POST BASIC DIPLOMA IN CARDIO THORACIC NURSING

CLINICAL SPECIALTY I
COURSE INSTRUCTION
OVER ALL OBJECTIVES
This course is desi!ed "o de#e$o% &! u!ders"&!di! o' "he %ri!ci%$es o' re$&"ed (io$oic&$
&!d (eh&#ior&$ scie!ces &!d c&rdio "hor&cic !ursi!
SPECI)IC OBJECTIVES
A" "he e!d o' "he course "he s"ude!" *i$$ (e &($e "o+,
Descri(e "he co!ce%" &!d %ri!ci%$es o' (eh&#ior&$- (io$oic&$ &!d !ursi! scie!ces
&s &%%$ied "o c&rdio "hor&cic !ursi!
Descri(e "he #&rious drus used i! c&rdio "hor&cic disorders &!d !urses
res%o!si(i$i".
A%%$. !ursi! %rocess i! %ro#idi! co/%rehe!si#e c&re "o %&"ie!"s *i"h c&rdio
"hor&cic disorders &!d e/ere!c.0
Pr&c"ice i!'ec"io! co!"ro$ /e&sures0
Descri(e "he !urse1s ro$e i! #&rious di&!os"ic /e&sures0
Ide!"i'. "he %s.cho$oic&$ %ro($e/s o' %&"ie!"s &!d '&/i$. /e/(ers &!d %ro#ide
ho$is"ic c&re0
P$&! "he die"&r. rei/e! o' %&"ie!"s *i"h c&rdio "hor&cic disorders0
Assis"i! %&"ie!"s &!d '&/i$. "o co%e *i"h e/o"io!&$ &!d s%iri"u&$ dis"ress &!d rie'
&!2ie".0
POST BASIC DIPLOMA IN CARDIO THORACIC NURSING
CLINICAL SPECIALTY I
COURSE INSTRUCTION
S0NO SUBJECTS THEORY PRACTICAL
RE3UIRED
HOURS
ALLOTTED
HOURS
RE3UIRED
HOURS
ALLOTTED
HOURS
4 UNIT,I
Ps.cho$o.
45 44
I!"er&"ed
c$i!ic&$
%r&c"ice 655
hrs0
I!"er&"ed
c$i!ic&$
%r&c"ice 665
hrs0
7 UNIT,II
Micro(io$o.
45 44
8 UNIT,III
A%%$ied &!&"o/.
&!d %h.sio$o.
75 77
9 UNIT,IV
Ph&r/&co$o.
45 47
: UNIT,V
Ge!e"ics
45 44
6 UNIT,VI 45 47
; UNIT, VII 4: 4;
< UNIT,VIII 85 88
= UNIT,I> 75 78
45 UNIT, > 5: 5<
44 UNIT, >I 45 47
47 UNIT,>II 5: 5;
TOTAL 4:: 4;= 655 665
POST BASIC DIPLOMA IN CARDIO THORACIC NURSING
CLINICAL SPECIALTY II
COURSE INSTRUCTION
OVER ALL OBJECTIVES
This course is desi!ed "o de#e$o% &! u!ders"&!di! o' c&rdio "hor&cic disorders-
e/ere!cies &!d "heir /&!&e/e!"0
SPECI)IC OBJECTIVES
The s"ude!" *i$$ (e &($e "o
Descri(e "he e"io$o.- %&"ho%h.sio$o.- &!d si!s &!d s./%"o/s &!d
i!#es"i&"io!s- !ursi! /&!&e/e!" o' &du$" &!d chi$dre! *i"h c&rdio "hor&cic
disorders0
Descri(e "he !urses ro$e i! #&rious di&!os"ics &!d "her&%eu"ics %rocedures
Discuss "he %re &!d %os" o%er&"i#e !ursi! c&re o5' &du$" &!d chi$dre! *i"h c&rdio
"hor&cic sureries0

POST BASIC DIPLOMA IN CARDIO THORACIC NURSING
CLINICAL SPECIALTY II
COURSE INSTRUCTION
S0NO SUBJECTS THEORY PRACTICAL
RE3UIRED
HOURS
ALLOTTED
HOURS
RE3UIRED
HOURS
ALLOTTED
HOURS
4 UNIT,I 75 77
I!"er&"ed
c$i!ic&$
%r&c"ice 655
hrs0
I!"er&"ed
c$i!ic&$
%r&c"ice 665
hrs0
7 UNIT,II 75 77
8 UNIT,III 5: 56
9 UNIT,IV 5: 56
: UNIT,V 5: 56
6 UNIT,VI 4: 4;
; UNIT, VII 5: 5;
< UNIT,VIII 4: 4;
= UNIT,I> 45 48
45 UNIT, > 95 99
44 UNIT, >I 4: 4<
TOTAL 4:: 4;< 655 665
POST BASIC DIPLOMA IN CARDIO THORACIC NURSING
SUPERVISION ? MANAGEMENT- CLINICAL TEACHING ELEMENTARY
RESEARCH AND STATISTICS
COURSE INSTRUCTION
OVER ALL OBJECTIVES
This course is desi!ed "o de#e$o% &! u!ders"&!di! o' "he %ri!ci%$es o' su%er#isio! ?
/&!&e/e!"- c$i!ic&$ "e&chi! e$e/e!"&r. rese&rch &!d s"&"is"ics
SPECI)IC OBJECTIVES
The s"ude!" *i$$ (e &($e "o+,
Descri(e "he %ro'essio!&$ "re!ds
Descri(e "he ro$e o' !urse i! /&!&e/e!" &!d su%er#isio! o' !ursi! %erso!&$ i!
c&rdio "hor&cic u!i"- ICCU- ICU
Te&ch !urses &!d &$$ied he&$"h *or@ers &(ou" c&rdio "hor&cic !ursi!
Descri(e "he rese&rch %rocess &!d %er'or/ (&sic s"&"is"ic&$ "es"s0
P$&! &!d co!duc" rese&rch i! c&rdio "hor&cic !ursi!
POST BASIC DIPLOMA IN CARDIO THORACIC NURSING
CLINICAL SPECIALTY II
COURSE INSTRUCTION
S0NO SUBJECTS THEORY PRACTICAL
RE3UIRED
HOURS
ALLOTTED
HOURS
RE3UIRED
HOURS
ALLOTTED
HOURS
4 UNIT,I 75 77
I!"er&"ed
c$i!ic&$
%r&c"ice <5
hrs0
I!"er&"ed
c$i!ic&$
%r&c"ice <<
hrs0
7 UNIT,II 5: 5;
8 UNIT,III 5: 56
9 UNIT,IV 85 88
: UNIT,V 85 87
TOTAL =5 =; <5 <<
UNIT PLAN
Course "i"$e+ %os" (&sic di%$o/& i! c&rdio "hor&cic !ursi!
U!i" !o+ 9
U!i" "i"$e+ !ursi! c&re o' %&"ie!"s &'"er coro!&r. re#&scu$&riA&"io!
CENTRAL OBJECTIVES+
Descri(e "he !urses ro$e i! #&rious di&!os"ics &!d "her&%eu"ics %rocedures
Discuss "he %re &!d %os" o%er&"i#e !ursi! c&re *i"h c&rdio "hor&cic sureries0
S%eci'ic
o(Bec"i#es
Hours Co!"e!"s Me"hod o'
"e&chi!
A# &ids Te&cher, $e&!er
&c"i#i"ies
Me"hod o'
e#&$u&"io!
Discuss "he %re
&!d %os" o%er&"i#e
!ursi! c&re *i"h
c&rdio "hor&cic
sureries such &s
56 Nursi! c&re o' %&"ie!"s &'"er
coro!&r. re#&scu$&riA&"io!
PTCA
S"u!"
B&$$oo!- ".%es+
i!dic&"io!- %rocedures-
co/%$ic&"io!s0
L&ser "her&%. 'or
re#&scu$&riA&"io!
Lec"ure *i"h
discussio!
B$&c@ (o&rd- ch&r"-
%%"0
E2%$&i!i! (. usi!
AV &ids
Lis"e!i!- &s@i!
Cues"io!s
As@i!
Cues"io!s &!d
*ri""e! "es"s0
MEDICAL, SURGICAL NURSING
CLINICAL SPECIALTY I
COURSE INSTRUCTION
OVER ALL OBJECTIVES
The course is dei!ed "o &ssis" s"ude!"s i! de#e$o%i! e2%er"ise &!d i! de%"h
@!o*$ede i! "he 'i$ed o' /edic&$ suric&$ !ursi!0 I" *i$$ he$% s"ude!"s "o &%%reci&"e "he
%&"ie!"s &s & ho$is"ic i!di#idu&$ &!d de#e$o% s@i$$ "o 'u!c"io! &s & s%eci&$iAed /edic&$
suric&$ !urse0 I" *i$$ 'ur"her e!&($e "he s"ude!" "o 'u!c"io! &s educ&"or- /&!&er- &!d
rese&rcher i! "he 'ie$d o' /edic&$ suric&$ !ursi!0
SPECI)IC OBJECTIVES
A" "he e!d o' "he course "he s"ude!" *i$$ (e &($e "o+,
40 A%%reci&"e "he "re!ds ? issues i! "he 'ie$d o' /edic&$ suric&$ !ursi! &s & s%eci&$".0
70 A%%$. co!ce%"s &!d "heories re$&"ed "he he&$"h %ro/o"io!0
80 A%%reci&"e "he c$ie!" &s & ho$is"ic i!di#idu&$0
90 Per'or/ %h.sic&$- %s.chosoci&$ &ssess/e!" o' /edic&$ suric&$ %&"ie!"s0
:0 A%%$. !ursi! %rocess i! %ro#idi! c&re "o %&"ie!"s0
60 I!"er&"e
;0 The co!ce%" o' '&/i$. ce!"6red !ursi! c&re *i"h &ssoci&"ed disorder such &s e!e"ics-
co!e!i"&$ &!d $o! "er/ i$$!ess0
<0 Descri(e #&rious rece!" "ech!o$oies &!d "re&"/e!" /od&$i"ies i! "he /&!&e/e!" o'
cri"ic&$$. i$$ %&"ie!"s0
=0 A%%reci&"e "he $e&$ &!d e"hic&$ re$e#&!" "o /edic&$ suric&$ u!i"s0
450 Pre%&re & desi! 'or $&.ou" &!d /&!&e/e!" o' /edic&$ suric&$ u! i"s0
440 A%%reci&"e "he ro$e o' &$"er&"i#e s.s"e/s o' /edici!e i! c&re o' %&"ie!"s0
470 I!cor%or&"e e#ide!ce (&sed !ursi! %r&c"ice &!d ide!"i'. "he &re&s o' rese&rch i! "he
'ie$d o' /edic&$ suric&$ !ursi!0
480 Reco!iAe "he ro$e o' !urse %r&c"i"io!er &s & /e/(er o' "he /edic&$ suric&$ he&$"h
"e&/0
490 Te&ch /edic&$ suric&$ !ursi! "o u!derr&du&"e !ursi! s"ude!"s ? i! ser#ice
educ&"io!0
MEDICAL, SURGICAL NURSING
CLINICAL SPECIALTY I
COURSE INSTRUCTION
S0NO SUBJECTS THEORY PRACTICAL
RE3UIRED
HOURS
ALLOTTED
HOURS
RE3UIRED
HOURS
ALLOTTED
HOURS
4 UNIT,I 5: 56
I!"er&"ed
c$i!ic&$
%r&c"ice <55
hrs0
I!"er&"ed
c$i!ic&$
%r&c"ice <<5
hrs0
7 UNIT,II 75 77
8 UNIT,III 5: 56
9 UNIT,IV 45 44
: UNIT,V 45 47
6 UNIT,VI 45 44
; UNIT, VII 45 47
< UNIT,VIII 5: 5;
= UNIT,I> 45 48
45 UNIT, > 45 47
44 UNIT, >I 45 44
47 UNIT,>II 5< 45
48 UNIT,>III 5: 5;
49 UNIT,>IV 5< 45
4: UNIT,>V 5< 45
46 UNIT,>VI 5< 45
4; UNIT,>VII 5< 45
TOTAL HRS 4:5 4<5 <55 <<5
UNIT PLAN
Course "i"$e+ M0 Sc D!ursi!E /edic&$, suric&$ !ursi!
U!i" !o+ 7
U!i" "i"$e+ He&$"h &ssess/e!" o' %&"ie!"s
CENTRAL OBJECTIVES+
Descri(e "he &ssess/e!" o' "he %&"ie!"s0
S%eci'ic
o(Bec"i#es
Hours Co!"e!"s Me"hod o'
"e&chi!
A# &ids Te&cher, $e&!er
&c"i#i"ies
Me"hod o'
e#&$u&"io!
Descri(e "he
&ssess/e!" o' "he
%&"ie!"s
77 He&$"h &ssess/e!" o'
%&"ie!"s0
His"or. "&@i!
Ph.sic&$ e2&/i!&"io!
Nu"ri"io!&$ &ssess/e!"
I!#es"i&"io!s ?
di&!os"ic &ssess/e!"0
Lec"ure *i"h
discussio!
B$&c@ (o&rd- ch&r"-
%%"0
E2%$&i!i! (. usi!
AV &ids
Lis"e!i!- &s@i!
Cues"io!s
As@i!
Cues"io!s &!d
*ri""e! "es"s0
LESSON PLAN
N&/e o' "he "e&cher+
Su(Bec"+
U!i"+
To%ic+
B&"ch+
Ve!ue+
D&"e &!d "i/e+
Pre#ious @!o*$ede+
CENTRAL OBJECTIVES+
A" "he e!d o' "he c$&ss "he s"ude!"s *i$$
SPECI)IC OBJECTIVES+ A" "he e!d o' "he c$&ss - s"ude!"s *i$$ (e &($e "o+
De'i!e C&rdioe!ic shoc@0
Lis" ou" "he e"io$oic&$ '&c"ors o' C&rdioe!ic shoc@
list out the signs and symptoms C&rdioe!ic shoc@
Assess "he di&!os"ic %rocedures o' C&rdioe!ic shoc@
E2%$&i! "he "re&"/e!" o' C&rdioe!ic shoc@
S$
!o
S%eci'ic
o(Bec"i#es
Ti/e Co!"e!"s Te&cher-s &c"i#i". Le&r!ers
&c"i#i".
A#
Aids
e#&$u&"io!
4
7
De'i!e
C&rdioe!ic
shoc@0
Lis" ou" "he
e"io$oic&$
'&c"ors o'
C&rdioe!ic
shoc@
4 /i!
7 /i!
CARDIOGENIC SHOCF
DE)INITION+
C&rdioe!ic shoc@ is de'i!ed (. sus"&i!ed h.%o"e!sio!
*i"h "issue h.%o%er'usio! des%i"e &deCu&"e $e'"
#e!"ricu$&r 'i$$i! %ressure0
ETIOLOGY:
C&rdioe!ic shoc@ is due "o
d&/&e "o "he he&r" /usc$e- &rrh."h/i&-
c&rdio/.o%&"h. -
c&rdi&c #&$#e %ro($e/s- #e!"ricu$&r ou"'$o*
o(s"ruc"io! Di0e0 &or"ic #&$#e s"e!osis- &or"ic
dissec"io!- s.s"o$ic &!"erior /o"io! DSAME i!
h.%er"ro%hic c&rdio/.o%&"h.E- #e!"ricu$ose%"&$
de'ec"s or /edic&$ error0
De'i!es
C&rdioe!ic
shoc@
Lis"s ou" "he
e"io$oic&$ '&c"ors
o'
C&rdioe!ic
shoc@
Lis"e!s
c&re'u$$.
Lis"e!s
c&re'u$$.
B$&c@
(o&rd
OHP
B$&c@
(o&rd-
ch&r"s
8 list out the
signs and
symptoms
C&rdioe!ic
shoc@
6/i!
SIGNS AND SYMPTOMS
A!2ie".- res"$ess!ess- &$"ered /e!"&$ s"&"e due "o
decre&sed cere(r&$ %er'usio! &!d su(seCue!"
h.%o2i&0
H.%o"e!sio! due "o decre&se i! c&rdi&c ou"%u"0
A r&%id- *e&@- "hre&d. %u$se due "o decre&sed
circu$&"io! co/(i!ed *i"h "&ch.c&rdi&0
Coo$- c$&//.- &!d /o""$ed s@i! Dcu"is /&r/or&"&E-
due "o #&soco!s"ric"io! &!d su(seCue!"
h.%o%er'usio! o' "he s@i!0
Dis"e!ded Buu$&r #ei!s due "o i!cre&sed Buu$&r
#e!ous %ressure0
O$iuri& D$o* uri!e ou"%u"E due "o i!su''icie!" re!&$
%er'usio! i' co!di"io! %ersis"s0
R&%id &!d dee% res%ir&"io!s Dh.%er#e!"i$&"io!E due
"o s./%&"he"ic !er#ous s.s"e/ s"i/u$&"io! &!d
&cidosis0
)&"iue due "o h.%er#e!"i$&"io! &!d h.%o2i&0
A(se!" %u$se i! "&ch.&rrh."h/i&0
lists out the signs
and symptoms
C&rdioe!ic
shoc@
Lis"e!s
c&re'u$$.
B$&c@
(o&rd-%%"
9
Assess "he
di&!os"ic
%rocedures
o'
C&rdioe!ic
shoc@
9/i!
Pu$/o!&r. ede/& - i!#o$#i! '$uid (&c@,u% i! "he
$u!s due "o i!su''icie!" %u/%i! o' "he he&r"0
DIAGNOSIS
Electrocardiogram
i" /&. re#e&$+
C&rdi&c &rrh."h/i&s
Si!s o' c&rdio/.o%&"h.
Radiology
Echoc&rdior&%h. /&. sho* %oor #e!"ricu$&r 'u!c"io!-
si!s o' PED- #e!"ricu$&r se%"&$ ru%"ure DVSRE- &!
o(s"ruc"ed ou"'$o* "r&c" or c&rdio/.o%&"h.0
Swan-ganz catheter
The S*&!,&!A c&"he"er or Pu$/o!&r. &r"er. c&"he"er
/&. &ssis" i! "he di&!osis (. %ro#idi! i!'or/&"io! o!
"he he/od.!&/ics0
Assess "he
di&!os"ic
%rocedures o'
C&rdioe!ic
shoc@
Lis"e!s
c&re'u$$.
B$&c@
(o&rd
Ch&r"s
:
E2%$&i! "he
"re&"/e!" o'
C&rdioe!ic
shoc@
:/i!
Biopsy
I! c&se o' sus%ec"ed c&rdio/.o%&"h. & (io%s. o' he&r"
/usc$e /&. (e !eeded "o /&@e & de'i!i"e di&!osis0 (u"
(io%s. shou$d o!$. (e do!e *he! "hird s%&ce is
sus%ec"ed
TREATMENT
I! c&rdioe!ic shoc@+ de%e!di! o! "he ".%e o'
/.oc&rd&$ i!'&rc"io! o!e c&! i!'use '$uids or i!
shoc@ re'r&c"or. "o i!'usi! '$uids i!o"ro%ic&0
I! c&se o' c&rdi&c &rrh."h/i& se#er&$ &!"i,
&rrh."h/ic &e!"s /&. (e &d/i!is"ered- i0e0
&de!osi!e- #er&%&/i$- &/iod&ro!e- G,($oc@er or
$uc&o! H8I0
Posi"i#e i!o"ro%ic &e!"s- *hich e!h&!ce "he
he&r"Js %u/%i! c&%&(i$i"ies- &re used "o
i/%ro#e "he co!"r&c"i$i". &!d correc" "he
h.%o"e!sio!0
E2%$&i!s "he
"re&"/e!" o'
C&rdioe!ic
shoc@
Lis"e!s
c&re'u$$.
B$&c@
(o&rd
P%"
i!"r&,&or"ic (&$$oo! %u/% D*hich reduces
*or@$o&d 'or "he he&r"- &!d i/%ro#es %er'usio!
o' "he coro!&r. &r"eriesE c&! (e co!sidered or &
$e'" #e!"ricu$&r &ssis" de#ice D*hich &u/e!"s
"he %u/%,'u!c"io! o' "he he&r"E0
C&rdioe!ic shoc@ /&. (e "re&"ed *i"h
i!"r&#e!ous do(u"&/i!e- *hich &c"s o! G4
rece%"ors o' "he he&r" *hich c&uses i!cre&sed
%o*er &!d he&r" r&"e