Coronary artery disease is the leading cause of death in the United States (Centers for Disease Control and Prevention [CDC], 2019a; American Heart Association [AHA], 2019). It is imperative that professionals working in the outpatient setting know how to diagnose heart conditions and respond accordingly. Professionals must be able to distinguish true chest pain from esophageal reflux, musculoskeletal disorders, and other differential diagnoses. The goal of this educational program is to provide nurses in community health settings with information on recognizing symptoms of common cardiac conditions, components of objective and subjective assessments, commonly used diagnostic tests, and interventions commonly used in cardiac care.
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Florida Board of Nursing (CEBroker Provider #50-290)
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Georgia Board of Nursing (CEBroker Provider #50-290)
South Carolina Board of Nursing (CEBroker Provider #50-290)
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
New Mexico Board of Nursing (CEBroker Provider #50-290)
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Mississippi Board of Nursing (CEBroker Provider #50-290)
North Dakota Board of Nursing (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: The Heart
Overview of Heart Disease in America
Heart Disease Defined
Understanding the Heart
Risk Factors for Heart Disease
Special Populations and Heart Disease
Review
Summary
Section 3: Overview of Cardiac Conditions
Coronary Heart Disease
Silent Ischemia
Angina
Stable Angina
Unstable Angina
Variant (Prinzmetal) Angina
Microvascular Angina
Coronary Microvascular Disease
Myocardial Infarction
Aneurysms
Non-Cardiac Related Chest Pain
Review
Summary
Section 4: Assessing the Client
Subjective Cardiac Assessment
Review of Systems
Medical History
Family History
Psychosocial History
Knowledge Check
Objective Cardiac Assessment
Cardiac Exam
Vascular Assessment
Respiratory Assessment
Skin Assessment
Risk Factors Assessment
Barriers to Seeking Medical Treatment
Review
Summary
Section 5: Diagnostic Testing
What to Know About Diagnostic Testing
Blood Testing
Serum Lipid Panel
Electrocardiogram
Holter Monitoring
Knowledge Check
Cardiac Catheterization
Cardiac Stress Test
Coronary Computed Tomographic Angiography
Cardiac Magnetic Resonance Imaging
Review
Section Summary
Section 6: Interventions
Interventions and Therapies
Stenting
Coronary Artery Bypass Graft Surgery
Medication Therapy: Nitrates
Medication Therapy: Morphine Sulfate
Medication Therapy: Oxygen
Medication Therapy: Antiplatelet, Anticoagulant, and Thrombolytic Agents
Medication Therapy: Angiotensin-Converting Enzyme Inhibitors and Beta Blockers
Medication Therapy: Lipid-Lowering Agents
Educational Considerations
Healthy Lifestyle Recommendations
Cardiac Rehab
Review
Summary
Section 7: Conclusion
Summary
Course Contributors
References
Expert Reviewer: Aurelia Macabasco-O’Connell, PhD, ACNP-BC, RN, PHN, FAHAMrs. Cobb is a Lead SME Writer/Trainer at Relias. Her primary writing responsibilities are in the content areas of public safety and behavioral health. Mrs. Cobb is also the onboarding trainer for new staff joining the Relias Content Department. She has a Bachelor of Science degree in Correctional and Juvenile Justice Studies and a Master of Science degree in Criminal Justice. She has over 25 years of experience working in criminal and juvenile justice. Her work includes direct service, research, publication development, and training and technical assistance development and delivery.
Disclosure: Kimberly Cobb, MS has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
Aurelia Macabasco-O’Connell is an Associate Professor and Chair of the Doctoral Programs at Azusa Pacific University (APU) School of Nursing. With over 25 years of nursing experience, she has worked in many roles ranging from staff nurse to Acute Care Nurse Practitioner specializing in Critical Care and Cardiology to Educator. Her current position as Chair and Faculty at APU has her teaching and mentoring students in research. As a research scientist and a Fellow of the American Heart Association, her overall research focus has encompassed the interdisciplinary care and outcomes of low-income, uninsured, minority, heart failure (HF) patients. Specifically, she has conducted research addressing the impact of literacy on HF self-management behaviors, disease management, various psychosocial variables (e.g. depression, self-efficacy, social support, and quality of life), the validation of new methods for screening for HF using biomarkers and echocardiography, and most recently, the use of wireless technology as a method to enhance HF self-management in the home. Disclosure: Aurelia Macabasco-O’Connell, PhD, ACNP-BC, RN, PHN, FAHA has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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