Maricopa Community Colleges  HCE146   19976-99999 
Official Course Description: MCCCD Approval: 03/25/97
HCE146 19976-99999 LAB 1 Credit(s) 5 Period(s)
Advanced Cardiovascular Skills I
Emphasis on refinement of clinical skills in cardiovascular techniques. Particular elaboration of diagnostic techniques: electrocardiogram, echocardiogram, exercise electrocardiography (treadmill), ambulatory (Holter) electrocardiography, and pacemaker. Prerequisites: HCE143 and HCE144. Corequisites: HCE147.
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MCCCD Official Course Competencies:
 
HCE146   19976-99999 Advanced Cardiovascular Skills I
1. Identify and describe functions and dosage of major drugs used in emergency cardiac care. (I)
2. Assist or administer and participate in analysis of data for cardiovascular tests: electrocardiogram, echocardiogram, exercise electrocardiography (treadmill), ambulatory (Holter) electrocardiography, and pacemaker. (II)
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MCCCD Official Course Outline:
 
HCE146   19976-99999 Advanced Cardiovascular Skills I
    I. Drugs for Controlling Heart Rate and Rhythm
        A. Lidocaine
          1. Ventricular fibrillation
          2. Tachycardia
        B. Attropine Sulfate
          1. Increase heart rate
          2. Attrioventricular (AV) block
        C. Isoproterenol Hydrochloride
          1. Increase heart rate
          2. Beta-adrenergic stimulation
      II. Specific Cardiovascular Tests
          A. Electrocardiogram
            1. Anatomy of cardiovascular system
            2. Mechanics and physiology of cardiovascular system
            3. Three-lead and five-lead recording
            4. Twelve-lead computerized recording
          B. Echocardiogram
            1. Heart and valve position
            2. A mode
            3. B mode
            4. M mode
          C. Exercise electrocardiography (treadmill)
            1. Screen for coronary heart disease
            2. Assist physician as necessary
            3. Monitor physical symptoms throughout test and 6-8 minutes post exercise
            4. Participate in clinical interpretation of test
          D. Ambulatory (Holter) electrocardiography
            1. Two-lead system
            2. Patient "diary" instruction
            3. Manual scanning
            4. Computer analysis scanning
          E. Pacemaker
            1. Classification of pacemaker
              a. Chamber paced
              b. Chamber sensed
              c. Mode of response to sensing
            2. Pulse interval determination
            3. Power source
            4. Circuitry
            5. Leads
            6. Surgical placement
            7. Troubleshooting
            8. Clinic follow-up
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