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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

UNIT TERMINAL OBJECTIVE

5-2

At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles

and assessment findings to formulate a field impression and implement the treatment plan for the patient with cardiovascular disease.

COGNITIVE OBJECTIVES At the completion of this unit, the paramedic student will be able to:

5-2.1 5-2.2 5-2.3 5-2.4

5-2.5 5-2.6 5-2.7 5-2.8 5-2.9 5-2.10

5-2.11 5-2.12 5-2.13 5-2.14 5-2.15 5-2.16

5-2.17 5-2.18 5-2.19 5-2.20 5-2.21 5-2.22 5-2.23

5-2.24 5-2.25 5-2.26 5-2.27 5-2.28 5-2.29

Describe the incidence, morbidity and mortality of cardiovascular disease. (C-1) Discuss prevention strategies that may reduce the morbidity and mortality of cardiovascular disease. (C-1) Identify the risk factors most predisposing to coronary artery disease. (C-1) Describe the anatomy of the heart, including the position in the thoracic cavity, layers of the heart, chambers of the heart, and location and function of cardiac valves. (C-1) Identify the major structures of the vascular system. (C-1) Identify the factors affecting venous return. (C-1) Identify and define the components of cardiac output. (C-1) Identify phases of the cardiac cycle. (C-1) Identify the arterial blood supply to any given area of the myocardium. (C-1) Compare and contrast the coronary arterial distribution to the major portions of the cardiac conduction system. (C-3) Identify the structure and course of all divisions and subdivisions of the cardiac conduction system. (C-1) Identify and describe how the heart's pacemaking control, rate, and rhythm are determined. (C-2) Explain the physiological basis of conduction delay in the AV node. (C-3) Define the functional properties of cardiac muscle. (C-1) Define the events comprising electrical potential. (C-1) List the most important ions involved in myocardial action potential and their primary function in this process. (C-2) Describe the events involved in the steps from excitation to contraction of cardiac muscle fibers. (C-1) Describe the clinical significance of Starling's law. (C-3) Identify the structures of the autonomic nervous system (ANS). (C-1) Identify the effect of the ANS on heart rate, rhythm and contractility. (C-1) Define and give examples of positive and negative inotropism, chronotropism and dromotropism. (C-2) Discuss the pathophysiology of cardiac disease and injury. (C-1) Identify and describe the details of inspection, auscultation and palpation specific to the cardiovascular system. (C-1) Define pulse deficit, pulsus paradoxus and pulsus alternans. (C-1) Identify the normal characteristics of the point of maximal impulse (PMI). (C-1) Identify and define the heart sounds. (C-1) Relate heart sounds to hemodynamic events in the cardiac cycle. (C-2) Describe the differences between normal and abnormal heart sounds. (C-2) Identify and describe the components of the focused history as it relates to the patient with cardiovascular

compromise. (C-1) 5-2.30 Explain the purpose of ECG monitoring. (C-1) 5-2.31 Describe how ECG wave forms are produced. (C-2) 5-2.32 Correlate the electrophysiological and hemodynamic events occurring throughout the entire cardiac cycle

with the various ECG wave forms, segments and intervals. (C-2) 5-2.33 Identify how heart rates, durations, and amplitudes may be determined from ECG recordings. (C-3) 5-2.34 Relate the cardiac surfaces or areas represented by the ECG leads. (C-2)

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

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