EDUCATION PROGRAM DATE: ______________________

LESSON PLAN
Course Subject: Signs & Symptoms of Cardiopulmonary Distress Time began: ______ Time End: ____________

Facility Provider Number: ___________ Instructor Name/Title: ____________________________ Signature: ___________________________

Course Objectives / Methods of

Performance Standard Course Content Teaching Methods Evaluation
After instruction nursing staff will be Function of the Heart: Lecture: Question & Answer
able to understand and be
Pumps blood to lungs, which then picks
knowledgeable of Signs & Symptoms Hand Out
up oxygen and delivers oxygen to body.
Oral Quiz
So, if heart stops, like in a cardia arrest.
Heart does not pump blood, so oxygen is
not going to the tissues, vital organs and
brain.

Types of heart disease:

Participants will understand the
1. Coronary artery disease-narrowing
different types of heart disease.
of coronary arteries due to
atherosclerosis.
2. Valvula Heart Disease- Leaky or
stiff valves
3. Congestive Heart Failure-Pump
weakness or failure
4. Arrythmias-Dysfunction in
electrical conduction system
which coordinates contraction of
the heart.
5. Congenital Heart Disease- Heart
defects at birth

Coronary Artery Disease:

The heart receives its blood supply via

the coronary arteries. When there is
narrowing or build-up of fatty deposits or
plaque, there can be decreased blood
supply to the myocardium causing
 EDUCATION PROGRAM DATE: ______________________
LESSON PLAN
Course Subject: Signs & Symptoms of Cardiopulmonary Distress Time began: ______ Time End: ____________

Facility Provider Number: ___________ Instructor Name/Title: ____________________________ Signature: ___________________________

damage to the heart muscle.

CAD can show up in 3 common ways:

1. angina-temporary chest pressure

relieved by rest or nitroglycerin.
No permanent damage to heart
muscle.
2. myocardinal infarction-blood clot
suddenly and completely blocks
the diseased coronary artery
leading to death of heart muscle
cells
3. sudden cardiac death-heart stops,
no circulation, person stops
breathing

Ischemic pain is typically

 retrosternal
 may radiate to the neck, jaw,
shoulders or the inside of the left
of both arms
 often described as "discomfort"
 may have chest pressure,
heaviness, fullness, and squeezing
sharp or stabbing pain

Associated symptoms:

 dizziness
 palpitations
 diaphoresis (cold,sweaty,clammy)
 indigestion
 dyspnea
 nausea
 vomiting
 provoked by exertion, cold, or
 EDUCATION PROGRAM DATE: ______________________
LESSON PLAN
Course Subject: Signs & Symptoms of Cardiopulmonary Distress Time began: ______ Time End: ____________

Facility Provider Number: ___________ Instructor Name/Title: ____________________________ Signature: ___________________________

stress
 anginal pain may last 5-15 min.'
relieved by rest, nitro.

In myocardial infarction, patients have

severe anginal pain of 15-30 minutes
duration.

 pain occurs at rest

 similar to anginal pain in location
and radiation but more severe
 no relief with nitroglycerin
 nail beds cyanotic
 pulse may be rapid or decreased if
in shock
 very anxious
 apprehensive-can't get
comfortable

Elderly patients and those with diabetes,

may have silent (or painless) MIs or
atypical presentations

 nonretrosternal chest pain

 atypical radiation
 weakness
 dizziness
 dyspnea
 inferior MIs may have abdominal
pain, nausea or vomiting

Ischemia alters normal cellular

contractility and electrical activity which
can lead to dysrhythmias and impaired
ventricular function. (CHF, Arrythmias)

Risk Factors of CAD:

 EDUCATION PROGRAM DATE: ______________________
LESSON PLAN
Course Subject: Signs & Symptoms of Cardiopulmonary Distress Time began: ______ Time End: ____________

Facility Provider Number: ___________ Instructor Name/Title: ____________________________ Signature: ___________________________

1. Increased Age
2. Male sex
3. Family History
4. Cigarette Smoking
5. HTN
6. High cholesterol
7. Diabetes
8. Physical inactivity
9. Obesity
Participants will understand the 10. Stress
required nursing measures that play a
key role. Nursing Measures:

 Assess ABC's,
 Activate 911
 Vital Signs
 Nitroglycerin
 Oxygen
 Aspirin
 Notify MD
 Elevate head of bed
 Loosen clothing
 Reassure patient, try to keep
patient calm and comfortable
Participants will understand how to
help In the prevention and education Prevent heart disease:
to prevent cardio pulmonary disease.
1. Quit Smoking
2. Exercise
3. Control BP
4. Reduce Cholesterol and Sat. Fat
5. Weight Control

List 3 risk factors to heart disease:

Answers:
Participants will understand the risk
 EDUCATION PROGRAM DATE: ______________________
LESSON PLAN
Course Subject: Signs & Symptoms of Cardiopulmonary Distress Time began: ______ Time End: ____________

Facility Provider Number: ___________ Instructor Name/Title: ____________________________ Signature: ___________________________

factors.  Increased Age

 Cholesterol
 Cigarette Smoking
 EDUCATION PROGRAM DATE: ______________________
LESSON PLAN
Course Subject: Signs & Symptoms of Cardiopulmonary Distress Time began: ______ Time End: ____________

Facility Provider Number: ___________ Instructor Name/Title: ____________________________ Signature: ___________________________