Medical Surgical Nursing-I (मेडिकल सर्जिकल नर्सिंग-I)

Unit

Content

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I

Introduction

-    Brief history of evolution of modern medicine and surgery

-    Theories of illness and its causation

-    Illness as human experience

-    Review of Nursing process and Nursing care plan.

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2

II

Nursing assessment

Health Assessment

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III

Pathophysiological mechanism of disease

-    Stress adaptation- stressors, management, Nursing interventions

-    Inflammation

-    Defense against injury

-    Nutritional consideration

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IV

Altered immune response

-    Overview of normal immune system

-    Altered immune response, hypersensitivity and allergy

-    Assessment of immune system

-    Diagnostic evaluation

-    Allergy disorders:

-    Approaches to treatallergic diseases

-    Nursing management client with altered immune response

-    Auto immune disease

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V

Fluid and electrolyte balance

-    Water contents of body, electrolyte and Acid – Base balance

-    Homeostasis

-    Review mechanism of regulating fluid and electrolyte movement

-    Fluid and electrolyte imbalance and its management

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4

VI

Operation theatre technique:

-    Physical Environment

·         Operation theatre room - cleaning of tables, trolleys, lights and other equipments

·         Pre-operative holding areas.

-    Theatre Technique

·         Scrubbing – Hand washing

·         Positioning of patient for various surgical procedures.

·         Draping of patient.

-         Preparation of theatre, equipment and supplies

·         Cleaning

·         Needles, sutures – types and their uses.

·         Carbolisation, sterilization ETO sterilization, fumigation, OT swab, Bacillocid sterilization.

·         Packing and sterilization of dressings, linen rubber ware suture material, instruments, needles and other materials.

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8

VII

Management of patient undergoing surgery

-    Pre operative preparation and care

-    Intra operative management

·    Surgical Team

·    Nursing activities and responsibilities

·    Anesthetic agents

·    Role of nurse in anesthesia

-    Post operative Management

·    Immediate care

·    Transferring patient from operation theatre

·    Patient in recovery room

·    Recovery from Anesthesia

·    Post-operative observation and nursing management

·    Carryout the post-operative orders.

·    Postoperative complication observation, prevention & management.

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