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AACN-CSC exam Format | AACN-CSC Course Contents | AACN-CSC Course Outline | AACN-CSC exam Syllabus | AACN-CSC exam Objectives

- Cardiovascular
- Coronary artery bypass surgery (CABG) with cardiopulmonary bypass
- Coronary artery bypass surgery (CABG) without cardiopulmonary bypass
- Cox maze and modified maze procedure
- Minimally invasive cardiac surgery
- Pericardial window

- Repair of non-congenital heart defects
- left-ventricular aneurysm
- VSD post MI
- Surgical valve repair or replacement
- Transcatheter valve replacement
- TAVR
- Thoracic
- Endovascular repair of the aorta
- Open repair of thoracic aortic aneurysm or dissection

- Cardiovascular
- Cardiogenic shock
- Hypotension and hypertension
- Hypovolemia and hypervolemia
- Bleeding
- Myocardial infarction
- Myocardial stunning

- Open chest from the operating room
- Pericarditis
- Dysrhythmias
- Right heart failure
- Cardiac tamponade
- Vascular complications
- compartment syndrome
- retroperitoneal bleeding

- Respiratory
- Acute respiratory failure
- Acute respiratory distress syndrome (ARDS)
- Transfusion related acute lung injury (TRALI)
- Transfusion associated circulatory overload (TACO)
- Pleural space abnormalities
- pneumothorax
- Air-leak syndromes
- pneumopericardium
- pneumomediastinum
- Aspiration
- Atelectasis
- Pleural effusion
- Prolonged mechanical ventilation
- Pulmonary hypertension

- Endocrine
- Hyperglycemia and hypoglycemia
- Hematology / Immunology
- Protamine reactions
- Coagulopathies
- Anemia
- Heparin-induced thrombocytopenia (HIT)

- Neurology
- Postoperative impaired cognition
- Cerebrovascular accident (stroke)
- Lower limb deficits
- spinal cord ischemia
- paralysis
- Delirium

- Gastrointestinal
- Ischemic bowel
- Renal
- Acute kidney injury
- Electrolyte imbalances
- Multisystem
- Multisystem organ dysfunction syndrome (MODS)
- Chronic pain
- Acute pain
- Acid-base imbalances
- Malignant hyperthermia
- Behavioral / Psychosocial
- Preexisting behavioral health disorder
- anxiety
- PTSD
- Substance use and withdrawal

- Cardiovascular
- Fluid volume management specific to cardiac surgery
- Defibrillation and cardioversion
- Emergent resternotomy
- Cardiac surgery advanced life support (CALS)
- Temporary pacing
- Intra-aortic balloon pump
- Short-term ventricular assist devices (VADs)
- Extracorporeal membrane oxygenation (ECMO)
- Pericardial and mediastinal drain

- Pharmacology
- Platelet inhibitors
- Thrombolytics
- Anticoagulants
- Vasoactive agents
- Antidysrhythmics
- Inotropes
- Diuretics
- Beta-blockers
- Statins

- Pharmacologic agents for controlling bleeding
- desmopressin acetate
- factor VII
- antifibrinolytics
- Pulmonary vasodilators
- Sedation
- Neuromuscular blockade
- Respiratory
- Pleural chest tubes and drains
- Invasive and non-invasive mechanical ventilation
- Oxygen therapy delivery devices
- Post-extubation care

- Endocrine
- Glycemic control
- Hematology and Immunology
- Blood and blood products
- Neurology
- Lumbar drain
- Pain management
- Renal
- Renal replacement therapy
- hemodialysis
- CRRT

- Standards of Care
- Deep vein thrombosis (DVT) prophylaxis
- Early mobility protocols
- Gastrointestinal (GI) prophylaxis
- Surgical site protocols
- Recovery from anesthesia
- Rewarming from hypothermia
- Pneumonia prevention

- Cardiovascular
- Hemodynamic monitoring
- Echocardiography
- Electrocardiography (ECG)
- Laboratory testing
- Respiratory
- Arterial blood gas (ABG)
- Mixed venous gas
- Pulse oximetry
- Capnography
- Radiography
- Neurology
- Bispectral index monitoring (BIS)
- Cerebral oximetry monitoring
- Train-of-four (TOF)

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