Download NURS 315/501 Bootcamp

NURS 315/501 Bootcamp
Lecture:
Disorders of cardiac function
Perfusion of the Heart
Describe how is the myocardium
supplied with oxygen.
Discuss the factors that regulate blood
flow to the myocardium.
Volume, pressure, resistance, and flow
Cardiac Conduction System
Describe the cardiac conduction system.
SA node, AV node, Bundle of His, bundle
branches, Purkinje fibers
Coronary Perfusion and
Electrical Activity
Describe the 3 phases of the action
potential.
Resting membrane potential
Depolarization
Repolarization
Correlate the ECG events with the
mechanical events of a cardiac cycle.
Phases of the Action Potential
Describe the 5 phases of a cardiac
action potential.
Phase
Phase
Phase
Phase
Phase
4
0
1
2
3
Coronary Heart Disease
Describe the pathogenesis of CAD.
Discuss how does atherosclerosis in coronary
arteries can lead to ischemia, injury, and
infarction.
Compare and contrast ischemia, injury, and
infarction.
Describe the pathologic changes associated
with MI.
Coronary Heart Disease
Schematically represent the 2 types of
coronary heart disease.
Coronary Heart Disease
Acute Coronary
Syndrome:
Define unstable
angina
Describe changes in
ECG and serum
markers during a
NSTEMI vs. STEMI.
What does abnormal
Q-waves in a 12-lead
ECG mean?
Coronary Heart Disease
Chronic Ischemic
Disease.
Compare and
contrast stable
angina,
variant/vasospastic
angina, and silent
myocardial
infarction.
Coronary Heart Disease
Identify the goals for the management
of angina, CHD, and AMI.
Describe the management strategies
utilized to achieve management goals.
Anti-anginal drugs
Anti-platelet therapy
Anticoagulant therapy
Heart Failure
Describe the common
causes of heart failure.
Describe the cycle
through which
compensatory
mechanisms lead to
heart failure and how is
the cycle perpetuated.
Describe the
compensatory
mechanisms involved in
the physiologic
response to decreased
cardiac output.
Heart Failure
Distinguish between
systolic and diastolic
heart failure.
Distinguish between
right and left sided
heart failure.
Identify the goals of
HF management.
Heart Failure
Describe the role of diuretics in the
management of HF
Describe how ACE-I and ARB’s achieve the
goals for HF management.
Describe the function of beta-blockers in the
management of HF.
Describe the function of digoxin in the
management of HF.
What role does calcium channel blockers play
in the management of HF?
Disorders of Valve Function
Compare and contrast the following disorders
of valve function:
Mitral stenosis
Mitral regurgitation
Aortic stenosis
Aortic regurgitation
Disorders of cardiac electrical
conduction
Compare and
contrast the
following sinus
dysrhythmias;
Normal sinus rhythm
Sinus bradycardia
Sinus tachycardia
Sinus dysrhythmia
Compare and
contrast the
following atrial
dysrhythmias:
Premature atrial
contraction
Atrial flutter
Atrial fibrillation
Disorders of cardiac electrical
conduction
Compare and
contrast the
following ventricular
dysrhythmias:
Premature
ventricular
contraction
Ventricular
tachycardia
Ventricular fibrillation
Compare and
contrast the
following atrioventricular
conduction
dysrhythmias:
1st degree AV block
2nd degree AV block
3rd degree AV block
Disorders of cardiac electrical
conduction
Outline in a table:
The four classes of anti-dysrhythmic
drugs,
Agents classified under the class,
Their mechanism of action,
Indications,
Adverse effects,
Special considerations.
Shock
Define shock
Name an important
serum marker used to
assess cellular aerobic
metabolism in tissues.
Identify SNS
compensatory
mechanisms to ensure
adequate tissue
oxygenation.
Shock
Compare and contrast the 4 types of
circulatory shock.
Name common complications of shock on
organ systems.
Shock
What is the ultimate
goal of therapy in
management of
shock?
Identify mechanisms
to ensure adequate
oxygen delivery
during shock.