Week_Seven_Student_Objectives

Week_Seven_Student_Objectives - Michigan State University...

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Michigan State University College of Nursing Fall 2007 Week Seven Class Topics Nursing care of the Child with a Cardiovascular disorder Required Readings:  Ch. 41          Chapter 41 Nursing Care of the Child with a Cardiovascular Disorder Objectives: After mastering the contents in this chapter, students should be able to: 1. Assess a child with cardiovascular dysfunction. 2. Outline a plan of nursing care for the family of an infant with congestive heart failure. 3. Compare and contrast the pediatric congenital cardiac defects. 4.  Formulate a plan of nursing care for an infant or child with a cardiovascular defect with  increased pulmonary blood flow. 5. Outline a teaching plan for instructing parents in the home care of a child with a defect with  decreased pulmonary blood flow. 6. Compare and contrast Rheumatic fever and Kawasaski Disease 7. Identify National Health Goals related to cardiovascular disorders in children that nurses  could help the nation achieve. 8. Identify areas related to the care of children with cardiovascular problems that could benefit  from additional nursing research or application of evidence-based practice. 9. Use critical thinking to analyze ways that the nursing care of children with cardiovascular  disorders could be more family-centered. 10. Integrate knowledge of cardiovascular disorders with the nursing process to achieve quality  maternal and child health nursing care. Outline: Outline: 1. Nursing Process Overview: need history and PE, many s/sx are subtle. Teach about the  diagnostic tests and support the child and the family through them. 2. The Cardiovascular System: heart=two pumps, right side pumps to lungs, left side pumps to  the rest of the body, contraction of chambers is systole, relaxation is diastole. Most heart dz in  children is from the embryonic structures not closing properly or the heart was formed  inappropriately. CO=SVxHR, affected by preload, contractility and afterload. Frank-starling  law says SV can be increased by increasing the stretch of the fibers. Excessive stretch=  decrease in CO as heart tires. Therapy is aimed at reducing preload and afterload and  increasing contractility to get a better CO. 3. Assessment of heart disorders in children: kids with heart disorders have an increased risk of  poor tissue perfusion, which may affect growth and development, so development testing  may be necessary.  a. History: heart arises from the same embryonic origin as the kidney therefore heart dz  and renal dz might run together. Some also run with chromosomal disorders as well. 
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Week_Seven_Student_Objectives - Michigan State University...

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