Suffolk County Community College
Michael J. Grant Campus
Sayville Center
NUR240-Adult Physical Health Nursing II
Lecturer: Joy Borrero, RN, MSN
Ruth Kolk, RN, MS, CEN
Spring 2011
LECTURE SCHEDULE & READING ASSIGNMENTS
A variety of teaching methods will be utilized, including case studies, power point presentations, group work and
student presentations. To maximize the class time, students are expected to come prepared to discuss the
scheduled topic. Student readings should be based on all the text books listed on required reading list. Please refer
to Clinical Skills book, Health Assessment, Nursing Diagnoses, Pharmacology text and Drug Guide and Nutrition
Texts for related readings. ATI refers to Adult Med-Surg, ATI Pharm refers to ATI Pharmacology 4.1.
DATE
TOPIC
READING ASSIGNMENTS
M 1/24
COURSE OVERVIEW
DOSAGE CALCULATION ASSESSMENT
Begin Cardiovascular assessment
IGNATAVICIUS- Chapters 35, 40.
ATI- Chapters 23, 24, 34.
NUTRITION: Low Cholesterol diet.
PHARMACOLOGY- Nitrates, Antilipemics
IGNATAVICIUS- Chapters 35, 40.
ATI- Chapters 23, 24, 34.
NUTRITION: Low Cholesterol diet.
PHARMACOLOGY- Nitrates, Antilipemics.
W 1/26
M 1/31
CARDIAC STRESSORS
CV Assessment, Acute Coronary Syndrome,
Angina, MI
PTCA, CABG
W 2/2
Rhythms, Arrhythmias, Dysrhythmias,
Pacemaker, AICD
Rhythm Strip Interpretation
M 2/7
W 2/9
Heart Failure, Pulmonary edema, cardiogenic
shock,
Self study: disorders of cardiac structure.
Valvular disorders, pericarditis, cardiomyopathy
M 2/14
PERIPHERAL VASCULAR STRESSORS
Peripheral arterial disease, AAA, Acute and
chronic arterial occlusion, Raynaud’s, Buerger’s
Disease, Thromboangiitis obliterans, HIT
IGNATAVICIUS- Chapter 38.
ATI- Chapters 30,31.
PHARMACOLOGY- Antiplatelets, Heparin,
Coumadin, anticoagulants
W 2/16
VENOUS AND LYMPHATIC STRESSORS
Chronic venous insufficiency, DVT,
Lymphedema
IGNATAVICIUS- Chapter 38.
W 2/23
UNIT EXAM 1
M 2/28
W 3/2
RESPIRATORY STRESSORS
Pulmonary embolism, Lung CA, Chest trauma,
Pneumothorax, Hemothorax, Thoracic surgery,
Chest tubes, Respiratory failure, ARDS,
Ventilators
IGNATAVICIUS- Chapters 36.
ATI Chapter 20, 22.
PHARMACOLOGY- Antiarrhythmics
Beta Blockers, Calcium Channel Blockers
IGNATAVICIUS- Chapters- 37, 39 (pp.826830)
ATI- Chapters 32, 33, 35, 36.
PHARMACOLOGY- Thrombolytics,
Vasopressors, Anticoagulants, Diuretics.
NUTRITION- Low Na diet.
IGNATAVICIUS- Chapters 29, 32 (pp 641652), 34.
ATI-Chapters 6, 7, 8, 10, 15-19.
PHARMACOLOGY- bronchodilators,
steroids, decongestants, antihistamines,
antitussives
W 3/7
M 3/9
ENDOCRINE STRESSORS
Endocrine assessment
Pituitary, Adrenal, Thyroid & Parathyroid
Dysfunction
IGNATAVICIUS- Chapters 64, 65, 66,
ATI- Chapters 51-58.
PHARMACOLOGY- Hormones & thyroid
meds.
M 3/14
ARTHRITIC AND CONNECTIVE TISSUE
STRESSORS
Osteoarthritis, Rheumatoid arthritis, Gout, SLE
Hip and Knee Replacement
IGNATAVICIUS- Chapters 20
ATI- Chapters 99, 103, 109, 110.
PHARMACOLOGY- NSAIDS
W 3/16
MUSCULOSKELETAL STRESSORS
Osteoporosis, Rheumatoid arthritis; Gout, SLE
Joint Replacement Surgery
UNIT EXAM 2
IGNATAVICIUS- Chapters 52, 53, 54, 45.
ATI- Chapters 98, 99, 100, 101, 102
W 3/23
GASTROINTESTINAL STRESSORS
GERD, Peptic Ulcer, Gastric Ca,
Morbid Obesity and Bariatric Surgery
IGNATAVICIUS- Chapters 57, 58, 63
(1402-1410).
ATI- Chapters 61, 64, 66, 67,
PHARMACOLOGY- Proton pump
inhibitors.
M 3/28
Peritonitis, Inflammatory Bowel Disease,
Diverticular Disease, Colon Ca, Intestinal
Obstruction, Irritable Bowel Syndrome
Self study: Hernias, Ostomy care
IGNATAVICIUS- Chapters 59, 60.
ATI- Chapters 62, 71, 72.
W 3/30
HEPATO-BILIARY STRESSORS
Choleycystitis, Pancreatitis, Pancreatic Ca
Cirrhosis, Hepatitis, Liver Ca and transplantation
IGNATAVICIUS- Chapters 61, 62.
ATI-Chapters 73-77
M 4/4
GENITOURINARY STRESSORS
UTI, Bladder Ca, Urinary Diversions, Renal
Colic/ Calculi, Polycystic kidney disease
IGNATAVICIUS- Chapters 68, 69.
ATI- Chapters 45, 46, 47
W 4/6
Acute/chronic renal failure
Dialysis, Renal Transplant.
IGNATAVICIUS-Chapter 71
ATI-Chapters 42, 43, 50
M 4/11
FEMALE GYNECOLOGIC STRESSORS
Uterine, cervical, ovarian Ca
IGNATAVICIUS- Chapter 74.
ATI- Chapters 117, 118, 120, 123.
MALE REPRODUCTIVE DISORDERS
BPH, Prostate Ca, Testicular Ca
IGNATAVICIUS-Chapters 75.
ATI- Chapters 119,121, 122.
M 3/21
W 4/13
UNIT 3 EXAM
M 4/25
HEMATOLOGIC STRESSORS
Anemias, Polycythemia Vera, DIC
Chronic Leukemia
Self Study: review blood transfusions
IGNATAVICIUS- Chapters 41, 42
ATI-Chapter 26, 27
Nutrition: Iron rich foods
W 4/27
NEUROLOGICAL STRESSORS
ALC (Altered Level of Consciousness), Increased
ICP, Traumatic Brain Injury, Brain Tumors
IGNATAVICIUS- Chapters 43, 47
ATI- Chapter 78.
Revised 1/11 JB
M 5/2
Spinal Cord Injury, Back Pain
CVA/TIA, Carotid Endartarectomy
IGNATAVICIUS- Chapters 45,47
ATI- Chapters 83, 88, 89.
W 5/4
Chronic Neurological Disorders:
Parkinson’s, Huntington’s, MS, ALS,
Guillain-Barre’, Myasthenia Gravis
IGNATAVICIUS- Chapters 44, 45, 46, 47
ATI- Chapters 82, 84, 85, 86, 87, 90.
M 5/9
BURNS
SHOCK STATES
IGNATAVICIUS- Chapters 28, 39
ATI- Chapter 115
W 5/11
STRESSORS RELATED TO DISASTERS
Emergency Nursing
IGNATAVICIUS- Chapters 10, 11,12.
ATI- Chapters 1, 2, 35
M 5/16
UNIT 4 EXAM
IMPORTANT DATES TO REMEMBER
1/25 or 1/28
ACE #1: On campus
2/21
President’s Day- No classes
3/22
All College Day – No Classes
3/24
Mid-semester
4/16-4/24
Spring Recess
TBD
ACE #2:
½ day clinical
½ day on campus
Rhythm strip interpretation
Code Blue/Sims Lab
TBD
ACE #3:
Clinical Presentations
ATI Med-Surg
Final Clinical Evaluations
5/18-5/19
College Make-up Days
5/18
ATI RN Comprehensive Predictor
5/20
Nursing Pinning Ceremony
5/22
Commencement
Cellphones and electronic devices must be shut off during lectures class.
Note well: On Exam day, students will not have access to cell phones or any electronic devices for the
ENTIRE lecture class.
ATI Testing: Please have paper/pencil and computer ID available.
Revised 1/11 JB