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Pccn Review Part 1

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Sherry Knowles
Sherry Knowles

This document provides an overview of topics related to critical care nursing, including acute coronary syndromes, heart blocks, heart failure, shock states, respiratory alterations, and gastrointestinal alterations. It lists objectives, definitions, signs and symptoms, and treatments for each topic. The objectives are to understand various cardiovascular and pulmonary conditions, be able to distinguish between different types, recognize signs and symptoms, and identify standard treatments.

EducationHealth & Medicine
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[object Object],[object Object],PCCN REVIEW PART 1 Sherry L. Knowles, RN, CCRN, CRNI
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PCCN REVIEW PART 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PCCN REVIEW PART 1
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PCCN REVIEW PART 1
[object Object],[object Object],[object Object],[object Object],Cardiovascular Conditions ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Acute Coronary Syndrome
[object Object],[object Object],[object Object],Acute Myocardial Infarction
[object Object],[object Object],[object Object],[object Object],[object Object],Acute Myocardial Infarction
[object Object],[object Object],[object Object],[object Object],Acute Myocardial Infarction
Coronary Circulation
I AVR V1 V4 II AVL V2 V5 III AVF V3 V6 II V 12 Lead ECG
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Acute Myocardial Infarction
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Acute Myocardial Infarction
Coronary Arteries
Anterior Wall MI
Inferior Wall MI
[object Object],[object Object],Acute Myocardial Infarction
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Acute Myocardial Infarction
[object Object],[object Object],[object Object],[object Object],Acute Myocardial Infarction
[object Object],[object Object],[object Object],[object Object],Acute Myocardial Infarction
Balloon Angioplasty
Vascular Stent Deployment
Atherectomy
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Acute Myocardial Infarction
[object Object],[object Object],[object Object],[object Object],[object Object],Aortic Aneurysms
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Aortic Aneurysms
[object Object],[object Object],[object Object],[object Object],Aortic Aneurysms Rupture
[object Object],[object Object],[object Object],Aortic Aneurysms
Aortic Aneurysms
[object Object],[object Object],[object Object],[object Object],Aortic Aneurysms
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Aortic Aneurysms
[object Object],[object Object],[object Object],Aortic Dissections
[object Object],Aortic Dissections ,[object Object]
[object Object],Aortic Dissections ,[object Object]
Aortic Dissections
Aortic Dissections
[object Object],[object Object],[object Object],[object Object],[object Object],Aortic Aneurysms
[object Object],[object Object],[object Object],[object Object],[object Object],Aortic Aneurysms
[object Object],[object Object],Cardiomyopathy
[object Object],[object Object],[object Object],[object Object],[object Object],Cardiomyopathy
Cardiomyopathy ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hypertropic Cardiomyopathy
Harley
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hypertropic Cardiomyopathy
[object Object],[object Object],[object Object],[object Object],Restrictive Cardiomyopathy
[object Object],[object Object],[object Object],[object Object],Restrictive Cardiomyopathy
[object Object],[object Object],[object Object],[object Object],[object Object],Dilated Cardiomyopathy
[object Object],[object Object],[object Object],[object Object],Dilated Cardiomyopathy
Cardiomyopathies
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cardiomyopathy
[object Object],[object Object],[object Object],[object Object],[object Object],Conduction Defects
Normal Sinus Rhythm Heart Rate 60 - 100 bpm Rhythm Regular P Wave Before each QRS & identical PR Interval (in seconds) 0.12 to 0.20 QRS (in seconds) < 0.12
[object Object],[object Object],[object Object],Atrial Fibrillation
[object Object],[object Object],[object Object],[object Object],Atrial Flutter
[object Object],[object Object],[object Object],[object Object],Wandering Atrial Pacemaker
[object Object],[object Object],[object Object],Supraventricular Tachycardia Atrial Tach = supraventricular rhythm with p wave morphology that is noticeably different from the sinus p wave
[object Object],[object Object],[object Object],Ventricular Tachycardia
[object Object],[object Object],[object Object],Torsades de Pointes
[object Object],Heart Blocks (AV Blocks) ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Heart Failure
[object Object],[object Object],[object Object],[object Object],[object Object],Heart Failure
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Heart Failure
[object Object],[object Object],[object Object],[object Object],[object Object],Heart Failure ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Heart Failure
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Heart Failure
[object Object],[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Shock States
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Shock States
[object Object],PCCN REVIEW PART 1
[object Object],Vascular Disease
Peripheral Vascular Disease SYMPTOMS PAIN PAIN RELIEF EDEMA PULSES INTEGUMENT CHANGES ULCERS SKIN TEMPERATURE SEXUAL ISSUES ARTERIAL Upon walking On resting, standing or dependent position of lower limbs None Decreased or absent Hair loss Skin shiny Nail thickening Pallor when elevated Red when dependent Ulcers located on toes, lateral areas or site of trauma Gangrene possible Cool Impotency Sexual dysfunction VENOUS While standing Elevation of extremities Present, edematous May be difficult to palpate Brownish pigmentation May be cyanotic when extremities are dependent Ulcers located on ankles, medial or pre-tibial areas Normal or warm Not present
Peripheral Vascular Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Peripheral Vascular Disease
[object Object],[object Object],[object Object],[object Object],Respiratory Alterations ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],ARDS
Acute Respiratory Distress Syndrome
[object Object],[object Object],[object Object],[object Object],ARDS
[object Object],[object Object],[object Object],[object Object],[object Object],ARDS
ARDS
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ARDS
ARDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Smoke inhalation Inhaled toxins Burns Near Drowning DKA Pregnancy Eclampsia Amniotic Fluid Embolus Drugs Sepsis Massive Trauma Shock Multiple Transfusions Pneumonia Aspiration     Infection Other Risk Factors Common Risk Factors
[object Object],[object Object],[object Object],ARDS
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chronic Lung Disease
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chronic Lung Disease
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Near Drowning
[object Object],[object Object],[object Object],[object Object],[object Object],Pneumonia
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pneumothorax
Pneumothorax
Tension Pneumothorax
[object Object],[object Object],[object Object],[object Object],Pneumothorax
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pneumothorax
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pneumothorax
[object Object],[object Object],Pneumothorax ,[object Object],[object Object]
Flail Chest
[object Object],[object Object],Pulmonary Embolism ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pulmonary Embolism
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pulmonary Embolism
[object Object],[object Object],[object Object],[object Object],Respiratory Failure
Respiratory Failure TYPE I Hypoxemia without hypercapnia TYPE II Hypoxemia with hypercapnia
[object Object],[object Object],[object Object],[object Object],Respiratory Failure
[object Object],[object Object],[object Object],[object Object],Respiratory Failure
[object Object],[object Object],[object Object],[object Object],[object Object],Respiratory Failure
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Respiratory Failure
[object Object],[object Object],[object Object],[object Object],[object Object],Respiratory Failure
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Respiratory Failure
[object Object],[object Object],Gastrointestinal Alterations
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gastrointestinal Bleeding
Gastrointestinal Bleeding
[object Object],[object Object],[object Object],[object Object],[object Object],Gastrointestinal Bleeding
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gastrointestinal Bleeding
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gastrointestinal Bleeding
[object Object],[object Object],[object Object],The Pancreas
[object Object],[object Object],Pancreatitis
[object Object],[object Object],[object Object],[object Object],[object Object],Pancreatitis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pancreatitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pancreatitis ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pancreatitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pancreatitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pancreatitis
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pancreatitis
[object Object],[object Object],PCCN REVIEW
[object Object],PCCN REVIEW PART 1
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Resources

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Pccn Review Part 1

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