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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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