CNA Cardiovascular Nursing (CCN(C)) case studies
CNA Cardiovascular Nursing (CCN(C)) · Put your knowledge to work in context.
The Certified Cardiovascular Nurse credential - CCN(C) - is a Canadian specialty certification for registered nurses who work with patients living with cardiac and vascular disease. It signals that a nurse has moved beyond generalist practice: that they can interpret a 12-lead ECG, reason through hemodynamic data, anticipate decompensation, titrate vasoactive infusions safely, and teach a patient to manage heart failure at home. The CNA Cardiovascular Nursing (CCN(C)) case studies are 5 cases and about 3,472 words.
1Narrow Pulse Pressure and a Blunted Y Descent After STEMI
Kowalski, 58, is day 3 after an anterior STEMI with a moderate pericardial effusion noted on echo. At 07:00 he reports increasing breathlessness when lying flat and a "tight" feeling in his chest.
673 words, about 3 min2New Fast Atrial Fibrillation in a Patient With HFrEF and a Recent Fall
Osei, 74, has heart failure with reduced ejection fraction (EF 30%) and takes sacubitril/valsartan, carvedilol, spironolactone and furosemide. She presents with 12 hours of palpitations and light-headedness.
666 words, about 3 min3Reperfusion Decisions at a Hospital Without a Catheterisation Laboratory
Duarte, 61, arrives at a rural emergency department at 09:10 with 4 hours of central chest pressure, nausea and diaphoresis. ECG: 3 mm ST elevation in V2–V4 with reciprocal changes.
738 words, about 4 min4Persistent Congestion With Falling Blood Pressure and Rising Creatinine
Bianchi, 79, is admitted with acute decompensated heart failure (EF 25%, CRT-D in situ). She has received IV furosemide 80 mg twice daily for three days.
709 words, about 4 min5Sudden Leg Pain on a Medical Ward With Missed Anticoagulation
Haddad, 70, calls the ward 6 hours after the onset of sudden severe pain in his right leg. He is an inpatient being treated for pneumonia and takes apixaban for atrial fibrillation, though he missed two doses during admission because of a swallow study.
686 words, about 3 min