NURSING CARE RELATED TO THE CARDIOVASCULAR AND RESPIRATORY ...

U.S. ARMY MEDICAL DEPARTMENT CENTER AND SCHOOL FORT SAM HOUSTON, TEXAS 78234

NURSING CARE RELATED TO THE CARDIOVASCULAR AND RESPIRATORY SYSTEMS

SUBCOURSE MD0917

EDITION 100

DEVELOPMENT

This subcourse is approved for resident and correspondence course instruction. It reflects the current thought of the Academy of Health Sciences and conforms to printed Department of the Army doctrine as closely as currently possible. Development and progress render such doctrine continuously subject to change.

The organization responsible for content accuracy of this edition was the Nursing Science Division, M6 Branch, Academy of Health Sciences, ATTN: MCCS-HNP, Fort Sam Houston, Texas 78234-6100.

ADMINISTRATION

For comments or questions regarding enrollment, student records, or shipments, contact the Nonresident Instruction Branch at: DSN 471-5877, Commercial (210) 221-5877; Toll-free 1800-344-2380; E-mail accp@amedd.army.mil, or write to:

COMMANDER AMEDDC&S ATTN MCCS HSN 2105 11TH STREET SUITE 4191 FORT SAM HOUSTON TX 78234-5064

Approved students whose enrollments remain in good standing may apply to the Nonresident Instruction Branch for subsequent courses by telephone, letter, or e-mail. Be sure your name, rank, and social security number are on all correspondence sent to the Academy of Health Sciences.

CLARIFICATION OF TRAINING LITERATURE TERMINOLOGY

When used in this publication, words such as "he," "him," "his," and "men" are intended to include both the masculine and feminine genders, unless specifically stated otherwise or when obvious in context.

USE OF PROPRIETARY NAMES

The initial letters of the names of some products are capitalized in this subcourse. Such names are proprietary names, that is, brand names or trademarks. Proprietary names have been used in this subcourse only to make it a more effective learning aid. The use of any name, proprietary or otherwise, should not be interpreted as endorsement, deprecation, or criticism of a product. Nor should such use be considered to interpret the validity of proprietary rights in a name, whether it is registered or not.

TABLE OF CONTENTS

Lesson

Paragraphs

INTRODUCTION...................................

1

NURSING CARE RELATED TO THE CARDIOVASCULAR SYSTEM

Section I. Anatomy and Physiology Section II. Diagnostic Procedures Section III. Cardiovascular Disorders Section IV. Nursing Care of the Cardiovascular Surgical Patient Section V. Sudden Cardiac Death Exercises

1-1-1-7 1-8-1-20 1-21-1-30 1-31-1-40 1-41-1-44

2

NURSING CARE RELATED TO THE RESPIRATORY SYSTEM

Section I. Anatomy and Physiology Section II. Physical Examination Section III. Diagnostic Studies Section IV. Special Nursing Management Section V. Pulmonary Drainage Section VI. Disorders Involving the Upper Respiratory System Section VII. Disorders Involving the Lower Respiratory System Exercises.........................................

2-1-2-5 2-6-2-10 2-11-2-12 2-13-2-22 2-23-2-26 2-27-2-40 2-41-2-50

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CORRESPONDENCE COURSE OF THE ACADEMY OF HEALTH SCIENCES, UNITED STATES ARMY

SUBCOURSE MED917

NURSING CARE RELATED TO THE CARDIOVASCULAR AND RESPIRATORY SYSTEMS

INTRODUCTION

A patient is not a passive object on which we perform nursing care procedures. A patient should never be thought of, or discussed, as merely a condition or injury. It is not acceptable to think of, or refer to, your patient as "the gallbladder" or "the fractured hip" or "the bleeding ulcer." A patient is much more than the condition that brought him to the hospital. A patient is a human being, possessing physical and emotional needs and wants.

The relationship between the patient and the nursing staff is extremely dynamic and personal. The patient places his trust in the nursing staff and they, in return, must utilize all their knowledge and skills to ensure the patient's well-being and assist in his return to good health and independence. This is accomplished by developing a therapeutic relationship between the patient, his family, and the health care professionals.

The nursing paraprofessional relates very closely with the patient and his family by virtue of his participation in providing nursing care and his presence at the bedside. It is often the nursing paraprofessional who makes the initial observation that something is not as it should be. Nursing paraprofessionals who are responsible, educated, and observant are assets to the therapeutic environment necessary for patient recovery. To help foster this therapeutic environment, the nursing paraprofessional must do the following:

Assess the patient's ability to express himself.

Assess the patient's mechanisms for coping.

Assess the patient's level of understanding about his condition and the teaching provided by the health care professionals.

Assist the patient to establish a trusting relationship with the health care providers.

Utilize the nursing process to provide the best possible care.

Continue to pursue his own education in order to sustain and enhance professional knowledge and skills.

The purpose of this subcourse is to enhance your knowledge of medical surgical nursing

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care related to the cardiovascular and respiratory systems and the role of the nursing paraprofessional in providing that care.

Subcourse Components:

This subcourse consists of 2 lessons and an examination. The lessons are:

Lesson 1, Nursing Care Related to the Cardiovascular System.

Lesson 2, Nursing Care Related to the Respiratory System.

Credit Awarded:

Upon successful completion of this subcourse, you will be awarded 12 credit hours.

Lesson Materials Furnished:

Lesson materials provided include this booklet, an examination answer sheet, and an envelope. Answer sheets are not provided for individual lessons in this subcourse because you are to grade your own lessons. Exercises and solutions for all lessons are contained in this booklet. You must furnish a #2 pencil.

Study Suggestions:

Here are some suggestions that may be helpful to you in completing this subcourse:

--Read and study each lesson carefully.

--Complete the subcourse lesson by lesson. After completing each lesson, work the exercises at the end of the lesson, marking your answers in this booklet.

--After completing each set of lesson exercises, compare your answers with those on the solution sheet that follows the exercises. If you have answered an exercise incorrectly, check the reference cited after the answer on the solution sheet to determine why your response was not the correct one.

--As you successfully complete each lesson, go on to the next.

When you have completed all of the lessons, complete the examination, marking your answers in this booklet. Then, transfer your responses to the examination answer sheet.

Student Comment Sheet:

Be sure to provide us with your suggestions and criticisms by filling out the Student Comment Sheet (found at the back of this booklet) and returning it to us with your examination answer sheet. Please review this comment sheet before studying this subcourse. In this way, you will help us to improve the quality of this subcourse.

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