NURS 2245 - Intermediate Adult Medical-Surgical Nursing A Credit Hours: 1.50 Prerequisites: Admission into the Nursing Program; NURS 2156 and NURS 2175 all with grade C or better, or grade Pass (if the course is a Pass/Fail course)
Corequisites: NURS 2265
(replaces but does not equate to NURS 2510)
This theory course focuses on planning safe, culturally-diverse, patient-centered nursing care for patients experiencing problems related to the cardiovascular and hematologic systems. It emphasizes using evidence-based practice and quality improvement initiatives to develop critical thinking skills in caring for patients and their families.
Location: Center Campus
Contact Hours: 6 per week for 4 weeks Billable Contact Hours: 1.5 OUTCOMES AND OBJECTIVES MCC Common Degree Outcomes:
II. The graduate can demonstrate how to think competently.
V. The graduate is sensitive to issues relating to a diverse, global society
Program Outcome/Student Learning Outcome:
1. Analyze and apply the critical components of evidence-based nursing practice.
Course Outcome:
1. Upon completion of this course, students will be able to apply evidence‐based practice for patients with cardiovascular and hematologic problems.
Objectives: The student will:
- The student will interpret subjective and objective data for patients with cardiovascular and hematologic problems.
- The student will interpret data to select appropriate nursing diagnoses and collaborative problems.
- The student will describe evidence‐based collaborative management for the patient with cardiovascular and hematologic problems.
- The student will choose evidence‐based nursing interventions for patients with cardiovascular and hematologic problems.
MCC Common Degree Outcomes:
I. The graduate can integrate the knowledge and technological skills necessary to be a successful learner.
II. The graduate can demonstrate how to think competently.
Program Outcome/Student Learning Outcome:
2. Recognize quality improvement strategies as an integral component of nursing practice.
Course Outcome:
2. Upon completion of this course, students will be able to explain national patient safety goals and quality indicators for patients with cardiovascular and hematologic problems.
Objectives: The student will:
- The student will describe quality indicators for patients with heart failure.
- The student will discuss quality indicators for patients with acute coronary syndromes.
- The student will identify national patient safety goals for patients receiving blood transfusions.
COMMON DEGREE OUTCOMES (Bulleted outcomes apply to the course)
- 1. The graduate can integrate the knowledge and technological skills necessary to be a successful learner.
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- 2. The graduate can demonstrate how to think competently.
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- The graduate can demonstrate how to employ mathematical knowledge.
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- The graduate can demonstrate how to communicate competently.
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- 5. The graduate is sensitive to issues relating to a diverse, global society.
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COURSE CONTENT OUTLINE UNIT 1 Cardiovascular System
- Cardiac Function
- Anatomy
- Structures
- Blood supply
- Mechanical properties
- Cardiac output
- Stroke volume
- Preload
- Afterload
- Contractility
- Heart rate
- Vascular Function
- Arterial pressure
- Pulse pressure
- Mean arterial pressure
- Peripheral vascular resistance
- Venous pressure
- Capillary pressure
- Regulation of cardiac function and blood pressure
- Autonomic nervous system
- Sympathetic system
- Parasympathetic system
- Baroreceptors
- Stretch receptors
- Chemoreceptors
- Hormonal influences
- Aging Effects
- Cardiac Assessment
- Health history
- Physical assessment
- Diagnostic tests
- Cardiac Function Disorders
- Coronary artery disease
- Atherosclerosis
- Etiology/pathology
- Medical/nursing management
- Angina pectoris
- Etiology/pathology
- Medical/nursing management
- Myocardial infarction
- Etiology/pathology
- Medical/nursing management
- Quality indicators
- Heart failure
- Etiology/pathology
- Medical/nursing management
- Quality indicators
- Cardiac Structure Disorders
- Infectious disorders
- Rheumatic fever
- Etiology/pathology
- Medical/nursing management
- Infective endocarditis
- Etiology/pathology
- Medical/nursing management
- Pericarditis
- Etiology/pathology
- Medical/nursing management
- Cardiac tamponade
- Cardiomyopathy
- Etiology/pathology
- Medical/nursing management
- Valvular heart disease
- Mitral valve disease
- Aortic valve disease
- Tricuspid and pulmonic valve disease
- Etiology/pathology
- Medical/nursing management
- Cardiac surgery
- Types
- Surgical management
- Nursing management
- Vascular Disorders
- Vascular assessment
- History
- Physical examination
- Diagnostic tests
- Hypertension
- Pathology
- Clinical manifestations
- Medical/nursing management
- Malignant hypertension
- Acute/chronic venous pathology
- Superficial thrombophlebitis
- Deep vein thrombosis
- Medical/nursing management
- Chronic venous insufficiency
- Venous stasis ulceration
- Varicose veins
- Medical/nursing management
- Acute/chronic arterial pathology
- Chronic arterial occlusion
- Clinical manifestations
- Medical/nursing management
- Acute arterial occlusion
- Clinical manifestations
- Medical/nursing management
- Aneurysms
- Abdominal aortic aneurysms
- Aortic dissection
- Thoracic aortic aneurysms
- Raynaud’s syndrome
- Shock
- Hypovolemic
- Cardiogenic
- Distributive
- Neural‐induced
- Chemical‐induced
- Anaphlaxis
- Sepsis
- Medical/nursing management
- Disorders of Cardiac Rhythm
- Electrophysiologic properties
- Action potential
- Depolarization
- Repolarization
- Excitability
- Automaticity
- Conductivity
- Refractoriness
- Cardiac conduction system
- Cardiac cycle
- Sinus rhythms
- Atrial dysrhythmias
- Ventricular dysrhythmias
- Pulseless electrical activity
- Medical management
- Defibrillation
- Cardioversion
- Medications
- Surgical management
- Pacemakers
- Nursing management
UNIT 2 Hematologic System
- Hematology Assessment
- Blood elements
- Erythrocytes
- Leukocytes
- Thrombocytes (platelets)
- History
- Physical examination
- Diagnostic tests
- Bone marrow aspiration
- Hematological Disorders
- Anemia
- Iron deficiency anemia
- Pernicious anemia
- Aplastic anemia
- Hemolytic anemia
- Acute hemorrhage anemia
- Chronic hemorrhage anemia
- Clinical manifestations
- Medical management
- Nursing management
- Polycythemia
- Platelet disorders
- Transfusion of blood components
- Types
- Procedure
- Transfusion reactions
UNIT 3 Pharmacology
- Antihyperlipidemic Agents
- Bile sequestering agents
- Reductase inhibitors
- Fibric acid derivatives
- Nicotinic acid (Niacin)
- Cholesterol absorption inhibitor
- Vasodilators
- Nitrates
- Arteriolar dilator drugs
- Arterial and venous dilator drugs
- Alpha Blockers
- Beta‐Adrenergic Blockers
- Calcium‐Channel Blockers
- Antianginal
- Antiarrhythmic
- Antihypertensive
- Positive Inotropes
- Cardiac glycosides
- Phosphodiesterase inhibitors
- Adrenergic Agents
- Diuretics Agents
- Thiazides
- Loop diuretics
- Potassium‐sparing diuretics
- Angiotensin‐Converting Enzyme Inhibitors (ACE‐I)
- Angiotensin II ‐ Receptor Blockers (ARB)
- Centrally Acting Alpha Agonists
- Antidysrhythmics
- Class I
- Class II: Beta‐Blockers
- Class III
- Class IV: Calcium‐Channel Blockers
- Unclassified
- Coagulation Modifiers
- Antiplatelets
- Anticoagulants
- Thrombolytics
- Others
- Blood‐Forming Agents
Primary Faculty Tuoriniemi, Pamela Secondary Faculty Associate Dean Shaw, Andrea Dean Mirijanian, Narine
Official Course Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088
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