Learning Objectives

After completing this course you’ll be able to:

1. Describe the seven phases of the cardiac cycle.
2. Define cardiac output, preload, afterload, and contractility.
3. Compare chemoreceptors and baroreceptors.
4. Describe several chemicals in the body that affect heart action.
5. Describe myocytes and autorhythmic cells.
6. Describe the sinoatrial node.
7. Compare the left anterior descending artery and the left circumflex artery.
8. List the three major systems that drain the capillary bed.
9. List the various risk factors for cardiovascular disease.
10. Discuss the effects of hypertension.
11. Describe populations at risk for coronary vascular disease.
12. Discuss psychosocial health as related to cardiovascular disease.
13. Discuss the six steps of evidence-based practice.
14. Describe the clinical audit as a means of evaluating evidence.
15. Define an ethical dilemma.
16. State why genetic research is vital.
17. Describe the method for measuring jugular venous pressure.
18. Compare a pulsus alternans and a pulsus paradoxus.
19. Describe adventitious breath sounds according to Table 9.4.
20. Describe the theoretical basis for doing a 12-lead ECG.
21. Describe the normal waveforms and their significance according to Table 10.2.
22. Describe patient preparation for an ECG.
23. Compare the three-electrode monitoring system, five-electrode monitoring system, and the ten-electrode monitoring system.
24. Define telemetry and discuss drawbacks.
25. Describe the various generic laboratory tests.
26. Describe commonly used markers of myocardial necrosis.
27. Describe a cardiac catheterization procedure including peri-procedural and post-procedural care.
28. Compare transthoracic and transesophageal echocardiography.
29. Describe magnetic resonance imaging and list the risks.
30. List structural abnormalities and arrhythmias seen in sudden cardiac death.
31. Describe the types of cardiomyopathies.
32. List several hazards to the victim and rescuer when an out-of-hospital arrest occurs.
33. Describe the basic life support flow chart. (Figure 15.2)
34. Define ethical principles in resuscitation.
35. Describe the advanced directive.
36. Describe several contributing factors to myocardial ischemia or infarction.
37. Compare patients with an elevated ST segment and non-ST elevation during a myocardial infarction.
38. Discuss triage nurse guidelines for identification of acute coronary syndrome patients. (Table 18.6)
39. Discuss the findings of Pollack and Gibler 2001, regarding risk factors for CAD.
40. Discuss the value of exercise tolerance tests when biomarkers are negative.
41. Describe the steps of the “4 D’s.”
42. State the key goal of reperfusion strategy.
43. List the limitations and benefits of lytic therapy.
44. List the three critical time periods when seeking to reperfuse in STEMI.
45. Compare the use of nitrates, beta blockers, and calcium channel blockers as anti-ischemic therapies.
46. Compare unfractionated heparin and low-molecular-weight heparin according to Table 22.3.
47. Describe the three types of heart block.
48. Compare atrial fibrillation and atrial flutter.
49. Discuss the findings of Peberdy et al. 2003, regarding in-hospital cardiac arrest and strategies to facilitate early detection.
50. Describe the ABCDE approach during post-resuscitation care.
51. Describe a simple “2-minute” bedside tool for clinical assessment of a patient’s hemodynamic status in acute heart failure, according to Nohria et al. 2003.
52. Describe treatments for “refractory” in acute heart failure.
53. Describe the Chronic Care Model which was adapted by the World Health Organization.
54. Describe secondary prevention.