LECTURE TOPIC UNIT 1&2

ASSIGNMENTS 1. Lewis Ch 13 pgs 186-191 2. Lewis Ch 15 pgs 236-241 3. Ancillary Chapter by Workman 4. Lehne Review of the Immune system Ch 66 5.Lewis Ch 14 pgs 211-234 6. Lehne Ch 67 Vaccines 7. ATI Pharm Vaccines Ch 41 8. Lewis pgs 705-710 Blood Component therapy 9. ATI Med Surg Ch 44 10.ATI Pharm Ch 27 11. Lewis Ch 65

CLINICAL OBJECTIVES/ DISCUSSION Incorporate understanding of vaccines in clinical practice. Compare clinical examples of an ineffective vs an overactive immune system Correctly interpret a white blood cell count with differential to indicate no immune problems, immunosuppression, infection, or an allergic reaction

ALTERED IMMUNE RESPONSES Review of the Immune system The Immune Response Vaccines, tetanus Allergy , Latex Allergy Anaphylaxis Role of Epinephrine Transplant rejection
Lupus and Rheumatoid arthritis

Pharmacology for the Immune system

1.Lehne: :Immunosuppressants
Ch 68 2. Lehne : Drugs for RA Ch 72 3. ATI Pharm Ch 33, Ch 38 meds for Gout pgs 469-471 4. Lewis Table 65-3

Application Exercises
La Charity Ch 4,5, La Charity Case Study 11 Evolve Case Study RA and joint arthroplasty Lewis Study Guide ATI Tutorial: Immune and Infectious

LECTURE TOPIC

ASSIGNMENTS

CLINICAL OBJECTIVES/ DISCUSSION Outline the underlying principles for the care of the AIDS patient. Identify situations that warrant a sexual risk reduction screening.

HIV Infection Antiretroviral Therapy

3. Lewis Ch 15 pgs 241- 259

Lehne Ch 93 Lehne Ch 92 Evolve Case study : HIV and TB

UNIT 3

CARE OF THE ONCOLOGICAL PATIENT Stem cell theory Risk Factors Prevention and Screening Surgical treatment, chemotherapy and radiation Bone marrow transplant Nadirs Transfusion of blood products Parenteral Nutrition Care of central venous access devices Specialized Nutritional Support

1. Lewis Ch 31 Neutropenia pgs 691-694. 2.Thrombocytopenia pgs 678694. 3. Lewis Ch 16 4. Lehne Ch 5. Lewis Ch 17 pgs 328-332 6. Lewis Ch 40 pgs 931-941 7. Review ATI Ch 27 7. Specific Cancers as assigned:
Leukemia, Lymphoma, Multiple Myeloma: 731-730. Colo-rectal cancer: 1063-1069 Bone Cancer: 1674 Cervical cancer, Endometrial and ovarian 1400-1404 Breast 1348-1361

Perform and document assessment data related to the client with cancer Review nursing implications critical in the care of the immunosuppressed patient Analyze lab values related to a suppressed immune system Discuss narcotic ceilings and thresholds Examine the agency chemo spill kit procedures

Application Exercises : La Charity Ch 2, 8 La Charity Case study 11 Evolve Case studies Breast cancer, Cervical cancer, Lung cancer ATI Tutorial: Oncology

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CLINICAL OBJECTIVES/ DISCUSSION

UNIT 4

HEPATIC AND BILIARY DISORDERS Functions of the liver. Jaundice Hepatitis Ascites, Portal hypertension and cirrhosis Role of Albumin Acute and chronic pancreatitis Gallbladder disorders COMPLICATIONS OF RESPIRATORY DISORDERS

Lewis Ch 39 Lewis Ch 44 La Charity Ch 12 La Charity Case study 9, 12

Prioritize complication associated with ascites and portal hypertension. Analyze lab values pertinent to the function of the hepatic system

Lewis Ch 26,28,29 Lecture Notes for review Lewis Ch 66 pg1751-1769. Lewis Ch 68 Lehne pg: 1250-1252. La Charity Ch 6. La Charity Case Study 2, 17.

Perform and document assessment of the respiratory system. Use appropriate assessment parameters for assessing characteristics and severity of respiratory disorders

UNIT 5

Pulmonary heart disease: pulmonary hypertension, cor pulmonale ARDS Respiratory failure Mechanical Ventilation Respiratory Intensive Care Drugs for Pulmonary Hypertension

Identify clients at risk for respiratory failure. Core measures: Pneumonia

LECTURE TOPIC CONDUCTION UNIT 6

ASSIGNMENTS

CLINICAL OBJECTIVES/ DISCUSSION

.SIMULATION: MOCK CODE

Introduction to critical care. Dysrhythmias and drugs for dysrhythmias Pacemakers, ICDS Cardioversion Asystole, V fib

Lewis Ch 32,36 Lehne Ch 48 Lehne Ch 44 La Charity Ch 7 La Charity Case study 1

Apply nursing considerations when giving nitrates, beta blockers, ace inhibitors, dysrhythmics and calcium channel blocker

Teaching for patient with pacemaker and/or ICD.

CORE MEASURES: Heart Failure Use appropriate assessment parameters for determining the characteristics and the severity of major symptoms of cardiovascular dysfunction Analyze key nursing diagnosis related to imbalance of myocardial supply and demand Discuss nursing interventions for Activity Intolerance Recognize clients at risk for shock. Prioritize signs and symptoms of early shock.

CIRCULATION AND CIRCULATORY FAILURE

Heart Failure Hemodynamics and hemodynamic monitoring SHOCK, SEPSIS AND DIC Circulatory failure Drugs for shock, vasopressors Multisystem organ failure DIC
UNIT 7

Lewis: Ch 35. Lewis: Ch 66 pgs

Lewis Ch 67. Lehne Ch 66- review Lehne: Xigris pg 12121213 Lehne Ch 47, 45, 42. La Charity Case study 15, 14.

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CLINICAL OBJECTIVES/ DISCUSSION

UNIT 8

VASCULAR DISORDERS and STRUCTURAL AND INFLAMMATORY DISORDERS Valvular heart disease Cardiomypoathy Endocarditis., Pericarditis. PAD, Critical limb ischemia, Peripheral Vascular disease, Aneurysms Invasive and Non-invasive interventions for the vascular system PCI and angioplasty Fibrinolytic therapy, Antiplatelets and anticoagulants Bypass grafts, Open heart surgery Heparin Protocol: DVT and Coronary

Lewis Ch 34, 37, 38 Lewis pgs 806-810 Lehne Ch 51 Lehne Ch 52. La Charity Case study 16

Apply teaching principles of limb ischemia in clients with PAD. Prioritize nursing interventions for clients after invasive vascular procedures Heparin Protocol: Coronary and DVT. Practice heparin calculations
Recognize priorities when administering anticoagulant therapy. Analyze key nursing diagnoses related to reduced arterial blood flow

UNIT 9

RENAL AND GU ALTERATIONS Acute and chronic renal failure Peritoneal and hemodialysis Other renal and GU disorders Urinary diversion Prostate surgeries and Bladder irrigation Urinary incontinence Drugs for overactive bladder

Lewis Ch 45, 46, 47 Lehne pg 457- 459 Lehne pg 125-129 Lehne Ch 40. La Charity Ch 15 La Charity Case study 4

Identify significant lab tests for the dialysis patient and related clinical signs and symptoms.

Identify factors that may contribute to the development of renal disorders.

Differentiate between thrills and bruits Understand care of the AV fistula Identify nursing implications regarding

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CLINICAL OBJECTIVES/ DISCUSSION

temporary dialysis catheters. Identify components of a renal diet.

LECTURE TOPIC ENDOCRINE DISORDERS Anterior and Posterior Pituitary gland SIADH and Diabetes Insipidus Thyroid disorders, Parathyroid disorders. Adrenal gland disorders Pheochromocytoma Related Pharmacology, Use of Steroids in Endocrine disorders

ASSIGNMENTS

CLINICAL OBJECTIVES/DISCUSSION

Lewis: Ch 48,50 Lehne : Ch 57, 58, 59, 71 La Charity Ch 13 La Charity Case study 8

Identify patients at risk for SIADH Recognize lab tests used in the diagnosis of thyroid and adrenal gland disorders

UNIT 10

LECTURE TOPIC

ASSIGNMENTS

CLINICAL OBJECTIVES/DISCUSSION

UNIT 11

ACUTE AND CHRONIC NEUROLOGICAL DISORDERS Intracranial pressure and cerebral pressure Head injury Cranial surgical procedures Brain attack Nursing care Meningitis and Encephalitis Seizures Parkinsons Disease Myasthenia gravis, Guillan Barre ALS Toxic neuropathies Rehabilitation Issues

Lewis Ch 56, ,57,58 Lewis Ch 59, 61 Lehne: Parkinsons Disease Ch 21 Multiple Sclerosis Ch 23 Epilepsy Ch 24 Myasthenia Gravis Ch 15 La Charity Ch 9

Implement assessment techniques to assess LOC, motor strength and ocular changes. Identify mental status changes and implications for patient safety Identify interventions pertinent to the assessment of neuro function.

Differentiate the signs and symptoms of persons with right and left hemispheric stroke. Use the nursing process as a framework for care of the client with a brain attack.
Cite the major feature of seizure precautions and post-seizure care.

UNIT 11

Identify examples of caregiver strain when appropriate List alternatives to restraints Implement nursing intervention appropriate for patients with impaired verbal communication, impaired swallowing, and alterations in urinary

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CLINICAL OBJECTIVES/DISCUSSION

and bowel elimination

UNIT 12

PERIPHERAL NERVE AND SPINAL CORD PROBLEMS Spinal cord injury and spinal shock
BURNS

Lewis Ch 61 La Charity Case Study 7 Lewis Ch 24, 25

Use the nursing process as a framework for care of the client with a spinal cord injury.
Analyze observations of primary and secondary survey. Identify clinical applications of prioritization and delegation .

INTRODUCTION TO EMERGENCY NURSING Triage Disaster Bioterrorism,

La Charity Ch 18 Lewis Ch 69 Lehne Ch 108, 109

Recognize correct responses to emergency situations. Calculate fluid replacement needs in the burn client.