	Care of the Adult III David Curry

Course Readings

NUR 464 TOPIC SCHEDULE Fall, 2009

Mon/Wed 8:00-9:50 a.m. — Hawkins 202

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DATE	TOPIC	HOURS	REQUIRED READINGS & ACTIVITIES
8/24	Orientation A. Self-care & priorities B. Situational & environmental stressors C. Psychosocial & family dynamics	2	Morton, Ch 1-6 (Additional readings & activities will be assigned from time to time) Mirror, mirror on the Wall. Davis, K. et. al. The Commonwealth Fund, May 2007
8/26	Alteration in Cardiac Output A. Dysrhythmias B. Related Medications	2	Morton, Ch 17 esp pp269-89 Basic ECG course Cardiac medications for patients
8/31	Dysrhythmias (cont)	2	http://www.rnceus.com/ekg/ekgframe.html
9/2	Dysrhythmias (cont)	2	Morton, Ch 18 esp pp333-42 - circulatory system image
9/7	Alteration in Cardiac Output C Myocardial infarction D. Acute heart failure	2	Morton, Ch 21 MI animation Morton, Ch 20 HF web resource
9/9	Alteration in Cardiac Output w/ related medications (cont.) EXAM #1	1 1	Morton, Ch 19, 22 Heart Failure medications Left ventricular assist device Intra-aortic balloon pump Theory 8/27-9/12 NSL Bedside EKG, Pacemaker, Cardioversion
9/14	Immunological Dysfunction A. Immunocompromise B. Infection control C. Related medications	2	Morton, Ch 45, 46, 48 Immune system overview Handouts
9/16	Alteration in Tissue Perfusion: Shock A. Cardiogenic (CS) B. Hypovolemic(HS) C. Septic (SS) D. Related medications	1	Morton, Ch 54 Hypovolemic shock article Septic shock and SIRS article SIRS->sepsis->septic shock diagram Cardiogenic shock article PA catheter insertion
9/21	Shock (cont.)	2	As above
9/23 & 9/28	Alteration in GI Function A. Nutritional considerations - including diabetic ketoacidosis and NKHHC B. Related medications	4	Morton, Ch 38-41, 44 esp pp1137-55 Handouts Diabetes slideshow Basal metabolic rate calculator Januvia - a DPP4 inhibitor Symlin - a new class of drug
9/30	EXAM #2 - in class - Room TBA		Theory 9/14-9/28 NSL Vascular access Hemodynamic monitoring
10/5	Concepts of Critical Care Nursing: Ethical & legal issues Alteration in Renal Function: A. Acute renal failure 1. prerenal 2.intrarenal 3.postrenal B. Acute tubular necrosis (ATN - intrarenal) C. Related medications	1 1	Morton, Ch 7-9 MOLST/End of life issues Morton, Ch 28-31 ARF article Home hemodialysis ATN website Continuous renal replacement therapy ESRD and medications
10/7	Alteration in Renal Function: continued	2	As above
10/12	Columbus Day
10/14	Alteration in Respiratory Function A. Acute Respiratory Failure B. ARDS	2	Morton, Ch 23-27 Respiratory failure - Merck ARDS website
10/19	Alteration in Respiratory Function C. Pulmonary Embolism D. Related Medications	2	As above Nurse Bob's pulmonary stuff Mechanical ventilation eMedicine article - PE Pulmonary Medications
10/21	EXAM #3	1	Theory 10/3 to 10/24 NSL Artificial Airways & Mech. Ventilation
10/26	Hematologic Dysfunction Disseminated intravascular coagulopathy (DIC) Alteration in GI Function B. Acute GI bleed C. Related medications	1 1	Handouts eMedicine article on DIC Morton, pp1303-9 Morton, pp1041-50
10/28	Disaster Nursing	2	Handout - MS in Disaster Medicine + Management
11/2	Disaster Nursing/First Aid	2	Handout
11/4	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	Morton, Ch 55 * emphasis on acute stage: problems & management Morton, Ch 32-37 High-Tech Monitoring of Traumatic Brain Injury - CD-ROM Concept Media (MV5286)
11/9	EXAM #4	1	Theory 10/31 to 11/12 NSL Sengstaken-Blakemore tube (SBT)
11/11	Multiple Trauma C. Thoracic injury 1. Lung contusion 2. Flail chest 3. Hemo/pneumothorax 4. Cardiac tamponade 5. Great vessels	2	Morton, Ch 55 plus handouts Thoracic trauma powerpoint Thoracic trauma eMedicine article
11/16	Multiple Trauma D. Abdominal trauma E. Pelvic trauma	2	As above Diagnostic peritoneal lavage Blunt abdominal trauma Penetrating abdominal trauma Pelvic fracture
11/18	Burns and Thermal Injuries	2	Morton, Ch 53 Emergency Medicine article on burns
11/23	Burns (cont.) Related medications	2	As above Skin graft drawings
11/25	Thanksgiving	2	No class
11/30 + 12/2	Immunologic dysfunction Organ Transplantation 1. Indications and contraindications 2. Donor/recipient compatibility 3. Organ procurement 4. Pre/postoperative care a. Kidney transplants b. Heart transplants 5. Related medications	4	Handouts Morton, Ch 47 Organ Donation: Medline Plus Center for Donation and Transplant United Network for Organ Sharing Kidney transplantation Heart transplantation
FINALS WEEK	Exact Date and Time TBA EXAM #5 Course & Faculty Evaluation		Final exam covers trauma, burns and organ transplantation content

This page last modified on 10/18/09.

Course Readings

Copyright 2007 David Curry Address e-mail to david.curry@plattsburgh.edu.

Copyright 2007 David Curry
Address e-mail to david.curry@plattsburgh.edu.