Download Perfusion

PERFUSION
RNSG 1533
Health Care Concepts II
Concept – PERFUSION
Concept Definition
Perfusion is the flow of blood through arteries and capillaries delivering nutrients and oxygen to
cells and removing cellular wastes.
Exemplars
 Basic ECG Rhythms
 Congestive Heart Failure
 Hypertension
 Gestational Hypertension
 Mitral Valve Prolapse
 Coronary Artery Disease (CAD)
 Peripheral Vascular Disease (PVD)
Objectives
1. Explain the correlation between each of the listed exemplars to the concept of Perfusion
(including compromised antecedents, deficit measurement in attributes, a list of negative
consequences, and the interrelated concepts which may be involved).
2. Identify conditions that place an individual at risk for imbalance leading to compromised
Perfusion resulting in the listed exemplars (exception of Basic ECG Rhythms),
3. Apply the nursing process with collaborative interventions for individuals experiencing the
listed exemplars (exception of Basic ECG Rhythms).
Sub Objectives
Basic ECG Rhythms
1. Explain the electrical conduction of the heart.
2. Discuss the correlation of the ECG waves to the cardiac conduction.
3. Describe the lead placement for an ECG.
4. Calculate the heart rate from an ECG paper strip.
5. Identify a normal sinus rhythm, sinus bradycardia, sinus tachycardia, and a sinus
arrhythmia.
Peripheral Vascular Disease (PVD)
1. Describe the pathophysiology, risk factors and clinical manifestations for a patient with
PVD.
2. Identify the current treatments for a patient with PVD
3. Identify two priority nursing diagnosis for a patient with PVD
4. Identify two priority education topics for a patient with PVD
Hypertension
1. Explain the correlation between primary hypertension to the concept of perfusion
(including compromised antecedents, deficit measurement in attributes, a list of
negative consequences, and the interrelated concepts which may be involved).
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2. Identify conditions that place an individual at risk for imbalance leading to a
compromised concept(s) resulting in hypertension.
3. Apply the nursing process with collaborative interventions for individuals experiencing
Primary hypertension.
Gestational Hypertension
1. Differentiate among gestational hypertension, preeclampsia/eclampsia, and chronic
hypertension. Identify patient education, medications, interventions and collaborative
management required by patients with gestational hypertension.
2. Identify the pathophysiological process underlying gestational hypertension.
3. Compare care management for patients with mild pre-eclampsia vs. care with severe
preeclampsia.
4. Identify current medication therapy for patients with gestational hypertension.
Congestive Heart Failure
1. Explain the pathophysiology, clinical manifestations and risk factors for congestive heart
failure
2. Identify the types of congestive heart failure
3. Describe the current treatments for congestive heart failure
4. Develop a plan of care for a patient with congestive heart failure
5. Identify the top 2 nursing diagnosis for a patient with congestive heart failure
Mitral Valve Prolapse
1. Explain the pathophysiological process underlying MVP and its clinical manifestations.
2. Describe the patient teaching, nursing interventions, and collaborative activities likely to
be required for patients who have MVP.
3. Explain the preventative techniques patients with MVP need to follow.
Coronary Artery Disease (CAD)
1. Explain the etiology and pathophysiology of CAD and how it progresses to Coronary
Artery Occlusions.
2. Enumerate the preventative measure than can be taken at the primary, secondary, and
tertiary levels to prevent CAD or maximize the person’s health and quality of life.
3. Explain the screening measures that can be taken to assess a person for early stages of
Coronary Artery Disease.
4. Describe the major areas where patient teaching is required: Diet, Exercise, Stress
Reduction, Smoking Cessation, Weight Control, and management of comorbidities such
as Diabetes Mellitus Type I or II.
5. Explain the treatment modalities and how they work from Stress, Cholesterol and Blood
Pressure Control, Angina, Coronary Angiograms, PTCA, Stints, to CABG.
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Assignments
Review the following content from previous courses
 Perfusion Concept Analysis Diagram
 Giddens text: Chapter 15 - Perfusion
Prior to class:
*Page numbers, assignments, and other lecture information will be posted on blackboard in a
READ ME file.
Complete the assigned reading.
 Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2014). Medical
surgical nursing (9th ed). St. Louis: Mosby Elsevier.
 Chapter 32: Nursing Assessment of Cardiovascular System
 Chapter 33: Hypertension
 Chapter 34: Coronary Artery Disease
 Chapter 35: Heart Failure
 Chapter 36: Dysrhythmias
 Chapter 37: Inflammatory and Structural Heart Disorder; Mitral Valve Prolapse
 Chapter 38: Vascular Disorders; Peripheral Vascular Disease (PVD/PAD)
 McKinney, E, James, S., Murray, S., Nelson, K., & Ashwill, J. (2013). Maternal-child
nursing (4th ed). St. Louis: Elsevier Saunders.
 Chapter 25: Pregnancy-Related Complications; Gestational Hypertension
 Burchum, J. & Rosenthal, L. (2015). Lehne’s pharmacology for nursing care (9th ed). St
Louis: Elsevier Saunders
 Chapter 18: Adrenergic Antagonists
 Chapter 19: Indirect-Acting Antiadrenergic Agents
 Chapter 41: Diuretics
 Chapter 44: Drugs Acting on the Renin-Angiotensin-Aldosterone System
 Chapter 45: Calcium Channel Blockers
 Chapter 46: Vasodilators
 Chapter 47: Drugs for Hypertension
 Chapter 48: Drugs for Heart Failure
 Chapter 50: Prophylaxis of Atherosclerotic Cardiovascular Disease
Internet
Heart Failure
https://www.youtube.com/watch?v=3YddwXPWVSc
https://www.youtube.com/watch?v=hi9J1ayWsbQ
https://www.youtube.com/watch?v=uReH_8TL_gU
Hypertension
https://www.youtube.com/watch?v=GpuZHv60Fj8
https://www.youtube.com/watch?v=wjTMdYT6kXo
https://www.youtube.com/watch?v=4jRy-YlZONA
CAD
https://www.youtube.com/watch?v=vUVljd0vweU
https://www.youtube.com/watch?v=Ta_HNfU5aDM
Vascular Disorder: PAD
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PERFUSION
https://www.youtube.com/watch?v=yvLL-fBE-yg
Vascular Disorder: PVD
https://www.youtube.com/watch?v=D2q6vTqR-jc
ECG Rhythm Learning
https://www.youtube.com/watch?v=4vkbywows-o
Concept Content Outline
For Each Exemplar:
Pathophysiology
Risk Factors
Nursing Process
Assessment: Comprehensive history
Physical assessment
Cultural, behavioral, social assessment
Physical and psychological clinical manifestations
Diagnostic tests
Planning
Implementation: Nursing; Primary, Secondary, & Tertiary, Teaching
Collaborative, Pharmacological therapy, Non-Pharmacological
therapy, Procedural therapies
Positive Outcomes:
Oriented
Appropriate organ function
Warmth
Negative Outcomes:
Physiological
Psychological
Rev. 11/2015
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