Altered cardiac output | |Angina Pectons |
|Analyze factors included in the assessment of the |Selected commonly occurring problems | | |
|patient experiencing commonly occurring problems of|Interview | |CD-ROM |
|the cardiovascular system, including the |Chief complaint | |#4083 – Intermediate & Advanced |
|developmental and cultural considerations. |Precipitating event | |Nursing Skills Tissue Perfusion |
| |Medical history | |Management |
| |Family/ Social/occupational history | |# 4092 – Pediatric Nursing Skills – |
| |Medication history | |Elimination, Cardio Respiratory, Airway Clear |
| |Prescription | | |
| |Nonprescription | |DVD |
| |Knowledge of health maintenance | |#6007 – Cardiovascular System |
| |Risk factors | | |
| |Physical exam – cardiovascular | | |
| |Vital signs | | |
| |Level of consciousness | | |
| |Heart sounds | | |
| |Heart rate & rhythm | | |
| |Peripheral pulses/point of maximal | | |
| |impulse (PMI) | | |
| |Edema (peripheral/sacral) | | |
| |Color (central & peripheral) | | |
| |Jugular vein distention (JVD) | | |
| |Weight | | |
| |Intake & output | | |
| |Capillary refill | | |
| |Diagnostic tests | | |
| |Radiology | | |
| |Chest x-ray | | |
| |Laboratory studies | | |
| |Complete blood count (CBC) | | |
| |Electrolytes | | |
| |Digoxin level | | |
| |Other | | |
| |Electrocardiogram (EKG) | | |
| |Echocardiogram | | |
| |Telemetry | | |
| |Risks | | |
| |Hereditary | | |
| |Environmental | | |
| |Health beliefs/practices | | |
| |Developmental | | |
| |Age specific assessment data | | |
| |Vital signs | | |
| |Fluid /electrolytes | | |
| |Nutritional | | |
| |Behavioral/emotional response to health care providers | | |
|Discuss analysis, planning, implementation, and | | | |
|evaluation for the nursing management of patients |Common Occurring Cardiovascular Problems | | |
|with commonly occurring cardiovascular disease |Cardiovascular | | |
|processes |Atherosclerosis | | |
| |Arteriosclerosis | | |
| |Hypertension | | |
| |Congestive Heart Failure (CHF) | | |
| | | | |
| |Selected Nursing Diagnoses/Implementation/ Evaluation | | |
| |Decreased cardiac output | | |
| |Independent Interventions | | |
| |See cardiac assessment | | |
| |Assess for signs of systemic congestion | | |
| |Assess for signs of pulmonary congestion | | |
| |Level of activity | | |
| |Schedule daily activities to prevent fatigue | | |
| |Positioning | | |
| |Monitor pertinent diagnostic test | | |
| |Intake and Output | | |
| |Daily weight | | |
| |Collaborative Interventions | | |
| |Administer medications and monitor for desired effects/ adverse | | |
| |effects/ side effects. | | |
| |Cardiac glycosides | | |
| |Coronary vasodilators | | |
| |Antilipedimics | | |
| |Antiplatelets | | |
| |Diuretics | | |
| |Thiazides | | |
| |Loop diuretics | | |
| |Potassium sparing diuretics | | |
| | | | |
| | | | |
| |Adrenergic inhibitors | | |
| |Central acting alpha adrenergic antagonists | | |
| |Alpha-adrenergic blockers | | |
| |Beta-adrenergic blockers | | |
| |Direct vasodilators | | |
| |Angiotensin inhibitors | | |
| |Angiotensin-converting enzyme inhibitors (ACE) | | |
| |Angiotensin II receptor blockers (ARBS) | | |
| |Calcium channel blockers | | |
| |Supplemental oxygen | | |
| |Fluid restrictions | | |
| |Nutrition: Age specific | | |
| |Recognition of Complications | | |
| |Pulmonary Edema | | |
| |Cardiac dysrhythmias | | |
| |Death | | |
| |Evaluation of Outcomes: The patient will have improved cardiac | | |
| |output as evidenced by: | | |
| |Vital signs | | |
| |Peripheral pulses | | |
| |Activity tolerance | | |
| |Breathing pattern | | |
| |Breath sounds | | |
| |Heart sounds | | |
| |Intake and output | | |
| |Edema | | |
| |Weight | | |
| |Absence of jugular vein distension | | |
| | | | |
| | | | |
| | | | |
| |Altered health maintenance: knowledge deficit regarding | | |
| |atherosclerosis /arteriosclerosis. | | |
| |Patient teaching | | |
| |Assess readiness to learn, ability, and knowledge level. | | |
| |Avoid aggravating factors | | |
| |Promotion of alleviating factors | | |
| |Reportable signs / symptoms | | |
| |Medication teaching | | |
| |Rest/activity | | |
| |Risk factors | | |
| |Life style modification | | |
| |Nutrition | | |
| |Low fat, low cholesterol | | |
| |Low sodium | | |
| |Monitor BP at regular intervals | | |
| |Community Resources | | |
| |American Heart Association | | |
| |American Dietary Association | | |
| |Support groups | | |
| |Evaluation of Outcomes: The patient will have improved health | | |
| |maintenance as evidenced by: | | |
| |Identifying aggravating and alleviating factors. | | |
| |Identifying reportable signs and symptoms | | |
| |Describing the purpose, correct | | |
| |administration and side effects of meds | | |
| |Ability to discuss diagnoses | | |
| |Participate in exercise program | | |
| |Compliance with prescribed diet | | |
| |Stop smoking | | |
| |Utilizing community resources | | |
| | | | |
| | | | |
| | | | |
| | | | |
|N:ADN/Fresh/2504 Unit IV Cardi | | |Revised 11/12 |
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