May 30, 2026

College Catalog 2025-2026

College Catalog 2025-2026 [ARCHIVED CATALOG]

LNUR 2245 - Intermediate Adult Medical-Surgical Nursing A

Credit Hours: 1.50

Prerequisites: LNUR 1345, LNUR 1355, and LNUR 1365 all with grade C or better, or grade Pass (if course is a Pass/Fail course)

Corequisites: LNUR 2265

This theory course focuses on following safe, culturally diverse, patient-centered nursing care in the role of the licensed practical nurse. Medical/Surgical patients with a variety of health issues and co- morbidities will be discussed. Care will revolve around using evidence-based practice and quality improvement techniques to develop vital skills in caring for patients and their families.

Billable Contact Hours: 1.5

When Offered: Winter semester only

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Transfer Possibilities
Michigan Transfer Network (MiTransfer) - Utilize this website to easily search how your credits transfer to colleges and universities.

OUTCOMES AND OBJECTIVES
LPN End of Program Student Learning Outcome:

B. The student will apply the critical components of evidence-based nursing practice.

Course Outcome:

Upon completion of this course students will be able to apply evidence‐based practice for patients with medical/surgical conditions.

Course Objectives: The student will:

Apply the nursing process for patients with medical/surgical conditions.
Under the LPN scope of practice, perform assessment and data collection of subjective and objective data for patients with medical/surgical conditions.
Report data received from assessment to the interdisciplinary team.
Under the direction of the interdisciplinary team, implement evidence-based interventions for the patient with medical/surgical conditions.

LPN End of Program Student Learning Outcome:

C. The student can identify quality improvement strategies as an integral component of nursing practice.

Course Outcome:

Upon successful completion of this course the student will be able to explain the role of the LPN in adhering to national patient safety goals for patients with Medical/Surgical conditions.

Course Objectives: The student will:

Describe the role of the LPN in using national patient safety goals for patients with medical/surgical conditions.
Describe the role of the LPN in maintaining national patient safety goals for patients with medical/surgical conditions.

Course Outcome:

Upon successful completion of this course the student will be able to explain the role of the LPN in adhering to quality indicators for patients with Medical/Surgical conditions.

Course Objectives: The student will:

Describe the role of the LPN in maintaining quality indicators for patients with medical/surgical conditions.
Describe the role of the LPN in using quality indicators for patients with medical/surgical conditions.

COMMON DEGREE OUTCOMES (CDO)

Communication: The graduate can communicate effectively for the intended purpose and audience.
Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

CDO marked YES apply to this course:
Communication: YES
Critical Thinking: YES
Quantitative Reasoning: YES
COURSE CONTENT OUTLINE
UNIT 1 Cardiovascular System

1. Cardiac Function

a. Anatomy

i. Structures

ii. Blood supply

b. Mechanical properties

i. Cardiac output

ii. Stroke volume

iii. Preload

iv. Afterload

v. Contractility

vi. Heart rate

2. Vascular Function

a. Arterial pressure

i. Pulse pressure

ii. Mean arterial pressure

iii. Peripheral vascular resistance

b. Venous pressure

c. Capillary pressure

d. Regulation of cardiac function and blood pressure

i. Autonomic nervous system

ii. Sympathetic system

iii. Parasympathetic system

iv. Baroreceptors

v. Stretch receptors

vi. Chemoreceptors

vii. Hormonal influences

3. Aging Effects

4. Cardiac Assessment

a. Health history

b. Physical assessment

c. Diagnostic tests

5. Cardiac Function Disorders

a. Coronary artery disease

i. Atherosclerosis

1. Etiology/pathology

2. Medical/nursing management

ii. Angina pectoris

Etiology/pathology

2. Medical/nursing management

iii. Myocardial infarction

Etiology/pathology

Medical/nursing management

iv. Quality indicators

b. Heart failure

i. Etiology/pathology

ii. Medical/nursing management

iii. Quality indicators

6. Cardiac Structure Disorders

a.Infectious disorders

i. Rheumatic fever

Etiology/pathology

Medical/nursing management

ii. Infective endocarditis

Etiology/pathology

Medical/nursing management

iii. Pericarditis

Etiology/pathology

Medical/nursing management

iv. Cardiac tamponade

b. Cardiomyopathy

i. Etiology/pathology

ii. Medical/nursing management

c. Valvular heart disease

i. Mitral valve disease

ii. Aortic valve disease

iii. Tricuspid/Pulmonic disease

iv. Etiology/pathology

v. Medical/nursing management

d. Cardiac surgery

i.Types

ii. Surgical management

iii. Nursing management

7. Vascular Disorders

a. Vascular assessment

i. History

ii. Physical examination

iii. Diagnostic tests

b. Hypertension

i. Pathology

ii. Clinical manifestations

iii. Medical/nursing management

iv. Malignant hypertension

c. Acute/chronic venous pathology

i. Superficial thrombophlebitis

ii. Deep vein thrombosis

1. Medical/nursing management

iii. Chronic venous insufficiency

Venous stasis ulceration

Varicose veins

Medical/nursing management

d. Acute/chronic arterial pathology

i. Chronic arterial occlusion

Clinical manifestations

Medical/nursing management

ii. Acute arterial occlusion

Clinical manifestations

Medical/nursing management

iii. Aneurysms

1. Abdominal aortic aneurysms

2. Aortic dissection

3. Thoracic aortic aneurysms

iv. Raynaud’s syndrome

8. Shock

a. Hypovolemic

b. Cardiogenic

c. Distributive

i. Neural‐induced

ii. Chemical‐induced

Anaphylaxis

Sepsis

d. Medical/nursing management

9. Disorders of Cardiac Rhythm

a. Electrophysiologic properties

i. Action potential

ii. Depolarization

iii. Repolarization

iv. Excitability

v. Automaticity

vi. Conductivity

vii. Refractoriness

viii. Cardiac conduction system

vix. Cardiac cycle

b. Sinus rhythms

c. Atrial dysrhythmias

d. Ventricular dysrhythmias

e. Pulseless electrical activity

f. Medical management

i. Defibrillation

ii. Cardioversion

iii. Medications

g. Surgical management

i. Pacemakers

h. Nursing management

UNIT 2 Hematologic System

Hematology Assessment

a. Blood elements

i. Erythrocytes

ii. Leukocytes

iii. Thrombocytes (platelets)

b. History

c. Physical examination

d. Diagnostic tests

i. Bone marrow aspiration

Hematological Disorders

a. Anemia

i. Iron deficiency anemia

ii. Pernicious anemia

iii. Aplastic anemia

iv. Hemolytic anemia

v. Acute hemorrhage anemia

vi. Chronic hemorrhage anemia

vii. Clinical manifestations

viii. Medical management

ix. Nursing management

b. Polycythemia

c. Platelet disorders

d. Transfusion of blood components

i. Types

ii. Procedure

iii. Transfusion reactions

UNIT 3 Pharmacology

Antihyperlipidemic Agents

a. Bile sequestering agents

b. Reductase inhibitors

c. Fibric acid derivatives

d. Nicotinic acid (Niacin)

e. Cholesterol absorption inhibitor

Vasodilators

a. Nitrates

b. Arteriolar dilator drugs

c. Arterial and venous dilator drugs

Alpha Blockers

Beta‐Adrenergic Blockers

Calcium‐Channel Blockers

a. Antianginal

b. Antiarrhythmic

c. Antihypertensive

Positive Inotropes

a. Cardiac glycosides

b. Phosphodiesterase inhibitors

Adrenergic Agents

Diuretics Agents

a. Thiazides

b. Loop diuretics

c. Potassium‐sparing diuretics

Angiotensin‐Converting Enzyme Inhibitors (ACE‐I)

Angiotensin II ‐ Receptor Blockers (ARB)

Centrally Acting Alpha Agonists

Antidysrhythmics

a. Class I

b. Class II: Beta‐Blockers

c. Class III

d. Class IV: Calcium‐Channel Blockers

e. Unclassified

Coagulation Modifiers

a. Antiplatelets

b. Anticoagulants

c. Thrombolytics

d. Others

Blood‐Forming Agents

Primary Faculty
Traub, Stacey
Secondary Faculty

Associate Dean
Shaw, Andrea
Dean
Mirijanian, Narine

Primary Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088