NURS 5522 Critical Care I 3 Semester Hours

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1 NURS 5522 Critical Care I 3 Semester Hours Course Description This course focuses on advanced concepts of critical care related to multi-organ/system function and dysfunction. Nursing care relating to physiology, assessment, pathophysiology, system failure, and clinical management of the cardiovascular system, pulmonary system, renal system, and endocrine system are addressed. Core concepts of complex pathophysiology, current treatment modalities, and advanced nursing roles are integrated in discussions of providing care to critically ill patients. Course Objectives At the conclusion of this course the student will be able to: 1. Summarize normal function and structure of the cardiovascular, pulmonary, renal and endocrine system. 2. Identify appropriate nursing assessment and management for patients with complex cardiovascular, pulmonary, renal, and endocrine alterations. 3. Describe the major pathophysiology underlying common complex disorders of the cardiovascular, pulmonary, renal, and endocrine systems. 4. Describe indications for and associated nursing interventions for patients undergoing diagnostic procedures of the cardiovascular, pulmonary, renal, and endocrine system. 5. Summarize clinical indications and nursing management of hemodynamic monitoring and other specialized equipment used in the care of critically ill patients. 6. Analyze data obtained through specialized assessment equipment and laboratory tests used to evaluate the cardiovascular, pulmonary, renal, and endocrine systems in critically ill patients. 7. Evaluate current evidence for practice in caring for patients with complex alterations of the cardiovascular, pulmonary, renal, and endocrine systems. Prerequisites: NURS 5103 Advanced Pathophysiology Course Topics I. Cardiovascular System a. Anatomy and Physiology of the Cardiovascular System b. Cardiovascular Assessment c. Coronary Artery Dise i. Acute Coronary Syndrome Myocardial infarction

2 i Congestive heart failure d. Cardiomyopathy e. Aortic Aneurysms f. Peripheral Arterial Disease g. Cardiovascular Interventions i. Cardiac pacing Intra Aortic Balloon Pump h. Advanced Concepts of Nursing Management of Patients with Cardiovascular Disorders II. Pulmonary System a. Anatomy and Physiology of the Respiratory System b. Respiratory Assessment c. Chronic Obstructive Pulmonary Disease d. Adult Respiratory Distress Syndrome e. Pulmonary Embolus f. Pnuemothorax g. Pnuemonia h. Pulmonary Therapies i. Oxygen therapy i Chest tubes Mechanical ventilation i. Advanced Concepts of Nursing Management III. Renal System a. Anatomy and Physiology of the Renal System b. Renal Assessment

3 c. Renal Failure d. Renal Therapies i. Hemo-dialysis i Peritoneal dialysis Continuous renal replacement therapies e. Advanced Concepts of Nursing Management IV. Endocrine System a. Diabetic Ketoacidosis b. Hyperglycemic Hypersomolar Nonketotic Syndrome c. Diabetes Insipidus d. Syndrome of Inappropriate Antidiueritc Hormone V. Advanced Nursing Roles in Critical Care a. Clinical Nurse Specialist b. Nurse Practitioner c. Nurse Educator d. Professional Roles Textbooks Please visit the Virtual Bookstore to obtain textbook information for this course: Supplementary Materials Supplemental periodicals and journal articles assigned by instructor. Hardware Requirements The minimum requirements can be found at

4 Software Requirements The minimum requirements can be found at Additional software requirements for this course include Microsoft Office (Word, PowerPoint), and Acrobat Reader. Instructor Information Please see the separate page inside the course to find instructor contact information as well as a statement of virtual office hours and other communication information. Assignment Submission Procedures All course requirements are submitted online through the course dropbox. Assignments submitted through will not receive course credit. Grading Procedure Requirements Points Module 1 Posting/Discussion (2 each) 4 Module 2 CAD Paper 10 CHF or Aneurysm Paper 10 Critique post/interaction (1.5 each) 3 Module 3 ABG Quiz 10 ABG posting/interaction (1.5 each) 3 Article Critique (nosocomial infection) 10 Module 4 Renal Alterations Plan of Care 10 Plan of Care Problem post/interaction 5 Module 5 Endocrine Alterations Plan of Care 10 Endocrine Case Study post/interaction 5 Course Synopsis Post 20 TOTAL 100 Grading Scale A = B = C = D = F = <70

5 Assignments Participation in online discussions of course content is required as topics are introduced and applied to assigned readings. There are no make-up assignments in this course. Students not submitting course assignments will receive a 0 for that assignment. Assignments submitted after the deadline will receive a 10 point penalty per day or portion of a day. Late assignments will not be accepted if more than 48 hours late without faculty approval. Faculty approval may be obtained for extenuating circumstances with a minimum 8 hour notification. Class Participation All students are expected to actively participate in online class discussions. Each discussion item posted will be assigned a date by which the student must respond. If a student is unable to fulfill this requirement for any reason, he/she should notify the instructor prior to the class and make alternative arrangements. The aim is to encourage interaction among students and faculty, not simply to present information. Students are required to respond to all discussion questions. Responses outside the posted module dates will not receive credit. Postings outside the specific dates within the unit (e.g., initial posting requirements) will be penalized 15% per day late. Student responses to discussion questions must be substantive, that is, thoughtful and analytical. Because the D2L system has its own way of formatting material posted on the discussion feature, the student will not be expected to strictly follow APA guidelines for online submissions. However, the student is held to academic standards of writing style and the use of proper grammar, punctuation and spelling. Punctuality Students are expected to: Check the course calendar for the due dates of assignments. Check the course bulletin board frequently for announcements. Course Ground Rules The student is expected to: Learn how to navigate in the D2L system. Participate by responding to all discussion questions. Keep abreast of course announcements. Use the assigned college or university address as opposed to a personal address. Contact the instructor if unclear about assignment expectations. Address technical problems immediately. Guidelines for Communications Always include a subject line. Remember without facial expressions some comments may be taken the wrong way. Be careful in wording your s. Use of emoticons might be helpful in some cases. Use standard fonts. Do not send large attachments without permission.

6 Special formatting such as centering, audio messages, tables, html, etc. should be avoided unless necessary to complete an assignment or other communication. Respect the privacy of other class members. Discussion Groups: Review the discussion threads thoroughly before entering the discussion. Try to maintain threads by using the "Reply" button rather starting a new topic. Do not make insulting or inflammatory statements to other members of the discussion group. Be respectful of others ideas. Be patient and read the comments of other group members thoroughly before entering your remarks. Be cooperative with group leaders in completing assigned tasks. Be positive and constructive in group discussions. Respond in a thoughtful and timely manner. Chat: Introduce yourself to the other learners in the chat session. Be polite. Choose your words carefully. Do not use derogatory statements. Be concise in responding to others in the chat session. Be prepared to open the chat session at the scheduled time. Be constructive in your comments and suggestions. Library The Tennessee Virtual Library is available to all students enrolled in the Regents Degree Program. Links to library materials (such as electronic journals, databases, interlibrary loans, digital reserves, dictionaries, encyclopedias, maps, and librarian support) and Internet resources needed by learners to complete online assignments and as background reading must be included in all courses. Students with Disabilities Qualified students with disabilities will be provided reasonable and necessary academic accommodations if determined eligible by the appropriate disability services staff at their home institution. Prior to granting disability accommodations in this course, the instructor must receive written verification of a student's eligibility for specific accommodations from the disability services staff at the home institution. It is the student's responsibility to initiate contact with his/her home institution's disability services staff and to follow the established procedures for having the accommodation notice sent to the instructor. Syllabus Changes The instructor reserves the right to make changes as necessary to this syllabus. If changes are necessitated during the term of the course, the instructor will immediately notify students of such changes both by individual communication and posting both notification and nature of change(s) on the course discussion board.

7 Technical Support If you are having problems logging into the course, timing out of the course, using the course web site tools, or other technical problems, please visit the AskRODP Customer Support web page at or call the AskRODP Help Desk at RODP ( )

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