LF:MIKIN0231c Intens nur care at Inter med I - Course Information

MIKIN0231c Intensive nursing care at Internal medicine I - practice

Extent and Intensity

0/0.7/0. 1 credit(s). Type of Completion: z (credit).
In-person direct teaching

Teacher(s)

Mgr. Jana Venhodová, DiS. (seminar tutor)
Alena Volčíková (seminar tutor)
Mgr. Edita Pešáková, DiS. (assistant)
Gabriela Rozínková (assistant)

Guaranteed by

Mgr. Marta Šenkyříková, Ph.D.
Department of Health Sciences – Departments of Non-medical Branches – Faculty of Medicine
Contact Person: Mgr. Edita Pešáková, DiS.
Supplier department: Department of Health Sciences – Departments of Non-medical Branches – Faculty of Medicine

Prerequisites (in Czech)

MIKOS0121 Nurs. care at Resusc. and IM I && MIKOA011c Nursing care at Anesth. pract.

Course Enrolment Limitations

The course is only offered to the students of the study fields the course is directly associated with.

fields of study / plans the course is directly associated with

• Intensive Care (programme LF, N-IP)
• Intensive Care (programme LF, N-SZ)

Course objectives

The aim of the subject is to acquaint students with highly specialized nursing care in patients with severe disabilities of the cardiovascular system. The subject will enable the knowledge of diagnosis and therapeutic measures in cardiological patients in intensive care. It will acquaint students with the coronary unit and procedures on the coronary unit - preparation, course and intensive nursing care with diagnosis of acute coronary syndrome, left -sided and right -sided heart failure, heart rhythm disorders, hypertensive crisis, inflammatory heart disease, cardiomyopathy , acute limb arterial closure. They will learn about the care of patients after cardiac surgery. Students will gain knowledge of intensive care for patients with mechanical heart support, extracorporeal membrane oxygenation (ECMO). They will acquire knowledge in the preparation, course and monitoring of patients after punk of pericardium, pleural puncture, introduction of temporary cardiac, after defibrillation, after electric cardioversion, after right -sided cardiac catheterization. Getting to know the basic pharmaceuticals used in acute cardiology. The student acquires knowledge of primary and secondary prevention of cardiovascular diseases.

Learning outcomes

After completing the subject, students will be able to provide highly specialized intensive care for patients with cardiovascular disease. Students will be able to know/know: • Know the coronary unit workplace, basic procedures for receiving an acute patient, basic documentation. • Explain the principle of examination and treatment methods in acute cardiology. Preparations for examination, monitor the course and care after examination. • Intensive nursing care for patients with acute coronary syndrome. They will know the complications of acute myocardial infarction, cardiogenic shock and intensive care of these patients. • Intensive nursing care for patients with heart failure, intensive care for patients with pulmonary edema, pulmonary hypertension, with acute corlmonale • Intensive nursing care for patients with heart rhythm disorders. They will be able to provide intensive care for patients with life -threatening arrhythmias. They will know the individual ECG curves and will be able to recognize them on the monitor. They will know the electrocardiograph and the correct procedure for recording ECG. • Intensive nursing care for patients with hypertensive crisis. • Intensive nursing care for patients with inflammatory heart disease. They will be able to provide intensive care for patients with endocarditis, myocarditis and pericarditis. • Intensive nursing care for patients with cardiomyopathy • Intensive nursing care for patients with valve defects • Provide intensive care for patients after cardiac surgery • Indication of heart transplantation, its performance and subsequent intensive care. • Intensive nursing care for patients with pulmonary embolism • Intensive care for patients with acute arterial closure of the lower limbs. • Intensive nursing care for patients with mechanical heart support. They will know the indication of the introduction, their principle, the patient's preparation, the procedure of introduction and care after the introduction of cardiac support • Provide intensive care for patients with established intraaortal balloon counterpart, Impellla, lvad. • Intensive nursing care for patients with extracorporeal membrane of oxygenation (ECMO) • Intensive nursing care for patients after punching pericardium, pleural puncture. They will know the indication, course, monitoring of the patient during the procedure and will be able to provide intensive care after the procedure. • Intensive nursing care for patients after defibrillation. They will know the types of defibrillation discharges, the use of a defibrillator in acute care • Intensive nursing care for patients after electric cardioversion. They will know the indication, preparation of the patient, type of electric discharge, complications, patient monitoring after procedure. They will be able to provide patient care after short -term general anesthesia used in procedure. • Intensive nursing care for patients with established temporary pacemaker. They will know the indication, course, patient preparation, complications • Students will know highly specialized intensive nursing care for patients after right-sided cardiac catheterization using the Swan-Ganz Catheter • Primary and secondary prevention of cardiovascular disease. • Basic pharmacies used in acute cardiology. Their indications, contraindications, grammage, method of administration, interaction.

Syllabus

• • Getting to know the coronary unit, material and technical equipment. Procedures for receiving an acute patient, acquainting with nursing documentation. • The role of the nurse in examination and treatment methods in acute cardiology. • Specific nursing care for patients with acute coronary syndrome. • Specific nursing care for patients with cardiogenic shock. • Specific nursing care for patients with heart failure - right -sided and left. • Specific nursing care for patients with heart rhythm disorders. • Specific nursing care for patients with hypertensive crisis. • Specific nursing care for patients with inflammatory heart disease. • Specific nursing care for patients with cardiomyopathy. • Specific nursing care for patients with valve defects. • Specific nursing care for patients after cardiac surgery. • Specific nursing care for patients after heart transplantation. • Specific nursing care for patients with pulmonary embolism. • Specific nursing care for patients with acute arterial closure of lower limbs. • Specific nursing care for patients with mechanical heart support. • Specific nursing care for patients with ECMO. • Specific nursing care for patients after punk of pericardium, pleural puncture. • Specific nursing care for patients after defibrillation. • Specific nursing care for patients after electric cardioversion. • Specific nursing care for patients with established temporary pacemaker. • Specific nursing care for patients after right -sided cardiac catheterization. • Principles of primary and secondary prevention of cardiovascular diseases. • The most common used pharmacies in acute cardiology. They will be developed by students.

Literature

required literature
• KETTNER, Jiří and Josef KAUTZNER. Akutní kardiologie. 3., přepracované a doplně. Praha: Grada, 2021, xiii, 762. ISBN 9788027130962. info
• TÁBORSKÝ, Miloš, Josef KAUTZNER, Aleš LINHART, Robert HATALA, Eva GONCALVESOVÁ and Peter HLÍVÁK. Kardiologie. Grada, 2021. ISBN 978-80-271-1997-4. info
• VÍTOVEC, Jiří, Jindřich ŠPINAR and Lenka ŠPINAROVÁ. Farmakologická léčba srdečního selhání (Pharmacological treatment of heart failure). In Miloš Táborský, Josef Kautzner, Aleš Linhart, Robert Hatala, Eva Gonçalvesová, Peter Hlivák. Kardiologie. Svazek I-V. Praha: Česká kardiologická společnost, 2021, p. 693-712. svazek IV. ISBN 978-80-271-1439-9. URL info
• BULAVA, Alan. Kardiologie pro nelékařské zdravotnické obory. 1. vydání. Praha: Grada Publishing, 2017, 223 stran. ISBN 9788027104680. info
• BĚLOHLÁVEK, Jan. EKG v akutní kardiologii : průvodce pro intenzivní péči i rutinní klinickou praxi. 2. rozš. vyd. Praha: Maxdorf, 2014, 468 s. ISBN 9788073454197. info
• OŠŤÁDAL, Petr and Martin MATES. Akutní infarkt myokardu. 2. aktualizované vydání. Praha: Maxdorf, 2023, 105 stran. ISBN 9788073457556. info
• OŠŤÁDAL, Petr, Jan BĚLOHLÁVEK, Martin BALÍK and Hynek ŘÍHA. ECMO extrakorporální membránová oxygenace : manuál pro použití u dospělých. 2. aktualizované vydání. Praha: Maxdorf, 2018, 93 stran. ISBN 9788073455910. info
• MANĎÁK, Jiří. Intraaortální balonková kontrapulzace. 1. vyd. Praha: Grada, 2006, 160 s. ISBN 8024707349. info
• Vybrané kapitoly z intenzivní péče. Edited by Petr Bartůněk - Dana Jurásková - Jana Heczková - Daniel Nalos. 1. vydání. Praha: Grada Publishing, 2016, xxxix, 712. ISBN 9788024743431. info
• TESÁK, Martin. Infekční endokarditida (Infective endocarditis). In Pavel Ševčík. Intenzivní medicína. Třetí přeprac. a rozš.vydání. Praha: Galén, 2014, p. 751-754. ISBN 978-80-7492-066-0. info
• LINHART, Aleš. Vyšetřovací postupy u kardiovaskulárních onemocnění. Praha: Maxdorf, 2021, 690 stran. ISBN 9788073456405. info
• WIDIMSKÝ, Jiří. Hypertenze. 5. aktualizované vydání. Praha: Maxdorf, 2019, 553 stran. ISBN 9788073456214. info
• PUDIL, Radek. Srdeční selhání. 2. aktualizované a doplněn. Praha: Maxdorf, 2023, 302 stran. ISBN 9788073457563. info
• HELÁN, Martin. Syndrom multiorgánové dysfunkce a orgánová podpora (Multiorgan dysfunction syndrome and organ support). In Jan Maláska; Milan Kratochvíl; Jan Stašek; Václav Zvoníček. Intenzivní medicína v praxi. Praha: Maxdorf, 2020, p. 469-481. Medica. ISBN 978-80-7345-675-7. URL info
• KRATOCHVÍL, Milan. Arytmie (Arrhythmia). In Jan Maláska; Milan Kratochvíl; Jan Stašek; Václav Zvoníček. Intenzivní medicína v praxi. Praha: Maxdorf, 2020, p. 358-380. Medica. ISBN 978-80-7345-675-7. URL info
• ZVONÍČEK, Václav. Masivní plicní embolie (Massive pulmonary embolism). In Jan Maláska; Milan Kratochvíl; Jan Stašek; Václav Zvoníček. Intenzivní medicína v praxi. Praha: Maxdorf, 2020, p. 381-388. Medica. ISBN 978-80-7345-675-7. URL info
• KRATOCHVÍL, Milan. Akutní srdeční selhání (Acute heart failure). In Jan Maláska; Milan Kratochvíl; Jan Stašek; Václav Zvoníček. Intenzivní medicína v praxi. Praha: Maxdorf, 2020, p. 389-405. Medica. ISBN 978-80-7345-675-7. URL info
• KRATOCHVÍL, Milan. Akutní koronární syndromy (Acute coronary syndromes). In Jan Maláska; Milan Kratochvíl; Jan Stašek; Václav Zvoníček. Intenzivní medicína v praxi. Praha: Maxdorf, 2020, p. 342-357. Medica. ISBN 978-80-7345-675-7. URL info
• KRATOCHVÍL, Milan. Přístup k pacientovi s oběhovým selháním - šokové sestavy (Approach to the patient with circulatory failure - shock sets). In Jan Maláska; Milan Kratochvíl; Jan Stašek; Václav Zvoníček. Intenzivní medicína v praxi. Praha: Maxdorf, 2020, p. 153-183. Medica. ISBN 978-80-7345-675-7. URL info
• OŠŤÁDAL, Petr and Richard ROKYTA. Neinvazivní a invazivní monitorace hemodynamiky na jednotce intenzivní péče. Praha: Maxdorf, 2020, 320 stran. ISBN 9788073456290. info
• HAMPTON, John R. and Joanna HAMPTON. EKG stručně, jasně, přehledně. Translated by Leoš Landa. 1. české vydání. Praha: Grada, 2022, 286 stran. ISBN 9788027113170. info
• VÍTOVEC, Jiří, Jindřich ŠPINAR, Lenka ŠPINAROVÁ and Ondřej LUDKA. Léčba kardiovaskulárních onemocnění (Cardiovascular diseases). 1. vyd. Praha: Grada Publishing, 2018, 188 pp. ISBN 978-80-271-0624-0. info

recommended literature
• PLEVOVÁ, Ilona and Renáta ZOUBKOVÁ. Sestra a akutní stavy od A do Z. 1. vydání. Praha: Grada, 2021, 557 stran. ISBN 9788027108909. info
• PIRK, Jan. Kardiochirurgie. Praha: Maxdorf, 2019, 277 stran. ISBN 9788073455682. info
• HLOCH, Ondřej. Užitečné tabulky pro praxi nejen v interních oborech. 1. vydání. Praha: Grada Publishing, 2018, 384 stran. ISBN 9788027103119. info
• BENNETT, David H. Srdeční arytmie : praktické poznámky k interpretaci a léčbě. 1. vyd. Praha: Grada, 2014, 384 s. ISBN 9788024751344. info
• WAGNER, Robert. Kardioanestezie a perioperační péče v kardiochirurgii. 1. vyd. Praha: Grada Publishing, 2009, 336 s. ISBN 9788024719207. info
• KOLÁŘ, Jiří. Kardiologie pro sestry intenzivní péče. 4., dopl. a přeprac. vyd. Praha: Galén, 2009, xxv, 480. ISBN 9788072626045. info
• SOVOVÁ, Eliška. EKG pro sestry. Praha: Grada, 2006, 112 s. ISBN 8024715422. info
• ŠEVČÍK, Pavel, Vladimír ČERNÝ and Jiří VÍTOVEC. Intenzívní medicína. 2. rozš. vyd. Praha: Galén, 2003, xxi, 422. ISBN 807262203X. info

Teaching methods

Exercise, discussion, theoretical preparation, presentation of case reports, solutions, work in the group, training model situations, practical exercise ECG curves on the monitor.

Assessment methods

The subject is terminated by credit - credit test, success min. 75% The test includes model situations and interpretation of the ECG curve. 1 Correction credit test, then oral test.

Language of instruction

Czech

Study support

https://is.muni.cz/auth/el/med/jaro2025/MIKIN0231c/

Further comments (probably available only in Czech)

Study Materials
Information on the extent and intensity of the course: 10.

Teacher's information

100% participation in teaching is required. The exercise includes an excursion to the coronary unit.

• Enrolment Statistics (spring 2025, recent)
  
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