Medical Surgical Nursing – II Free Notes Download – B.Sc. Nursing

Unit I

Nursing management of patient with disorders of Ear Nose and Throat.

Review of anatomy and physiology of the Ear Nose and Throat
Nursing Assessment – History and Physical assessment
Etiology, Pathophysiology, Clinical manifestations, diagnosis, treatment modalities
and medical & surgical nursing management of Ear Nose and Throat disorders:

External ear : deformities otalgia, foreign bodies, and tumours

Middle Ear-Impacted wax, Tympanic membrane perforation, otitis media,
otosclerosis, mastoidits, tumours

Inner ear-Meniere’s Disease, labyrinthitis, ototoxicity, tumours

Upper airway infections –
Common cold, sinusitis, ethinitis, rhinitis, pharyngitis, tonsilitis and
adenoiditis, peritonosilar abscess, laryngitis.

Upper respiratory airway – epistaxis,
Nasal obstruction, laryngeal obstruction, cancer of the larynx
Cancer of the oral cavity.
Speech defects and speech therapy
Deafness –
Prevention, Control and rehabilitation
Hearing Aids, implanted hearing devices
Special therapies
Nursing procedures
Drugs used in treatment of disorders of Ear Nose and throat
Role of nurse Communicating with hearing impaired and muteness.

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Unit II

Nursing management of patient with disorders of eye

Review of anatomy and physiology of the eye
Nursing Assessment –History and Physical assessment
Etiology, pathophysiology, clinical manifestations, diagnosis, treatment modalities and
medical & surgical nursing management of eye disorders:

Refractive errors
Eyelids-infection, tumours and deformities
Conjunctiva-inflammation and infection, bleeding
Cornea-inflammation and infection
Lens-Cataracts
Glaucoma
Disorder of the uveal tract,
Ocular tumours
Disorders of posterior chamber and retina: Retinal and vitreous problems.
Retinal detachment
Ocular emergencies and their prevention

Blindness
National blindness control program

Eye Banking
Eye prostheses and Rehabilitation

Role of a nurse-Communication with visually impaired patient, Eye camps
Special therapies
Nursing procedures
Drugs used in treatment of disorders of eye

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Unit III

Nursing management of patient with neurological disorders

Review of anatomy and physiology of the neurological system
Nursing Assessment – History, Physical and neurological assessment and Glasgow
coma scale
Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment modalities
and medical & surgical nursing management of neurological disorders
Congenital malformations
Headache
Spinal Injuries:

Paraplegia
Hemiplegia
Quadraplegia

Spinal cord compression-herniation of intervertebral disc
Tumors of the brain & spinal cord
Intra cranial and cerebral aneurysms
Infections:

Meningitis, Encephalitis, Brain abscess, neurocysticercosis

Movement disorders

Chorea
Seizures
Epilepsies

Cerebro Vascular Accidents (CVA)
Cranial, Spinal Neuropathies- Bell’s palsy, trigeminal neuralgia
Peripheral Neuropathies; Guillain-Barr’e Syndrome
Myasthenia gravis
Multiple sclerosis
Degenerative diseases

Delirium
Dementia
Alzheimer’s disease
Parkinson’s disease

Management of unconscious patients and patients with stroke
Role of the nurse in communicating with patient having neurological deficit
Rehabilitation of patients with neurological deficit
Role of nurse in long stay facility (institutions) and at home
Special therapies
Nursing procedures
Drugs used in treatment of neurological disorders

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Unit IV

Nursing management of patients with disorders of female reproductive system

Review of anatomy and physiology of the female reproductive system
Nursing Assessment – History and Physical assessment
Breast Self Examination
Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment modalities
and medical & surgical nursing management of disorders of female reproductive
system
Congenital abnormalities of female reproductive system
Sexuality and Reproductive Health
Sexual Health Assessment
Menstrual Disorder ;
Dysmenorrhea, Amenorrhea, Premenstrual Syndrome
Abnormal Uterine Bleeding; Menorrhagia, Metrorrhagia
Pelvic Inflammatory Disease-
Ovarian and fallopian tube disorders; infections, cysts, tumours
Uterine and cervical disorders; Endometriosis, polyps, fibroids, Cervical and uterine
tumours, uterine displacement, Cystocele/Urethrocele/Rectocele
Vaginal disorders; Infections and Discharges, Fistulas
Vulvur disorders; Infections, cysts, tumours
Diseases of breasts; Deformities, Infections, Cysts and Tumours
Menopause and Hormonal Replacement Therapy
Infertility
Contraception; Types, Methods, Risk and effectiveness

Spacing Methods

Barrier methods, Intera Uterine Devices, Hormonal, Post conceptional
Methods, etc.

Terminal methods

Sterilization

Emergency Contraception methods
Abortion – Natural, medical and surgical abortion – MTP Act
Toxic Shock Syndrome
Injuries and Trauma; Sexual violence Special therapies Nursing procedures
Drugs used in treatment of gynaecological disorders National family welfare programme

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Unit V

Nursing management of patients with Burns, reconstructive and cosmetic surgery

Review of anatomy and physiology of the skin and connective tissues and various
deformities
Nursing Assessment-History and physical assessment and assessment of burns and
fluid an electrolyte loss
Etiology, classification, pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical & surgical nursing management of Burns and Re-constrictive
and Cosmetic surgery;
Type of Re-constructive and cosmetic surgery of burns, congenital deformities,
injuries and cosmetic purposes.
Role of nurse
Legal aspects
Rehabilitation
Special therapies

Psycho social aspects
Nursing procedures
Drugs used in treatment of Burns reconstructive and cosmetic surgery

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Unit VI

Nursing management of patients with oncological conditions

Structure & characterstics of normal & cancer cells
Nursing Assessment-History and Physical assessment
Prevention, screening, Early detection, Warning signs of cancer
Epidemiology, Etiology, Classification, Pathophysiology, Staging, clinical
manifestations, diagnosis, treatment modalities and medical & surgical nursing
management of oncological conditions
Common malignancies of various body system; Oral, larynx, lung, Stomach and
Colon, Liver, Leukemias and lymphomas, Breast, Cervix, Ovary, Uterus, Sarcoma,
Brain, Renal, Bladder, Prostate etc
Oncological emergiences
Modalities of treatment

Immunotherapy
Chemotherapy
Radiotherapy
Surgical Interventions
Stem cell and bone marrow transplants
Gene therapy
Other forms of treatment

Psychosocial aspects of cancer
Rehabilitation
Palliative care; symptom and pain management, nutritional support
Home care
Hospice care
Stomal therapy
Special therapy
Special therapies – Psycho – Social aspects
Nursing procedures

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Unit VII

Nursing management of patient in EMERGENCY & Disaster situations
Disaster Nursing:

Concepts and principles of Disaster Nursing
Causes and Types of Disaster:

Natural and Man-made

Earthquakes, Floods, Epidemics, Cyclones
Fire, Explosion, Accidents
Violence, Terrosim; bio-chemical, War

Policies related to emergency/disaster management’; International, national, state,
institutional
Disaster preparedness:
Team, Guidelines, protocols, Equipments, Resources
Coordination and involment of; community, various govt. departments, non-govt.
departments, non-govt. organizations and International agencies
Role of nurse: working
Legal Aspects of Disaster Nursing
Impact on Health and after effect; Post Traumatic Stress Disorder
Rehabilitation; physical, psychosocial, Financial, Relocation Emergency Nursing
Emergency Nursing
Concept, priorities, principles and Scope of emergency nursing
Organization of emergency service: physical setup, staffing equipment and supplies,
protocols, Concepts of triage and role of triage nurse.
Coordination and involvement of different departments and facilities
Nursing Assessment – History and Physical assessment
Etiology, Pathophysiology, clinical manifestation, diagnosis, treatment modalities and
medical & surgical nursing management of patient with medical and surgical
Emergency
Principles of emergency management
Common emergencies;
Respiratory Emergencies
Cardiac Emergencies
Shock and Haemorrhage
Pain
Poly-Trauma, road accidents, crush injuries, wound
Bites
Poisoning; Food, Gas, Drugs & chemical poisoning
Seizures
Thermal Emergencies; Heat stroked & Cold injuries
Pediatric Emergencies
Psychiatric Emergencies
Obstetrical Emergencies
Violence, Abuse, Sexual Assault
Cardio Pulmonary Resuscitation
Crisis Intervention
Role of the nurse; communication and Inter personal Relations
Medico-Legal Aspects;

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Unit VIII

Nursing care of the elderly

Nursing Assessment – History and Physical assessment
Ageing;
Demography; Myths and realities
Concepts and theories of ageing
Cognitive Aspects of Ageing
Normal biological ageing
Age related body systems changes
Psychosocial Aspects of aging
Medications and elderly
Stress & coping in older adults
Common Health Problems & Nursing management;
Cardiovascular, Respiratory, Musculosketetal,
Endocrine, genito-urinary, gastrointestinal
Neurological, skin and other Sensory organs

Psychosocial and Sexual
Abuse of elderly

Role of nurse for care of elderly: ambulation, nutritional, communicational,
psychosocial and spiritual
Role of nurse for caregivers of elderly
Role of family and formal and non formal caregivers
Use of aids and prosthesis (hearing aids, dentures),
Legal & Ethical Issues
Provisions and Programmes for elderly; privileges, community programmes and
health services;
Home and institutional care

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Unit IX

Nursing management of patient in critical care units

Nursing Assessment – History and Physical assessment
Classification
Principles of critical care nursing
Organization; physical setup, policies, staffing norms,
Protocols, equipment; and supplier
Special equipments; ventilation, cardiac monitors, defibrillators.
Resuscitation equipments
Infection Control Protocols
Nursing management of critically ill patient;
Monitoring of critically ill patient
CPR-Advance cardiac life support
Treatments and procedures
Transitional care
Ethical and Legal Aspects
Communication with patient and family
Intensive care records
Crisis Intervention
Death and Dying – coping with
Drugs used in critical care unit

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Unit X

Nursing management of patients adults including elderly with Occupational and Industrial disorders

Nursing Assessment-History and Physical assessment
Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment modalities
and medical & surgical nursing management of occupational and industrial health
disorders
Role of nurse
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of occupational and industrial disorders

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