CMC®/CSC® Exam Review

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Agenda

View Module 3: Cardiac Assessment on YouTube

11.25 Contact Hours | Course Length: 641 Minutes


Introduction 12 minutes
Module Description
This module will introduce the test format for the Cardiac Medicine Certification (CMC) Exam and the Cardiac Surgery Certification (CSC) Exam. The American Association of Critical-Care Nurses (AACN) blueprints for both exam are presented in detail, and the application and renewal process is discussed.

Module Learning Outcomes
This module prepares the learner to:
  1. List the blueprint components of the examinations.
  2. Describe how to: apply for the examination and schedule the examination.
Cardiac Anatomy and Physiology
77 minutes
Module Description
This session reviews cardiac anatomy, physiology and the essentials of vital signs and cardiac assessment. This session will introduce many of the advanced physical assessment and intervention skills required to care for the complex cardiac patient.

Module Learning Outcomes
This module prepares the learner to:
  1. List and discuss basic cardiac anatomy including intracardiac structures and the great vessels.
  2. Define: preload, afterload, contractility, cardiac output and cardiac index.
  3. Identify normal and abnormal heart rate and rhythm, blood pressure, respiratory rate and temperature.
  4. Discuss coronary artery circulation physiology.
  5. List endocrine and neurologic control of cardiac function.
Cardiac Assessment
66 minutes
Module Description
This module reviews cardiovascular assessment and a review of heart sounds and murmurs associated with valvular disease. Hemodynamics is discussed as it relates to ventricular function assessment and cardiac pharmacology. The 12-Lead ECG is discussed with detail to assessing myocardial ischemia and infarction.

Module Learning Outcomes
This module prepares the learner to:
  1. Review the systematic approach to cardiac assessment.
  2. List and discuss the techniques of inspection, palpation and auscultation for cardiac assessment.
  3. Review the assessment of the vascular system.
  4. State the normal pressures within the cardiovascular system.
  5. Define preload, afterload, and contractility.
  6. Discuss cardiac pharmacology as it relates to hemodynamic function.
  7. Describe the normal QRS morphology in all 12-Leads.
  8. Define and discuss the 12-Lead changes that occur with cardiac ischemia and infarction.
Cardiac Pathophysiology
60 minutes
Module Description
This module pertains to coronary artery disease: identification, diagnosis, presentation and treatment modalities. Incidence, prevalence and acute coronary syndrome will be discussed at length.

Module Learning Outcomes
This module prepares the learner to:
  1. Define coronary artery disease and discuss the progression of the disease.
  2. Define stable angina, unstable angina, acute coronary syndrome and acute myocardial infarction.
  3. List the pharmacological treatment modalities for coronary artery disease.
  4. Define and discuss the medical and surgical treatment of coronary artery disease.
  5. List and discuss the most common complications of coronary artery disease as well as the medical and surgical treatment of coronary artery disease.
Heart Failure
73 minutes
Module Description
This module will deal with the physiology, pathophysiology and treatment of acute and chronic heart failure. Systolic and diastolic heart failure will be discussed. The focus of the module is the treatment of patients with decompensated heart failure.

Module Learning Outcomes
This module prepares the learner to:
  1. Discuss the definitions of heart failure: systolic and diastolic.
  2. List and discuss types of heart failure and the treatment modalities of each.
  3. Discuss the clinical presentation of acute decompensated heart failure.
Valvular Disease: Physical Findings, Diagnosis, Treatment
48 minutes
Module Description
This module is designed to review adult cardiac valvular disease. Congenital and acquired valvular disease is presented. Identification, diagnosis, patient presentation, hemodynamics and treatment modalities are discussed in detail.

Module Learning Outcomes
This module prepares the learner to:
  1. Discuss the pathophysiology related to aortic stenosis and regurgitation, and mitral stenosis and regurgitation.
  2. Discuss medical and surgical treatment modalities of common adult valvular disease.
  3. List and discuss the common complications of adult valvular disease.

Introduction to Cardiothoracic Surgery
22 minutes
Module Description
This module introduces the sections on cardiothoracic surgery. A brief review of the history of cardiothoracic surgery is presented as well as a review of coronary artery disease and heart failure.

Module Learning Outcomes
This module prepares the learner to:
  1. List the diagnosis and treatment plans for the patient with coronary artery disease.
  2. List the diagnosis and treatment plans for the patient with heart failure.
  3. Define cardiac sudden death.
  4. Discuss the treatment strategy of induced controlled hypothermic therapy in the face of cardiac sudden death.
  5. List nursing strategies in the care of the patient undergoing controlled hypothermic therapy.
Indications for CABG and Valve Surgery
46 minutes
Module Description
This module begins the introduction to the cardiac surgical patient. Indications for CABG and valvular repair and/or replacement are discussed with mortality and morbidity rates described. The preoperative evaluation, perioperative care and the procedures utilized during surgery are discussed as they relate to the care of the patient. The effects of cardiopulmonary bypass and hypothermia are discussed in detail as well as “on-pump” and “off-pump” strategies.

Module Learning Outcomes
This module prepares the learner to:
  1. Describe the indications for CABG and valve surgery in the adult patient.
  2. Discuss the preoperative, intraoperative and postoperative care of the cardiovascular patient.
  3. Discuss the effects of cardiopulmonary bypass and induced hypothermia.
Aortic Disease
37 minutes
Module Description
The purpose of this module is to briefly review aortic disease: blunt chest trauma and aortic dissection. A brief description of blunt chest trauma with associated aortic transection is outlined: identification, treatment and nursing care. The focus of this presentation is acute aortic dissection: types, diagnosis, treatment and nursing care.

Module Learning Outcomes
This module prepares the learner to:
  1. Discuss the identification and treatment of blunt chest trauma and aortic transection.
  2. Discuss the incidence and pathology of aortic dissection.
  3. Discuss the clinical manifestations as well as the physical assessment findings of aortic dissection.
  4. Outline the medical and surgical management modalities of patients with aortic dissection.
Postoperative Care
199 minutes
Module Description
This module is designed to review the immediate post-operative patient goals and immediate nursing and surgical interventions to obtain the goals. A description of the nursing interventions is comprehensive and relates to physical assessment and hemodynamic monitoring of the patient. A review of postoperative complications is also reviewed.

Module Learning Outcomes
This module prepares the learner to:
  1. Discuss the postoperative care of the cardiovascular patient.
  2. Define low cardiac output syndrome.
  3. List and discuss the complications of cardiac surgery, including those that occur secondary to the bypass pump.
  4. Synthesize nursing interventions for the acute cardiac surgical patient with cardiovascular, pulmonary, renal, hematological, gastrointestinal and neurological alterations
  5. Discuss the common pulmonary complications associated with the medical and surgical treatment of adult
    cardiac dysfunction.
  6. Synthesize nursing interventions for the acute cardiac medical and surgical patient with pulmonary
    complications.
  7. List and discuss common postoperative neurologic, renal and endocrine complications in the cardiac medical and surgical patient.
  8. Synthesize nursing interventions for the acute cardiac medical and surgical patient with renal, hematological, and neurological alterations.
  9. List and discuss gastrointestinal complications in the postoperative cardiac medical and surgical patient.
  10. Synthesize nursing interventions for the acute medical and surgical cardiac patient with gastrointestinal
    alterations.

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