heading 1 - lippincott williams &...

Medical Terminology: An Illustrated Guide, Sixth Edition (Cohen)

Lesson Plans

Chapter 9 — Circulation: The Cardiovascular and Lymphatic Systems

Goals of the Lesson:

Cognitive: The student will be able to identify the structure and function of the cardiovascular and lymphatic system, in its normal and clinical aspects. They will also learn different disorders, medical terms, and medical abbreviations involving the cardiovascular and lymphatic system.Motor: The students will be able to identify the various structures on models of the heart. They will also be able to identify the location of the lymphatic structures. Affective: The students will gain understanding of the complexity and interrelationship of the cardiovascular and lymphatic system.

Learning Objectives:

The lesson plan for each objective starts on the page shown below.

9-1 Label a diagram of the heart..........................................................................................................................................619-2 Trace the path of blood flow through the heart.............................................................................................................659-3 Trace the path of electric conduction through the heart................................................................................................679-4 Identify the components of an electrocardiogram.........................................................................................................699-5 Differentiate among arteries, arterioles, capillaries, venules, and veins.......................................................................719-6 Explain blood pressure and describe how blood pressure is measured.........................................................................739-7 Identify and use the roots pertaining to the cardiovascular and lymphatic systems.....................................................759-8 Describe the main disorders that affect the cardiovascular and lymphatic systems......................................................769-9 Define medical terms pertaining to the cardiovascular and lymphatic systems............................................................789-10 List the functions and components of the lymphatic system ........................................................................................799-11 Interpret medical abbreviations referring to circulation................................................................................................209-12 Analyze case studies involving circulation...................................................................................................................21

You Will Need:

Gather the following materials and teaching aids for the following lessons:

of 29Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins

Selected Key Termsaorta aortic valveapex arteryarteriole atrioventricular

nodeAV bundle atrioventricular

valveatrium blood pressurebundle branches capillarycardiovascular system

depolarization

diastole electrocardiography

endocardium epicardiumfunctional murmur heartheart rate heart soundsinferior vena cava left AV valvemitral valve myocardiumpericardium pulmonary arterypulmonary circuit pulmonary veinspulmonary valve pulsePurkinje fibers repolarization right AV valve septumsinus rhythm sinoatrial nodesphygmomanometer

superior vena cava

systemic circuit systolevalve vein ventricle venulevessel appendixlymph lymph nodelymphatic system Peyer patchesright lymphatic duct spleenthoracic duct thymus glandtonsils

Cohen: Medical Terminology: An Illustrated Guide (Sixth Edition)Chapter 9 — Circulation: The Cardiovascular and Lymphatic Systems

9-1 1. An unlabeled poster of the Heart and card with labels of the heart written or printed over them. 2. Animal hearts, dissection tools, unsterile gloves, biohazard containers. 3. Anatomic model of the heart.

9-2 Poster of the heart. Sufficient number of red and blue arrows.9-3 Stethoscope and microphone.9-4 Sufficient number of ECG samples.9-5 Anatomic model demonstrating the arteries and veins.9-6 Sphygmomanometers, stethoscopes, alcohol prep pads, biohazard container.9-7 Stedman’s Medical Dictionary for the Health Professions and Nursing, Illustrated, 6th ed. (2008), one per small

group. Stedman’s Medical Terminology Flash Cards, 2e (2009).9-9 Stedman’s Medical Terminology Flash Cards, 2e (2009).9-10 Poster boards and markers.9-11 Sufficient note cards.9-12 Stedman’s Medical Dictionary for the Health Professions and Nursing, Illustrated, 6th ed. (2008), one per small

group.

Legend: IB: Image Bank (IR); IR: Instructor’s Resources; MRA: Medical Record Analysis; PPt: PowerPoint (IR); SR: Student Resources (student DVD or companion website); TG: Test Generator (IR)



Objective 9-1

Label a diagram of the heart. Date:

Lecture OutlineFigures, Tables, and Features

Resources andIn-Class Activities

Outside AssignmentsEvaluation Instructor’s Notes

Content Text page

PPt slide

Layers of the heart Endocardium Myocardium Epicardium Pericardium

Chambers of the heart Atrium (upper) Ventricle (lower) Septum (separating wall)

Blood circuits Pulmonary circuit

Between heart and lungs Exchange of CO2 for O2

Systematic circuit Between heart and body Exchange of O2 for CO2

145-147

25-28 Figures9-1 The cardiovascular system, pulmonary circuit, systemic circuit.pp. 146, PPt 26

9-2 The heart and great vesselspp. 147, PPt 31

ResourcesHave students review the Audio Pronunciation Glossary, Flash Cards, and Audio Drills for Chapter 9 in PASSport To Success (SR).

Related Chapters10 – Blood and Immunity

In-Class Activities1. Pin an unlabeled poster of the heart to a large soft board. Divide the class into small teams. Randomly distribute labels of the heart to each team. Ask a person from each team to go to the poster and pin the label at the correct position. Give the team points for correctly labeling the parts. If the person gets the label wrong, the label is passed on to the next team.

MaterialsAn unlabeled poster of the

Outside AssignmentsChapter Reviewpp. 174-180

EvaluationTest Bank (IR)TG Questions 1- 50

SRHave students work through exercises for Chapter 9 in PASSport To Success (SR).



Heart and card with labels of the heart written or printed over them.

2. Obtain several hearts from a butcher. Using dissection tools, allow the students to dissect the heart, pointing out the various structures. MaterialsAnimal hearts, dissection tools, unsterile gloves, biohazard containers.

3. Using a model of the heart, point out the various structures during the discussion. Allow the students time to also identify the various structures on the model.MaterialsAnatomic model of the heart.




Objective 9-2

Trace the path of blood flow through the heart. Date:




Content Text page

PPt slide

Blood flow through the heart Right atrium Tricuspid valve Right ventricle Pulmonary valve Pulmonary arteries (left and

right) to lungs Pulmonary veins (left and

right) returning from lungs Left atrium Mitral valve Left ventricle Aortic valve Arch of aorta Aorta

146-147

31-32 Figures9-2 The heart and great vesselspp. 147, PPt 31


In-Class ActivitiesPin a poster of the heart to a large soft board. Divide the class into two teams. Distribute red and blue arrows to the teams. Ask each team to pin the red and blue arrows in the correct sequence. Give the team points for correctly pinning the arrows.

MaterialsPoster of the heart.Sufficient number of red and blue arrows.

AnimationsView “Blood Circulation” (IR, SR)






Objective 9-3

Trace the path of electric conduction through the heart. Date:




Content Text page

PPt slide

Path of electric conduction Sinoatrial (SA) node Atrioventricular (AV) node AV bundle (bundle of His) Bundle branches (left and

right) Purkinje fibers

147-148

33-35 Figures9-3 The heart’s conduction systempp. 148, PPt 35

Boxes9-1 Focus on Words: Name That Structurepp. 148


In-Class ActivitiesAsk a volunteer to step forward. Listen to the volunteer’s heartbeat using a stethoscope. If the heartbeat is normal, attach the earphone of the stethoscope to a microphone. Ask the class to listen to the heartbeat and identify the systole and diastole. Simultaneously, ask the students to measure the heart rate.

MaterialsStethoscope and microphone

AnimationView “cardiac cycle” (IR, SR)






Objective 9-4

Identify the components of an electrocardiogram. Date:




Content Text page

PPt slide

Components of a normal ECG tracing P wave QRS component T wave U wave

Sinus rhythm Interval Segment

149 35-36 Figures9-4 Electrocardiographypp. 149, PPt 36Boxes


In-Class ActivitiesDivide the class into groups. Give each group a sample ECG tracing. Ask each group to label the components of an ECG tracing.MaterialsSufficient ECG samples







Objective 9-5

Differentiate among arteries, arterioles, capillaries, venules, and veins. Date:




Content Text page

PPt slide

Arteries Aorta Carries blood away from

heart Carries oxygenated blood

(except for pulmonary and umbilical arteries)

Under pressure from heart contraction

Thick muscular walls Arterioles

Small arteries Capillaries

Microscopic vessels Exchange of nutrients, gases,

and waste products occur here

Connect arterioles and venules

Venules Small veins

Veins Inferior vena cava Superior vena cava

149-150

37, 39-40

Figures9-5 Principal systemic arteriespp. 149, PPt 39

9-6 Principal systemic veinspp. 150, PPt 40


In-Class ActivitiesUsing models point out the various arteries and veins during discussion.

MaterialsAnatomic model demonstrating the arteries and veins.






Carries blood toward the heart

Carries deoxygenated blood (except for pulmonary and umbilical vein)

Thin walls Contain one-way valves to

prevent backflow of blood




Objective 9-6

Explain blood pressure and describe how blood pressure is measured. Date:




Content Text page

PPt slide

Blood pressure (BP) Systole Diastole

Measuring BP using sphygmomanometer

150-151

38 Figures9-7 Sphygmomanometerpp. 150

Boxes9-2 Clinical Perspectives, Cardiac Catheterization: Measuring Blood Pressure from Withinpp. 151


Related Chapters7- Diagnosis and Treatment; Surgery

In-Class Activities1. Instruct the students on the correct method to obtain a BP.

MaterialsSphygmomanometers, stethoscopes, alcohol prep pads, biohazard container.

2. Divide the class into small groups. Instruct each group to create an educational poster on ways to treat hypertension.


Instruct the students to research the signs and symptoms of hypertension and write a short report of their findings.





Objective 9-7

Identify and use the roots pertaining to the cardiovascular and lymphatic systems. Date:




Content Text page

PPt slide

Roots for Heart cardio/o arti/o ventricul/o valv/o, valvul/o

Roots for the Blood Vessels angi/o vas/o, vascul/o arter/o, arteri/o arteriol/o aort/o ven/o, ven/i phleb/o

Roots for Lymphatic System lymph/o lymphaden/o lymphangi/o splen/o thym/o tonsill/o

153, 154, 167

29-30 Tables9-1 Roots for the Heartpp. 153, PPt 29

9-2 Roots for the Blood Vesselspp. 154, PPt 30

9-3 Roots for the Lymphatic Systempp. 167


In-Class ActivitiesPull the cardiology and lymphatic flash cards from the Stedman’s Flash Cards and randomly distribute them among the students. Ask the students to give the meaning, example, and definition of the example written on the card. Allow the students to use a dictionary to verify their answer.

MaterialsStedman’s Medical Terminology Flash Cards, 2e (2009).Stedman’s Medical Dictionary for the Health Professions and Nursing,

Outside AssignmentsExercise 9-1pp. 154

Exercise 9-2pp. 155

Exercise 9-3pp. 167

Chapter Reviewpp. 174-180





Illustrated, 6th ed. (2008).




Objective 9-8

Describe the main disorders that affect the cardiovascular and lymphatic systems. Date:




Content Text page

PPt slide

Clinical aspects of the cardiovascular system Atherosclerosis

Plaque Ischemia Dyslipidemia Lipoproteins Arteriosclerosis

Thrombosis and Embolism Thrombosis Thrombus Embolism Embolus Cerebrovascular

accident Aneurysm

Dissecting aneurysm Hypertension

Systolic over 140 Diastolic over 90

Heart disease Coronary artery disease

(CAD)

156-161, 168, 172

41-53, 78

Figures9-8 Coronary atherosclerosispp. 156

9-9 Dissecting aortic aneurysmpp. 157

9-10 Coronary angioplastypp. 158

9-11 Coronary stentpp. 158

9-12 Coronary artery bypass graftpp. 158

9-13 Myocardial infarctionpp. 159

9-14 Potential sites for heart blockpp. 159

9-15 Placement of a pacemakerpp. 159


Related Chapters13-Urinary system17-Nervous system

AnimationView “Hypertension” and “Heart Failure” (IR), (SR)

In-Class ActivitiesDivide the class into small groups or pairs. Assign each group a different disorder to research and report the rest of the class about.






Angina pectoris Diaphoresis Dyspnea Stress tests Coronary

angiography Echocardiography C-reactive protein Angioplasty Percutaneous

transluminal coronary angioplasty (PTCA)

Coronary artery bypass graft (CABG)

Myocardial Infarction Occlusion Infarct Creatine kinase Troponin

Arrhythmia Bradycardia Tachycardia Heart block Pacemaker Fibrillation

Atrial Ventricular Defibrillation CPR, AED

9-16 Congenital heart defectspp. 160

9-17 Varicose veinspp.160, PPt 52

9-21 Pitting edemapp. 172

Boxes9-4 Clinical Perspectives, Lymphedema: When Lymph Stops Flowingpp. 168



Ablation Heart failure

Edema Cyanosis Syncope Shock

Cardiogenic Hypovolemic Septic Anaphylactic

Congenital heart disease Septal defect

Atrial – foramen ovale

Patent ductus arteriosus

Murmur Coarctation of

the aorta Rheumatic heart disease

“strep throat” Stenosis of valve’s

Varicose veins Breakdown of

valves in veins Hemorrhoid

Varicosity of veins in rectum

Phlebitis Inflammation of

any vein



Thrombophlebitis Inflammation

initiates blood clot that leads to inflammation

Deep vein thrombosis Serious condition Usually involves

veins of legs Clinical Aspects of the

Lymphatic System Lymphadenitis

Inflammation of lymph nodes

Lymphangiitis Inflammation of lymph

vessels Lymphedema

Swelling of tissues due to lymph fluid

Lymphoma Any neoplastic disease

of lymphoid tissue




Objective 9-9

Define medical terms pertaining to the cardiovascular and lymphatic systems. Date:




Content Text page

PPt slide

CARDIOVASCULAR Normal structure and function

Aorta Aortic valve Apex Artery Arteriole Atrioventricular (AV) node AV bundle Atrioventricular (AV) valve Atrium Blood pressure Bundle branches Capillary Cardiovascular system Depolarization Diastole Electrocardiography Endocardium Epicardium Functional murmur Heart Heart rate Heart sounds Inferior vena cava Left AV valve Mitral valve Myocardium Pericardium Pulmonary artery

151-153, 161-164, 166, 168, 169-171

6-24, 54-66

Boxes – TerminologyKey TermsCardiovascular, Normal Structure and Functionpp. 151-153, PPt 6-12

Cardiovascular Disorderspp. 161-164, PPt 13-20

Diagnosis and Treatmentpp. 163-164, PPt 21-24

Lymphatic, Normal Structure and Functionpp. 166, PPt 54-55

Lymphatic Disorderspp. 168, PPt 56

Supplementary TermsNormal Structure and Functionpp. 169, PPt. 57

Symptoms and Conditionspp. 169-170, PPt. 58-60

Diagnosispp. 170, PPt. 61-63


Related Chapters8 – Drugs10-Blood and Immunity

In-Class ActivitiesPlace flash cards of the various terms face down in a stack. Divide the class into two groups. Instruct one at a time to draw a flash card, read the term and correctly define the word. If that individual is incorrect, the other team gets a chance. The team with the most points wins.

MaterialsStedman’s Medical Terminology Flash Cards,






Pulmonary circuit Pulmonary veins Pulmonary valve Pulse Purkinje fibers Repolarization Right AV valve Septum Sinus rhythm Sinoatrial (SA) node Sphygmomanometer Superior vena cava Systemic circuit Systole Valve Vein Ventricle Venule Vessel

Cardiovascular disorders Aneurysm Angina pectoris Arrhythmia Arteriosclerosis Atherosclerosis Bradycardia Cerebrovascular accident Clubbing Coarctation of the aorta C-reactive protein Cyanosis Deep vein thrombosis Diaphoresis Dissecting aneurysm Dyslipidemia Dyspnea Edema Embolism Embolus Fibrillation

Treatment and Surgical Procedurespp. 170-171, PPt. 64

Drugspp. 171, PPt. 65-66

2e (2009).



Heart block Heart failure Hemorrhoid Hypertension Infarct Ischemia Murmur Myocardial infarction Occlusion Patent ductus arteriosus Phlebitis Plaque Rheumatic heart disease Septal defect Shock Sinus rhythm Stenosis Stroke Sinus rhythm Stenosis Stroke Syncope Tachycardia Thrombophlebitis Thrombosis Thrombus Varicose vein

Diagnosis and Treatment Angioplasty Artificial pacemaker Cardiopulmonary

resuscitation Cardioversion Coronary angiography Coronary artery bypass graft Creatine kinase MB Defibrillation Echocardiography Lipoprotein Percutaneous transluminal



coronary angioplasty Stent Stress test Troponin

LYMPHATIC SYSTEM Normal Structure and Function

Appendix Lymph Lymph node Lymphatic system Peyer patches Right lymphatic duct Spleen Thoracic duct Thymus gland Tonsils

Lymphatic Disorders Lymphadenitis Lymphangiitis Lymphedema Lymphoma

SUPPLEMENTARY TERMS Normal Structure and Function

Apical pulse Cardiac output Korotkoff sounds Perfusion Precordium Pulse pressure Stroke volume Valsalva maneuver

Symptoms and conditions Bruit Cardiac tamponade Ectopic beat Extrasystole Flutter Hypotension



Intermittent claudication Mitral valve prolapse Occlusive vascular disease Palpitation Pitting edema Polyarteritis nodosa Raynaud disease Regurgitation Stasis Subacute bacterial

endocarditis Tetralogy of Fallot Thromboangiitis obliterans Vegetation Wolff-Parkinson-White

syndrome Diagnosis

Cardiac catheterization Central venous pressure Cineangiocardiography Computed tomography

angiography Doppler echocardiography Heart scan Holter monitor Homocysteine Phlebotomist Phonocardiography Plethysmography Pulmonary capillary wedge

pressure Swan-Ganz catheter Transesophageal

echocardiography Triglycerides Ventriculography

Treatment and Surgical Procedures Atherectomy Commissurotomy



Embolectomy Intraaortic balloon pump Left ventricular assist device

Drugs Angiotensin-converting

enzyme inhibitor Angiotensin receptor blocker Antiarrhythmic agent Beta-adrenergic blocking

agent Calcium-channel blocker Digitalis Diuretic Hypolipidemic agent Lidocaine Loop diuretic Nitroglycerin Statins Streptokinase Tissue plasminogen activator Vasodilator




Objective 9-10

List the functions and components of the lymphatic system. Date:




Content Text page

PPt slide

Functions Return excess fluid and

proteins from tissues to bloodstream

Immunity - Protect body from impurities and invading microorganisms (discussed in Ch 10)

Components of system Lymph Thoracic duct Lymphatic ducts Lymph nodes Tonsils Thymus Spleen Appendix Peyer patches

164-165

75-77 Figures9-18 Lymphatic systempp. 165, PPt. 77

9-19 Lymphatic drainage in the tissuespp. 166

9-20 Location of lymphoid tissuepp. 166


Related Chapters10- Blood and Immunity11- Respiratory system

In-Class ActivitiesDivide the class into small groups. Instruct each group to create an educational poster illustrating the lymphatic system.

MaterialsPoster board, markers







Objective 9-11

Interpret medical abbreviations referring to circulation. Date:




Content Text page

PPt slide

ACE AED AFAMI APC ARARB AS ASCVDASD ASHD ATAV BBB BPBpm CABG CADCCU CHD CHFCK-MB CPR CRPCTA CVA CVDCVI CVP DOEDVT ECG

(EKG)HDL

Hs-CRP HTN IABPICD IVCD JVPLAD LAHB LDLLV LVAD LVEDPLVH MI Mm HgMR MS MUGAMVP MVR NSRP PAC PAPPCI PCWP PMIPSVT PTCA PVCPVD PYP S1

S2 SA SBESK SVT 99mTcTEE Tn tPAVAD VF, v fib VLDLVPC VSD VTVTE WPW

172-173

67-74 BoxesTerminology: Abbreviationspp. 172-173, PPt 67-74


In-Class ActivitiesUse two sets of flash cards with the abbreviations noted on one set and the definitions noted on the other set. Randomly distribute the cards among the students and instruct them to find the corresponding card. When all students have found their partners, ask them to read aloud the abbreviation and meaning to the class.

MaterialsSufficient note cards.






Objective 9-12

Analyze case studies involving circulation. Date:




Content Text page

PPt slide

PTCA and Echocardiogram Mitral Valve Replacement

Operative Report

180-181


In-Class ActivitiesRead the case studies as a class, writing the various terms on the board. Ask for volunteers to define the various medical terms in the case studies. Allow the students to use a dictionary to verify their answers.

MaterialsStedman’s Medical Dictionary for the Health Professions and Nursing, Illustrated, 6th ed. (2008), one per small group.

Outside AssignmentsCase Studies Questionspp. 181

Instruct the students to read a professional medical article and write a short essay describing it. They should also include 5-7 terms found in the article with the definition.





heading 1 - lippincott williams &...

Documents