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RNSG 1533Health Care Concepts IIConcept – PERFUSIONConcept Definition Perfusion is the flow of blood through arteries and capillaries delivering nutrients and oxygen to cells and removing cellular wastes.ExemplarsBasic ECG RhythmsCongestive Heart Failure Hypertension Gestational Hypertension Mitral Valve Prolapse Coronary Artery Disease (CAD)Peripheral Vascular Disease (PVD)ObjectivesExplain the correlation between each of the listed exemplars to the concept of Perfusion (including compromised antecedents, deficit measurement in attributes, a list of negative consequences, and the interrelated concepts which may be involved).Identify conditions that place an individual at risk for imbalance leading to compromised Perfusion resulting in the listed exemplars (exception of Basic ECG Rhythms),Apply the nursing process with collaborative interventions for individuals experiencing the listed exemplars (exception of Basic ECG Rhythms). Sub ObjectivesBasic ECG RhythmsExplain the electrical conduction of the heart.Discuss the correlation of the ECG waves to the cardiac conduction.Describe the lead placement for an ECG.Calculate the heart rate from an ECG paper strip.Identify a normal sinus rhythm, sinus bradycardia, sinus tachycardia, and a sinus arrhythmia.Peripheral Vascular Disease (PVD)Describe the pathophysiology, risk factors and clinical manifestations for a patient with PVD.Identify the current treatments for a patient with PVDIdentify two priority nursing diagnosis for a patient with PVDIdentify two priority education topics for a patient with PVD HypertensionExplain the correlation between primary hypertension to the concept of perfusion (including compromised antecedents, deficit measurement in attributes, a list of negative consequences, and the interrelated concepts which may be involved). Identify conditions that place an individual at risk for imbalance leading to a compromised concept(s) resulting in hypertension. Apply the nursing process with collaborative interventions for individuals experiencing Primary hypertension.Gestational HypertensionDifferentiate among gestational hypertension, preeclampsia/eclampsia, and chronic hypertension. Identify patient education, medications, interventions and collaborative management required by patients with gestational hypertension.Identify the pathophysiological process underlying gestational pare care management for patients with mild pre-eclampsia vs. care with severe preeclampsia.Identify current medication therapy for patients with gestational hypertension. Congestive Heart FailureExplain the pathophysiology, clinical manifestations and risk factors for congestive heart failureIdentify the types of congestive heart failureDescribe the current treatments for congestive heart failureDevelop a plan of care for a patient with congestive heart failureIdentify the top 2 nursing diagnosis for a patient with congestive heart failureMitral Valve ProlapseExplain the pathophysiological process underlying MVP and its clinical manifestations.Describe the patient teaching, nursing interventions, and collaborative activities likely to be required for patients who have MVP.Explain the preventative techniques patients with MVP need to follow. Coronary Artery Disease (CAD)1. Explain the etiology and pathophysiology of CAD and how it progresses to Coronary Artery Occlusions.2. Enumerate the preventative measure than can be taken at the primary, secondary, and tertiary levels to prevent CAD or maximize the person’s health and quality of life.3. Explain the screening measures that can be taken to assess a person for early stages of Coronary Artery Disease.4. Describe the major areas where patient teaching is required: Diet, Exercise, Stress Reduction, Smoking Cessation, Weight Control, and management of comorbidities such as Diabetes Mellitus Type I or II.5. Explain the treatment modalities and how they work from Stress, Cholesterol and Blood Pressure Control, Angina, Coronary Angiograms, PTCA, Stints, to CABG. Assignments Review the following content from previous coursesPerfusion Concept Analysis DiagramGiddens text: Chapter 15 - PerfusionPrior to class:*Page numbers, assignments, and other lecture information will be posted on blackboard in a READ ME plete the assigned reading.Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2014). Medical surgical nursing (9th ed). St. Louis: Mosby Elsevier.Chapter 32: Nursing Assessment of Cardiovascular SystemChapter 33: HypertensionChapter 34: Coronary Artery DiseaseChapter 35: Heart Failure Chapter 36: DysrhythmiasChapter 37: Inflammatory and Structural Heart Disorder; Mitral Valve Prolapse Chapter 38: Vascular Disorders; Peripheral Vascular Disease (PVD/PAD) McKinney, E, James, S., Murray, S., Nelson, K., & Ashwill, J. (2013). Maternal-child nursing (4th ed). St. Louis: Elsevier Saunders.Chapter 25: Pregnancy-Related Complications; Gestational Hypertension Burchum, J. & Rosenthal, L. (2015). Lehne’s pharmacology for nursing care (9th ed). St Louis: Elsevier SaundersChapter 18: Adrenergic AntagonistsChapter 19: Indirect-Acting Antiadrenergic AgentsChapter 41: DiureticsChapter 44: Drugs Acting on the Renin-Angiotensin-Aldosterone SystemChapter 45: Calcium Channel BlockersChapter 46: VasodilatorsChapter 47: Drugs for HypertensionChapter 48: Drugs for Heart FailureChapter 50: Prophylaxis of Atherosclerotic Cardiovascular Disease InternetHeart Failure Disorder: PAD Disorder: PVD Rhythm Learning Content OutlineFor Each Exemplar:PathophysiologyRisk Factors Nursing ProcessAssessment:Comprehensive history Physical assessment Cultural, behavioral, social assessment Physical and psychological clinical manifestations Diagnostic testsPlanningImplementation: Nursing; Primary, Secondary, & Tertiary, TeachingCollaborative, Pharmacological therapy, Non-Pharmacological therapy, Procedural therapies Positive Outcomes: OrientedAppropriate organ functionWarmth Negative Outcomes: PhysiologicalPsychologicalRev. 11/2015 ................
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