Adult Heath Nursing – I

Table of Content

ADULT HEALTH NURSING – I
Unit I: Evolution and trends of medical and surgical nursing
International classification of diseases
Roles and responsibility of a nurse in medical and surgical settings
o Outpatient department
o In-patient unit
o Intensive care unit
Introduction to medical and surgical asepsis
o Inflammation, infection
o Wound healing – stages, influencing factors
o Wound care and dressing technique
Care of surgical patient
o Pre-operative
o Post-operative
Alternative therapies used in caring for patients with Medical Surgical Disorders
Unit II: Intraoperative Care
Organization and physical set up of the operation theatre
o Classification
o O.T Design
o Staffing
o Members of the OT team
o Duties and responsibilities of the nurse in OT
Position and draping for common surgical procedures
Instruments, sutures and suture materials, equipment for common surgical procedures
Disinfection and sterilization of equipment
Preparation of sets for common surgical procedures
scrubbing procedures – Gowning, masking and gloving
Monitoring the patient during the procedures

Maintenance of the therapeutic environment in OT
Assisting in major and minor operation, handling specimen
Prevention of accidents and hazards in OT
Anaesthesia – types, methods of administration, effects and stages, equipment & drugs
Legal aspects
Unit III: Nursing care of patients with common signs and symptoms and management
Fluid and electrolyte imbalance
Shock
Pain
Unit IV: Nursing Management of patients with respiratory problems
Review of anatomy and physiology of respiratory system
Nursing Assessment – history taking, physical assessment and diagnostic tests
Common respiratory problems:
o Upper respiratory tract infections
o Chronic obstructive pulmonary diseases
o Pleural effusion, Emphysema
o Bronchiectasis
o Pneumonia
o Lung abscess
o Cyst and tumours
o Chest Injuries
o Acute respiratory distress syndrome
o Pulmonary embolism
Health behaviours to prevent respiratory illness
Unit V: Nursing Management of patients with disorders of digestive system
Review of anatomy and physiology of GI system
Nursing assessment –History and physical assessment
GI investigations
Common GI disorders:
o Oral cavity: lips, gums and teeth
o GI: Bleeding, Infections, Inflammation, tumours, Obstruction, Perforation & Peritonitis
o Peptic & duodenal ulcer,
o Mal-absorption, Appendicitis, Hernias
o Haemorrhoids, fissures, Fistulas
o Pancreas: inflammation, cysts, and tumours
o Liver: inflammation, cysts, abscess, cirrhosis, portal hypertension, hepatic failure, tumours
o Gall bladder: inflammation, Cholelithiasis, tumours
Gastric decompression, gavages and stoma care, different feeding techniques
Alternative therapies, drugs used in treatment of disorders of digestive system
Unit VI: Nursing Management of patients with cardiovascular problems
Review of anatomy and physiology of cardio-vascular system
Nursing Assessment: History and Physical assessment
Invasive & non-invasive cardiac procedures
Disorders of vascular system- Hypertension, arteriosclerosis, Reynaud’s disease, aneurysm and peripheral vascular disorders
Coronary artery diseases: coronary atherosclerosis, Angina pectoris, myocardial infarction
Alular disorders: congenital and acquired
Rheumatic heart disease: pericarditis, myocarditis, endocarditic, cardiomyopathies
Cardiac dysrhythmias, heart block
Congestive heart failure, corpulmonale, pulmonary Edam, carcinogenic shock, cardiac tapenade
Cardiopulmonary arrest
Unit VII: Nursing Management of patients with disorders of blood
Review of Anatomy and Physiology of blood
Nursing assessment: history, physical assessment & Diagnostic tests
Anaemia, Polycythemia
Bleeding Disorders: clotting factor defects and platelets defects, thalassemia, leukaemia, leucopoenia, agranulocytosis
Lymphomas, myelomas
Unit VIII: Nursing management of patients with disorders of endocrine system
Review of anatomy and physiology of endocrine system
Nursing Assessment –History and Physical assessment
Disorders of thyroid and Parathyroid, Adrenal and Pituitary (Hyper, Hypo, tutors)
Diabetes mellitus
Unit IX: Nursing management of patients with disorders of Integumentary system
Review of anatomy and physiology of skin
Nursing Assessment: History and Physical assessment
Infection and infestations; Dermatitis
Dermatomes; infectious and Non infectious
Acne, Allergies, Eczema & Pemphigus
Psoriasis, Malignant melanoma, Alopecia
Special therapies, alternative therapies
Drugs used in treatment of disorders of integumentary system
Unit X: Nursing management of patients with musculoskeletal problems
Review of Anatomy and physiology of the musculoskeletal system
Nursing Assessment: History and physical assessment, diagnostic tests
Musculoskeletal trauma: Dislocation, fracture, sprain, strain, contusion, amputation
Musculoskeletal infections and tumors: Osteomyelitis, benign and malignant tumour
Orthopedic modalities: Cast, splint, traction, crutch walking
Musculoskeletal inflammation: Bursitis, synovitis, arthritis
Special therapies, alternative therapies
Metabolic bone disorder: Osteoporosis, osteomalacia and Paget‘s disease
Spinal column defects and deformities – tumor, prolapsed intervertebral disc, Pott‘s spine
Rehabilitation, prosthesis
Replacement surgeries
Unit XI: Nursing management of patients with Communicable diseases
Overview of infectious diseases, the infectious process
Nursing Assessment: History and Physical assessment, Diagnostic tests
Tuberculosis
Diarrhoeal diseases, hepatitis A- E, Typhoid
Herpes, chickenpox, Smallpox, Measles, Mumps, Influenza
Meningitis
Gas gangrene
Leprosy
Dengue, Plague, Malaria, Chikungunya, swine flu, Filariasis
Diphtheria, Prussic, Tetanus, Poliomyelitis
COVID-19
Special infection control measures: Notification, Isolation, Quarantine, Immunization.