LEARNING MODULES Unit 1 client needs related to selected cardiovascular alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1. Applying evidence based standards of practice that are within the legal, ethical and are regulatory guidelines utilized for the client with selected cardiovascular alterations. 1. Standards of care 2. Evidence based care 3. Patient safety goals 4. Core measures 2. Rearranging members of the health care team that would be assisting in the provision of care the client with selected cardiovascular alterations. 1. Cardiologist 2. Surgeon 3. Surgical team 4. Respiratory therapy 5. Acute nurse practitioners 6. RN 7. Physical therapy/dietician 8. Home care 3. Discriminating between collaborative healthcare resources utilized to provide care for the client with selected cardiovascular alterations. 1. Home care 2. Outpatient services 3. Rehabilitation services 4. Appraising therapeutic communication techniques utilized for the client with selected cardiovascular alterations both verbal and non-verbal. 1. Interviewing 2. Open/closed ended questions 3. Writing boards 4. Anxiety reducing 5. Comparing the appropriate data that would be included in the documentation both written and technological for the client with selected cardiovascular alterations. 1. ICU 2. Recovery 3. Surgical 4. Medical Promote Health Promotion and Maintenance by 6. Modifying culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected cardiovascular alterations to promote restore and maintenance of health. 1. Surgical issues 2. Nutrition 3. Medications 4. Home care 5. Discharge teaching Promote Psychological integrity by 7. Planning culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected cardiovascular alterations. 1. Stress management 2. Anxiety 3. Fear 4. Communication alternatives (boards, pen & paper, technology) Promote Physiological Integrity by 8. Comparing the assessment findings, nursing diagnosis, planning, interventions and evaluation for the client with selected cardiovascular alterations. 1. Coronary artery disease/ Acute coronary Syndrome 2. Dysrhythmias 3. Prodysrhythmia 4. Myocardial Infarction 5. Pericardial Effusion and Cardiac Tamponade 6. Syncope 7. Sudden Cardiac Death (SCD) 8. Valvular disease 9. Surgical Procedures a. CABG c. PCI b. PTA d. Valvuloplasty (PTBV) 10. Transplants a. Valves/vessels b. Heart 11. Vascular a. Acute Peripheral Arterial Occlusion, b. Aneurysms of Central Arteries, c. Aneurysms of Peripheral Arteries, d. AAA and Aortic Dissection. 12. Pediatric specific a. Congenital heart disease i. Acyanotic 1. Atrial Septal Defect 2. Ventricular Septal Defect 3. Patent Ductus Arteriosus 4. Atrioventricular Canal 5. Coarctation of Aorta 6. Aortic stenosis 7. Pulmonic stenosis ii. Cyanotic 1. Tetralogy of Fallot 2. Tricuspid Atresia 3. Transposition of Great Arteries 4. Truncusarteriosus 5. Hypoplastic Left Heart Syndrome 9. Evaluating the laboratory, diagnostic, and assessment procedures that would be expected for the client with selected cardiovascular alterations and the safe nursing interventions that would be expected. 1. EKG a. Non ST elevated MI b. ST elevation MI c. Ischemia d. Injury e. Infarction 2. Troponins 3. Cardiac Markers 4. Serum Lipids 5. Cardiac Catheterization 6. Cardioversion 7. ECHO 8. Hemodynamic and Cardiac Monitoring a. Pulmonary Artery Pressure b. Arterial Pressure c. Central Venous Pressure d. Cardiac Output e. Intra-Aortic Balloon Pump f. Pace Makers i. Temporary ii. Permanent g. Defibrillator i. Internal ii. External h. Telemetry Monitoring i. 2-Leads ii. 5-Leads iii. Ambulatory i. Holter Monitor 10. Planning for the possible complications and health risks for the client with selected cardiovascular alterations and the nursing interventions that would be necessary 1. Ventilators 2. Monitoring Devices 3. Surgical areas 4. Symptoms to report 11. Comparing treatment modalities and nursing safe accurate, therapeutic interventions expected for the client with selected cardiovascular alterations. 1. Surgical 2. Medical 12. Appraising pharmaceutical modalities and the safe, accurate, therapeutic nursing interventions expected for the client with selected cardiovascular alterations. Anti-Hypertensive Aldosterone Receptor Antagonists Angiotensin Converting Enzyme Inhibitors Angiotensin Receptor Blockers Anti-Adrenergic Agents 1. Centrally Acting 2. Peripherally Acting Anti-Anginal Agents Anti-Dysrhythmia Agents Anti-Cholinergic Chronotropic Agents Anti-Lipidemics Beta-Blocking Agents 1. Cardioselective Beta Blockers 2. Non-Cardioselective Beta Blockers Calcium Channel Blocking Agents Catecholamines Coagulation Modifiers 1. Anticoagulants 2. Antiplatelet Drugs 3. Thrombolytics 4. Antifibrinolytics Diuretics 1. 2. 3. 4. 5. Carbonic Anhydrase Inhibitors Loop Diuretics Miscellaneous Diuretics Potassium-Sparing Diuretics Thiazide Diuretics Electrolytes Inotropic Agents Miscellaneous 1. 2. 3. 4. 5. Cardiovascular Agents Stool Softners Crystalloids Colloids Reperfusion Therapy Opioids Potassium Vasodilators Vasopressors 1. Classroom References 2. Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected cardiovascular alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: 1. a safe and effective environment 2. health promotion and maintenance 3. psychological integrity 4. physiological integrity Text Book Wong’s Lewis Lewis Chapters 23 13 31--37 Lewis 65 Hesi Case Studies and Practice Test to be completed: Case Study Name Aortic Regurgitation Cardiovascular Defects (Peds) Congenital Heart Disease (Peds) Due Date 05/30/2022@ 11:59 05/30/2022@ 11:59 05/30/2022@ 11:59 Unit 2 client needs related to selected respiratory alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1. Applying evidence based standards of practice that are within the legal, ethical and are regulatory guidelines utilized for the client with selected respiratory alterations. 1) 2) 3) 4) 2. Standards of care Evidence based care Patient safety goals Core measures Rearranging members of the health care team that would be assisting in the provision of care for the client with selected respiratory alterations. 1) 2) 3) 4) 5) 6) 7) Internist Surgeon Respiratory therapy Acute nurse practitioners RN Physical therapy/dietician Home care 3. Discriminating between collaborative healthcare resources utilized to provide care for the client with selected respiratory alterations. 1) Home care 2) Community resources 4. Appraising the therapeutic communication techniques utilized with for the client with selected respiratory alterations. 1. 1) 2) 3) 4) Interviewing Open/closed ended questions Writing boards Anxiety reducing Touch 2. Comparing the appropriate data that would be included in the documentation both written and technological for the client with selected respiratory alterations 1. ICU 2. Surgical 3. Medical 4. Discharge Promote Health Promotion and Maintenance by 3. Modifying the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected respiratory alterations to promote restore and maintenance of health. 1. 2. 3. 4. 5. Surgical Nutrition Medications Home care Discharge teaching Promote Psychological integrity by 4. Planning culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected respiratory alterations. 1. Stress management 2. Anxiety 3. Fear Promotes Physiological Integrity by 5. Comparing the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following selected respiratory alterations i. Lower respiratory tract alterations 1. Atelectasis 2. Tracheobronchitis/croup/epiglottis 3. Pneumonia 4. Tuberculosis 5. Pertussis 6. Acute bronchitis ii. Pleural conditions 1. Pleurisy 2. Pleural effusion 3. Empyema 4. Lung Cancer iii. Trauma 1. Pulmonary embolus iv. Other 1. 2. 3. 4. 5. 6. Pulmonary edema Acute Respiratory Distress Syndrome (ARDS) Cystic fibrosis Pulmonary hypertension Respiratory failure Pediatrics Content a. Croups Syndromes b. Acute Bronchitis c. Pneumonia d. Pertussis e. TB f. Pulmonary Edema g. ARDS h. Cystic Fibrosis i. Respiratory Failure 6. Evaluating the laboratory, diagnostic, and assessment procedures expected for the client with selected respiratory alterations and the safe nursing interventions expected. i. ABC ii. Arterial monitoring iii. Spiral CT iv. V/Q scan v. D-dimer vi. Imaging studies 1. Fluoroscopic studies 2. Angiographic studies pulmonary vessels vii. Radioisotope diagnostic procedures viii. Endoscopic studies 1. Bronchoscopy 2. Thoracoscopy ix. Thoracentesis x. Biopsy 1. Pleural 2. Lung 3. Lymph node 7. Planning the possible complications and health risks for the client with selected respiratory alterations and the nursing interventions that would be necessary 1. Ventilators 2. Monitoring devices 3. Drains 4. Surgical areas 5. Chest tubes 6. Tracheostomy nutrition 7. Symptoms to report 8. Comparing treatment modalities and nursing safe accurate, therapeutic interventions expected for the client with selected respiratory alterations. 1. Surgical 2. Medical 9. Appraising pharmaceutical modalities and the safe, accurate, therapeutic nursing interventions expected for the client with selected respiratory alterations. 1. Chemotherapy 2. Radiation 3. Fibro lytic 4. Low molecular weight heparin 5. Isoniazid 6. Rifampin 7. Pyrazinamide 8. Ethambutol 9. Anti-infective 10. O2 11. Albuterol 12. Atrovent 13. Solumedrol 14. Lasix 15. Diprivan 16. Ativan Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected respiratory alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: 1) a safe and effective environment 2) health promotion and maintenance 3) psychological integrity 4) physiological integrity 2131 Respiratory for the Topical Outline w/Assignments Snider Review Reading Textbook Lewis Medical Surgical Nursing Chapter/Section Chapter 25 Assessment of the Respiratory System Required Reading: Lewis Medical Surgical Nursing All topics from the outline are found within the Chapter (s) 26, 27, 28, 65,66, 67, 68. Students are required to find the topic listed on the outline and read that section and if applicable the entire chapter. Chapter(s) 6, 8, 21 Reference Reading: Optional/Reference Hockenberry Wong’s Pediatrics Diagnostic & Lab Book Mosby Drug Guide Skidmore Roth Lilley Pharmacology eBook Diagnostic tests are scattered throughout the diagnostic lab book/Medical Surgical Text Book for Lewis. Please use your index to reference the listed diagnostic studies. These are found also in Lewis: Chapters, 25, 26, 27, 28, 65, 66, 67, 68. *Please note, students are responsible for knowing all drugs discussed in the respiratory chapters for NCLEX and HESI Please refer to the index for vital information about each drug. The student is responsible for Class, Action, Side Effects, Adverse Effects, Nursing Implications, and Nursing Considerations Please Search Each TOPIC in the book to ensure all areas of reading have been satisfied. Pre Class Assignment: Review required reading and oxygenation concepts. Students are expected to come prepared to class and participate in activities. Post Class Assignment: Respiratory Discussion Board in BB Released Date of May 31, 2022 and Due on June 2nd, 2022. Unit 3 client needs related to selected endocrine alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment 1. Applying evidence based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected endocrine alterations. 1) 2) 3) 4) Standards of care Evidence based care Patient safety goals Core measures 2. Rearranging members of the health care team that would be assisting in the provision of care for the client with selected endocrine alterations. 1) Surgeon 2) Internist 3) Surgical team 4) Respiratory therapy 5) Acute nurse practitioners 6) RN 7) Physical therapy/dietician 8) Home care 3. Discriminating between collaborative healthcare resources that might be utilized to provide care for the client with selected endocrine alterations. 1) Home care 2) outpatient services 4. Appraising therapeutic communication techniques that would be utilized with for the client with selected endocrine alterations both verbal and non-verbal. 1) Interviewing 2) Open/closed ended questions 3) Writing boards 4) Anxiety reducing 5) Touch 5. Comparing the appropriate data that would be included in the documentation both written and technological for the client with selected endocrine alterations. 1) ICU 2) Surgical 3) Recovery 4) Medical Promote Health Promotion and Maintenance by 6. Modifying the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected endocrine alterations to promote restore and maintenance of health. 1) Surgical 2) Nutrition 3) Medications 4) Home care 5) Discharge teaching Promote Psychological integrity by 7. Planning culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected endocrine alterations. 1) Stress management 2) Anxiety 3) Fear 4) Grieving Promote Physiological Integrity by 8. Comparing the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following Endocrine clients 1) Pituitary a. Anterior i. Acromegaly ii. Gigantism iii. Adenoma iv. Dwarfism v. Growth hormone deficiency b. Posterior i. Diabetes insipidus ii. Syndrome of inappropriate antidiuretic hormone c. Tumor d. Pediatric i. Precocious puberty ii. Adrenal Hyperplasia 2) Thyroid a. Goiter b. Nodules c. Cancer d. Hyperthyroidism i. Graves ii. Thyrotoxic crisis e. Hypothyroidism i. Myxedema f. Thyroiditis i. Hashimotos ii. Juvenile Thyroiditis 3) Parathyroid glands a. Hyperparathyroidism b. Hypoparathyroidism 4) Adrenal a. Cushing b. Insufficiency (Addison’s) c. Addisonian Crisis d. Hyperaldosteronism e. Pheochromocytoma f. Adrenal Cortex Hormones 5) Pancreas a. Acute b. Chronic c. Cancer 9. Evaluating the laboratory, diagnostic, and assessment procedures that would be expected for the client with selected endocrine alterations and the safe nursing interventions that would be expected. 1) Plasma insulin growth factor 1 levels 2) Glucose tolerance test 3) FSH and LH 4) Urine and serum osmolality 5) Chemistry 6) T3, T4, TSH 7) RAIU 8) TRH stimulation test 9) PTH 10) CT, MRI, DEXA a. Urine/serum cortisol b. ACTH c. Amylase and lipase d. MRCP 10. Planning for the possible complications and health risks for the client with selected endocrine alterations and the nursing interventions that would be necessary 1) Ventilators 2) Monitoring devices 3) Surgical areas 4) Surgical risks 5) Symptoms to report 11. Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected endocrine alterations. 1) Surgical 2) Medical 12. Appraising pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected endocrine alterations. 1) Desmopressin acetate 2) Vasopressin 3) Chlorpropamide 4) Propylthiouracil 5) Methimazole 6) Iodine 7) B adrenergic blockers 8) Levothyroxine 9) Fosamax 10) Cinacalcet 11) Ketoconazole 12) Corticosteroid 13) Spirolactone Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected endocrine alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: 1. a safe and effective environment 2. health promotion and maintenance 3. psychological integrity 4. physiological integrity 2131 Respiratory for the Topical Outline w/Assignments_Lifsey Text Book Lewis Lewis Wong’s Mosby Drug Book, Lilly Textbook or Lewis Textbook Endocrine power point Saunders NCLEX Text Pre Class Assignment Evolve HESI Trio Case Studies Case Studies Chapter Chapter 47 Chapter 49 Chapter 28 Desmopressin acetate Vasopressin Chlorpropamide Propylthiouracil Methimazole Iodine B adrenergic blockers Levothyroxine Fosamax Cinacalcet Ketoconazole Corticosteroid Spirolactone *Others included from Lecture In Class and posted on BB Chapter 46, 47 Optional See Blackboard Due June 6, 2022 Self Study MS*Thyroid Disorders Medication quiz; hormone sheet; and medication sheet Due June 8 by 5:00 p.m. To be Completed During Class Activity Unit 4 client needs related to selected gastrointestinal alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1. Applying evidence based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the client with selected gastrointestinal alterations. 1) Standards of care 2) Evidence based care 3) Patient safety goals 4) Ethical decision making 2. Rearranging members of the health care team that would be assisting in the provision of care for the client with selected gastrointestinal alterations. 1) Internist 2) Surgeon 3) Respiratory therapy 4) Acute nurse practitioners 5) RN 6) Physical therapy/dietician 7) Home care 3. Discriminating collaborative healthcare resources that might be utilized to provide care for the client with selected gastrointestinal alterations. 1) Home care 2) Outpatient services 4. Appraising therapeutic communication techniques that would be utilized with for the client with selected gastrointestinal alterations both verbal and non-verbal. 1) Interviewing 2) Open/closed ended questions 3) Writing boards 4) Anxiety reducing 5) Touch 6) Grief /loss 5. Comparing the appropriate data that would be included in the documentation both written and technological for the client with selected gastrointestinal alterations. 1) ICU 2) Surgical 3) Medical 4) Discharge Promote Health Promotion and Maintenance by 6. Modifying the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected gastrointestinal alterations to promote restore and maintenance of health. 1) Nutrition 2) Medications 3) Home care 4) Discharge teaching Promote Psychological integrity by 7. Planning culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected gastrointestinal alterations. 1) Stress management 2) Anxiety 3) Fear 4) Grief / loss Promote Physiological Integrity by 8. Comparing the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following selected gastrointestinal alterations. 1) Lower GI a. Acute abdominal pain/trauma b. Esophageal varices c. Hernias d. Obstruction i. Ostomies e. Inflammatory i. Appendicitis ii. Peritonitis iii. Gastroenteritis f. Inflammatory bowel disease i. Ulcerative colitis ii. Crohn’s disease iii. Short bowel syndrome iv. Irritable bowel syndrome g. Pediatric i. ii. iii. iv. v. vi. vii. Hirshsprung Celiac Intussusception Tracheoesophageal fistula/esophageal atresia Pyloric stenosis Meckel’s diverticulum Cleft lip/palate 2) Liver a. Cirrhosis b. Hepatitis 3) Biliary a. Cholecystitis b. Cholelithiasis c. Biliary atresia 4) Cancer a. Colorectal b. Liver 5) Surgeries 9. Evaluating the laboratory, diagnostic, and assessment procedures that would be expected for the client with selected gastrointestinal alterations and the safe nursing interventions that would be expected. 1) Percutaneous needle biopsy 2) paracentesis 3) Ultrasound 4) Cholescintigraphy 5) Cholecystography 6) Endoscopic retrograde cholangiopancreatography 7) Percutaneous transhepatic cholangiography 8) Radiologic 9) Chemistries 10) CBC 11) AST/ALT 12) GGT 13) Proteins 10. Planning for the possible complications and health risks for the client with selected gastrointestinal alterations and the nursing interventions that would be necessary 1) Monitoring devices 2) Surgical areas 3) nutrition 4) symptoms to report 11. Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected gastrointestinal alterations. 1) Surgical 2) Medical 3) Non pharmacologic 12. Appraising pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected gastrointestinal alterations. 1) 2) 3) 4) 5) 6) 7) 8) A-interferon Ribavirin HAV IG Diuretics Vasopressin B-adrenergic blockers Chemotherapy Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected gastrointestinal alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: 1) a safe and effective environment 2) health promotion and maintenance 3) psychological integrity 4) Physiological integrity 2131 Respiratory for the Topical Outline w/Assignments_Larson Text Book or Ebook Lewis Chapters 43 42 Wong’s 22 Lilly’s 51 HESI Case Study MS* Hepatitis (pt Shanda Opened on 05/23/2022 Miles) Due 06/14/2022 MS* Inflammatory Bowel Dis (pt Jessica Cutler) Unit 5 client needs related to selected shock, multiple organ failure, burns and oncological alterations Upon completion of this unit the student will Promote Safe and effective healthcare environment by 1. Applying evidence based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the complex care client. 2. 3. 4. 5. 1) Standards of care 2) Evidenced base care 3) Patient safety goals 4) Ethical decision making Rearranging members of the health care team that would be assisting in the provision of care for the complex care client. 1) Internist 2) surgeon 3) Respiratory therapy 4) Acute nurse practitioners 5) RN 6) Physical therapy/dietician 7) Home care Evaluating collaborative healthcare resources that might be utilized to provide care for the complex care client. 1) Home care 2) Outpatient services 3) Dialysis 4) Rehabilitation Appraising therapeutic communication techniques that would be utilized with for the complex care client both verbal and non-verbal. 1) Interviewing 2) Open/closed ended questions 3) Writing boards 4) Anxiety reducing 5) Touch Comparing the appropriate data that would be included in the documentation both written and technological for the complex care client. 1) ICU 2) Surgical 3) Medical 4) Discharge Promote Health Promotion and Maintenance by 6. Modifying the culturally diverse teaching and learning activities that would be included in the nursing care for the complex care client to promote restore and maintenance of health. 1) Nutrition 2) Medications 3) Home care 4) Discharge teaching Promote Psychological integrity by 7. Planning culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the complex care client. 1) Stress management 2) Anxiety 3) Fear 4) Grieving /loss Promote Physiological Integrity by 8. Comparing assessment findings, nursing diagnosis, planning, interventions and evaluation of the following for the complex care client. i. Shock 1) Anaphylactic 2) Cardiogenic 3) Hypovolemic 4) Neurogenic 5) Obstructive ii. Sepsis 1) Septic shock iii. Systemic inflammatory response syndrome iv. Multiple organ dysfunction syndrome v. Burns vi. DIC vii. Renal failure 1) Acute 2) Chronic 3) Renal trauma 4) Dialysis /transplant viii. Oncological emergencies 1) 2) 3) 4) 5) 6) 7) Superior vena cava syndrome Spinal cord compression Hypercalcemia Pericardial effusion Cardiac tamponade SIADH Tumor lysis syndrome 9. Evaluating the laboratory, diagnostic, and assessment procedures that would be expected for the complex care client and the safe nursing interventions that would be expected. i. Chemistries ii. ABG iii. Coagulation studies iv. CBC v. Renal 10. Planning for the possible complications and health risks for the complex care client and the nursing interventions that would be necessary 1) Ventilators 2) Monitoring devices 3) Surgical areas 4) nutrition 5) dialysis 6) symptoms to report 11. Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the complex care client. 1) Surgical 2) Medical 3) Non pharmacologic 12. Appraising pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the complex care client. 1) O2 2) Sympathomimetic drugs 3) Fluids 4) Dobutamine 5) Dopamine 6) Adrenalin 7) Norepinephrine nitroglycerin 1) Vasopressin 2) Blood products 3) 4) 5) Anti-coagulants Insulin TPN Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected shock, multiple organ failure, burns and oncological alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: 1) a safe and effective environment 2) health promotion and maintenance 3) psychological integrity 4) physiological integrity 2131 Respiratory for the Topical Outline w/Assignments_Tew/Larson Text Book or Ebook Lewis, Dirksen, Heitkemper, & Bucher Lewis, Dirksen, Heitkemper, & Bucher Lewis, Dirksen, Heitkemper, & Bucher Lewis, Dirksen, Heitkemper, & Bucher Lewis, Dirksen, Heitkemper, & Bucher Lewis, Dirksen, Heitkemper, & Bucher Topic Shock Chapters Ch. 66 Systemic Inflammatory Response Syndrome Ch. 66 MODS Ch. 66 DIC Ch. 30 Pericardial Effusion Ch. 36 Acute Kidney Injury and Chronic Kidney Disease Ch. 46 Dialysis Lewis, Dirksen, Heitkemper, & Bucher Kidney Transplant Burns Ch. 24 Lewis, Dirksen, Heitkemper, & Bucher Oncological Emergencies Superior vena cava syndrome Cardiac tamponade Carotid Artery Rupture Spinal Cord Compression Hypercalcemia Third Space Syndrome SIADH Tumor lysis syndrome Wong’s Burns DIC Renal Failure Evolve PEDS*ICP-(pt Casey and Opened on 05/23/2022 John Martin) Due 06/28/2022 MS*Spinal Cord Injury (pt Ryan Stapleton) MS*Trauma Brain Injury (pt Jeff Dickson) Ch. 15 Ch. 13 Ch. 24 Ch. 26 Unit 6 client needs related to selected neuromuscular alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1. Applying evidence based standards of practice that are within the legal, ethical and are regulatory guidelines be utilized for the client with selected neuromuscular alterations. 1. Standards of care 2. Evidence based care 3. Patient safety goals 4. Core measures 2. Rearranging members of the health care team that would be assisting in the provision of care for the client with selected neuromuscular alterations. 1. Internist 2. Respiratory therapy 3. Neurologists 4. Acute nurse practitioners 5. RN 6. Physical therapy/dietician /occupational 7. Home care 3. Discriminating between collaborative healthcare resources that might be utilized to provide care for the client with selected neuromuscular alterations. 1. Home care 2. outpatient services 3. rehabilitation services 4. Appraising therapeutic communication techniques that would be utilized with for the client with selected neuromuscular alterations both verbal and nonverbal. 1. Interviewing 2. Open/closed ended questions 3. Writing boards 4. Anxiety reducing 5. Touch 6. Speech and perceptual changes 5. Comparing the appropriate data that would be included in the documentation both written and technological for the client with selected neuromuscular alterations. 1. ICU 2. Recovery 3. Surgical 4. medical 5. Discharge Promote Health Promotion and Maintenance by 6. Modifying the culturally diverse teaching and learning activities that would be included in the nursing care for the client with selected neuromuscular alterations to promote restore and maintenance of health. 1. Surgical 2. Nutrition 3. Medications 4. Home care 5. Discharge teaching Promotes Psychological integrity by 7. Planning culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for the client with selected neuromuscular alterations. 1. Stress management 2. Anxiety 3. Fear 4. Grieving Promote Physiological Integrity by 8. Comparing the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following for the client with selected neuromuscular alterations. 1. Head injury a. Skull fracture b. Concussion c. Contusion d. Epidural hematoma e. Subdural hematoma f. Unconsciousness 2. Brain tumors a. Gliomas b. Meningioma c. Pituitary adenoma d. Neuroblastoma e. Metatastic f. Retinoblastoma 3. Infection and inflammation a. Meningitis/encephalitis b. Abscess 4. Other a. Guillain-Barre Syndrome (Stroke) b. Intracranial bleed (CVA) i. Embolic ii. Hemorrhage c. Increased intracranial pressure d. Hydrocephalus e. Cerebral edema f. Spinal cord injury i. Paralysis ii. Spinal shock g. Spinal tumors h. Neural Tubes Defects (Myelomeningocele) 9. Evaluating the laboratory, diagnostic, and assessment procedures that would be expected for the client with selected neuromuscular alterations and the safe nursing interventions that would be expected. 1. ICP monitoring 2. CT scans 3. MRI 4. Glasgow 5. EEG 6. Spinal puncture 7. Blood cultures, chemistries, ABG’s 8. Positron emission tomography 9. Single photon emission CT 10. Examination of cerebrospinal fluid 11. Lumbar puncture 12. Angiography 13. National Institute of health stroke scale 10. Planning for the possible complications and health risks for the client with selected neuromuscular alterations and the nursing interventions that would be necessary 1. Increased intracranial pressure 2. Monitoring devices 3. Surgical sites 4. Integument 5. Cardiovascular 6. GI 7. Respiratory function 8. Fluid and electrolytes 9. Autonomic Dysreflexia Spasticity Neurogenic bladder/bowel 10. Symptoms to report 11. Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the client with selected neuromuscular alterations. 1. Surgical a. Shunts 2. Medical 3. Comfort 12. Appraising pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the client with selected neuromuscular alterations. 1. Radiation 2. Chemotherapy 3. Antibiotics 4. Dexamethasone 5. Mannitol 6. Dilantin 7. IV fluids 8. Anti –coagulants 9. Anticonvulsants Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected neuromuscular alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: 10. a safe and effective environment 11. health promotion and maintenance 12. psychological integrity 13. physiological integrity 2131 Neuromuscular for the Topical Outline w/Assignments Text Book Lewis Wong’s Lilly’s Hesi Case study Heading Pediatric- ICP- Casey and John Martin Chapters 56 57 60 30 27 28 29 Adult- Trauma Brain Injury –Jeff Dickson Spinal cord Injury- Ryan Stapleton Unit 7 client needs related to selected emergent care alterations Upon completion of this unit the student will Promote a Safe and effective healthcare environment by 1. Applying evidence based standards of practice that are within the legal, ethical and are regulatory guidelines that would be utilized for the emergent care client. 1) 2) 3) 4) Standards of care Evidence based care Patient safety goals Core measures 2. Rearranging members of the health care team that would be assisting in the provision of care for the emergent care client. 1) Internists 2) Surgeon 3) Surgical team 4) FEMA 5) Respiratory therapy 6) Laboratory 7) Radiology 8) Acute nurse practitioners 9) RN 10) Technician 3. Discriminating between collaborative healthcare resources that might be utilized to provide care for the emergent care client. 1) 2) 3) 4) 5) Home care Community services Law enforcement Rehabilitation FEMA 4. Appraising the therapeutic communication techniques that would be utilized with the emergent care client both verbal and non-verbal. 1) 2) 3) 4) 5) Interviewing Open/closed ended questions Anxiety reducing Touch Crisis management 5. Comparing the appropriate data that would be included in the documentation both written and technological the emergent care client. 1) medical 2) Surgical 3) Recovery Promote Health Promotion and Maintenance by 6. Modifying the culturally diverse teaching and learning activities that would be included in the nursing care the emergent care to promote restore and maintenance of health. 1) 2) 3) 4) 5) 6) Surgical issues Medical Nutrition Medications Home care Discharge teaching Promote Psychological integrity by 7. Planning culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events the emergent care client 1) 2) 3) 4) Stress management Anxiety Fear Crisis management Promote Physiological Integrity by 8. Comparing the assessment findings, nursing diagnosis, planning, interventions and evaluation of the following emergent care clients 1) Triage a. Primary survey b. Secondary survey c. ABC 2) Heat related a. Heat cramps b. Heat exhaustion c. Heatstroke 3) Cold related a. Frostbite b. Hypothermia 4) Submersion injuries 5) Stings and bites Chapter 30 p. 1024 (peds) a. Hymenopteran stings b. Tick c. Animal and human 6) Poisonings 7) suicide overdose 8) psychiatric emergencies 9) Substance abuse 10) Violence a. Child b. Adult c. Elder d. Abuse i. Emotional ii. Neglect iii. Sexual iv. Economic v. Family 11) Trauma a. Gunshot b. Multi system accidents/Abdomen/Renal c. Crush Injury/Thoracic Injuries d. Stabbings e. Fractures f. Scoliosis g. h. i. j. k. l. m. n. Amputations Dislocations Rotator cuff tears Achilles Tendons Epicondylitis Knee injuries/Ligaments Sprains and Strains Compartment Syndrome 12) Orthopedic devices - Chapter 62 a. Fx and Casts b. Braces/splints` c. External fixator d. Traction 13) Agents of terrorism 14) Emergency and mass casualty preparedness 15) Specifics in ER i.Death/Dying ii. Legalities 9. Evaluating the laboratory, diagnostic, and assessment procedures that would be expected for the emergent care client and the safe nursing interventions that would be expected. 1) 2) 3) 4) 5) Chemistries Toxicology screens drug screens CBC cultures 10. Planning for the possible complications and health risks for the emergent care client and the nursing interventions that would be necessary 1) 2) 3) 4) 5) Monitoring devices Wound areas Respiratory distress Cardiac Arrest Symptoms to report 11. Comparing treatment modalities and nursing safe accurate, therapeutic interventions that would be expected for the emergent care client. 1) Surgical 2) Medical 12. Appraising pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that would be expected for the emergent care client 1) 2) 3) 4) 5) Reperfusion therapy Pain management IV therapy Anti-toxins Blood products Classroom References Clinical Upon completion of this unit, the student will have the ability to provide nursing care to the client with selected emergent care alterations. As delineated on the clinical tool, the student will provide nursing care that promotes: 1) 2) 3) 4) a safe and effective environment health promotion and maintenance psychological integrity physiological integrity 2131 Respiratory for the Topical Outline w/Assignments_Lifsey Text Book Lewis Lewis Lewis Lewis Lewis Lewis Topics Substance Abuse-Toxicity of Amphetamines/Cocaine/Depressants Sexual Violence Rape Drugs Abdominal Trauma Renal Trauma Scoliosis Chapters 10 Musculoskeletal Trauma/Sport Related Injuries/Rotator Cuff, Meniscus Injury; Mandibular Fx, Pelvic Fx, Fat Emboli, Compartment Syndrome, Amputations/Traction/ 62 19 45 61 External Fixation, Pin Care, Fractures, Amputations Crush, Chest Trauma Thoracic Injuries Emergency, Terrorism, Disaster, Trauma and Death; Environmental Emergencies (Heat Stroke, Frost Bite, Hypothermia, Drowning, Snake & Human Bites, Poisoning Stroke, Frost Bite, Hypothermia, Drowning, Snake & Human Bites, Poisoning Scoliosis; Abuse and Violence: Child, Older Adult, Intimate Partner Abuse Lewis Lewis Wong Varcarolis Varcarolis Varcarolis Varcarolis Varcarolis Handout Saunders NCLEX Scenario 27 68 13 Amputations/Traction/ External Fixation, Pin Care, Fractures, Amputations 29 Suicide 16 Crisis & Mass Disaster 20 Suicide 23 Anger, Aggression, Violence 24 Sexual Violence 22 Rape Drugs Abuse and Violence: Child, Older Adult, Intimate 21 Partner Abuse Red Flags Posted on BB. Topics pertaining to Unit 7 Outline; Ch 7Optional Reading Emergency, 64-68: Psych. Ch 69 Complex Care Emergency Mass Casualty Practice Selected TBA HESI CASE STUDY Folder: Management Emergent Clinical HESI CASE STUDY Folder: MED/SURG Peripheral Disease w/Amputation Hans HESI CASE STUDY Folder: PEDIATRICS Peds: Preschool Compound Fracture Madison Water HESI CASE STUDY Folder: COMMUNITY Bioterrorism Thomas Tackett Opened on 05/023 Due on 07/13 @ 5:00 p.m. Opened on 05/023 Due on 07/13 @ 5:00 p.m. Opened on 05/023 Due on 07/13 @ 5:00 p.m. Opened on 05/023 Due on 07/13 @ 5:00 p.m.