Download Perfusion

PERFUSION
RNSG 2539
Health Care Concepts 4
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
Tetralogy of Fallot (Congenital)
Patent Ductus Arteriosus (PDA)
Septal Defects (VSD)
Coarctation of Aorta
Dysrhythmias
Myocardial Infarction (MI)
Sudden Death
Shock
Aneurysms
Objectives
1. Explain the correlation between the listed exemplars to the concept of Perfusion
(including compromised antecedents, deficit in attribute measurement, negative
consequences and interrelated concepts which may be involved).
2. Analyze conditions which place a patient at risk for Perfusion imbalance resulting in the
listed exemplars.
3. Identify when Perfusion imbalance (negative consequence) is developing or has
developed into the listed exemplars.
4. Apply the nursing process (including collaborative interventions) for individuals
experiencing the listed exemplars.
Sub-Objectives
1. Identify the diagnostics and laboratory tests used to identify Dysrhythmias, Myocardial
Infarctions, and shock.
2. Compare and Contrast emergency treatment for atrial and ventricular Dysrhythmias.
3. Explain the correlation between dysrhythmias and myocardial Infarction.
4. Explain how Shock is influenced by dysrhythmias and myocardial infarction
Prior to class Assignments
Review the following content from previous courses
 Cardiac Anatomy and Physiology
 Perfusion Concept Analysis Diagram
Readings/Viewings
1
PERFUSION
See Blackboard for further reading assignment
Internet:
Dysrhythmias-Sudden Death
(http://www.youtube.com/watch?v=_50jV3DKryQ)
Myocardial Infarction
(http://www.youtube.com/watch?v=BL92vtuj9nc)
Shock
(http://www.youtube.com/watch?v=Eipht99mh0g)
Content Outline:
Concept: Perfusion
1. Definition: Perfusion -The flow of blood through arteries and capillaries delivering
nutrients and oxygen to cells and removing cellular waist.
 Sub-Concepts
o Pump Performance – Cardiac Output: Stroke Volume x Heart Rate
o Vascular Tone – Narrowing of arteries = increase resistance; dilated arteries =
demand for increased circulating blood volume. Veins are capacitance
vessels.
o Volume – Circulating blood volume = Plasma, different types of blood cells,
and proteins. Proteins maintain the oncotic pressure and prevent the third
spacing of circulating blood volume.
2. Antecedents
 Functioning Cardiopulmonary System
 Adequate Fluid Volume
 Free from clots and Atherosclerotic Blocks
3. Risk Factors
4. Correlation of exemplars
 Tetralogy of Fallot (Congenital)
o Patent Ductus Arteriosus (PDA)
o Septal Defects (VSD)
o Coarctation of aorta
 Dysrhythmias -Sudden Death
o Interrelated Concepts – Clotting, Pain, Inflammation, Mobility, Patient
Education
 Myocardial Infarction (MI)
o Interrelated Concepts – Clotting, Pain, Inflammation, Gas Exchange, Mobility,
Cognition, Elimination, Tissue Integrity, Patient Education
 Shock
o Interrelated Concepts – Pain, Inflammation, Gas Exchange, Mobility,
Cognition, Elimination, Fluid & Electrolytes, Patient Education
 Aneurysms
J: Level IV Concepts/Syllabus 2017
11/11/16
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