Ateneo de Davao University

College of Nursing
NCM 106
Care of Clients with Problems In Cellular Aberration A!ute "iologi! Crisis
In!luding #mergen!y and Disaster Nursing
Pre$ared "y: Liza G. Floresca, RN,MAN
Leonardo Molina, RN,MN
Pre$ared on: March 14, 2012
A$$roved "y: Patria V. Manalaysay, RN,MAN,Ph
Dean, College of Nursing
1
Course Name: !are o" !lients #ith Pro$le%s &n !ell'lar A$erration, Ac'te (iolo)ic !risis incl'din) *%er)ency and isaster N'rsin)
Course Code: N!M 10+
Course Des!ri$tion: &t deals #ith the ,rinci,les and techni-'es o" n'rsin) care %ana)e%ent o" sic. clients across the li"es,an #ith e%,hasis on the ad'lt and older ,ersons #ith
alterations/,ro$le%s in cell'lar a$errations, ac'te $iolo)ic crisis, incl'din) e%er)ency and disaster n'rsin) and &V thera,y.
Course Credit: + 'nits lect're
Conta!t %ours&'em: 100 1rs
Prere(uisite: NCM 10)2!are o" !lients #ith Pro$le%s in &n"la%%atory and &%%'nolo)ic Res,onse, Perce,tion and !oordination
NCM 10*2 !are o" !lients #ith Malada,ti3e Patterns o" (eha3ior
Pla!ement+ 4
th
4ear, 1
st
5e%ester
Course ,b-e!tives+ At the end o" the co'rse, and )i3en act'al clients #ith ,ro$le%s in cell'lar a$erration, ac'te $iolo)ic crisis and e%er)ency, the st'dent sho'ld $e a$le to:
1. 6tilize the n'rsin) ,rocess in the care o" indi3id'als, "a%ilies in co%%'nity and hos,ital settin)s.
a. Assesses #ith client/s his/her/their condition/health stat's thro')h inter3ie#, ,hysical e7a%ination, inter,retation o" la$oratory "indin)s
$. &denti"ies act'al and ,otential n'rsin) dia)nosis
c. Plans a,,ro,riate n'rsin) inter3entions #ith client/s and "a%ily "or identi"ied n'rsin) dia)nosis
d. &%,le%ents ,lan o" care #ith client/s and "a%ily
e. *3al'ates the ,ro)ress o" his/her/their client8s condition and o'tco%es o" care
2. *ns're a #ell or)anized and acc'rate doc'%entation syste%
9. Relate #ith client/s and their "a%ily and the health tea% a,,ro,riately
4. :$ser3e $ioethical conce,ts/,rinci,les, core 3al'es and n'rsin) standards in the care o" clients
;. Pro%ote ,ersonal and ,ro"essional )ro#th o" sel" and others
2
.alues+
!hrist2 centeredness
!leanliness
Gratit'de
!o%,assion
*7cellence
&nte)rity
6ni3ersality
5el"2A#areness
<r'st#orthiness
!'lt'ral sensiti3ity
5el"2con"idence
Good inter,ersonal relationshi,
5el"2res,ect that e7tends as res,ect "or others
!o%%it%ent
!arin) attit'de
/rading 'ystem: (rea.do#n "or Preli%, Midter% and Finals: 1;= 2222222222222 Re-'ire%ent/Pro>ect
1;= 2222222222222 Partici,ation
9;= 2222222222222 ?'izzes
9;= 2222222222222 Ma>or *7a%
222222222222222222
0otal @ 100=
Note: Final Grade is the AV*RAG* o" Preli%, Midter% and Final Grades A 00= B 20= !o%,rehensi3e *7a% @ 100= CFinal GradeD
1eferen!es+ Medi!al2 'urgi!al Nursing+ 1i!3 Daniels4 5aura Nosel and 5eslie Ni!oll
Medi!al2 'urgi!al Nursing+ 'u6anne 'melt6er4 "renda "are4 7ani!e %in3le and 8erry Cheever
Medi!al2 'urgi!al Nursing + Monahan4 'ands4 Neighbors Mare3 and /reen
Medi!al2 'urgi!al Nursing+ "runner and 'uddarth
Medi!al2 'urgi!al Nursing+ "la!3
9
Con!e$ts Under NCM 106
Cellular Aberration 9,n!ology Nursing: 19 days A 9 1o'rs @ 9E 1o'rs
A!ute "iologi! Crisis9A"C: 19 dyas A 9 1o'rs @ 9E 1o'rs
#mergen!y Disaster 9#;D;: 10 days A 9 1o'rs @ 90 1o'rs
FFFFFF 22222222222
9+ days A 9 1o'rs @ 100 1o'rs
Ma-or #<ams 9#<ams= Com$reD 4 days A 9 1o'rs @ 12 1o'rs
0otal 9E days A 9 1o'rs @ 120 1o'rs
4
0o$i! 9Cellular Aberration: Day %our ,b-e!tives A!tivities #valuation .alues 15# Com$eten!y
A; Definition of terms
!ancer
Neo,las%s
(eni)n
Mali)nant
Neo,las%
1y,er,lasia
ys,lasia
Meta,lasia
Ana,lasia
1y,ertro,hy
Metastasis
An)io)enesis
1. Re3ie# o" the Physiolo)y o" a nor%al
cell
a. !ell'lar ,roli"eration
!ell cycle
i""erentiation
(; 1is3 >a!tors assessment and s!reening
$ro!edures a%on) clients that contri$'te to the
de3elo,%ent o" cell'lar a$erration2 l'n), $reast,
'terine, ,rostate, colorectal, s.in
a. *,ide%iolo)y and *tiolo)y o" cancer:
)ender and site
a)e
ay 1
ay 2
9
1o'rs
9
1o'rs
At the end o" the
session, the st'dents
shall:
1. e"ine ter%s
necessary "or the
st'dy o" neo,las%
List do#n in order the
sta)es o" cell cycle
#ith $rie" descri,tion
o" each ,hase
!o%,are a nor%al
cell "ro% a cancer cell
&denti"y e,ide%iolo)y
and etiolo)y o"
cancer:
Lect're/isc
'ssion
Video
Presentation
Pa,er and ,encil
Pa,er and ,encil
5el"2A#areness
*7cellence
VM: *7cellent
&nstr'ction and
"or%ation
!o%%it%ent
!arin) Attit'de
VM: Pro%otes
co%%'nities
trans"or%ed $y
Faith
!o%%'nication
Personal and
Pro"essional
e3elo,%ent
5a"e and ?'ality
N'rsin) Practice
!o%%'nication
!olla$oration and
tea%#or.
?'ality &%,ro3e%ent
Le)al Res,onsi$ility
;
race and ethnicity
)eo)ra,hic "actors
%'ltiste, ,rocess o" carcino)enesis
$. &denti"y Ris. "actors o" cancer:
A)e
Genetic "actors
1or%onal "actors
Precancero's lesions
&%%'nolo)ic "actors
r')s and che%icals
Radiation
a. &onizin)
$. 6ltra3iolet
c. *lectro%a)netic
d. radon
Li"estyle Practices
a. 5%o.in)
$. N'trition
c. :$esity
d. 5e7'al and re,rod'cti3e "actors
e. Vir'ses and other %icroor)anis%s
". Psychosocial "actors

!. Classifi!ation
<NM !lassi"ication
!linical 5ta)in)
Metastasis 5,read
(eni)n 3s. Mali)nant !ell
ay 9 9
1o'rs
&denti"y Ris. "actors
o" cancer:
1. !lassi"y and sta)e a
cancer 'tilizin) the
<NM classi"ication
2. !o%,are and
contrast $eni)n cell
and %ali)nant cell
1. *n'%erate at least
Lect're/isc
'ssion
:,tion CVisit
to :ncolo)y
!enterD
Reaction Pa,er
$ased on the
G'ide -'estions
&nte)rity
Gratit'de
VM: 5ocial
>'stice
Good
Go3ernance
!o%%'nication
Le)al res,onsi$ility
*thico2Moral
res,onsi$ility
?'ality &%,ro3e%ent
+
D; Can!er /rowth and Develo$ment
2. Predis,osin) "actors
9. an)er 5i)ns
#; 'ignifi!ant sub-e!tive data from !lient G
rele3ant in"or%ation $ased on chie" co%,laints,
"'nctional ,atterns, incl'din) ,sychosocial and
$eha3ioral assess%ent
> Prin!i$les and te!hni(ues of $hysi!al
e<amination in newborn !hildren adults
deviations from normal:
a. Ins$e!tion2 3asc'lat're, sy%%etry,
%o3e%ent, nod'les, dischar)es,
%asses
$. Aus!ultation G heart so'nds, $reath
so'nds, $o#el so'nds, 3asc'lar
so'nds, "riction r'$
c. Pal$ation G %asses, tenderness,
nod'les, lesions, distention
d. Per!ussion G )as ,atterns, areas o"
"latness and d'llness, li3er s,an,
%asses ascites
ay 4
9
1o'rs
; ,redis,osin) "actors
o" cancer
2. *n'%erate the E
an)er 5i)ns 'sin)
!A6<&:N 26P
e%onstrate ho# to
,er"or% ,hysical
e7a%ination
techni-'es
a,,ro,riate to ,atient
a)e )ro',
1. <race the
,aho,hysiolo)y o" the
disease ,rocess
2. &denti"y the ty,e o"
$reast cancer
accordin) to si)ns
9. *n'%erate at least
4 "actors #hich
,redis,ose the
indi3id'al to $reast
cancer
Lect're/disc'
ssion
5t'dents #ill
$e di3ided
into s%all
)ro',
5t'dents #ill
"or%'late an
initial
n'rsin) care
,lan $ased on
the )i3en
sit'ation
Pa,er and Pencil Good
inter,ersonal
relationshi,
5el"2con"idence
VM: !'lt'ral
sensiti3ity
!o%%'nication
1ealth teachin)s
?'ality &%,ro3e%ent
5a"e and -'ality
n'rsin) ,ractice
H
/; Patho$hysiologi! Me!hanisms
1; Classifi!ation
a; 'olid tumors G l'n) cancer, $reast
'terine cancer, ,rostate cancer, colorectal,
$rain cancer
b; 5i(uid tumors G ly%,ho%as,
le'.e%ias
2; Malignant Disorders
1; "reast Can!er
a. <y,es
$. 5i)ns and 5y%,to%s
c. Ris. "actors
d. Mana)e%ent
d. Post MRM e7ercise
?; Colo 1e!tal Can!er
a. 5i)ns and 5y%,to%s
$. Ris. Factors
c. Mana)e%ent
d. !olosto%y !are
@; Prostati! and 0esti!ular !an!er
); 5eu3emia
a. Gran'ltic 3s Ly%,hocytic
$. Ac'te 3s. !hronic
c. Mana)e%ent
*; %og3inAs Disease
ay ;
ay +
9
1o'rs
9
1o'rs
4. e%onstrate
correct Post MRM
*7ercises
;. For%'late a
dischar)e ,lan o" a
,ost MRM ,atient
+. 5tate the ad3anta)e
o" MRM o3er si%,le
%astecto%y
H. . For%'late
dischar)e ,lan "or
,atient #ith
colosto%y
0. i""erentiate the
ty,es o" Le'.e%ia
E. &denti"y the sta)es
o" 1od).in8s isease
accordin) to the
sy%,to%s )i3en
10. For%'late a
n'rsin) care ,lan "or
,atient #ith le'.e%ia
Lect're/
isc'ssion
Lect're/isc
'ssion
e%onstratio
n o":
a. Iall
cli%$in)
$. Pend'l'%
c. P'lley
Pencil and ,a,er
tracin) the $asic
,atho,hysiolo)y
o" the disease
'sin) a conce,t
%a,,in)
Pa,er and Pencil
Ret'rn
e%onstration
ischar)e Plan
"or:
a. Post MRM
$. !olosto%y
6ni3ersality
*7cellence
VM:
5,irit'ality
!ontri$'te and
en)a)e the
)lo$al #orld
!o%,assion
!hrist G
centeredness
VM:
*d'cational
e7cellence
!o%%'nication
1ealth teachin)s
?'ality &%,ro3e%ent
5a"e and -'ality
n'rsin) ,ractice
!o%%'nication
1ealth teachin)s
?'ality &%,ro3e%ent
5a"e and -'ality
n'rsin) ,ractice
0
a. 5ta)in)
$. Mana)e%ent
6; CN' Neo$lasm
a. Mani"estations
$. Mana)e%ent
B; '$inal Cord 0umor
C; Mus!ulo2'3eletal Can!er
a. !hondrosarco%a
$. Giant !ell <'%or
c. :steo%a
d. :steosarco%a
D; '3in Can!er
10; /astri! Can!er
11; Can!er of the Pan!reas 5iver and /all
"ladder
@; ,n!ologi! #mergen!ies
1. :$str'cti3e
a. &ncrease &!P
$. 5,inal !ord !o%,ression
ay H 9
1o'rs
1. &denti"y the
,ossi$le ty,e o"
cancers #hich can
res'lt to s,inal cord
and cardiac
ta%,onade
2. Recite the n'rsin)
res,onsi$ilities o"
%or,hine
ad%inistration in
cancer ,atients
9. isc'ss the 'se o"
Place$o in cancer
4. isc'ss
)erontolo)ical
concerns in cancer
&denti"y dia)nostic
,roced're and its
rationale "or each
disorder
Lect're/isc
'ssion
&nternet
5ession: 5'r"
"or cancer
!are
Readin)
Pa,er and Pencil
<r'st#orthiness
!o%%it%ent
&nte)rity
VM: )ood
Research
!o%%'nication
?'ality n'rsin)
,ractice
Le)al res,onsi$ility
1ealth teachin)s
E
c. 5',erior Vena !a3a 5yndro%e
d. <racheal :$str'ction
2. Meta$olic
a. 1y,ercalce%ia
$. <'%or Lysis 5yndro%e
c. 5&A1 5ecretion
d. 1y,er3escosity
e. Ana,hyla7is
". 5e,tic 5hoc.
). &!
9. !ardiac <o7icitrates
a. !ardiac <a%,onade
$. !ardio%yo,athy #ith !1F CPhi,,s8 ,
;+2D
%; 1esults and im$li!ations of
diagnosti!&laboratory e<aminations of !lients
with referen!e to $roblems in Cellular
Aberration
a. '!reening: (5*, Pa, 5%ear, rectal
e7a%ination, <estic'lar e7a%ination, 5tool
occ'lt,
$. Non2invasive: MR&, !< scan, (one scan,
'ltraso'nd, thyroid scan
c. Invasive: (io,sy, di)ital rectal e7a%ination,
cyst as,iration, cystosco,y, ly%,h
ay 0 9
1o'rs
For%'late n'rsin)
,ro$le%s o" each
cancer disorder and
identi"y the etiolo)y
o" each ,ro$le%
s',,ort
)ro', and
share the
readin) #ith
the class
5harin) o"
*7,eriences
Gro',
acti3ity
Ga%es or
interacti3e
acti3ity
Pa,er and Pencil
:ral Recitation
)o3ernance
!'lt'rally
sensiti3e
!leanliness
5el"2 A#areness
VM: Gender
e-'ality
Research
!o%%'nication
!olla$oration and
tea%#or.
*thicole)al
res,onsi$ility
10
an)io)ra,hy, !ere$ral arterio)ra,hy, Radio2
ioto,e 5can, Roentro)ra%

I. Nursing Diagnosis 0a<onomy $ertinent to
$roblems&alterations+
a. Potential "or in"ection
$. Alteration in tiss'e ,erce,tion
c. Acti3ity intolerance
d. Potential "or alteration in n'trition less than
$ody re-'ire%ent
e. Alteration in oral %'co's %e%$rane inte)rity
". Alteration in co%"ort: ,ain/,r'rit's
). Fl'id 3ol'%e de"icit
7; Prin!i$les of various modalities of
management
e. 1ealth ,ro%oti3e
". isease Pre3enti3e
). !'rati3e
h. Restorati3e
8; Prin!i$les of Management
a. eter%ination and %ana)e%ent o" ca'se
$. e"initi3e %ana)e%entJ 5'r)ery,
!he%othera,y, radiation thera,y, $iothera,y
c. (lood co%,onent re,lace%ent
d. :7y)en thera,y
e. 1ydration
". Pre3ention o" in"ection
). 5',,orti3e Mana)e%ent
h. Pre3ention o" co%,lications
i. Reha$ilitation
ay E
ay 10
9
1o'rs
9
1o'rs
*n'%erate di""erent
,rinci,les o"
%ana)e%ent
1. *n'%erate the
di""erent neo,lastic
%ana)e%ent
2. isc'ss one o" the
co%%'nity 'sed
recent treat%ent
9. i""erentiate the
action o" a cell2
s,eci"ic dr') and a
cell2cycle2nons,eci"ic
dr')
4. &denti"y the side
5%all
)ro',in)s
*ach )ro',
#ill identi"y
at least 10
,ossi$le
n'rsin)
dia)nosis
$ased on the
di""erent
sit'ations
Lect're
isc'ssion
Pencil and Pa,er
Pa,er and Pencil
!o%%it%ent
*7cellence
VM:
*d'cational
e7cellence
!'lt'ral
5ensiti3ity
&nte)rity
!o%%'nication
!olla$oration and
tea%#or.
*thicole)al
res,onsi$ility
5a"e and -'ality
n'rsin) %ana)e%ent
!o%%'nication
?'ality i%,ro3e%ent
Personal and
Pro"essional Gro#th
11
5. Pharma!ologi! a!tions thera$euti! use side
effe!ts indi!ations !ontraindi!ation and
nursing res$onsibilities+
a. Anticancer a)ent
$. Anal)esics
c. Narcotics
d. !orticosteriods
e. Anti$iotics
". Anti,r'rit's
). Anal)esics, :,iods
h.
M; Pur$ose indi!ations nursing
res$onsibilities for the following surgi!al and
s$e!ial $ro!edures 9Neo$lasti! Management
a. Ma>or s'r)ical ,roced'res: lo$ecto%y,
,ne'%onecto%y, %astecto%y, ne,hrecto%y,
,rostatecto%y, colecto%y, colosto%y, $one
%arro# trans,lant, 'rinary di3ersion
'$e!ial Pro!edure: (rachythera,y, radiation
thera,y, Re3erse isolation, !he%othera,y
E Classifi!ations:
1. (iothera,y
!yto.ines
Monoclonal Anti$iotics CMA(sD
!ell'lar <hera,ies
&%%'nodilators
Retinoids
2. !he%othera,e'tic A)ents
a. !lassi"ication
ay 112
12
+
1o'rs
e""ects o
che%othera,y
;. !o%,are e7ternal
and internal radiation
+. isc'ss the
ad3anta)es and
disad3anta)es o" the
di""erent %ana)e%ent
"or cancer
H. isc'ss the ethical
iss'e concernin)
re"'sal to )o
treat%ent
0. escri$e the roles
o" the n'rse and the
s,ecial n'rsin) needs
o" ,atients 'nder)oin)
thera,y.
E. escri$e co%%on
n'rsin) dia)nosis o"
,atients #ith cancer
For%'late
N'rsin) care
,lan
Presentation
o" N!P to the
class
Pa,er and Pencil
5el"2con"idence
*7cellence
!o%%'nication
Le)al res,onsi$ility
*thico2Moral
Res,onsi$ility
!olla$oration and
tea%#or.
12
!ell2 cycle2s,eci"ic
!ell2cycle2Nons,eci"ic
$. !ate)ories
Al.alatin) a)ents
Anti$iotic antineo,lastic
Anti%eta$olite
Ntro'reas
Plant eri3ati3es
1or%onal
c. 5ide e""ects
d. N'rsin) !are
9. Radiothera,y
a; 0y$es
*7ternal radiation C<elethera,yD
&nternal radiation C (rachythera,yD
a. 5ealed 5o'rce radiation
$. 6nsealed so'rce
$;;>a!tors whi!h determine the side
effe!ts of radiation thera$y
!; Nursing Care of $atients undergoing
radiothera$y
4. 5'r)ery
a. ia)nostic test
cytolo)y s,eci%en
Needle $io,sy
&ncisional $io,sy
*7cisional $io,sy
$. !'rati3e 5'r)ery
c. Palliati3e 5'r)ery
d. Reconstr'cti3e s'r)ery
19
e. Pre3enti3e 5'r)ery
;. (one Marro# <rans,lantation
a. <y,es
Allo)enic
A'tolo)o's
5yn)eneic
+. :thers
K Gene <hera,y C5<*M !ellD
N. 'afe and !om$rehensive $erio$erative
$eriod
a. Assess%ent and care d'rin) the ,erio,erati3e
,eriod
$. <echni-'es in assistin) the s'r)ical tea%
d'rin) the o,eration
c. Princi,les o" sa"ety, co%"ort and ,ri3acy
d'rin) the ,erio,erati3e ,eriod
d. N'rsin) res,onsi$ilities d'rin) the
,erio,erati3e ,eriod
,; 'te$s&$ointers in de!ision ma3ing and
$rioriti6ation with !lient&s having $roblems in
!ellular aberration
P; Prin!i$les !on!e$t and a$$li!ation of
bioethi!s in the !are of !lients
F; Develo$ing out!ome !riteria for !lients with
$roblems in !ellular aberration
1; A$$ro$riate dis!harge $lan in!luding
ay 19 9
1o'rs
1. &denti"y si)ni"icant
"indin)s d'rin) the
,eri2o,erati3e ,eriod
2. Recall at least
n'rsin)
res,onsi$ilities d'rin)
the ,eri2o,erati3e
,roced'res
9. A,,ly a,,ro,riate
decision %a.in), and
,rioritization in the
care o" cancer ,atients
4. *n'%erate
,rinci,les, conce,ts,
,rinci,les and
a,,lication o"
$ioethics in the care
o" clients
Lect're/isc
'ssion
Re3ie# o"
the ,re3io's
conce,ts
"ro% day 12
19
Lon) -'iz
Pa,er and Pencil
!leanliness
Gratit'de
6ni3ersality
5a"e and -'ality
N'rsin) Practice
?'ality i%,ro3e%ent
*thico2%oral
res,onsi$ility
!o%%'nication
1ealth <eachin)s
Record Mana)e%ent
14
health edu!ation
'; A!!urate re!ording and do!umentation
;. esi)n an
acc'rate, o'tco%e
criteria, dischar)e
,lan, recordin) and
doc'%entation o"
,atients #ith cancer.
1;
0o$i! 9 A!ute "iologi! Crisis: Day %our ,b-e!tives A!tivities #valuation .alues 15#
Com$eten!y
A. 5i)ni"icant s'$>ecti3e data "ro% client2 rele3ant in"or%ation
$ased on chie" co%,laints, "'nctional ,atterns, incl'din)
,sychosocial and $eha3ioral assess%ent
(. Princi,les and techni-'es o" ,hysical e7a%ination in
ne#$orn, children, ad'lts, de3iations "ro% nor%al
i. Ins$e!tion2 3asc'lat're, sy%%etry, %o3e%ent,
nod'les, dischar)es, %asses
>. Aus!ultation G heart so'nds, $reath so'nds, $o#el
so'nds, 3asc'lar so'nds, "riction r'$
.. Pal$ation G %asses, tenderness, nod'les, lesions,
distention
l. Per!ussion G )as ,atterns, areas o" "latness and
d'llness, li3er s,an, %asses ascites
!. 5tandard assess%ent o" the critically ill C"oc'sed history
ta.in) discri%inatin) P*2 air#ay, $reathin) circ'lation,
incl'din) he%odyna%ics stat'sD
. Patho,hysiolo)ic %echanis%s
A"C Multi2organ system dysfun!tion&emergen!y
LCategories+
A; Prematurity
1; Re3ie# the characteristics o" a ter%ed neonate
2. <er%ed 3s. Pre%at're neonate
9. Physiolo)ic 1andica,s o" Pre%at're
ay
1
ay 1
9
1o'rs
9
1o'rs
1+
4. 5'dden &n"ant eath 5yndro%e
"; Cardia! Disorders
K Re3ie# the str'ct're and "'nction o" the heart
1. !ardiac "ail're
2. Ac'te Myocardial &n"arction
a. *tiolo)y/Ris. "actor
$. <y,es
c. Mones
d. Patho,hysiolo)y
e. !linical Mani"estations
". !o%,lications
9. !ardio)enic 5hoc.
4. Arrhyth%ias
a. *tiolo)y
$. !linical Mani"estations
c. <y,es
c.1 ist'r$ance in a'to%aticity
K 5in's tachycardia
K 5in's $radcardia
K ,re%at're 3entric'lar contraction
K 5in's dysryth%ia
c.2 !ond'ction ist'r$ances
K 5A $loc.
K AV $loc.
L 1
st
de)ree
L 2
nd
de)ree G Mo$itz &, Mo$itz &&
L 9
rd
de)ree
c.9 &%,'lse )eneration
K Paro7ys%al sin's tachycardia
ay 9 9
1o'rs
1H
K Atrial Fl'tter
K Atrial Fi$rillation
c. 4 Ventric'lar A'to%aticity
K Pre%at're 3entric'lar contraction
K 1e%i$loc.
K Ventric'lar "i$rillation
K <orsades "i$rillation
K Pre2e7citation syndro%e
!. Ne'rolo)ic isorders
1. 5tro.e
2. &ncreased &ntracranial Press're
9. Myasthenia Gra3is
4. 5,inal !ord &n>'ry

. P'l%onary 5yste% isorder
1. Ac'te P'l%onary Fail're
2. Ad'lt Res,iratory istress 5yndro%e
*. Renal isorders
1. Ac'te Renal Fail're
F. Meta$olic *%er)encies
1. NA/11NN
2. Li3er !irrhosis
9. he,atic *nce,halo,athy
G. *ndocrine isorders
1. !'shin)s8s 5yndro%e
2. ia$etes Mellit's C(rie" Re3ie#D
ia$etic Netoacidosis
1y,o)lyce%ia
1y,er)lyce%ia
ay 4
ay ;
ay +
9
1o'rs
9
1o'rs
9
1o'rs
10
ia$etic !o%a
9. 1y,erthyroidis%
4. Addison8s isease
K Addisonian !risis
1. Massi3e (leedin)
&. *7tensi3e 5'r)eries
O. *7tensi3e ('rns
N. Poisonin)
L. *%er)in) &llness C5AR5, A3ian Fl'D
M. M'lti,le &n>'ries
*. N'rsin) ia)nosis <a7ono%y
(. &%,aired )as e7chan)e
!. &na$ility to s'stain s,ontaneo's 3entilation
. ys"'nctional 3entilatory #eanin) res,onse
*. ecreased cardiac o't,'t C!:D
F. Altered tiss'e ,er"'sion syste%ic
G. Alterations in n'trition less than $ody re-'ire%ent
1. Fl'id Vol'%e de"icit
&. Acti3ity intolerance
F. Res'lts and &%,lications o" ia)nostics/La$oratory e7a%inations
o" clients #ith re"erence to ,ro$le%s:
a. Non2invasive: *!G, !ardiac rhyth%s,
$. Invasive: A(G, 1e%odyna%ic %onitorin), !VP,
P'l%onary !a,illary Ied)e Press're CP!IPD
G. Princi,les o" Mana)e%ent
A. eter%ination and %ana)e%ent o" ca'se
(. Li"e sa3in) inter3entions: (asic li"e s',,ort, ad3anced cardiac
ay
H20
ay E
ay
10
ay
11
+
1o'rs
9
1o'rs
9
1o'rs
9
1o'rs
1E
li"e s',,ort, "irst aid %eas'res, "l'id res'scitation
!. Li"e %aintainin) inter3entions:
O. Air#ay %ana)e%ent and care o" ,atients #ith 3entilator.
N. Parental "l'id ad%inistration incl'din) $lood and $lood
co%,onent thera,y
L. &nter3entions "or cardiac o't,'t ,ro$le%s
M. Phar%acolo)ic inter3entions "or he%odyna%ic insta$ility
N. !ontin'o's he%odyna%ic %onitorin)
:. &nter3entions "or ne'ral re)'lation
P. Fl'id and electrolyte ,ro$le%s
?. N'tririon and Perio,erati3e ,ro$le%s
. Psychosocial and $eha3ioral inter3entions
LMeas'res to relie3e an7iety
LFear
Le,ression
R. !ritical care concerns li"e: i%%o$ility, slee, de,ri3ation,
sensory o3erload, $ody i%a)e alterations, )rie3in), se7'ality,
s,irit'ality
*. 5',,orti3e %ana)e%ent
F. Pre3ention o" co%,lication
G. Reha$ilitation
K ,'l%onary
K cardiac
K ne'rolo)ic
1. Phar%acolo)ic Actions, <hera,e'tic 'se, 5ide e""ects, indications,
contraindication, and n'rsin) res,onsi$ilities
a. Anal)esics
$. Narcotics
c. !orticosteroids
d. Antihy,ertensi3e
e. Vaso,ressors
ay
12
9
1o'rs
20
". Anti$iotics
). Parenteral Fl'ids
&. P'r,oses, &ndications, n'rsin) res,onsi$ilities "or the "ollo#in)
s'r)ical and s,ecial ,roced'res:
'urgi!al Pro!edure :
5. !oronary $y,ass
<. An)io,lasty
6. 5.in )ra"tin)
'$e!ial Pro!edures
V. Ad3anced li"e s',,ort
I. Fl'id res'scitation
"irst aid %eas're incl'din) e%er)ency #o'nd and tra'%a
%ana)e%ent
K &V <hera,y
O. 5a"e and co%,rehensi3e ,erio,erati3e ,eriod
a. Assess%ent and care d'rin) the ,erio,erati3e ,eriod
$. <echni-'es in assistin) the s'r)ical tea% d'rin) the
o,eration
N. Princi,les o" sa"ety, co%"ort and ,ri3acy d'rin) the
,erio,erati3e ,eriod
L. N'rsin) res,onsi$ilities d'rin) the ,erio,erati3e ,eriod
M. 5te,s/,ointers in decision %a.in) and ,rioritization #ith
client/s ha3in) ,ro$le%s in cell'lar a$erration
N. Princi,les, conce,t and a,,lication o" $ioethics in the care o"
clients
:. e3elo,in) o'tco%e criteria "or clients #ith ,ro$le%s in
cell'lar a$erration
P. A,,ro,riate dischar)e ,lan incl'din) health ed'cation
:. Acc'rate recordin) and doc'%entation
ay
19
9
1o'rs
21
0o$i!s 9Disaster and #mergen!y: Day %our ,b-e!tives A!tivities #valuation .alues 15#
Com$eten!y
A. e"inition o" *%er)ency
(. <y,es o" *%er)ency
!. <ria)e:
aD :$>ecti3es
$D 5<AR< <ria)e
cD Military <ria)e
. 1os,ital *%er)ency &ncident !o%%and 5yste%
*. &ncident !o%%and *d'cation
F. 1os,ital :,erations Plan
G. Personal Protecti3e *-'i,%ent
1. 1azardo's Materials
&. econta%ination
O. (iolo)ical Iar"are and (iolo)ical A)ents
N. (last &n>'ries
L. Nat'ral isasters
M. 5tress Reactions
Post <ra'%atic
5tress isorder !ritical &ncident 5tress
Mana)e%ent
e$rie"in)
N. N'rses Role in
isaster and *%er)ency
&V. &ntra3eno's Parenteral <hera,y
22
A. (asic Fo'ndation o" &V <hera,y
Philoso,hy
1istorical (ac.)ro'nd o" &V <hera,y
5tandards and !o%,etencies o" &V
<hera,y
(. !ontent
Re3ie# o" Anato%y and Physiolo)y o" the
Vasc'lar Peri,heral and &nte)'%entary
5yste%
Fl'id and *lectrolyte <hera,y
Veni,'nct're <echni-'e on Ad'lt and
!hildren
!o%,lications o" &V <hera,y
&n"ection, !ontrol P Micro$iolo)y
e%onstration o" Proced're
oc'%entation Acti3ity
!. Per"or%ance 5cale "or &V <hera,y
29