Plattsburgh State University of New York

Care of the Adult III
David Curry

Syllabus Announcements Readings, Presentations, and Lectures View Assignments Course Discussion Area mailto.gif (1086 bytes) Help with the web site

Course Readings


NUR 464 TOPIC SCHEDULE Spring, 2008

Mon/Wed 8:00-9:50 a.m. — Hawkins 209

Go to weblinks page

DATE TOPIC HOURS REQUIRED READINGS & ACTIVITIES
1/28 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

1/30 Alteration in Cardiac Output

A. Dysrhythmias

B. Related Medications

 2  Morton, Ch 17 esp pp244-63

Basic ECG course

Cardiac medications for patients

2/4 Dysrhythmias (cont) 2 http://www.rnceus.com/ekg/ekgframe.html 
2/6 Dysrhythmias (cont) 2  Morton, Ch 18 esp pp298-305
- circulatory system image
2/11 Alteration in Cardiac Output

C  Myocardial infarction

D.  Acute heart failure

2 CAI: Complex problems - MI in Feinberg computer lab
Morton, Ch 21  MI animation 

Morton, Ch 20  HF web resource  

2/13 Alteration in Cardiac Output w/ related medications (cont.) 2 Morton, Ch 19, 22
Heart Failure medications  
Left ventricular assist device  
Intra-aortic balloon pump  
2/18 EXAM #1


Immunological Dysfunction

A. Immunocompromise
B.
Infection control
C. Related medications

1


1

Theory 8/27-9/12 NSL Bedside EKG, Pacemaker, Cardioversion

Morton, Ch 45, 46, 48
Immune system overview  

Handouts

2/20 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 

2/25 Shock (cont.) 2 As above
2/27 &
3/3
Alteration in GI Function

A. Nutritional considerations - including diabetic ketoacidosis 
and NKHHC

B. Related medications

4 Morton, Ch 38-41, 44 esp pp1038-1057

Handouts
Diabetes slideshow 
Basal metabolic rate calculator

Januvia - a DPP4 inhibitor
Symlin - a new class of drug

3/5 EXAM #2 - take home   Theory 9/17-10/1 NSL Vascular access Hemodynamic monitoring
3/10

 

 

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 7-10

 

Morton, Ch 28-31

ARF article   
Home hemodialysis  




ATN website
  
Continuous renal replacement therapy  

ESRD and medications   

3/12 Alteration in Renal Function: continued 2 As above
3/17+19 Spring Break    
3/24 Alteration in Respiratory Function

A. Acute Respiratory Failure

B. ARDS

2 Morton, Ch 23-27


Respiratory failure - Merck  

ARDS website  

3/26 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   

3/31 EXAM #3 1 Theory 10/3 to 10/24 NSL Artificial Airways & Mech. Ventilation
4/2 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, pp1185-91

 

Morton, pp953-61

4/7 Disaster Nursing 2 Handout - 
MS in Disaster Medicine + Management
4/9 Disaster Nursing/First Aid 2 Handout
4/14 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)

4/16 EXAM #4 1 Theory 10/31 to 11/12 NSL Sengstaken-Blakemore tube (SBT)
4/21 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  

4/23 Multiple Trauma

D. Abdominal trauma

E. Pelvic trauma

2 As above
Diagnostic peritoneal lavage
Blunt abdominal trauma 
Penetrating abdominal trauma  
Pelvic fracture  
4/28 Burns and Thermal Injuries 2 Morton, Ch 53
Emergency Medicine article on burns  
4/30 Burns (cont.)

Related medications

2 As above
Skin graft drawings  
5/5 +

5/7

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 - it is online May 14th at 0800

 

This page last modified on 05/04/08.


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