Chest Pain Symptoms, Tests, and Treatments

Chest Pain Symptoms, Tests, and Treatments 

Coronary artery disease is the leading cause of death in the United States (Centers for Disease Control and Prevention, 2016). It is imperative that professionals working in the outpatient setting know how to readily identify clients with acute coronary syndrome. Professionals must be able to distinguish true chest pain from esophageal reflux, musculoskeletal disorders, and other differential diagnoses. This course will use clinical case studies, interactive lessons, and descriptive examples to guide you through the step-by-step process of conducting a focused cardiovascular assessment and physical examination in the chest pain client. This course is intended for entry- and intermediate-level nurses, medical assistants, and physician assistants working in a community health or primary care setting.

$20.00

Hours: 1.50
REL-CH-0-CPSTT

Certificates

Certificates provided by accrediting body (9 Match)

Florida Board of Nursing Home Administrators

1.5 HOURS


Course approved by the Florida Board of Nursing Home Administrators.
Provider # 50-290
NHA/RCAL
This activity is approved for 1.50 contact hours.

Tennessee Department of Health

1.5 HOURS


Learning activity approved by the Tennessee Department of Health, Bureau of Health Licensure and Regulation as continuing education for Residential Homes for the Aged and Assisted Care Living Facility administrators. This activity is approved for 1.50 contact hours.

California Board of Registered Nursing

1.5 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.50 contact hours for participating in this course.

District of Columbia Board of Nursing

1.5 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.50 contact hours for participating in this course.

Florida Board of Nursing

1.5 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.50 contact hours for participating in this course.

American Nurses Credentialing Center

1.5 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.50 contact hours for participating in this course.

Georgia Board of Nursing

1.5 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.50 contact hours for participating in this course.

Missouri Health Care Association

1.5 HOURS


This on-line activity has been approved for 1.50 Patient Care Hour(s) toward the Missouri continuing education requirement for nursing home administrators. Relias LLC offers courses approved by the Missouri Health Care Association, an approved training agency, TA-002-919, by the Missouri Board of Nursing Home Administrators. This activity is approved for 1.50 contact hours.

California Nursing Home Administrator Program - P type

2.0 HOURS


This educational offering is approved by the California Nursing Home Administrator Program (NHAP) as a Patient Care/Aging ("P" credit) course. Provider # CEP 1701; Course Approval # 1701002-6571/P. This activity is approved for 2.00 contact hours.

Course Details

Course Code: REL-CH-0-CPSTT
Hours: 1.5
Type: Online Course
Content Expiration Date: 12/31/2019
Learning Objectives:
Describe the common tests used to rule out myocardial infarction.
Define which treatment modalities are commonly used in acute coronary syndrome.
Perform a focused subjective cardiac assessment.
Perform a focused objective cardiac assessment.

Outline:
Section 1: Introduction A. About This Course B. Learning Objectives Section 2: Overview of Coronary Heart Disease A. Mary’s Story B. Overview of Coronary Heart Disease C. Statistics Regarding Heart Disease D. Function of the Heart E. Left Coronary Arteries F. Right Coronary Artery G. Collateral Circulation H. Let’s Review I. Section Summary Section 3: Overview of Angina A. Definition of Angina B. Stable Angina C. Unstable Angina D. Variant (Prinzmetal) Angina E. Microvascular Angina F. Silent Ischemia G. Myocardial Infarction H. Aneurysms I. Non-Cardiac Related Chest Pain J. Non-Cardiac Pain Review K. Women with Coronary Heart Disease L. Meet Mr. Gordon M. Section Summary Section 4: Focused Subjective Cardiac Assessment A. Obtaining Subjective Data B. Past Medical History C. Family History D. Psychosocial History E. Knowledge Check F. Section Summary Section 5: Focused Objective Cardiac Assessment A. Obtaining Objective Data B. Cardiac Exam C. Vascular Assessment: Pulses and Carotid Arteries D. Vascular Assessment: Peripheral Veins and Jugular Veins E. Respiratory Exam F. Components of the Assessment G. Skin H. Risk Factors I. Emergency Chest Pain in an Outpatient Clinic J. Pop Quiz K. Section Summary Section 6: Diagnostic Testing A. Assessing Abnormal Findings B. Echocardiography Changes Associated with Acute Myocardial Infarction C. Blood Testing D. Serum Lipid Panel E. Knowledge Check F. Cardiac Catheterization G. Cardiac Stress Test H. Additional Testing I. Test Your Knowledge: The Gold Standard Lab Test J. Section Summary Section 7: Treatment and Education A. Interventions and Therapies B. Stenting C. Coronary Artery Bypass Graft Surgery D. Medication Therapy: Nitrates E. Medication Therapy: Morphine Sulfate F. Medication Therapy: Oxygen G. Medication Therapy: Antiplatelet, Anticoagulant, and Thrombolytic Agents H. Medication Therapy: Angiotensin Converting Enzyme-Inhibitors and Beta Blockers I. Medication Therapy: Lipid Lowering Agents J. Medication Review K. Educational Considerations L. Healthy Lifestyle Recommendations M. Dietary Recommendations N. Exercise, Including Cardiac Rehab O. Sleep Recommendations P. Barriers to Seeking Medical Treatment Q. Determining an Emergency R. Test Your Knowledge S. Section Summary Section 8: Conclusion A. Summary B. Congratulations C. Course Contributor D. Resources E. References

Instructor: Melanie Allison RN, MSN, ACNP-BC
Melanie Allison is an Acute Care Nurse Practitioner and Instructor at the Vanderbilt University School of Nursing. She has over 13 years of cardiovascular nursing experience as both a registered nurse and nurse practitioner. She began her nursing career working on a cardiovascular step-down unit where her clients were diagnosed with acute coronary syndrome, arrhythmias, congestive heart failure, and severe atherosclerosis requiring surgery. Melanie worked as a nurse practitioner at the Vanderbilt Heart Institute for several years where she managed complicated lipid clients and worked alongside two of the world’s leading lipid expert physicians. She also helped to conduct research on phase III clinical drug trials for some of the top pharmaceutical companies in the United States. Ms. Allison currently works full time for the Vanderbilt University School of Nursing where she teaches clinical rotations on a cardiovascular step-down unit at Vanderbilt University Medical Center. Disclosure: Melanie Allison RN, MSN, ACNP-BC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Instructor: Marissa Brown, MSN, RN, CPN
This course was written by Marissa Lemley Brown, MSN, RN, CPN. Marissa began her nursing career at Vanderbilt University Medical Center in 2001 as a staff nurse working with the acute care pediatric population. When Monroe Carell Jr. Children's Hospital at Vanderbilt was constructed as a freestanding facility in 2004, she transitioned to the Infant, Toddler, School Age Medicine and Pediatric Epilepsy Monitoring Unit. Over the course of 11 years, she has worked as a staff nurse, charge nurse, nurse educator, and clinical nursing instructor. Now as a member of the Nursing Education & Professional Development Team, Marissa works as a Nursing Professional Development Specialist for the Children’s Hospital. Beginning her family’s 4th generation of nurses, Marissa received her degree from Aquinas College in Nashville, Tennessee. She furthered her education through The University of Phoenix where she received a Master’s of Science in Nursing Education. Disclosure: Marissa Brown, MSN, RN, CPN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry, intermediate, and advanced level Nurses; in the following settings: Health and Human Services.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.