LORENZO WALKER INSTITUTE OF TECHNOLOGY
PRACTICAL NURSING PROGRAM
COURSE:
Medical Surgical 1 - Cardiovascular Nursing
PLACEMENT:
Semester 2
TIME ALLOTMENT:
40 Hours
PURPOSE: The purpose of this course is to introduce the student to cardiovascular nursing
care concepts that will enhance their ability to provide care for the patient with cardiovascular
diseases and disorders utilizing nursing principles (34.07).
COURSE DESCRIPTION: This course will review cardiovascular structure and function
(28.03), identify signs and symptoms of diseases/disorders of the cardiovascular system (34.01),
identify diagnostic tests and medications used in the treatment of cardiovascular
diseases/disorders (34.02, 34.03), and identify nutritional needs of patients with cardiovascular
diseases/disorders (34.04).
SUMMARY OF UNITS:
Unit I: The Patient with Diseases/Disorders of the Heart
Unit II: The Patient with Diseases/Disorders of the Blood Vessels.
Unit III: The Patient with Diseases/Disorders of the Hematopoietic System.
METHODS OF EVALUATION:
Evaluation will be based upon written objective tests and
quizzes as well as instructor assigned projects/assignments, class participation and preparedness.
COURSE REQUIREMENTS:
For successful completion of this course, the student must
have an average grade of 80% based on the three unit exams/quizzes and other unit assignments.
Additionally, the student must maintain an average score of 80% from all methods of evaluation
which includes a Cardiovascular Pharmacology Calculations Quiz.
METHODS OF INSTRUCTION:
Required readings
Written Assignments
Lecture/Discussion
Guest lecturers
Cooperative learning
Multimedia presentations
Laboratory Experiences
REFERENCES:
Castaldi, PA Study Guide for Christensen and Kockrow Foundations of Nursing, St. Louis:
Mosby/Elsevier, 2006.
Christensen, BL and Kockrow, EO, Foundations of Nursing, 5th edition, St. Louis:
Mosby/Elsevier, 2006.
Deglin, J and Vallerand, A., Davis’s Drug Guide for Nurses, 10th ed., Philadelphia: FA Davis
Company, 2007.
FA Davis, Taber’s Cyclopedia Medical Dictionary, Philadelphia: FA Davis Company, 20th ed.,
2005.
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Section D, Page 1 of 9
Linton, AD, Introduction to Medical Surgical Nursing, Philadelphia: Saunders/Elsevier, 2007.
Maebius, NK, Study Guide for Linton Introduction to Medical-Surgical Nursing, Philadelphia:
Saunders/Elsevier, 2007.
Myers, E and Hopkins, T., LPN Notes, 2nd ed., Philadelphia: FA Davis Company, 20th ed., 2007.
Ogden, S, Calculation of Drug Dosages, 8th ed., St. Louis: Mosby/Elsevier, 2007.
Pagano, KD and Pagano, TJ, Mosby’s Diagnostic and Laboratory Test Reference, 8th ed. 2008.
Scanlon, Valerie and Sanders, Tina, Essentials of Anatomy and Physiology, 5th ed.
Philadelphia: F.A. Davis Company, 2007.
Scanlon, Valerie and Sanders, Tina, Student Workbook for Essentials of Anatomy and
Physiology, 5th ed. Philadelphia: F.A. Davis Company, 2007.
Silvestri, LA, Saunders Comprehensive Review for NCLEX-PN, 3rd ed., Philadelphia:WB
Saunders Co., 2007.
Sparks, Sheila and Taylor, Cynthia, Nursing Diagnosis Reference Manual, 7th ed. Pennsylvania:
Lippincott, Williams and Wilkins, 2008.
Virtual Clinical Excursions – Skilled Nursing; for Christensen and Kockrow Foundation of
Nursing 5th ed., 2007
Virtual Clinical Excursions – Medical Surgical; for Linton Introduction to Medical Surgical
Nursing, 4th ed., 2007.
Instructor selected handouts/multimedia
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Section D, Page 2 of 9
Unit I - The Patient with Diseases/Disorders of the Heart
UNIT OBJECTIVES:
At the completion of this unit, the student will be able to:
1.
Describe the structure and function of the heart, blood and lymph.
2.
Describe significant risk factors related to cardiovascular disease.
3.
Discuss the nurses role in risk factor reduction including nutritional modification.
4.
Differentiate between arteriosclerosis and atherosclerosis and identify the
pathophysiology of each.
5.
Describe the pathophysiology of a specific heart disease or complication and describe
relevant treatment, nursing observations and interventions:
- Coronary Artery Disease (Coronary Atherosclerosis, Angina Pectoris, Myocardial
Infarction)
- Arrhythmias/Dysrhythmias
- Cardiogenic Shock
- Congestive Heart Failure
- Cardiomyopathy
6.
Define diagnostic testing related to specific cardiovascular diseases.
7.
Describe appropriate nursing observations and actions to be taken when a patient reports
chest pain.
8.
Discuss the rationale for drug treatment used for cardiovascular disease.
9.
List signs of digitalis toxicity and related interventions.
10.
Describe the pathophysiology, treatment and nursing interventions of inflammatory heart
conditions of the cardiovascular system:
- Rheumatic Fever and Valvular Sequelae
- Bacterial Endocarditis
- Pericarditis
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REVIEW ANATOMY & PHYSIOLOGY - WORD LIST
Endocardium
Aorta
Myocardium
Sinoatrial (SA) Node
Epicardium
Bundle of His
Pericardium
Bundle Branches
Septum
Purkinje Fibers
Right Atrium
Coronary Arteries
Right Ventricle
Cardiac Output
Left Atrium
Veins
Left Ventricle
Arteries
Tricuspid Valve
Capillaries
Mitral Valve
Lymph
Pulmonic Valve
Erythrocyte
Aortic Valve
Leukocyte
Inferior Vena Cava
Platelets
Superior Vena Cava
Plasma
Pulmonary Artery
Hemoglobin
Pulmonary Vein
UNIT I:
WORD LIST
Arteriosclerosis
Myocardial Infarction
Atherosclerosis
Collateral Circulation
Hypertension
Sinus Tachycardia
Electrocardiogram
Sinus Bradycardia
Echocardiogram
Atrial Fibrillation
Angiogram
Arteriogram
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Cardiac Catheterization
Congestive Heart Failure
Arrythmia
Thrombus
Streptokinase
Embolus
T.P.A.
Myocarditis
Angioplasty
Endocarditis
Angina Pectoris
Pancarditis
Stenosis
Mitral Stenosis
Ischemia
Cardiomyopathy
Necrosis
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to
enhance learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN
Comprehensive Review Text.
Review the following classifications of Cardiac medications. Know their use and action:
Inotropics/Cardiotonics
Antiarrythmics
Antihypertensives
Diuretics
Antianginals
Anticoagulants
Antiplatelet Agents
Lipid Lowering Agents
Thrombolytic Agent
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Unit II - The Patient with Diseases/Disorders of Blood Vessels
UNIT OBJECTIVES:
At the completion of this unit, the student will be able to:
1.
Describe the pathophysiology, treatment and nursing care of hypertension.
2.
Identify and/or describe the pathophysiology, diagnostic testing, and treatment of
cerebrovascular disease.
3.
Identify and define the various signs and symptoms of cerebral vascular accident.
4.
Describe transient ischemic attacks and discuss the diagnosis, treatment and related
nursing measures.
5.
Identify and/or discuss the cause, diagnostic testing and nursing management of a patient
with a cerebral aneurysm.
6.
Identify the nursing management of the patient during the acute phase of a cerebral
vascular accident.
7.
Identify and/or discuss the various methods of rehabilitation of the patient with a cerebral
vascular accident.
8.
Describe peripheral vascular diseases/disorders and required nursing management:
- Peripheral Arterial Occlusive Disease
- Buerger's Disease
- Aneurysms
- Arterial Embolism
- Raynaud's Disease
- Venous Thrombosis, Thrombophlebitis
- Chronic Venous Insufficiency
- Varicose Veins
9. Identify or list the nursing responsibilities of anticoagulant therapy, including nutritional
guidelines.
10.
Define, spell correctly and pronounce all words on Unit II Word List.
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Section D, Page 6 of 9
UNIT II:
WORD LIST
Receptive Aphasia
Hemiparesis
Expressive Aphasia
Flaccid
Intermittent Claudication
Aneurysm
Hemianopsia
Thrombophlebitis
Labile
Phlebitis
Ischemia
Pulmonary Embolism
Infarction
Homan's Sign
Hemiplegia
UNIT II:
1.
Antihypertensives
a.
b.
c.
d.
e.
f.
g.
2.
Angiotensin Converting Enzyme (ACE) Inhibitors
Beta-adrenergic Blockers
Calcium Channel Blockers
Centrally Acting Adrenergics
Diuretics
Peripherally Acting Antiadrenergics
Vasodilators
Anticoagulants
a.
b.
c.
3.
DRUG LIST
Warfarin
Heparin
Enoxaparin
Antiplatelet Agents
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to
enhance learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN
Comprehensive Review Text.
PNCARDIOSCP
Rev. 6/08 JP/FA/MC/ML
Section D, Page 7 of 9
Unit III - The Patient with Diseases/Disorders of the Hematopoietic System
UNIT OBJECTIVES:
At the completion of this unit, the student will be able to:
1.
Differentiate between iron deficiency anemia, pernicious anemia, aplastic anemia, and
sickle cell anemia according to pathophysiology, symptoms, treatment, and nursing
management.
2.
Describe diagnostic tests related to diseases/disorders of the hematopoietic system
2.
Describe nursing management of the patient receiving a blood transfusion.
3.
Define the major aspects of diagnosis, treatment and nursing management of the patient
with Leukemia, Hodgkin's disease, Non-Hodgkin’s Lymphoma and Multiple Myeloma.
4.
Define and describe the differences between the following bleeding disorders:
-
Thrombocytopenia
ITP
Hemophilia
DIC
5. Discuss treatment and nursing interventions in patients with bleeding disorders.
6. Define, spell correctly and pronounce all words on Unit III Word List.
UNIT III:
WORD LIST
Hematopoietic
Splenectomy
Anemia
Agranulocytosis
Hemoglobin
Leukemia
Type and Crossmatch
Lymphoma
Whole Blood
Purpura and Petechiae
Packed Red Cells
Hemophilia
Plasma
D.I.C.
Serum Albumin
Thrombocytopenia
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Section D, Page 8 of 9
STUDENT ACTIVITIES:
Students are expected to complete workbook activities that correspond with chapter readings to
enhance learning and facilitate successful completion of this course.
Instructors may assign workbook activities to be submitted for review/grading.
It is also recommended that students complete corresponding sections in NCLEX-PN
Comprehensive Review Text.
PNCARDIOSCP
Rev. 6/08 JP/FA/MC/ML
Section D, Page 9 of 9