NURS70014
Coronary Care 2		 Sheridan
 
  I: Administrative Information   II: Course Details   III: Topical Outline(s)  Printable Version
 

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Section I: Administrative Information
  Total hours: 30.0
Credit Value: 2.0
Credit Value Notes: N/A
Effective: Spring/Summer 2021
Prerequisites: NURS70013
Corequisites: N/A
Equivalents: N/A
Pre/Co/Equiv Notes: N/A

Program(s): Healthcare
Program Coordinator(s): N/A
Course Leader or Contact: N/A
Version: 20210517_00
Status: Approved (APPR)

Section I Notes: This is a course offered through OntarioLearn. Access to the course materials will be through OntarioLearn.com and you will be sent an email with your login details.
 
 
Section II: Course Details

Detailed Description
Expand your knowledge of CAD, MI and their complications. A focus is directed to interpreting 12 lead ECGs and bundle branch blocks. Theory on pacemakers and common cardiac drugs is included.

Program Context

 
Healthcare Program Coordinator(s): N/A
This course is for current Registered Nurses (RN) or Registered Practical Nurses (RPN).


Course Critical Performance and Learning Outcomes

  Critical Performance:
N/A
 
Learning Outcomes:

To achieve the critical performance, students will have demonstrated the ability to:

  1. Describe cardiac anatomy physiology and the electrical conduction system
  2. Discuss the hemodynamics of the cardiac cycle (systole, diastole)
  3. Describe cardioregulatory mechanisms
  4. Discuss the principles of electrophysiology
  5. Understand the ventricular cell's action potential
  6. Describe the basics of electrocardiography
  7. Understand 12 lead ECG interpretation
  8. Describe ECG changes with MI, and localize areas of myocardial damage
  9. Interpret sinus, atrial, junctional, ventricular arrhythmias and heart blocks
  10. Describe common causes and management of arrhythmias
  11. Understand ectopic, aberrant and escape beats
  12. Describe arrhythmias resulting from bypass mechanisms
  13. Describe the mechanisms of, and interpret bundle branch blocks
  14. Describe the components of cardiac pacemakers
  15. Understand external pacing, temporary pacing, and permanent pacing
  16. Recognize pacemaker ECG tracings and identify pacemaker malfunctions
  17. Explain the antiarrhythmic drug classification system
  18. Define the actions of different classes of antiarrhythmics
  19. Define the actions of unclassified antiarrhythmics
  20. Describe uses and dosages of specific antiarrhythmic agents
  21. Understand adverse effects of individual antiarrhythmic agents

Evaluation Plan
Students demonstrate their learning in the following ways:

 Evaluation Plan: ONLINE
 Assignment ( 3 x 10%)30.0%
 Assignment (2 x 15%)30.0%
 Final Exam40.0%
Total100.0%

Evaluation Notes and Academic Missed Work Procedure:
The passing grade for Coronary Care 2 is 60%.

Provincial Context
The course meets the following Ministry of Colleges and Universities requirements:

 

Prior Learning Assessment and Recognition
PLAR Contact (if course is PLAR-eligible) - Office of the Registrar

  • Not Eligible for PLAR
 
 
Section III: Topical Outline
Some details of this outline may change as a result of circumstances such as weather cancellations, College and student activities, and class timetabling.
Instruction Mode: Online
Professor: Multiple Professors
Resource(s):
 TypeDescription
RequiredTextbookECG Interpretation, Made Incredibly Easy, Jessica Shank Coviello, Wolters Kluwer, 7th, ISBN 978197-514-8263
OptionalOtherAny text related to coronary care, 12 lead ECGs, and cardiac arrhythmias. There are numerous texts and resources available. One suggestion is: The 12-Lead ECG in Acute Coronary Syndromes, 3rd ed. (packaged with pocket reference) Mosby Publishing Tim Phalen, Barbara Aehlert ISBN #: 978-0-323-07785-9

Applicable student group(s): Online Students
Course Details:
Module 1
  • Cardiac function, structure, coronary arteries, cardiac muscle structure
  • Electrical conduction system, bundle branch fascicles
  • Hemodynamics of the cardiac cycle (systole, diastole)
  • Cardioregulatory mechanisms: osmoreceptors, pressoreceptors, chemoreceptors
  • Electrophysiology: polarization, depolarization, repolarization
  • Phases of the action potential, and refractory periods
Module 2
  • Planes of the body
  • 12 lead ECG (standard limb leads, augmented leads, precordial leads)
  • Hex-axial reference system
  • Detailed mechanical events during ventricular depolarization
  • Electrical axis determination and factors affecting the electrical axis
  • ECG diagnosis of MI, localization of MI
  • Systematic approach to 12 lead ECG interpretation
Module 3
  • Review sinus, atrial, junctional, ventricular arrhythmias, and heart blocks
  • Arrhythmias due to bypass mechanisms (reentry tachycardia, WPW syndrome)
  • Right bundle branch block, left bundle branch block
Module 4
  • Indications for pacemakers
  • Pacemaker components (pulse generator, pacing leads, electrodes)
  • Demand and set-rate generators
  • ECG findings
  • Permanent, transcutaneous, transvenous and epicardial pacing
  • Pacemaker codes and pacemaker modes
  • Pacemaker failure (failure to capture, failure to pace, undersensing, oversensing, ventricular wall perforation)
Module 5
  • Antiarrhythmic drug classification system (classes Ia, Ib, Ic, II, III, IV)
  • Cardiac uses, common dosages, adverse cardiac effects, and important considerations of specific antiarrhythmics from each class
  • Cardiac uses, common dosages, adverse cardiac effects, and important considerations of unclassified antiarrhythmics (adenosine, atropine, epinephrine, digoxin, magnesium sulfate)

Sheridan Policies

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All Sheridan policies can be viewed on the Sheridan policy website.

Appropriate use of generative Artificial Intelligence tools: In alignment with Sheridan's Academic Integrity Policy, students should consult with their professors and/or refer to evaluation instructions regarding the appropriate use, or prohibition, of generative Artificial Intelligence (AI) tools for coursework. Turnitin AI detection software may be used by faculty members to screen assignment submissions or exams for unauthorized use of artificial intelligence.

Course Outline Changes: The information contained in this Course Outline including but not limited to faculty and program information and course description is subject to change without notice. Nothing in this Course Outline should be viewed as a representation, offer and/or warranty. Students are responsible for reading the Important Notice and Disclaimer which applies to Programs and Courses.
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