NURS 263 - Advanced Cardio-Pulmonary Theory by AJ Kikumoto


									           NURS 263 Advanced Cardiopulmonary Theory
                                       Course Syllabus
                           Instructor: Nancy Johnson, MSN, APRN

Course Description
Prerequisites: NURS 256 and NURS 256L with grade of B or Better, RN Licensure..
This course develops advanced nursing theory related to the care of clients and the support of
significant others for clients with cardiopulmonary dysfunction. Focuses on anatomy, physiology
and physical assessment of the cardiac and respiratory system. Application of the nursing process
to specific cardiac and respiratory disorders. 3 cr.

The following Maui Community College Student Learning Outcomes are a focus of the course:
                           2.1 Apply numeric, graphic, and symbolic skills and other
                               forms of quantitative reasoning accurately and
                           2.2 Demonstrate mastery of mathematical concepts, skills,
                                and application, using technology with appropriate.
                           2.5 Define quantitative issues and problems, gather relevant
                                 information, analyze that information, and present
                           5.4 Recognize and understand multiple modes of inquiry,
                                  including investigative methods based on observation
                                  and analysis.
                           5.5 Evaluate a problem, distinguishing between relevant and
                                  irrelevant facts, opinions, assumptions, issues, values,
                                and biases through the use of appropriate evidence.
                           5.6 Apply problem-solving techniques and skills, including the
                                 rules of logic and logical sequence.
                           5.7 Synthesize information from various sources, drawing
                                 appropriate conclusions.

Course Objectives
   1. Upon completion of this course the learner will:
   2. Describe the normal anatomy of the cardiovascular and respiratory systems. Identify the
      major function of anatomic structures of the two systems.
   3. Describe the conduction system of the heart and neurological control of the respiratory
   4. Describe the major function performed during each of the four steps of respiration.
   5. Describe the relationship between stroke volume and end diastolic volume on cardiac
   6. Discuss the physiologic abnormalities that lead to hypoxemia.
   7. Analyze arterial blood gas values, hemodynamic monitoring, SVO2 serial data and
      determine client progress.
   8. Describe a systematic process for assessment of the cardiac and pulmonary systems.
      Interpret physical assessment data.
    9. Describe the physiologic concepts of hemodynamic monitoring and the techniques utilized
        in the care of the critically ill client.
    10. Describe the physiologic and psychologic consequences of ventilator therapy in terms of
        etiology, probable complications and preventive measures.
    11. Utilize the nursing process to develop Nursing Care Plan and Critical Path for critically ill
        clients with selected cardiac and respiratory disorders
    12. Utilize on-line computer technology to access information, collaborate with colleagues, and
        complete evaluation procedures.
    13. Describe the key ethical and psychosocial issues for caregiver, client, and significant others
        in the critical care unit.
    14. Demonstrate clinical judgment in simulated critical care situations.

Course Outline

Date                   Topic
                       Introduction, Course Requirements
Week of August 21
                       Ethics in Critical Care & Emergency Room
                       Basic concepts in critical care, ABGs, Electrolytes, Enzymes
                       Functional Cardiac Anatomy
Week of August 31
                       Dissection of cow heart & cannulation of coronary arteries.
Week of September 7    Cardiac Physiology
                       Cardiac Assessment & Diagnostic Tests,
Week of September 14

                       Analysis of hemodynamic monitoring.
Week of September 21
                       Procedures with hemodynamic monitoring.
                       Cardiac Case Study 1 Aortic Stenosis, cardiac catherization, valve replacement.
Week of September 28

Week of October 5      Cardiac Case Study 2 Cardiomyopathy, medical surgical treatments.
Week of October 12     Cardiac Case Study 3 MI, Thrombolytic therapy, pacemakers.
Week of October 19
                       Cardiac Case Study 4 Cardiogenic Shock, Intraaortic balloon pump, left ventricular assist
                       Functional Respiratory Anatomy & Physiology
Week of October 26
                       Complications of Artificial airways, intubation & pulmonary function testing.
                       Pulmonary Assessment & Diagnostic Tests
Week of November 2
                       Therapeutic Management, bi-pap, Ventilator Therapy

Week of November 9
                       Respiratory Case Study 1 COPD, Pneumonia, Intubation & mechanical

Week of November 115   Respiratory Case Study 2 Lung Cancer, penumonectomy, and pulmonary
Week of November 23   Thanksgiving Holiday
Week of November 30   Respiratory Case Study 3 Adult Respiratory Distress Syndrome & PEEP
                      Respiratory Case Study 4-Asthma
Week of December 7
                      Cardiac & Respiratory Emergencies
Week of December 11   Final Exam

Course Evaluation
        Weekly 0n-line quizzes-55%
        Journal Article Review 15%
        Case Presentation/simulation 10%
        Final Examination 15%
        On-line discussion & postings 5%

        Thelan, L., Davis, E., Urden, L, Lough, M, Critical Care Nursing. 4th Ed, Mosby, 2006.
        Guyton, Arthur, TEXTBOOK OF MEDICAL PHYSIOLOGY. W.B. Saunders Company,
        NURSING, 4th ed., Mcgaw-Hill, New York, 1998.
        Focus on Critical Care
        Critical Care Nurse
Learning Activities
        Weekly Quizzes
        Cardiac or Pulmonary Case Study
        Journal Article Review

Literature Review Guidelines and Criteria
Select 3 journal articles from critical care or medical journals related to the critically ill client you
have cared for. The articles must have been published on the internet or in professional journals
within the past 5 years.
 a. Cover page: Student Name, Course Number and Title
                         Assignment: Literature Review
 b. Use APA format for listing references (see MCC Nursing Program example).
 c. Suggested length: 1-3 pages per article (3 required), typed and double spaced. Use
     correct spelling, sentence structure and grammar.
 d. Include a Xerox copy of each article with your review.
  a. Briefly summarize the article. Do not copy the article abstract.
 b. Describe the relationship of the article to the medical and nursing care of the
     critically ill client.
 c. Discuss ways this article could guide your nursing practice.
    Include whether you would recommend this article to others to read.
         Format of Review                    1 point possible per article
         Content of Review                   5 points possible per article
      Assignment is due by December 14. Don't wait until the last minute! Use of E-mail (in
      WEBCT or, fax (808-249-2175), turning the assignment in to the
      MCC Nursing Program Office or mailing it to Maui Community College, Nursing
      Division, 310 Kaahumanu Avenue, Kahului, Hawaii 96732 are all acceptable methods.

            Grade is awarded to presentation team for materials prepared
               and simulation done for class members.
      Summary of patient information complete (5)
        (brief written pt description, HPI, important lab values)
      References current and applicable (5)
        2 journal articles: Within last 5 years, one from
        critical care journal
       (FAX or give articles to Nancy one week prior to presentation)
      Presentation (5)
      Initial picture sets the stage
       (Nancy will provide summary)
      Pathophysiology (20)
      Biopsychosocial assessments-logical & systematic –used in simulation
        (Physical exam, social, psychological, diag tests (20)
      Complete Nursing Diagnosis List in Priority Order (5)
      Nursing Process (25)
         Priority #1 Nursing Diagnosis-Physiologic
                      Expected Outcomes(EO)-Short term & long-term
                      Nursing Interventions applicable to EO
          Priority #2 Nursing Diagnosis-Physiologic
                      Expected Outcomes(EO)-Short term & long-term
                      Nursing Interventions applicable to EO
          Priority #3 Nursing Diagnosis-Physiologic
                      Expected Outcomes(EO)-Short term & long-term
                      Nursing Interventions applicable to EO
          Priority #4 Nursing Diagnosis-Physiologic
                      Expected Outcomes(EO)-Short term & long-term
                      Nursing Interventions applicable to EO
          Priority #5 Nursing Diagnosis-Psychosocial
                      Expected Outcomes(EO)-Short term & long-term
                      Nursing Interventions applicable to EO
Evaluation-discussion of possible results (5)
  (Consideration of economic factors, nursing care time,
   desirability from client/family view point)
Validation of learning-Evaluation quiz/game or puzzle (5)
                                                            TOTAL 100

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