2R8
100
088R
‘Week 7: Perfusion
Weekly Reading: Giddens: Chapter 18; Linton & Matteson: 617-621, 624-628, Table 33.3,634-635,
Fig 33.12, Fig 33.13, Fig 33.14, Fig 33.15, Fig 33.16, Fig 33.18, Fig 33.19, Table 33.5, 640-643, Table
0808
33.9, 652-654, Chapter 34, 677-691; Silvestri: 694-714; 718-723; Chapter 54; Willihnganz/Clayton:
353-362; 382-386, 397-406; 438-446; 448-450; 454-457; 458-460; 464-465
Lecture 1
0800
Define: (Giddens chapter 18)
Define the concept of perfusion.
ddiveriviey Orygenated Wood tarouah 4ae clresdodony Systern +0 the ol
0 088
HSae ¥ Or9ans.
Central Perfusion
What is cardiac output?
e onvipunt of Umd the Vary: pumps
0000
Blord
Define preload YeXANNO 10 e Leowt Mdliv&vwmles before contaochion
Define afierload \eSiStonce Sng \eft ventncle nuSt overcome +0 pump land vots
SYStemic, acuehon. o b £, "
SHong -t ’H:nru, o® the Weprt Contractyy, . (1depepdenT oF preloed )
0
Define contra
*Review the normal circulation through the heart Linton & Matteson p. 617
0000
202000800
© Hondros College of Nursing FALL2S Tnitials and Date: &‘b =15°25
,TIITTIINEINEINeY
101
sively
Assessing systematically and comprehen
History (subjective data)
f amil\{ hstory and
e Nurses ask patients about present health history, past health history,
personal and psychosocial history.
t’s present health history.
List some questions to gather some data on your patien g
’
1. DO YOU experience check pain oc dascorvifert
or dsygnea? et
2. DD You . lpone . SOB e e =
- oy ho S ing, th your leas, foet, or ol
notice palmgfimg Ai32iness, oc -Galn+)n5‘z
4. Have you
their history? Describe
a pati ent may pro vid e whi le you are collecting
What are some cardiac symptoms
each one listed. _1Sthenuwt * e
Olest gavas D oor pertusgion. of myocardiad
1.
li ne b Hu ce d ve te nt io n ve lated to CHF-
2. Bdeng 1 Suil ea sed. cordime outpudt,
e SO by de cv
3. spneo
Dy teson, pg- 625)
of Car dio vas cul ar Function (Linton & Mat
sessment
**Review Nursing As
170)
at io n Fi nd in gs (ob jective data) (Giddens p
Examin
ting vital signs:
me var iat ion s yo u may find when collec
List so 1 SpD2
imegular G vathm
ey BR, \
g ¥ a7 & PR her ing dat a about perfusion?
body would you in
sp ect wh en gat
r|iower extremilte], ghest LS, eets
What areas of the s lu pS be d | wp pe
Sy MULDS MnbIan __— at the point of maximal im
pulse (PMI) at the
_ _ _
(Heaf 'fii;:t? e M jeod
& _ _ _
midclavicular line.
remities for _pwise streng?h |
. temperature, capillary
r and lower €x
o Palpate the uppe | 7 '
a
ar ieandor
refill , an d __¢
veal _hovLwal 81,65
the p atien (’s heart may re
Auscultation of 54
D)
typically heard are S3,
. Abnormal heart sounds o fluiol gverioad .
. The S3 sound may be dyeto _nearr-tadure
dm ay be du et o ki t ve rt ri cl es o Inpertentivn =y
soun
. The 54R
B I
L25 Initials and Date: M
© Hondros College of Nursing FAL
, 102
Murmurs create a b}hoosh'sg%‘ !Q(Qg.g% sound which can indicate twriowlent” blood
flow through the heart.
Review Box 33.1 Linton & Matteson p. 625 - Age-Related Changes
Review Box 33.2 Linton & Matteson p.626 = Assessment of patients with car diovascular disorders
Laboratory Tests
e Cardiac Enzymes/Markeré
L Creatine kinase (CK-MB): ¢ \evate Wl m‘{omm\ial Adamadq J € ,)
Cardiac troponins: Mist spencfic irdwator £ ML [within how’s
Myoglobin: Early Marfer Not- Cordial Speartic. .
C-reactive protein (CRP): _|nf{ammation , poSSble cardias AiSeaSe.
e Lipid Profile
e Used to evaluate the risk of attaergscleyetic disease.
e Instruct the patient to have NPO for 12 hours before sample is drawn
2 W¥S before the test.
e Instruct patients to eat normal diet for
e B-type Natriuretic Peptide (BNP) :
e
released when VTS ¢ dilation and stretch occur.
e A lhormone
T
Headtfalnre
e Which conditions is the rise in BNP seen?
W
tions
641 Laboratory Tests and Cardiovascular condi
+*Review Table 33.5 Linton & Matteson p.
& Matteson, pg. 630-631)
Diagnostic Tests and Procedures (Linton
Purpose & Patient Preparation Post Procedure Nursing
Fwt Care
Procedure o
| ensure stin is Qean | Remowe eteetodes,
Electrocardiogram | tecords electnical
(ECG) Mchivity of Ihaort Gud dng exgan © dosumenT findings
2 detect IS parniesS oad nan fobserve fer changes
ihvasive , \n
arrhy%mia‘b,
ischeniaa. or MY, S,
asved KNa Semachl) o
Echocardiogram Uses sound wones | petient mey %OHbe sid ‘pcuuu B
10 eValuate heart |10 l1¢ an
\ € |Rquited |, rOASW
Structure ¢ explaly pracedure i
fundion dudlofi ‘
hon -
resub
Eigiaie
naon
ts and hrgpa d iior
Vadves & epeation ?MGGS anel MpToms o tr!’d
orel y
Y
Inasive
fracfion,
@ Hondros College of Nursing
FALL2S Initials and Date: £, 1-15- 2.5
¥,
100
088R
‘Week 7: Perfusion
Weekly Reading: Giddens: Chapter 18; Linton & Matteson: 617-621, 624-628, Table 33.3,634-635,
Fig 33.12, Fig 33.13, Fig 33.14, Fig 33.15, Fig 33.16, Fig 33.18, Fig 33.19, Table 33.5, 640-643, Table
0808
33.9, 652-654, Chapter 34, 677-691; Silvestri: 694-714; 718-723; Chapter 54; Willihnganz/Clayton:
353-362; 382-386, 397-406; 438-446; 448-450; 454-457; 458-460; 464-465
Lecture 1
0800
Define: (Giddens chapter 18)
Define the concept of perfusion.
ddiveriviey Orygenated Wood tarouah 4ae clresdodony Systern +0 the ol
0 088
HSae ¥ Or9ans.
Central Perfusion
What is cardiac output?
e onvipunt of Umd the Vary: pumps
0000
Blord
Define preload YeXANNO 10 e Leowt Mdliv&vwmles before contaochion
Define afierload \eSiStonce Sng \eft ventncle nuSt overcome +0 pump land vots
SYStemic, acuehon. o b £, "
SHong -t ’H:nru, o® the Weprt Contractyy, . (1depepdenT oF preloed )
0
Define contra
*Review the normal circulation through the heart Linton & Matteson p. 617
0000
202000800
© Hondros College of Nursing FALL2S Tnitials and Date: &‘b =15°25
,TIITTIINEINEINeY
101
sively
Assessing systematically and comprehen
History (subjective data)
f amil\{ hstory and
e Nurses ask patients about present health history, past health history,
personal and psychosocial history.
t’s present health history.
List some questions to gather some data on your patien g
’
1. DO YOU experience check pain oc dascorvifert
or dsygnea? et
2. DD You . lpone . SOB e e =
- oy ho S ing, th your leas, foet, or ol
notice palmgfimg Ai32iness, oc -Galn+)n5‘z
4. Have you
their history? Describe
a pati ent may pro vid e whi le you are collecting
What are some cardiac symptoms
each one listed. _1Sthenuwt * e
Olest gavas D oor pertusgion. of myocardiad
1.
li ne b Hu ce d ve te nt io n ve lated to CHF-
2. Bdeng 1 Suil ea sed. cordime outpudt,
e SO by de cv
3. spneo
Dy teson, pg- 625)
of Car dio vas cul ar Function (Linton & Mat
sessment
**Review Nursing As
170)
at io n Fi nd in gs (ob jective data) (Giddens p
Examin
ting vital signs:
me var iat ion s yo u may find when collec
List so 1 SpD2
imegular G vathm
ey BR, \
g ¥ a7 & PR her ing dat a about perfusion?
body would you in
sp ect wh en gat
r|iower extremilte], ghest LS, eets
What areas of the s lu pS be d | wp pe
Sy MULDS MnbIan __— at the point of maximal im
pulse (PMI) at the
_ _ _
(Heaf 'fii;:t? e M jeod
& _ _ _
midclavicular line.
remities for _pwise streng?h |
. temperature, capillary
r and lower €x
o Palpate the uppe | 7 '
a
ar ieandor
refill , an d __¢
veal _hovLwal 81,65
the p atien (’s heart may re
Auscultation of 54
D)
typically heard are S3,
. Abnormal heart sounds o fluiol gverioad .
. The S3 sound may be dyeto _nearr-tadure
dm ay be du et o ki t ve rt ri cl es o Inpertentivn =y
soun
. The 54R
B I
L25 Initials and Date: M
© Hondros College of Nursing FAL
, 102
Murmurs create a b}hoosh'sg%‘ !Q(Qg.g% sound which can indicate twriowlent” blood
flow through the heart.
Review Box 33.1 Linton & Matteson p. 625 - Age-Related Changes
Review Box 33.2 Linton & Matteson p.626 = Assessment of patients with car diovascular disorders
Laboratory Tests
e Cardiac Enzymes/Markeré
L Creatine kinase (CK-MB): ¢ \evate Wl m‘{omm\ial Adamadq J € ,)
Cardiac troponins: Mist spencfic irdwator £ ML [within how’s
Myoglobin: Early Marfer Not- Cordial Speartic. .
C-reactive protein (CRP): _|nf{ammation , poSSble cardias AiSeaSe.
e Lipid Profile
e Used to evaluate the risk of attaergscleyetic disease.
e Instruct the patient to have NPO for 12 hours before sample is drawn
2 W¥S before the test.
e Instruct patients to eat normal diet for
e B-type Natriuretic Peptide (BNP) :
e
released when VTS ¢ dilation and stretch occur.
e A lhormone
T
Headtfalnre
e Which conditions is the rise in BNP seen?
W
tions
641 Laboratory Tests and Cardiovascular condi
+*Review Table 33.5 Linton & Matteson p.
& Matteson, pg. 630-631)
Diagnostic Tests and Procedures (Linton
Purpose & Patient Preparation Post Procedure Nursing
Fwt Care
Procedure o
| ensure stin is Qean | Remowe eteetodes,
Electrocardiogram | tecords electnical
(ECG) Mchivity of Ihaort Gud dng exgan © dosumenT findings
2 detect IS parniesS oad nan fobserve fer changes
ihvasive , \n
arrhy%mia‘b,
ischeniaa. or MY, S,
asved KNa Semachl) o
Echocardiogram Uses sound wones | petient mey %OHbe sid ‘pcuuu B
10 eValuate heart |10 l1¢ an
\ € |Rquited |, rOASW
Structure ¢ explaly pracedure i
fundion dudlofi ‘
hon -
resub
Eigiaie
naon
ts and hrgpa d iior
Vadves & epeation ?MGGS anel MpToms o tr!’d
orel y
Y
Inasive
fracfion,
@ Hondros College of Nursing
FALL2S Initials and Date: £, 1-15- 2.5
¥,
