Medical ANCC-CVNC : ANCC (RN-BC) Cardiac-Vascular Nursing Exam
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Exam Number : ANCC-CVNC
Exam Name : ANCC (RN-BC) Cardiac-Vascular Nursing
Vendor Name : Medical
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Format | ANCC-CVNC Course Contents | ANCC-CVNC Course Outline | ANCC-CVNC test
Syllabus | ANCC-CVNC test
The ANCC Cardiac-Vascular Nursing board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the cardiac-vascular specialty after initial RN licensure. Once you complete eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential: Registered Nurse-Board Certified (RN-BC). This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. The Accreditation Board for Specialty Nursing Certification accredits this ANCC certification
There are 150 questions on this examination. Of these, 125 are scored questions and 25 are pretest
questions that are not scored. Pretest questions are used to determine how well these questions will
perform before they are used on the scored portion of the examination. The pretest questions cannot
be distinguished from those that will be scored, so it is important for a candidate to answer all
questions. A candidate's score, however, is based solely on the 125 scored questions. Performance on
pretest questions does not affect a candidate's score.
I Assessment and Diagnosis 31 25%
II Planning and Implementation 44 35%
III Evaluation and Modification 28 22%
IV Patient and Community Education 22 18%
TOTAL 125 100%
Assessment and Diagnosis
1. Anatomy and physiology
1. Patient interview (e.g., history, chief complaint, allergies)
2. Cardiac-vascular assessment techniques and tools (e.g., Doppler, stroke scale)
3. Data collection and interpretation (e.g., diagnostic tests, laboratory results)
4. Nursing diagnosis identification and prioritization
II Planning and Implementation
1. Evidence-based practice guidelines (e.g., ACC/AHA guidelines, quality measures)
2. Scope and standards of practice (i.e., cardiovascular nursing, vascular nursing)
3. Legal and ethical considerations (e.g., informed consent, advance directives)
4. Procedures (e.g., angiogram)
5. Surgeries (e.g., coronary artery bypass, carotid endarterectomy)
6. Pharmacologic therapies
7. Non-pharmacologic and complementary therapies
8. Risk-reduction measures (e.g., venous thromboembolism prophylaxis)
1. Care coordination (e.g., interdisciplinary teams, discharge planning)
2. Interventions (e.g., therapeutic hypothermia)
III Evaluation and Modification
1. Expected outcomes
2. Drug interactions (e.g., drug-drug, drug-food)
1. Adverse reactions and events (e.g., heparin-induced thrombocytopenia, hypotension) recognition and treatment
2. Urgent condition (e.g., pseudoaneurysm) recognition and treatment
3. Emergent condition (e.g., STEMI) recognition and treatment
IV Patient and Community Education
1. Cardiac-vascular risk factors (e.g., ethnicity, smoking)
2. Chronic disease management
3. Cardiac-vascular education courses (e.g., procedures, medications)
4. Self-management strategies (e.g., daily weights, blood pressure logs)
5. Community resources (e.g., cardiac rehabilitation, anticoagulation clinic)
1. Individualized education planning and implementation (e.g., addressing barriers)
2. Home monitoring (e.g., remote telemetry, point-of-care testing)
3. Health promotion (e.g., wellness counseling, health fairs)
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Medical Cardiac-Vascular PDF Download
‒ Susvimo, up to now known as Port birth equipment with ranibizumab, is the first wet AMD medication in 15 years to supply a substitute for general-of-care eye injections vital as frequently as as soon as a month –
‒ by using normally delivering medication into the eye through a refillable implant, Susvimo can also help people with wet AMD preserve their vision with as few as two cures per year –
‒ wet AMD affects approximately 1.1 million americans within the united states and is a leading cause of blindness in people aged 60 and older –
SOUTH SAN FRANCISCO, Calif., October 22, 2021--(company WIRE)--Genentech, a member of the Roche neighborhood (SIX: RO, ROG; OTCQX: RHHBY), these days announced that the U.S. food and Drug Administration (FDA) has approved Susvimo™ (ranibizumab injection) a hundred mg/mL for intravitreal use via ocular implant for the medication of individuals with moist, or neovascular, age-linked macular degeneration (AMD) who've prior to now spoke back to at least two anti-vascular endothelial growth element (VEGF) injections. moist AMD is a doubtlessly blinding situation that requires remedy with eye injections as often as once a month. Susvimo, up to now referred to as Port delivery system with ranibizumab, is the first and handiest FDA-authorised medicine for wet AMD that presents as few as two treatments per yr.
"Susvimo represents an enormous advancement within the medication of retinal disease, and is a vital new choice for patients with wet AMD," said Carl Regillo, M.D., Chief of Retina service at Wills Eye medical institution in Philadelphia and an Archway examine investigator. "With Susvimo, my patients now have an option that may assist them keep their imaginative and prescient as well as anti-VEGF injections, but on a greater manageable twice-each year treatment schedule."
Susvimo can provide ranibizumab normally, providing people residing with moist AMD an alternative choice to anti-VEGF eye injections mandatory as regularly as as soon as a month. The implant is surgically inserted into the eye right through a one-time, outpatient method and refilled every six months. If indispensable, supplemental ranibizumab treatment will also be given to the affected eye whereas the Susvimo implant is in region.
"We trust that Susvimo can aid individuals with wet AMD retain their imaginative and prescient whereas probably assuaging the medicine burden linked to latest requisites of care," observed Levi Garraway, M.D., Ph.D., chief medical officer and head of world Product building. "Susvimo’s approval builds on Genentech's long-standing dedication to people living with vision-threatening circumstances."
The approval is based on high quality consequences from the section III Archway look at primary analysis, which showed wet AMD patients handled with Susvimo performed and maintained vision gains equivalent to monthly ranibizumab injections – +0.2 and +0.5 eye chart letters from baseline, respectively – at weeks 36 and 40 of treatment. in addition, best 1.6% of Susvimo patients received supplemental ranibizumab medicine before their first replenish, and greater than 98% might go six months earlier than their first refill.
within the Archway look at, Susvimo changed into frequently well-tolerated, with a good advantage-chance profile. despite the fact, the Susvimo implant has been associated with a three-fold better cost of endophthalmitis than month-to-month intravitreal injections of ranibizumab. a lot of these routine had been associated with conjunctival retractions or erosions. appropriate conjunctiva management and early detection with surgical repair of conjunctival retractions or erosions may reduce the risk of endophthalmitis. In medical trials, 2.0% of sufferers receiving a ranibizumab implant skilled as a minimum one episode of endophthalmitis. probably the most typical hostile pursuits (AEs) had been conjunctival hemorrhage, conjunctival hyperemia, iritis and eye pain. The protection profile of Susvimo within the scientific trial environment is well understood and may continue to be monitored intently.
Genentech has a robust phase III clinical development application for Susvimo, together with the Portal, Pagoda, Pavilion and Velodrome studies. Portal is an extension look at evaluating the long-term defense and efficacy of Susvimo in moist AMD. Pagoda is evaluating Susvimo for the medicine of individuals with diabetic macular edema (DME), while Pavilion is a study of Susvimo in diabetic retinopathy without DME. Velodrome is evaluating Susvimo refilled each nine months in wet AMD. Susvimo is additionally currently beneath evaluate for the remedy of wet AMD by means of the ecu drugs agency (EMA).
Susvimo may be purchasable within the u.s. in the coming months. Genentech is dedicated to assisting people entry the medicines they are prescribed and will be offering complete functions for people prescribed Susvimo to aid reduce obstacles to entry and reimbursement. patients can call 833-EYE-GENE for more information. For americans who qualify, Genentech plans to offer patient suggestions classes through Genentech entry options. more advice is additionally accessible at (866) 4ACCESS/(866) 422-2377 or http://www.Genentech-entry.com.
Genentech’s late-stage ophthalmology portfolio additionally comprises faricimab, a bispecific antibody under FDA and EMA evaluate for the treatment of wet AMD and DME. The FDA is additionally reviewing faricimab for the medication of diabetic retinopathy.
Genentech developed the first anti-VEGF drugs that now not most effective slowed the development of moist AMD, however restored imaginative and prescient for many patients. Lucentis® (ranibizumab injection) turned into first authorised for moist AMD by means of the FDA in 2006.
in regards to the Archway StudyArchway (NCT03677934) became a randomized, multicenter, open-label part III analyze evaluating the efficacy and defense of Susvimo (ranibizumab injection) a hundred mg/mL for intravitreal use by means of ocular implant administered by way of the Susvimo eye implant, refilled each six months at mounted intervals, compared to month-to-month intravitreal injections of ranibizumab 0.5 mg in 415 americans living with moist age-linked macular degeneration (AMD). sufferers enrolled in Archway were responders to prior medication with anti-vascular endothelial growth aspect (VEGF) therapy. In both analyze fingers, sufferers were handled with at least three anti-VEGF injections within the six months just before their Archway screening seek advice from. The simple endpoint of the analyze become the trade in premiere-corrected visible acuity (BCVA) ranking (the highest quality distance imaginative and prescient someone can achieve – together with with correction similar to glasses – when memorizing letters on an eye fixed chart) from baseline on the usual of Week 36 and Week 40. Secondary endpoints consist of security, basic alternate in BCVA from baseline and change from baseline in center element thickness over time.
based on pre-designated examine criteria, Susvimo was shown to be non-inferior and such as monthly ranibizumab injections. On standard, patients had obtained five prior ranibizumab injections before their first analyze medicine visit. within the Susvimo arm of the look at, sufferers received an average of 0.2 eye chart letters in visual acuity from baseline in comparison with 0.5 eye chart letters for the monthly ranibizumab arm. all the way through the first medicine interval, before the first scheduled replenish, 1.6% of Susvimo patients assessed (n=4/246) acquired supplemental ranibizumab treatment, and 98.four% of sufferers (n=242/246) didn't receive supplemental medication.
in the Archway look at, Susvimo turned into generally smartly-tolerated, with a good improvement-chance profile. despite the fact, the Susvimo implant has been linked to a 3-fold higher price of endophthalmitis than month-to-month intravitreal injections of ranibizumab. a lot of these hobbies have been linked to conjunctival retractions or erosions. acceptable conjunctiva administration and early detection with surgical fix of conjunctival retractions or erosions may reduce the possibility of endophthalmitis. In medical trials, 2.0% of sufferers receiving a ranibizumab implant experienced at least one episode of endophthalmitis. essentially the most average adverse events (AEs) have been conjunctival hemorrhage, conjunctival hyperemia, iritis and eye pain. The security profile of Susvimo in the scientific trial surroundings is smartly understood and will continue to be monitored closely.
About moist Age-connected Macular DegenerationAge-linked macular degeneration (AMD) is a situation that impacts the macula, the a part of the eye that provides sharp, primary imaginative and prescient needed for actions like analyzing, and is a leading reason behind blindness for individuals aged 60 and over within the united states. wet, or neovascular, AMD is an superior variety of the ailment that may cause quick and severe vision loss. about eleven million people in the united states have some sort of AMD, and of these, about 1.1 million have wet AMD.
moist AMD is caused by means of growth of abnormal blood vessels, also called choroidal neovascularization (CNV), into the macula. These vessels leak fluid and blood and trigger scar tissue that destroys the vital retina. This system outcomes in a deterioration of sight over a period of months to years.
About Susvimo™ (ranibizumab injection) one hundred mg/mL for intravitreal use by way of ocular implantSusvimo™ (ranibizumab injection) 100 mg/mL for intravitreal use by the use of ocular implant is a refillable implant surgically inserted into the eye all the way through a one-time, outpatient process. Susvimo continually offers a customised formula of ranibizumab over time. Susvimo is indicated for intravitreal use by way of the Susvimo eye implant best. Ranibizumab is a vascular endothelial increase ingredient (VEGF) inhibitor designed to bind to and inhibit VEGF-A, a protein that has been proven to play a crucial position within the formation of latest blood vessels and the leakiness of the vessels.
Susvimo is diverse from the ranibizumab intravitreal injection, a drugs marketed as Lucentis® (ranibizumab injection), which is FDA-accredited to treat wet age-related macular degeneration (AMD) and other retinal diseases.
Susvimo IndicationSusvimo (ranibizumab injection) 100 mg/mL for intravitreal use by the use of ocular implant is indicated for the remedy of sufferers with neovascular (moist) age-connected macular degeneration (AMD) who have prior to now spoke back to at least two intravitreal injections of a vascular endothelial increase factor inhibitor remedy.
Susvimo critical protection assistance
WARNING: ENDOPHTHALMITISThe Susvimo implant has been associated with a three-fold bigger price of endophthalmitis than monthly intravitreal injections of ranibizumab. In scientific trials, 2.0% of sufferers receiving an implant skilled as a minimum one episode of endophthalmitis.
Warnings and Precautions:The Susvimo implant and the approaches associated with inserting, filling, refilling, and (if medically critical) casting off the implant can cause different critical facet outcomes, together with:
a watch an infection (endophthalmitis). Endophthalmitis is an an infection of the eyeball that can cause everlasting harm to your eye, together with blindness. Endophthalmitis requires urgent (identical-day) clinical or surgical medicine.
A missing layer on correct of the white part of the attention (conjunctival erosion). Conjunctival erosion is an area that becomes missing (defect) within the layer (conjunctiva) that covers the white part of the attention, which may end up in exposure of the implant. Conjunctival erosion might also require surgical remedy.
an opening of the layer that covers the white part of the attention (conjunctival retraction). Conjunctival retraction is a gap or gaping within the layer (conjunctiva) that covers the white a part of the eye, which can cause the implant to be exposed. Conjunctival retraction may also require surgical medication.
Tear and separation of layers of the retina (rhegmatogenous retinal detachment). Rhegmatogenous retinal detachment is a tear and separation of 1 of the layers of the retina in the returned of the attention that senses easy. Rhegmatogenous retinal detachment requires surgical medication.
Implant circulation (implant dislocation): This flow can also require surgical treatment to appropriate.
Bleeding (vitreous hemorrhage): Vitreous hemorrhage is bleeding within the gel-like substance (vitreous) inside of your eye. This may additionally require an further eye surgery.
Bump on excellent of the white layer of the eye (conjunctival bleb): Conjunctival bleb is a small bulge in the layer (conjunctiva) that covers the white part of the eye where the implant is inserted. This can be as a result of leakage of fluid from the internal of the attention. This may additionally require medical or surgical treatment.
transient lower in imaginative and prescient after the Susvimo process.
Who may still now not receive Susvimo?
sufferers who've an an infection in or round their eye, have energetic inflammation in their eye, or have had an allergy to ranibizumab or any of its parts in Susvimo during the past.
guidance for sufferers who're of childbearing knowledge
If sufferers are pregnant, consider that they can be pregnant, or plan to become pregnant. It is not general if Susvimo will hurt an unborn child. sufferers may still use birth control (contraception) all through medicine with Susvimo and for twelve months after the remaining refill of Susvimo.
If sufferers are breastfeeding or plan to breastfeed. Susvimo is not advised throughout breastfeeding. It is not usual if Susvimo passes into breast milk.
opposed ReactionsThe most general adversarial reactions had been blood on the white of the attention (72%), redness in the white of the eye (26%), sensitivity to light (23%), and eye pain (10%). These aren't all of the feasible facet outcomes of Susvimo.
You may file aspect consequences to the FDA at (800) FDA-1088 or http://www.fda.gov/medwatch. You may additionally file side results to Genentech at (888) 835-2555.
Please see further crucial security assistance in the full Susvimo Prescribing suggestions, including BOXED WARNING.
About Lucentis® (ranibizumab injection)Lucentis is a vascular endothelial boom ingredient (VEGF) inhibitor designed to bind to and inhibit VEGF-A, a protein it truly is believed to play a important position in the formation of latest blood vessels (angiogenesis) and the hyperpermeability (leakiness) of the vessels.
Lucentis is FDA-authorised for the medicine of patients with moist age-related macular degeneration (AMD), macular edema following retinal vein occlusion (RVO), diabetic macular edema (DME), diabetic retinopathy (DR) and myopic choroidal neovascularization (mCNV).
Lucentis changed into developed with the aid of Genentech, a member of the Roche neighborhood. The company retains industrial rights in the united states and Novartis has exclusive industrial rights for the relaxation of the area.
backyard the united states, Lucentis is authorized in more than a hundred and twenty countries to treat grownup patients with wet AMD, and for the medicine of visible impairment due to DME, due to macular edema secondary to both branch retinal vein occlusion (BRVO) and crucial retinal vein occlusion (CRVO), and thanks to choroidal neovascularization (CNV).
Lucentis crucial defense InformationPatients should now not use Lucentis if they have an infection in or across the eye or are allergic to Lucentis or any of its constituents.
Lucentis is a prescription medicine given by using injection into the attention, and it has aspect consequences. Some Lucentis patients have had indifferent retinas and severe infections inner the attention. if your eye becomes red, sensitive to mild, or painful, or if there's a change in vision, call or visit your eye medical professional correct away.
Some patients have had expanded eye power before and inside 1 hour of an injection.
Uncommonly, Lucentis sufferers have had serious, every so often fatal, problems related to blood clots, reminiscent of coronary heart attacks or strokes.
fatal movements have been seen greater regularly in sufferers with DME and DR with Lucentis compared with patients who didn't get hold of Lucentis. despite the fact there were best few fatal routine which blanketed factors of death usual of sufferers with advanced diabetic problems, these pursuits may well be led to with the aid of Lucentis.
Some Lucentis sufferers have critical facet outcomes related to the injection. These include severe infections inside the attention, indifferent retinas, and cataracts. the most usual eye-linked aspect results are increased redness in the white of the attention, eye ache, small specks in imaginative and prescient, and accelerated eye power. the most normal non–eye connected aspect consequences are nostril and throat infections, anemia, nausea and cough.
sufferers may additionally document aspect effects to the FDA at (800) FDA-1088 or http://www.fda.gov/medwatch. patients may additionally additionally file facet results to Genentech at (888) 835-2555.
For additional safety counsel, please see Lucentis full Prescribing information, purchasable right here: http://www.gene.com/download/pdf/lucentis_prescribing.pdf.
About Genentech in OphthalmologyGenentech is learning and constructing new treatments for individuals residing with a number eye diseases that cause enormous visible impairment and blindness, including moist age-linked macular degeneration (AMD), diabetic macular edema (DME), diabetic retinopathy (DR), geographic atrophy (GA) and different retinal illnesses.
About GenentechFounded greater than forty years ago, Genentech is a leading biotechnology company that discovers, develops, manufactures and commercializes medicines to treat patients with serious and lifestyles-threatening scientific circumstances. The enterprise, a member of the Roche neighborhood, has headquarters in South San Francisco, California. For additional info concerning the business, please discuss with http://www.gene.com.
View source version on businesswire.com: https://www.businesswire.com/news/domestic/20211022005479/en/
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Investor Contacts:Loren Kalm, (650) 225-3217Karl Mahler, +41 61 687 8503