Unit I

Introduction:

Introduction to medical surgical nursing – Evolution and trends of medical and
surgical nursing
Review of Concepts of Health and illness, Disease – concepts, causations,
classification- International Classification of Diseases (ICD – 10 or later version),
Acute illness chronic illness & Terminal illness, stages of illness
Review of concepts of comprehensive nursing care in medical surgical conditions
based on nursing process.
Role of nurse, patient and family in care of adult patient
Role and responsibilities of a nurse in medical surgical settings:

Outpatient department
In-patient unit
Intensive care unit.
Home and community setting

Introduction to medical surgical asepsis

Inflammation and infection
Immunity
Wound healing

Care of surgical patient

Pre-operative
Intra operative

Post operative

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Unit II

Common signs and symptoms and management

Fluid and electrolyte imbalance
Vomiting
Dyspnea and cough, respiratory obstruction
Fever
Shock
Unconsciousness, syncope
Pain
Incontinence
Edema
Age related problems-geriatric

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Unit III

Nursing management of patients (adults including elderly) with respiratory problems

Review of anatomy and physiology of respiratory system
Nursing assessment – History and Physical assessment
Etiology, Pathophysilogy, clinical manifestations, diagnosis, treatment modalities
and medical, surgical, dietetic & nursing management of adults including elderly
with –

Upper Respiratory tract infections
Bronchitis
Asthma
Emphysema
Atelectasis
Chronic Obstructive Pulmonary Disease (COPD)
Bronchiectasis
Pneumonia
Pulmonary tuberculosis
Lung abscess
Pleural effusion
Cysts and tumours
Chest Injuries
Respiratory arrest and insufficiency
Pulmonary embolism

Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of respiratory disorders

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Unit IV

Nursing Management of patient (adults including elderly) with disorders of digestive
system

Review of anatomy and physiology of digestive system
Nursing assessment-history and physical assessment
Etiology, pathophysiology, Clinical manifestations, diagnosis, treatment modalities
and medical, surgical, dietetics & nursing management
Disorders of

Oral cavity-lips, gums tongue, salivary glands and teeth
Oesophague – inflammation, stricture, obstruction, bleeding and tumours
Stomach and deudenum hiatus hernia, gastritis, peptic and duodenal ulcer,
bleeding, tomours, pyloric stenosis.
Small intestinal disorders- inflammation and infection, enteritis,
malabsorption, obstruction, tumour and perforation
Large intestinal disorders- colitis, inflammation and infection, obstruction and
tumour and lump
Hernias
Appendix-inflammation, mass, abscess, rupture
Anal & Rectum; hemorrhoids, fissures, fistulas
Peritonitis/acute abdomen
Pancreas; inflammation, cyst, abscess and tumours
Liver; inflammation, cyst, abscess, cirrhosis, portal hypertension, hepatic
failure, tumours
Gall Bladder; inflammation, obstruction, stones and tumours

Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of digestive system

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Unit V

Nursing management of patient (adults including elderly) with blood and cardio
vascular problems

Review of anatomy and physiology of blood and cardio vascular system,
Nursing Assessment-History and physical assessment
Etiology, Pathophysiology, clinical manifestation diagnosis, treatment modalities
and medical, surgical, dietetics & nursing management of –

Vascular system

Hypertension, hypotension
Artheriosclerosis
Raynaud’s disease
Aneurism and peripheral Vascular disorders

Heart

Coronary artery diseases

Ischemic Heart Disease
Coronary atherosclerosis
Angina pectoris
Myocaridal infarction

Valvular disorders of the heart

Congential and acquired
Rehumatic Heart disease

Endocarditis, pericarditis, Myocaridtis
Cardio Myopathies
Cardiac dysrhythmias, Heart Block Congestive cardiac failure

Cor-pulmonale, pulmonary edema, cardiogenic shock, cardiac temponade

Cardiac emergices and arrest
Cardio Pulmonary Resuscitation (CPR)

Blood

Anaemias
Polycythemia
Bleeding disorders; clotting factor defects and platelets defects

Thalassemia
Leukaemias
Leukopenias and agranulocytosis
Lymphomas
Myelomas

Special therapies

Blood transfusion, safety checks, procedure and requirements, management of
adverse transfusion reaction, records for blood transfusion.

Management and counseling of blood donors, phlebotomy procedure, and post
donation management, blood bank functioning and hospital transfusion committee.
Bio-safety and waste management in relation to blood transfusion

Role of a nurse in Organ donation, retrieval and banking

Alternative therapies
Nursing procedures
Drugs used in treatment of blood and cardio vascular disorders

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Unit VI

Nursing management of patient (adults including elderly) with genito-urinary
problems

Review of anatomy and physiology of genito-urinary system
Nursing Assessment- History and Physical assessment
Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment modalities
and medical, surgical, dietetics & nursing management of –
Nephritis
Nephrotic syndrome
Nephrosis
Renal calculus
Tumours
Acute renal failure
Chronic renal failure
End stage renal disease
Dialysis, renal transplant
Congenital disorders, urinary infections
Benign prostate hypertrophy
Disorders of ureter, urinary bladder and urethera – inflammation, infection, stricture,
obstruction, tumour, prostrate

Special therapies, Alternative therapies
Nursing procedures
Drug used in treatment of genito urinary disorders

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Unit VII

Nursing management of disorders of male (adults including elderly) reproductive
system

Review of anatomy and physiology of male reproductive system
Nursing Assessment-History and physical assessment
Etiology, pathophysiology, clinical manifestations, diagnosis, treatment modalities
and medical, surgical, dietetics & nursing management of disorders of male
reproductive system
Congenital malformations cryptorchidism
Hypospadiasis, Epispadiasis
Infections
Testes and adjacent structures
Penis
Prostate: inflammation, infection, hypertrophy, tumour
Sexual Dysfunction
Contraception
Breast; gynecomastia, tumour
Climacteric changes, special therapies, alternative therapies

Nursing procedures
Drugs used in treatment of disorders male reproductive system

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Unit VIII

Nursing management of patient (adults including elderly) with disorders of endocrine
system

Review of anatomy and physiology of endocrine system
Nursing Assessment – History and Physical assessment
Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment modalities
and medical, surgical, dietetics and nursing management of –
Disorders of thyroid and parathyroid
Diabetes mellitus
Diabetes insipidus
Adrenal tumour
Pituitary disorders,

Special therapies, alternative therapies
Nursing procedure
Drug used in treatment of disorders of endocrine system

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Unit IX

Nursing management of patient (adults including elderly) with disorders of
integumentary system

Review of anatomy and physiology of skin and its appendages
Nursing Assessment-History and physical assessment
Etiology, Pathophysiology, diagnosis, treatment modalities and medical, surgical
dietetics & nursing management of disorders of skin and its appendage –

Lesions and abrasions
Infection and infestations; Dermatitis
Dermatoses; infectious and non infectious “inflammatory dermatoses”
Acne Vulgaris
Allergies and Eczema
Psoriasis
Malignant melanoma
Alopecia

Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of Integumentary system

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Unit X

Nursing management of patient (adults including elderly) with musculoskeletal
problems

Review of anatomy and physiology of musculoskeletal system,
Nursing Assessment-History and Physical assessment
Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment modalities
and medical, surgical, dietetics and nursing management of –

Muscles, Ligaments and joints-inflammation, infection, trauma
Bones inflammation, infection, dislocation, fracture, tumour and trauma
Osteomalacia and osteoporosis
Arthritis
Congenital deformities
Spinal column – defects and deformities, tumor, Prolapsed inter vertebral
disc, pott’s spine
Paget’s disease

Amputation
Prosthesis
Transplant & replacement surgeries
Rehabilitation
Special therapies,
Alternative therapies

Nursing procedures
Drugs used in treatment of disorders of cmusculoskeletal system

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Unit XI

Nursing management of patient (adult including elderly) with Immunological
problems

Review of Immune system,
Nursing Assessment – History and Physical assessment
Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment modalities
and medical, surgical, dietetics and nursing management of –
Immunodeficiency disorder
Primary immuno deficiency
Phagocyte dysfunction
B-cell and T-cell deficiencies
Secondary immunodeficiency
Acquired Immuno Deficiency Syndrome (AIDS)
Incidence of HIV & AIDS
Epidemiology
Transmission – prevention of Transmission
Standard Safety precautions’ role of Nurse; Counseling  Health education and home care consideration  National AIDS control program – NACO, various national and international agencies
Infection control program
Rehabilitation

Special therapies, alternative therapies Nursing procedures
Drugs used in treatment of disorders of immunological system

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Unit XII

Nursing management of patient (adults including elderly) with Communicable
Diseases

Overview of infectious disease, the infectious process
Nursing Assessment – History and physical assessment
Epidemiology, infectious process, clinical manifestations, diagnosis, treatment,
prevention and dietics. Control and eradication of common communicable disease –

Tuberculosis
Diarrhoeal diseases
Hepatitis A-E
Herpes
Chickenpox
Smallpox
Typhoid
Meningitis
Gas gangrene
Leprosy
Dengue
Plague
Malaria
Diphtheria
Pertussis
Poliomyelitis
Measles
Mumps
Influenza
Yellow fever

Filariasis

HIV, AIDS
Reproductive Tract Infections
Special Infection Control measures; Notification, Isolation, Quarantine, Immunization, Infectious Disease Hospitals
Special therapies, alternative therapies Nursing procedures
Drugs used in treatment of Communicable diseases

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Unit XIII

Peri Operative nursing:

Organisation and Physical set up of the Operation Theatre (OT):

Classifications
O.T. Design
Staffing
Members of the OT team.
Duties and responsibilities of nurse in O.T.
Principles of Health and operating room attire
Instruments
Sutures and suture materials
Equipments
O.T. tables and sets for common surgical procedures
Positions and draping for common surgical procedures
Scrubbing procedures
Gowning and gloving
Preparation of O.T. Sets
Monitoring the patient during surgical procedures

Maintenance of therapeutic environment in O.T.
Standard Safety measures

Infection control; fumigation, disinfections and sterilization
Biomedical waste management
Prevention of accidents and hazards in O.T.

Anesthesia

Types
Methods of administration

Effects and stages

Equipments
Drugs

Cardio Pulmonary Resuscitation (CPR)

Pain management techniques

Legal Aspects

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