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Heart Failure Drugs: Inotropic Agents01:26

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Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Heart Failure IV: Classification and Diagnostic Evaluation01:30

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Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
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Dysrhythmias V: Evaluating Dysrhythmias01:30

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Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
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Evaluation of Cardiac Contractility Modulation Therapy in 2D Human Stem Cell-Derived Cardiomyocytes
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Evaluating an Educational Module on Home Inotrope Therapy.

Jodie Lockman-Samkowiak1, Phyllis S Brenner, Deborah S Dunn

  • 1VitalCare, Cheboygan, Michigan (Dr Lockman-Samkowiak); McLaren Northern Michigan, Petoskey, Michigan (Dr Lockman-Samkowiak); and Madonna University, Livonia, Michigan (Dr Brenner, Dr Dunn, and Dr Qureshi). Jodie Lockman-Samkowiak, DNP, RN, CRNI®, is senior director of infusion services for VitalCare and McLaren Northern Michigan. She has 30 years' experience in home health care with 26 years specifically in home infusion therapy. She is certified in infusion therapy. Phyllis S. Brenner, PhD, RN, NEA-BC, is a professor and nursing administration program director at Madonna University in Livonia, Michigan. She has extensive experience as both an educator and a nursing administrator and has consulted on numerous quality improvement studies. Deborah S. Dunn, EdD, MSN, GNP-BC, ACNS-BC, is a professor and dean of the graduate school at Madonna University in Livonia, Michigan. Her more than 35 years of nursing experience includes 25 years in nursing education and 18 years as a gerontological nurse practitioner providing care to older adults. Elena Qureshi, PhD, is a professor of education and an instructional designer at Madonna University. She has 15 years of teaching experience. Her interests include online education and incorporating new technologies into curricula.

Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society
|July 1, 2015
PubMed
Summary

Web-based education can help home health nurses improve their knowledge and confidence in providing home inotrope therapy. This technology-assisted approach addresses educational challenges in diverse healthcare settings, meeting accreditation requirements.

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Area of Science:

  • Nursing Education
  • Healthcare Technology
  • Cardiology Nursing

Background:

  • Home health nursing education faces challenges due to geographical spread and patient diversity.
  • Technology integration offers innovative solutions for continuous nursing education.
  • Accrediting bodies mandate ongoing education for home health nurses.

Purpose of the Study:

  • To evaluate a Web-based educational module for home health nurses.
  • To assess the module's impact on nurses' knowledge of home inotrope therapy.
  • To measure changes in nurses' confidence levels regarding home inotrope therapy.

Main Methods:

  • An exploratory study design was employed.
  • A Web-based educational module focused on home inotrope therapy.
  • Nurses' perceived knowledge and confidence were assessed before and after the module.

Main Results:

  • The Web-based module positively impacted nurses' perceived knowledge.
  • Nurses reported increased confidence in managing home inotrope therapy.
  • The study demonstrated the potential of online learning in specialized nursing education.

Conclusions:

  • Web-based educational modules are effective tools for enhancing home health nurses' competence.
  • Technology can successfully address educational gaps in home healthcare.
  • Further research should explore broader applications of e-learning in nursing.