Med/Surg Lesson Plan:

What they need to know and do before class:

Know:
1. Normal physiology of cardiovascular and
pulmonary systems.
2. Cardiovascular assessment
3. Understanding of Hypertension
4. Knowledge of Antihypertensive drugs

Perfusion

Do:
1. Read pages in text book
a. Arteriosclerosis 1360-1362, 1364-1366, 1373-1374
b. Heart Failure 1404-1420
c. Stroke 1499-1512
d. PVD/DVT 1389-1397, 1462-1468
2. Watch Videos from book website under Videos and Animations
a. Animation: Cardiovascular: Coronary Artery Disease
Etiology and Pathophysiology
b. Animation: Drugs: Endocrine and Metabolic Drugs
Cholesterol Lowering: Atorvastatin
c. Video: Cardiovascular: Coronary Artery Disease
Etiology and Pathophysiology
d. Video: Cardiovascular: Coronary Heart Disease
Etiology and Pathophysiology

What will student know at the end of class:

1
Relate the significance of cardiac output to perfusion.
2
Describe the four determinants of cardiac output and how alterations effect perfusion.
3
Discuss collaborative interventions that optimize cardiac output and tissue perfusion.
4
Relate the physiologic processes involved in embolus formation to assessment findings.
5
Describe the etiology, pathophysiology, and manifestations of common perfusion disorders, including
arteriosclerosis, heart failure, stroke,
and peripheral vascular disease.
6
Interpret diagnostic and laboratory tests associated with common perfusion disorders.
7
Differentiate normal from abnormal assessment findings.
8
Employ pharmacologic interventions in caring for a patient with alterations in perfusion.
9
Provide individualized basic education to the patient experiencing an alteration in perfusion.
10
Discuss the nutritional implications in the management of a patient with arteriosclerosis, heart failure, stroke and
peripheral vascular disease.

Exemplar 22.3
Arteriosclerosis
Expected Time : __________

Exemplar 22.6
Heart Failure
Expected Time: ___________

Learning Activities:
1. Lecture with concept
map

Learning Activities:
1. Lecture
2. Case Study: on paper
and on line from
book (Reflect)
3. Concept map
(include core
measures)

Exemplar 22.13
Stroke
Expected Time:
_____________
Learning Activities:
1. Lecture
2. NIH Stroke scale
Using one of the patients:
Identify and discuss
psychosocial needs and
strategies to address the
client and familys needs
after experiencing a
stroke; include
employment strategies,
home care, family care,
etc. (includes core
measures)

Exemplars 22.4 and 22.9

PVD and DVT
Expected Time: _____________
Learning Activities:
1. Lecture
2. Divide into groups of 4 or 5. Discuss
strategies to reduce the onset of DVT for
high-risk clients ie post-op and clients who
have occupations in which their physical
activity is limited (desk jobs, flying in
airplanes for work, factory workers, etc.)
Create a teaching sheet that could be used
for a client discussed. (include core
measures)
3. Case Study: online from book (Reflect)