LNUR 1355 - Introduction to Adult Medical-Surgical Nursing B

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. Assessment of the Respiratory System  
   1. Assessment techniques  
   2. Anatomy & physiology overview 
   3. History 
2. Physical and psychosocial assessment 
3. Diagnostic assessment 
4. Changes in the respiratory system related to aging 
5. Interventions for Patients requiring Oxygen or Tracheostomy  
6. Oxygen therapy  
   1. Complications 
   2. Deficiency systems 
   3. Home care management 
   4. Evidence‐based practice for patient requiring oxygen 
7. Tracheostomy  
   1. Pre‐ and post‐op care 
   2. Complications 
   3. Trache tubes 
   4. Trache care 
   5. Evidence‐based practice for patients requiring suctioning 
   6. Best practices for patients with tracheostomy 
   7. Best practices to prevent aspiration 
8. Interventions for Patients with Noninfectious Upper Respiratory Problems 
9. Disorders of nose and sinuses  
   1. Fractures 
   2. Epistaxis 
   3. Cancers 
   4. Trauma 
10. Disorders of pharynx  
    1. Obstructive sleep apnea 
    2. Management  
    3. Assessment 
    4. Interventions  
    5. Non‐surgical 
    6. Surgical 
11. Disorders of the larynx  
    1. Vocal cord paralysis, nodules, and polyps 
    2. Laryngeal trauma 
12. Upper airway obstruction and neck trauma 
13. Head and neck cancer  
    1. Pathophysiology 
    2. Assessment 
    3. Interventions  
    4. Non‐surgical 
14. Laryngectomy 
    1. Pre‐ and post‐op care 
    2. Speech rehab 
    3. Home care 
    4. Best practices to prevent aspiration 
15. Interventions for Patients with Noninfectious Lower Respiratory Problems  
16. Chronic airflow limitations (asthma, emphysema, bronchitis)  
    1. Pathophysiology 
    2. Etiology 
    3. Collaborative management  
    4. Physical and psychosocial assessment 
    5. Diagnostic assessment 
    6. Nursing diagnosis 
17. Pharmacologic interventions  
    1. Bronchodilators 
    2. Steroids 
    3. Expectorants 
    4. Mucolytics 
    5. Nursing management 
18. Quality indicators for asthma, COPD 
19. Pulmonary hypertension 
20. Interstitial pulmonary diseases  
21. Sarcoidosis
22. Pulmonary fibrosis 
23. Occupational pulmonary diseases 
24. Lung cancer  
    1. Pathophysiology 
    2. Etiology 
    3. Collaborative management  
    4. Physical and psychosocial assessment 
    5. Diagnostic assessment 
    6. Operative procedures 
    7. Post‐op care including chest tube management 
    8. Palliative care 
25. Interventions for Patients with Infectious Respiratory Problems 
26. Disorders of the nose and sinuses  
    1. Rhinitis and sinusitis  
    2. Assessment 
    3. Interventions 
    4. Drug therapy  
    5. Antihistamines 
    6. Decongestants 
    7. Surgical interventions 
27. Disorders of pharynx and tonsils  
    1. Pharyngitis and tonsillitis  
    2. Assessment 
    3. Interventions 
    4. Tonsillectomy 
28. Disorders of the larynx and lungs  
    1. Laryngitis, influenza, pneumonia, and TB  
    2. Overview 
    3. Pathophysiology 
    4. Etiology 
    5. Management  
    6. Assessment 
    7. Diagnostics 
    8. Interventions 
    9. Drug therapy  
    10. Antibiotics (penicillins, cephalosporins, tetracyclines, aminoglycosides, macrolides, vancomycin) 
    11. Antitubercular 
    12. Health teaching 
29. Patient safety goals related to pneumonia/vent‐acquired pneumonia 
30. Other influenzas (avian flu, swine flu) 
31. Emphysema, abscesses  
    1. Assessment 
    2. Interventions 
32. Inhalation anthrax 
33. Interventions for Critically Ill Patients with Respiratory Problems  
34. Pulmonary embolism  
    1. Pathophysiology 
    2. Etiology 
    3. Management  
    4. Assessment 
    5. Diagnostics 
    6. Non‐surgical interventions  
    7. Oxygen therapy 
    8. Anticoagulation therapy  
    9. Heparin 
    10. Coumadin 
    11. Surgical interventions 
    12. Health teaching 
    13. Patient safety goals for patients receiving anticoagulation therapy 
35. Acute respiratory failure 
36. Acute respiratory distress syndrome  
    1. Pathophysiology 
    2. Etiology 
    3. Management  
    4. Assessment 
    5. Interventions  
    6. Drugs 
    7. Oxygenation 
37. Intubation and mechanical ventilation  
    1. Types of ventilators 
    2. Modes 
    3. Weaning 
    4. Best practice to secure endotracheal tubes 
    5. Best practices for patients requiring mechanical ventilation 
38. Chest trauma: rib fracture, flail chest, pneumothorax  
    1. Overview 
    2. Collaborative management 

UNIT 2 ‐ DIABETES MANAGEMENT 

1. Review of Diabetes  
   1. Pathophysiology 
   2. Diagnostics 
2. Nutritional Interventions 
3. Blood Glucose Monitoring 
4. Exercise Therapy 
5. Foot Care 
6. Drug Therapy  
   1. Oral agents 
   2. Insulin therapy  
   3. Complications 
   4. Alternative methods 
   5. Newer drugs 
7. Quality Indicators for the Diabetic Patient 

UNIT 3 ‐ ACID‐BASE DISORDERS 

1. Introduction to Acid‐Base Balance  
   1. Acid‐base chemistry  
   2. Acids 
   3. Bases 
   4. Buffers 
   5. Body fluid chemistry 
   6. Acid‐base regulatory mechanisms  
   7. Chemical 
   8. Respiratory 
   9. Renal 
   10. Compensation 
2. Age related changes in acid‐base balance
3. Assessment of Acid‐Base Balance  
   1. History 
   2. Physical assessment 
   3. Diagnostics 
4. Interventions for Patients with Acid‐Base Imbalances  
   1. Acidosis  
   2. Metabolic 
   3. Respiratory 
   4. Combined 
   5. Alkalosis  
   6. Metabolic 
   7. Respiratory 
   8. Causes of metabolic and respiratory imbalances 
   9. Assessment findings in metabolic and respiratory imbalances 
   10. Analysis of Arterial Blood Gases