1. Introduction to cardiovascular monitoring DR/ Noha Elsayed

2. COURSE NAME : Cardiovascular monitoring COURSE CODE: NMT (354) DAY: SUNDAY,TUESDAY Time : 9:10 A.M,12-1 P.M /12:1 P.M ( PRACTICAL ) 2

3. Instructor: Dr. Noha Elsayed Office hours : Wednesday 10 :12 A. M. E-mail: NEABDELAZIZ @inaya.edu.sa 3

4. COURSE OUTLINE 1.Demonstrate knowledge and understanding of cardiac anatomy and physiology 2.Demonstrate knowledge and understanding of Electrophysiology and Electrocardiography 3.Demonstrate knowledge and understanding of Coronary Artery Disease (CAD). 4.Demonstrate knowledge and understanding of the development of dysrythmias. 4

5. 5. Demonstrate knowledge and understanding of dysrhythmia interpretation. 6. Demonstrate knowledge and understanding of normal 12 Lead EKGs. 7. Demonstrate knowledge and understanding of cardiac pacemakers 8. Demonstrate knowledge and understanding of cardioversion/defibrillation and Code Blue review 9. Demonstrate knowledge and understanding of abnormal 12 Lead EKGs and axis deviation. 5

6. Course objectives Label on a schematic drawing of the heart; the chambers, valves, and major vessels. Name the five major coronary arteries and indicate the surfaces of the heart they supply. Identify on a normal EKG tracing. Describe the five parameters to be measured,(rhythm, rate, P waves, PR interval, and QRS complex) to be considered while interpreting the strip. 6

7. List three major risk factors for CAD. Define and explain angina. State signs and symptoms of both classical and atypical myocardial infarction (MI). State the typical EKG appearance of early beats, late beats, slow rhythms, fast rhythms, blocked conduction, and ventricular fibrillation. Demonstrate and explain the anatomical positions of each of the six precordial leads and the four limb leads. List the criteria for QRS complex, ST segment, septal Q waves, and T wave deflection for each of the leads on a normal 12 Lead EKG 7

8. Demonstrate technique/procedure for obtaining standard 12 Lead EKG. Demonstrate and explain the anatomical positions of each of the six precordial leads and the four limb leads. List the criteria for QRS complex, ST segment, septal Q waves, and T wave deflection for each of the leads on a normal 12 Lead EKG. Demonstrate technique/procedure for obtaining standard 12 Lead EKG. 8

9. State three indications for insertion of pacemakers. Define the terms "fire", "capture", and "sense" as they apply to pacemaker function Define and explain cardioversion and defibrillation. State one indication for cardioversion and one indication for defibrillation. List two factors that can influence the direction of the ventricular axis. 9

10. Describe, using Limb Leads I and III, the QRS deflections produced by normal, left, and right axis. List the leads that are used to locate abnormalities on the anterior, inferior, and lateral surfaces of the heart. State the changes in QRS, ST segment, and T wave when there is injury, ischemia, and/or infarction present. State criteria used to locate left ventricular hypertrophy, left bundle branch block, and right bundle branch block 10

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16. Required textbook Clinical Nuclear Medicine [Hardcover]Hans-Jurgen Biersack (Editor), Leonard M. Freeman http://samples.jbpub.com/9781449652609/99069_ch05_610 1.pdf http://samples.jbpub.com/9781449652609/99069_ch05_610 1.pdf 16

17. Electronic Materials, Web Sites http://nursing.advanceweb.com/Features/Articles/Id entifying-Heart-Blocks.aspx http://www.istudentnurse.com/med-surg/ekg/ http://www.ceufast.com/courses/viewcourse.asp?id =239 http://sgh.org.sa/Portals/0/Articles/ECG%20Interpret ation%20Made%20Incredibly%20Easy!%20(5th%20e dition).pdf http://www.nurseslearning.com/courses/nrp/NRP16 07/Section%201/index.htm 17

18. Online resources http://nurseslabs.com/cardiovascular-system- anatomy-and-physiology/ http://nurseslabs.com/cardiovascular-system- anatomy-and-physiology/ http://www.nottingham.ac.uk/nursing/practice/reso urces/cardiology/function/anatomy.php http://www.nottingham.ac.uk/nursing/practice/reso urces/cardiology/function/anatomy.php http://news.nationalpost.com/health/the-secret- slang-of-hospitals-what-doctors-nurses-call-patients- behind-their-backs http://news.nationalpost.com/health/the-secret- slang-of-hospitals-what-doctors-nurses-call-patients- behind-their-backs http://www.jointcommission.org/assets/1/6/EM- 2014_RECOMMENDATIONS_FOR_HOSPITAL_EMERG ENCY_CODES_FINAL_(2).pdf http://www.jointcommission.org/assets/1/6/EM- 2014_RECOMMENDATIONS_FOR_HOSPITAL_EMERG ENCY_CODES_FINAL_(2).pdf 18

19. Attendance Required - Be sure to sign the roll sheet each class period. Any material missed will be the responsibility of the student. It is the student’s responsibility to report absences and the reasons for any absences, before the fact when possible, when they occur. No one may be present in the classroom who is not enrolled in the course. 19

20. Communication Devices All cell phones, and other outside communication devices must be turned to silent or off during class. 20

21. Communication with me Please ask questions whenever you have any problems with the material of the course. If you need extra help or have a question outside of class, please send me an E-mail or take an appointment with me. 21

22. My Expectations and Your Responsibilities Prepare for the Examinations: Read the Assigned Chapters well before the day of the exam. Ask questions of me in or outside of class if you need assistance in understanding the material. Do not ask me “What will be on the exam?” The exams will consist of all kind of questions definitions, true& false, choose, figure, list, match and situation. 22

23. Welcome to NMT Any Questions? Let’s Start With Some chapters About Why You Are Studying NMT ? 23

24. THANK YOU 24