Plattsburgh State University of New York

Care of the Adult III
David Curry

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Course Readings


NUR 464 TOPIC SCHEDULE Fall, 2004

Mon/Wed 11:00 - 12:50 a.m.—Hawkins 229

Go to weblinks page

DATE TOPIC HOURS REQUIRED READINGS & ACTIVITIES
8/23 Orientation

A. Self-care & priorities
B. Situational & environmental stressors
C. Psychosocial & family dynamics

2 Urden, Ch 1, 3, 4-9

(Additional readings & activities will be assigned from time to time)

8/25 Alteration in Cardiac Output

A. Dysrhythmias

B. Related Medications

 2  Urden, Ch 10, 11, 12

CAI: Arrhythmia recognition in Feinberg computer lab

EKG: analysis and intervention videos, MV5266 - EKG interpretation,
MV5267 - sinus, atrial and junctional dysrhythmias
MV5268 - heart block and ventricular dysrhythmias

8/30 Dysrhythmias (cont) 2 http://www.rnceus.com/ekg/ekgframe.html 
9/1 Dysrhythmias (cont) 2  As above
9/6 Alteration in Cardiac Output

C  Myocardial infarction

D.  Acute heart failure

2 As above

CAI: Complex problems - MI in Feinberg computer lab

9/8 Alteration in Cardiac Output w/ related medications (cont.) 2 As above
9/13 EXAM #1

Immunological Dysfunction

A. Immunocompromise
B.
Infection control
C. Related medications

1

1

Theory 8/23-9/8 NSL Bedside EKG, Pacemaker, Cardioversion

Handouts

9/15 Alteration in Tissue Perfusion: Shock

A. Cardiogenic (CS)
B. Hypovolemic(HS)
C. Septic (SS)
D. Related medications

1 Urden, Ch 26

CAI: Shock Management in Feinberg computer lab

9/20 Shock (cont.) 2 As above
9/22-27 Alteration in GI Function

A. Nutritional considerations - including diabetic ketoacidosis 
and NKHHC

B. Related medications

4 Urden, Ch 5, 23, 24
9/29 EXAM #2 - take home   Theory 9/13 to 9/27 NSL Vascular access Hemodynamic monitoring
10/4 Concepts of Critical Care Nursing: Ethical & legal issues

Alteration in Renal Function: 

A.  Acute renal failure

1. prerenal hypoperfusion

2. acute tubular necrosis (ATN)

B. Related medications

1

 

1

Urden, Ch 2

 

Urden, Ch 19-20

10/6 Alteration in Respiratory Function

A. Acute Respiratory Failure

B. ARDS

1 Urden, Ch 13-15
10/11 Columbus Day Break    
10/13 Alteration in Respiratory Function

C. Pulmonary Embolism

D. Related Medications

2 As above
10/18 EXAM #3 1 Theory 10/4 to 10/13 NSL Artificial Airways & Mech. Ventilation
10/20 Hematologic Dysfunction

 Disseminated intravascular coagulopathy (DIC)

Alteration in GI Function

B. Acute GI bleed

C. Related medications

1

 

 

1

Handouts

eMedicine article on DIC

 

Urden, Ch 21, 22

10/25 Disaster Nursing 2 Handout
10/27 Disaster Nursing/First Aid 2 Handout
11/1 Multiple Trauma

A. Mechanisms & triaging

B. Head/spinal injury

    1. Facial injuries
    2.
Skull fractures
    3.
Subdural hematoma
    4.
Brain stem injury
    5.
Cervical fracture

2 Urden, Ch 25

* emphasis on acute stage: problems & management

Urden, Ch 16-18

11/3 EXAM #4 1 Theory 10/20 to 11/1 NSL Sengstaken-Blakemore tube (SBT)
11/8 Multiple Trauma

C. Thoracic injury

1. Lung contusion
2.
Flail chest
3.
Hemo/pneumothorax
4.
Cardiac tamponade
5.
Great vessels

2 Urden, Ch 25 plus handouts
11/10 Multiple Trauma

D. Abdominal trauma

E. Pelvic trauma

2 As above
11/15 Burns and Thermal Injuries 2 Handouts
11/17 Burns (cont.)

Related medications

2 As above
11/22 Immunologic dysfunction

Organ Transplantation

1. Indications/contra-indications

2. Donor/recipient compatibility

3. Organ procurement

2 Handouts
11/24 Thanksgiving Break    
11/29 Immunologic dysfunction (cont.)

4. Pre/postoperative care

a. Kidney transplants

b. Heart transplants

5. Related medications

2 As above
12/1 Special topics/review 2 Handouts
FINALS WEEK Exact Date and Time TBA EXAM #5

Course & Faculty Evaluation

  Theory 11/8-12/1

 NSL Emergency/first aid

 

This page last modified on 09/03/04.


Copyright 2005 David Curry
Address e-mail to david.curry@plattsburgh.edu.