LOURDES COLLEGE OF NURSING, SIDHI SADAN

NURSING EDUCATION
FORMAT FOR LESSON PLAN

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Name of student teacher : Sr. Shaiby M.J

Topic : Anatomy of heart
Subject & unit : Anatomy
Duration : 20 minutes
Group : 1st year Bsc nursing students
Venue :
Date & time :
Method of teaching : Lecture cum discussion
AV aids used : Black board, Chart, flash card, power point, specimen
Previous knowledge of the group: The group has basic knowledge about the anatomy of heart from plus two courses

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General objective:
At the end of the class students attain knowledge regarding anatomy of heart and apply this in clinical practice caring patients with mental illness
with positive attitude.
Specific objective:
At the end of the class students will be able to,
 explain location of heart
 enumerate the layers of the heart
 discuss about heart chambers
 describe valves of the heart
 describe blood supply to heart
 explain nerve supply of the hear
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Time Specific Content Teaching AV aids Evaluation
objectives learning activity
2 min Introduction
Which organ helps to transport the nutrients’, oxygen Teacher introduce
and hormones to cells throughout the human body and the topic
removal of metabolic wastes?
The heart is about the size of your fist. Weighs about
325gm is male and about 275gm in females.
Location of heart
1 min explain  The heart is located in the middle and slightly to the
location of left side of the thoracic cavity on the diaphragm Teacher explain
Power point Where is the
heart rd th
between 3 and 5 ribs location of heart
anatomical
Students are actively
 Posterior to the sternum position of
listening.
heart ?
 Superior to the diaphragm
 Between two lungs
 The tip of the lung is called the ‘apex’
enumerate Anatomy of the heart Teacher enumerate
8 min the layers Power point
the layers of the heart.
of the heart The heart has
Students are taking Which are the
3layers lecture notes three layers of
 Pericardium heart?

 Myocardium
 Endocardium
Pericardium
The heart is surrounded by a fibro serous sac called the
pericardium. The pericardium lies within the middle
 mediastinum.
The function of the pericardium is
 To limit cardiac distention and restrict
excessive movement
 To protect and lubricate
The pericardium is composed of
 Visceral pericardium
 Pericardial cavity
 Parietal pericardium
Myocardium
 Middle, thickest layer of the heart
 Contains the muscle fibers which are responsible
for pumping
 Contraction of this layer allows blood to be pumped
through to the blood vessels
Endocardium
 Innermost/deepest layer of the heart
 Lines the heart chambers and the valves
 Smooth thin lining to reduce friction of blood flow
through the chambers
 Cardiac conduction system located in this layer
discuss Teacher shows model model
about heart chambers of heart
5min Which is the
chambers
 2atrium Students are actively thickest
observing chamber of
 2ventricle heart?
Atria
The right atrium
The right from the right border of the heart and receives
blood from three vein the superior vena cava, inferior vena
cava and coronary sinus. The right atrium is about 2-3mm
in thickness.
The posterior wall is smooth but the anterior wall is rough
due to the presence of muscular ridges called pectinase
muscles
The right atrium and left atrium is separated by inter atrial
septum.
Blood passes from the right atrium into the right ventricle
through a valve that is called the tricuspid valve, it consist
of three leaflets
The leaflet of the tricuspid valve are connected to tendon
like cords called as chordae tendineae.
Left atrium
The left atrium is about the same thickness as the right
atrium and forms most of the base of the heart.it receives
blood from the lung through four pulmonary veins,
because pectinase muscles are confined to the auricle of
the left atrium.
Blood passes from the left atrium into the left ventricle
through the bicuspid (mitral) valve. It is also called the left
atrioventricular valve.
Ventricle
Right ventricle
Right ventricle is about 4-5 mm in average thickness and
from most of the anterior surface of the heart.
 The right ventricle is separated from the left ventricle by
the interventricular septum.
Blood passes from the right ventricle through the
pulmonary valve into a large artery called the pulmonary
trunk, which divides into right and left pulmonary arteries
Left ventricle
The left ventricle is the thickest chamber of the heart,
averaging 10-15mm and from the apex of the heart.
Blood passes from the left ventricle through the aortic
valve into the ascending aorta from here blood flows into
the coronary arteries which branch from the ascending
aorta and carry blood to the heart wall.
The remainder of the blood passes into the arch of the
aorta and descending aorta (thoracic aorta and abdominal
aorta)
describe Branches of the arch of the aorta and descending aorta
valves of carry blood throughout the body.
5min
the heart
4valves
Teacher shows chars How many
Mitral of valves. valves in heart?
Power point
 The mitral valve consists of two cusps anterior Students are taking
and posterior lecture notes
 Its structure is similar to the tricuspid valve
 The anterior cusp is larger and intervenes
between the artrioventricular and the aortic
orifices.
Aortic
 The aortic valve are arranged as one anterior and
two posterior
 The aortic valve has three cusps, the left
 coronary cusp, the right coronary cusp and the
non –coronary cusp
 The right coronary artery originates from the
anterior aortic sinus and the left coronary artery
from the left posterior sinus.
Tricuspid
 The tricuspid, septal and inferior
 These cusps are formed by a fold of the
endocardium and some connective tissue
 The bases of the cusps attach to the fibrous ring
of the heart skeleton and their free edges attach
to the chordae tendineae connecting them to the
papillary muscles.
Pulmonary
 It consists of three semilunar cusps formed by
fold of the endocardium and some connective
tissue. The lower margins of the cusps and their
sides are attached to the arterial wall.
 The pulmonary valve has three cusps the anterior
cusp, the left cusp and the right cusp
 There are no chordae tendineae or papillary
muscles attached to these valves.
describe Blood supply to heart Power point
blood
5min Arterial supply Teacher describe the Which artery
supply to
blood supply . supply blood to
heart The heart get its oxygen and nutrients from two arteries
the heart?
right and left coronary arteries which are the first Students are taking
branches of aorta lecture notes
Right coronary artery –it supplies the right atrium, right
ventricle, posterior part of interventricular septum,
 whole of the conducting system of the heart except a
part of the left branch of the AVbundle.
Left coronary artery-it supplies the left atrium, left
ventricle,a small part of the right ventricle, anterior part
of the interventricular septum, part of the left branch of
the AVbundle.
Venous drainage
The wall of the heart are drained by veins that empty
into the coronary sinus and partly by small veins that
open directly into the chambers of the heart, especially
the right atrium and right ventricle
Nerve supply of the heart
3min explain Teacher explain nerve Black board What is the
nerve Sympathetic supply supply of the heart nerve supply of
supply of the heart?
 These consist of both efferent and afferent fibers are Students takes notes
the heart
derived from T1-T4 segment of the spinal cord
 Postganglionic fiber fibers arises from superior,
middle and inferior cervical sympathetic ganglia
and T1-T4 thoracic ganglia
Parasympathetic supply
 These consist of both efferent and afferent.
 Preganglionic fibers are derived from nucleus
ambiguous and dorsal nucleus of vague
1min
Summary
So far we have seen about anatomy of heart, location
,blood supply, nerve supply
1min Recapitulation
What are ventricular function?
Which are the blood supply to the heart?
 Assignment
1min Write an assignment on: anatomy of heart
Topic: draw and label a diagram of heart
Reference:
B.D Chaurasia,human anatomy, volum 1,3rd edition,
CBS publication, newdelhi
Date & venue for submission: 07/5/2020, 1st year Msc
nursing lecture hall
1min
Conclusion
The study of the anatomy of heart is very use full to the
nursing practice. It help to locate the heart, it useful in
CPR procedure.
Black board activity
TOPIC
Introduction Parts of heart rough works
location
structure
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Bibliography
Teacher reference:
1. B.D Chaurasia,human anatomy, volum 1,3rd edition, CBS publication, newdelhi
2. https://www.medicalnewstoday.com
3. https://healthblog.uofmhealth.org
Student reference
1 B.D Chaurasia,human anatomy, volum 1,3rd edition, CBS publication, newdelhi
2.https://www.medicalnewstoday.com
3. https://healthblog.uofmhealth.org