HNN227 Week 3 ILOs.
HNN227 WEEK 3 ASSESSING AND MANAGING PATIENT FUNCTION AND RISK:
ISCHAEMIA
On completion of this week students should be able to:
• Define the terms ischaemia and infarction
obstruction of the blood supply to an organ or region of tissue,
typically by a thrombus or embolus, causing local death of the
tissue.
• Identify various body sites ischaemia may occur and
possible subsequent conditions
Brain-stroke, eye-vision deficit, carotic artery,
heart-angina/cardiac arrest, arrthymia, small/large intestine-bowel
obstruction, kidney- renal failure, limbs-peripheral artery-lost of
limbs,
• Describe the pathophysiological process of atherosclerosis
Thickening of artery cause by plaque and narrow the circulartion
• State the common sites within the arterial system for atherosclerotic
plaque development
Above the Common carotid bifurcation, branches from the aorta,
innominate, and subclavian arteries, Lt coronary artery, rt coronary
artery, common iliac artery, superficial femoral artery, deep femoral
artery, anterior tibial artery, posterior tibial artery, peroneal artery
• Describe the anatomy and physiology of the heart and blood
vessels Review anatomy & physiology book
• Define what is meant by the term Acute Coronary syndrome
a range of conditions associated with sudden, reduced blood flow to
the heart
o Identify risk factors for ACS
▪ Older age (older than 45 for men and older than 55
for women)
▪ High blood pressure
▪ High blood cholesterol
▪ Cigarette smoking
▪ Lack of physical activity
▪ Unhealthy diet
▪ Obesity or overweight
▪ Diabetes
▪ Family history of chest pain, heart disease or stroke
▪ For women, a history of high blood pressure, preeclampsia
or diabetes during pregnancy
o Identify diagnostic assessments (including possible differential
diagnostic outcomes)
, HNN227 Week 3 ILOs.
HNN227 WEEK 3 ASSESSING AND MANAGING PATIENT FUNCTION AND RISK:
ISCHAEMIA
• Electrocardiogram (ECG).
• Blood tests. Certain enzymes may be detected in the blood if cell
death has resulted in damage to heart tissue. A positive TROPONIN
T result indicates a heart attack.
• Coronary angiogram.
• Echocardiogram.
• Myocardial perfusion imaging (MPI).
• Computerized tomography (CT) angiogram.
• Stress test.
Identify goals of management for ACS
O2, blood flow, decrease o2 demand, decrease viscouscity of
blood
IV fluid
Sit up
Analgesic
Vital sign
Pre Op- angioplasthy
Report any pain / discomfort
Response honestly to pt concern
o Define and understand the term Peripheral Arterial Disease
(PAD)
a common circulatory problem in which narrowed arteries
reduce blood flow to your limbs.
o Identify commonly affected arteries
Femoral polethial, thigh, lower
limb
o Identify risk factors and common symptoms of PAD (including
intermittent claudication)
Diminishes color, lost of leg, pain when walking,
o Identify diagnostic features for PAD
Walking program
o Identify potential patient problems related to
PAD Diet control- cholesterol control
Educ on feet care-nail, shoe fitting
o Outline nursing management required for patients with PAD
, HNN227 Week 3 ILOs.
HNN227 WEEK 3 ASSESSING AND MANAGING PATIENT FUNCTION AND RISK:
ISCHAEMIA
two major goals:
HNN227 WEEK 3 ASSESSING AND MANAGING PATIENT FUNCTION AND RISK:
ISCHAEMIA
On completion of this week students should be able to:
• Define the terms ischaemia and infarction
obstruction of the blood supply to an organ or region of tissue,
typically by a thrombus or embolus, causing local death of the
tissue.
• Identify various body sites ischaemia may occur and
possible subsequent conditions
Brain-stroke, eye-vision deficit, carotic artery,
heart-angina/cardiac arrest, arrthymia, small/large intestine-bowel
obstruction, kidney- renal failure, limbs-peripheral artery-lost of
limbs,
• Describe the pathophysiological process of atherosclerosis
Thickening of artery cause by plaque and narrow the circulartion
• State the common sites within the arterial system for atherosclerotic
plaque development
Above the Common carotid bifurcation, branches from the aorta,
innominate, and subclavian arteries, Lt coronary artery, rt coronary
artery, common iliac artery, superficial femoral artery, deep femoral
artery, anterior tibial artery, posterior tibial artery, peroneal artery
• Describe the anatomy and physiology of the heart and blood
vessels Review anatomy & physiology book
• Define what is meant by the term Acute Coronary syndrome
a range of conditions associated with sudden, reduced blood flow to
the heart
o Identify risk factors for ACS
▪ Older age (older than 45 for men and older than 55
for women)
▪ High blood pressure
▪ High blood cholesterol
▪ Cigarette smoking
▪ Lack of physical activity
▪ Unhealthy diet
▪ Obesity or overweight
▪ Diabetes
▪ Family history of chest pain, heart disease or stroke
▪ For women, a history of high blood pressure, preeclampsia
or diabetes during pregnancy
o Identify diagnostic assessments (including possible differential
diagnostic outcomes)
, HNN227 Week 3 ILOs.
HNN227 WEEK 3 ASSESSING AND MANAGING PATIENT FUNCTION AND RISK:
ISCHAEMIA
• Electrocardiogram (ECG).
• Blood tests. Certain enzymes may be detected in the blood if cell
death has resulted in damage to heart tissue. A positive TROPONIN
T result indicates a heart attack.
• Coronary angiogram.
• Echocardiogram.
• Myocardial perfusion imaging (MPI).
• Computerized tomography (CT) angiogram.
• Stress test.
Identify goals of management for ACS
O2, blood flow, decrease o2 demand, decrease viscouscity of
blood
IV fluid
Sit up
Analgesic
Vital sign
Pre Op- angioplasthy
Report any pain / discomfort
Response honestly to pt concern
o Define and understand the term Peripheral Arterial Disease
(PAD)
a common circulatory problem in which narrowed arteries
reduce blood flow to your limbs.
o Identify commonly affected arteries
Femoral polethial, thigh, lower
limb
o Identify risk factors and common symptoms of PAD (including
intermittent claudication)
Diminishes color, lost of leg, pain when walking,
o Identify diagnostic features for PAD
Walking program
o Identify potential patient problems related to
PAD Diet control- cholesterol control
Educ on feet care-nail, shoe fitting
o Outline nursing management required for patients with PAD
, HNN227 Week 3 ILOs.
HNN227 WEEK 3 ASSESSING AND MANAGING PATIENT FUNCTION AND RISK:
ISCHAEMIA
two major goals:
