Test 5

Dysrhythmias 16

ARF
7

ARDS
7

Ventilator
8

PE
8

Math
4
There are only 3 strips on the test. Most dysrhythmia questions are related to interventions.
Week 11 Cardiac Dysrhythmias
Weekly Student Learning Outcomes
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Analyze an EKG rhythm strip to identify normal sinus rhythm, common or life threatening dysrhythmias.
Determine nursing and collaborative assessment parameters in a client with cardiac dysrhythmias.
Plan evidenced based collaborative nursing care for the client with cardiac dysrhythmias.
Provide safe and effective care during use electrical intervention equipment for dysrhythmias such as cardiac defibrillator and temporary pacing
Formulate a teaching/health promotion plan for the client and family with cardiac dysrhythmias.
Discuss the psychosocial effects on a client with cardiac dysrhythmias.

Learning Strategies
Before Class:
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In Class:
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Read in Ignatavicius and Workman: pp. 649-677.

Bring a rhythm strip to class that you have obtained from clinical. (Remove the clients information by cutting it off the strip)
Review ATI Targeted Medical Surgical 2013: Cardiac
View: EKG strips for the NCLEX & beginners duration 39:34 (stop at Heart blocks)

The Cardiovascular System Lesson: Drug Therapy for Cardiac Dysrhythmias

List priority nursing problems with interventions for the client with a symptomatic dysrhythmia
Using the provided worksheet, interpret telemetry strips and indicate appropriate drug therapy for symptomatic clients
Role play teaching client and family about procedures and interventions for common dysrhythmias
Complete/present Clinical Judgment Challenge, Ignatavicius & Workman, p. 672

Week 12
Pulmonary Embolism; Acute Respiratory Failure; Acute Respiratory Distress Syndrome; Mechanical Ventilation
Weekly Student Learning Outcomes
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Determine nursing and collaborative assessment parameters in the client with respiratory failure, acute respiratory distress syndrome, and pulmonary emboli.
Plan evidenced based nursing care for the client with respiratory failure, acute respiratory distress syndrome, and pulmonary emboli.
Formulate a teaching/health promotion plan for the client and family with respiratory failure, acute respiratory distress syndrome, and pulmonary emboli.
Discuss the psychosocial effects on a client with respiratory failure, acute respiratory distress syndrome, and pulmonary emboli.

This week:
Before Class:
Read in Ignatavicius and Workman
1.
PE pp. 603-610
2.
ARF pp.610-612
3.
ARDS pp. 612-614
4.
Mechanical Ventilation pp.614-622
5.
Review Acid-Base pp. 179-182
Homework:
1.
Determine risk factors associated with diagnosis of PE in a one-minute paper.
2.
Review Clinical Judgment Challenge in Ignatavicius & Workman, on p. 610, we will complete in class.
3.
Review ATI Targeted Medical Surgical 2013: Fluid, electrolytes, and acid base (optional)
4.
Review ATI Targeted Medical Surgical 2013: Respiratory (optional)
5.
View: Videos PE, ARF, ARDS, Mechanical Ventilation
In Class:
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Complete causes of Acute Respiratory Failure Grid

List prioritized nursing problems of the client with PE
Discuss safety & preventative measures for client & family with PE
Be prepared to identify & discuss situations in which the client would require ventilatory support.
Bring in and be prepared to discuss an evidence-based practice article about the best method for assessing ET tube placement and methods for tube stabilization.
Create an SBAR that reports emergent data to the interdisciplinary team for a client with ARF
List 3 interventions addressing the psychological impact of ARF/Mechanical Ventilation
Structured controversy: Intubation & Mechanical Ventilation