132: Acute Coronary Syndrome:
A Nursing Perspective
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Coronary artery disease is the leading cause of death in the United States, causing approximately 1.5 million heart attacks and 500,000 deaths per year. In addition, over a million patients of cardiovascular and cerebrovascular procedures are discharged each year. Overall, patients recovering from heart disease-related surgeries account for approximately half of the acute care hospital population, including diagnostics and either medical management or invasive interventions such as angioplasty, stent placement, or bypass surgery.
This four-part series provides a comprehensive view of the care nurses need to provide to individuals with acute coronary syndrome in inpatient and outpatient settings. The patients are then followed during their post-procedure period as well as during cardiac rehabilitation. In addition, there is an emphasis on the need for and value of patient and family education. Animation and real-time video of operative procedures are used to enhance the didactic material. |
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Schools: Advanced: coronary care
Healthcare Facilities: Staff education/orientation CCU, DOU, Day Surgery, ED |
Individual program learning objectives
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To preview the programs listed below, click on the clips
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the controls. These previews are the property of EMD and are not intended for instructional use. |
132.1 Assessment & Care of the Patient with Acute Coronary Syndrome (19 min.)
1. Define cardiovascular disease.
2. Explain the pathophysiology of atherosclerosis.
3. Compare and contrast stable angina and acute coronary syndrome.
4. Describe the pathophysiology associated with angina and acute coronary syndrome.
5. List the signs and symptoms of angina and acute coronary syndrome.
6. Discuss various assessment processes and procedures used to make the diagnosis
7. Outline the different treatment options available.
8. Describe the roles of the nurse caring for the patient with acute coronary syndrome during the patient’s initial assessment as well as before, during, and after diagnostic procedures. |
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| 132.2 Coronary Angiography & Non-Surgical Interventions
(22 min.)
1. Define and describe the following procedures: angiogram, angioplasty and stent placement.
2. State the pre-procedure evaluations and care for patients undergoing each of the above interventions.
3. Explain the role of the nurse during these procedures.
4. Outline post-procedure care for patients who have had these procedures. |
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132.3 Bypass Surgery: DOS & Postoperative Care (21 min.)
1. State the incidence of vascular surgeries in the United States.
2. Explain the treatment plan, from preoperative, postoperative, through daily treatment goals, to the discharge criteria, for patients who have undergone bypass surgery.
3. Describe the assessment and patient preparation process for an individual scheduled for bypass surgery.
4. Outline the roles of the nurse during the post-operative period. |
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132.4 Rehabilitation and Lifestyle Management (21 min.)
1. Define cardiac rehabilitation.
2. State the general goals of cardiac rehab.
3. List the components of cardiac rehab.
4. Develop a patient teaching plan for individuals in cardiac rehab.
5. Compare the four phases of cardiac rehab. |
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