LNUR 1345 - Introduction to Adult Medical-Surgical Nursing A

Credit Hours: 1.50

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

1. Nutritional Assessment 
   1. Guidelines 
   2. Influencing affecting factors 
   3. Cultural, age, and gender variations 
   4. Diagnosis 
   5. Interventions 
   6. Evaluation 
2. Perioperative Nursing 
   1. Perioperative period 
   2. Surgical settings 
   3. Classifications 
   4. Surgical risks 
   5. Surgical terminology 
   6. Physiological stress response to surgery 
   7. Changes of aging related to surgery 
   8. Psychosocial considerations 
3. Preoperative nursing assessment 
   1. Subjective data 
   2. Objective data 
   3. Preoperative nursing interventions 
   4. Preoperative teaching 
   5. Physical preparation 
   6. Postop care preparation
4. Preoperative/operative medication 
   1. Sedatives/hypnotics 
   2. Tranquilizers (benzodiazepines) 
   3. Narcotic analgesics 
   4. Anticholinergics 
   5. Antianxiolytics 
   6. Prophylactic antibiotics 
   7. Antiemetics 
5. Operative permit 
   1. Informed consent 
   2. Witness signature 
6. Preoperative checklist 
   1. Intraoperative period 
   2. Physical environment 
   3. Holding area
7. Operating room 
   1. Roles of members of surgical team 
   2. Surgeon 
   3. Anesthesiologist/anesthetist 
   4. Circulation nurse 
   5. Scrub nurse/tech 
   6. Management of the patient in the OR 
   7. Anesthesia 
      1. Definition 
      2. Types 
      3. General 
      4. Intravenous agents 
      5. Inhalation agents 
   8. Regional 
      1. Spinal 
      2. Epidural 
      3. Stages of anesthesia
      4. Anesthesia Adjuncts 
         • Neuromuscular blocking agents 
         • Narcotics 
         • Tranquilizers 
         • Antiemetics 
         • Anticholinergics 
         • Neuromuscular reversing agents 
      5. Intraoperative complications
8. Immediate postoperative period (PACU)
   1. initial assessment and related interventions 
   2. Criteria for discharge from PACU
9. Care of the post-op patient on the nursing unit
   1. Continued assessment and interventions 
   2. Postoperative pain management 
   3. Potential complications and related interventions in the post‐op patient 
   4. Discharge teaching
10. Discharge teaching 
11. Ingestion/Esophageal Disorders
    1. Pathophysiology of: 
    2. Dental disorders 
    3. Periodontal disease 
    4. Oral disorders 
    5. Benign tumors of the oral cavity 
    6. Premalignant tumors of the oral cavity 
    7. Malignant tumors of the oral cavity 
    8. Disorders of the salivary glands 
    9. Achalasia 
    10. Diffuse esophageal spasm 
    11. Gastroesophageal reflux disease (GERD) 
    12. Hiatal hernia 
    13. Diverticula 
    14. Esophageal neoplasms 
    15. Subjective findings 
    16. Objective findings 
    17. Medical/surgical management 
    18. Nursing diagnosis 
    19. Nursing interventions
12. Gastric Disorders 
    1. Pathophysiology of: 
    2. Acute gastritis 
    3. Chronic gastritis 
    4. Peptic ulcer disease 
    5. Gastric ulcer 
    6. Subjective findings   
    7. Objective findings 
    8. Medical/surgical management 
    9. Nursing diagnosis 
    10. Nursing interventions 
13. Gall Bladder/Pancreas Disorders 
    1. Pathophysiology of: 
    2. Cholelithiasis 
    3. Acute cholecystitis 
    4. Acute acalculous cholecystitis 
    5. Chronic cholecystitis 
    6. Choledocholithiasis/cholangitis 
    7. Carcinoma of the gallbladder 
    8. Acute pancreatitis 
    9. Chronic pancreatitis 
    10. Subjective findings 
    11. Objective findings 
    12. Medical/surgical management 
    13. Nursing diagnosis 
    14. Nursing interventions 
14. Liver Disorders 
    1. Pathophysiology of: 
    2. Hemolytic jaundice 
    3. Hepatocellular jaundice 
    4. Obstructive jaundice 
    5. Viral hepatitis 
    6. Toxic hepatitis 
    7. Alcoholic hepatitis 
    8. Laennec’s cirrhosis 
    9. Postnecrotic cirrhosis 
    10. Biliary cirrhosis 
    11. Portal hypertension 
    12. Ascites 
    13. Hepatic encephalopathy 
    14. Fatty liver 
    15. Liver neoplasms 
    16. Subjective findings 
    17. Objective findings 
    18. Medical/surgical management 
    19. Nursing diagnosis 
    20. Nursing interventions 
15. Intestinal Disorders
    1. Intestinal Disorders 
    2. Pathophysiology of: 
    3. Bowel infections/infestations 
    4. Appendicitis 
    5. Peritonitis 
    6. Crohn’s disease 
    7. Ulcerative colitis 
    8. Benign bowel tumors 
    9. Cancer of the small bowel 
    10. Colon cancer 
    11. Herniations 
    12. Diverticular disease 
    13. Obstruction 
    14. Irritable bowel syndrome 
    15. Acquired megacolon 
    16. Hemorrhoids 
    17. Pilonidal cyst 
    18. Anal fissure 
    19. Anal fistula 
    20. Anorectal abscess 
    21. Anorectal tumor 
    22. Subjective findings 
    23. Objective findings 
    24. Medical/surgical management 
    25. Nursing diagnosis 
    26. Nursing interventions 
16. Pharmacology Categories: Integrated Throughout the Course with Appropriate Content 
    1. Antacids/antiflatulents 
    2. Antidiarrheals 
    3. Laxatives 
    4. Antiemetics 
    5. Intravenous therapy 
    6. Nutritional therapy 
    7. Sedatives/hypnotics 
    8. Tranquilizers (benzodiazepines) 
    9. Narcotic analgesics 
    10. Anticholinergics 
    11. Antianxiolytics 
    12. Prophylactic antibiotics 
    13. Neuromuscular blocking agents 
    14. Neuromuscular reversing agents