NU 323 : Medical-Surgical Nursing 2

Course Outline

HEMATOLOGIC DISORDERS

I. Review of the Anatomy and Physiology of the Hematologic System

1. Tracing and labeling the structures of the hematopoetic system

a. Veins

b. Arteries

II. Diagnostic Tests for Hematology

1. CBC

2. Reticulocyte count

3. Hemoglobin

4. Sickling Test

5. Coomb’s test

6. Prothrombin time

7. Platelet aggregation

8. Coagulation factor

9. Bone marrow aspiration

III. Blood Types

a. As defined by ABO System

b. As defined by RH System

IV. Blood and Cellular Components

1. Erythrocyte (RBC)

2. Leukocytes (WBC)

3. Thrombocytes (Platelets)

V. Clotting Factors

1. Clotting pathways

a. Intrinsic pathway

b. Extrinsic pathway

VI. Components of Blood vessels

1. Arteries, arterioles, capillaries, veins, venules

2. Bone marrow

3. Spleen

4. Liver

5. Lymph nodes

6. Thymus gland

VII. Different Hematologic Disorders

A. Anemias

1. Iron deficiency Anemia

2. Pernicious Anemia

3. Sickle cell Anemia

4. Hemolytic Anemia

5. Thallasemia Major ( Cooley;s Anemia)

B. Myeloproliferative Disorders

1. Polycythemia Vera

C. Disorders of the Platelets and Clotting Mechanism

1. Hemophilia

2. Von Willerbands Disease

3. Dessimenated Intravascular Coagulation (DIC)

D. Leukemia

1. Acute myeloid Leukemia (AML)

2. Acute Lymphocytic Leukemia (ALL)

3. Chronic Lympocytic Leukemia

4. Lymphoma

ENDOCRINE DISORDERS

I. Review of the Endocrine System/Physiology

1. Glands

2. Hormones

3. Functions

II. Common Laboratory Procedures and Diagnostic Examination

1. Thyroid function Test

2. Radioactive Iodine Uptake

3. Thyroid Scan

4. Blood Glucose Examination

a. Fasting Blood Sugar

b. Random Blood Sugar

c. Glucose Tolerance Test

III. Endocrine Disorders

A. Pituitary Gland Disorders

1. Hyperpituitarism

2. Hypopituitarism

3. Pituitary Tumors

B. Adrenal Glands Disorders

1. Cushing Syndrome

2. Addison’s Disease

C. Thyroid Gland Abnormalities

1.Goiter

2.Hypothyroidism

3. Hyperthyroidism

D. Parathyroid Gland Abnormalities

1. Hypoparathyroidsism

2. Hyperparathyroidism

E. Diabetes Mellitus

1. Types

a. Insulin Dependent Diabetes Mellitus (IDDM)

b. Non Insulin Dependent Diabetes Mellitus ( NIDDM)

IV. Management and Treatment of the Endocrine Disorders

V. Nursing Intervention

CARDIO VASCULAR SYSTEM

I. Review of the Cardio vascular System

A. Parts

1. Heart

2. Internal structure

3. Coronary circulation

4. Blood vessels

4.1 arteries

4.2 veins

4.3 capillaries

B. Function of the Cardio Vascular System

II. Assessment of client with Cardio Vascular Disorders

1. Subjective data

2. Objective data

3. IPPA

4. Precordial areas

III. Laboratory and Diagnostic Tests

1. Imaging Studies

2. ECG

3. Cardiac Catheterization

IV. Disorders of the Cardio Vascular System

A. Coronary Artery Disease

1. Pathophysiology

2. Causes

B. Ishemic Heart Disease

1. Angina Pectoris

a. Types

b. Goals of treatment

2. Myocardial Infarction

1. Precipitating factors

2. Pathophysiology

3. Goals of treatment

4. Percutaneous Coronary Intervention

C. Congestive Heart Failure

1. Definition

2. Pathophysiology

3. Types

a. Right sided heart failure

b. Left sided heart failure

4. Digitalis Therapy

D. Cardiomyopathies

E. Dysrhytmias

a. Atrial flutter

b. Atrial fibriullation

c. Supraventricular tachycardia

d. Premature ventricular contraction

e. Ventricular tachycardia

f. Ventricular fibrillation

g. Heart blocks

h. Treatment and nursing care of patients with dysrhythmia

PERIPHERAL VASCULAR DISEASES

I. Review of the Anatomy and Physiology of the Vascular Ssytem (Circulatory System)

1. Arteries and veins

2. Capillaries

3. Veins and venules

4. Lymphatic vessels

II. Function of the Vascular System

III. Factors that contribute to the development of Peripheral Vascular Disorders

IV. Clinical Manifestations

1. 6 P’s of Circulatory check

V. Diagnostic Tests of PVD

1. Ankle Brachial Index

2. Pulse Volume Recording

3. Ultrasonography

4. Magnetic Resonance Imaging

VI. Peripheral Vascular Diseases

1. Atherosclerosis Obliterans

2. Raynauld;s Disease

3. Buerger’s Disease

4. Aneurysm

a. Causes

b. Assessment

c. Interventions

5. Deep Vein Thrombosis 9thrombophlebitis)

6. Varicose Veins

7. Lymphedema

8. Elephantiasis

a. Causes

b. Assessment

c. Interventions

VII. Medications of Peripheral Vascular Diseases (PVD)

1. Anticoagulants

2. Antiplatelets

VIII. Surgical Treatment of Peripheral Vascular Diseases (PVD)

1. Thrombectomy

2. Bypass graft

IX. Nursing Diagnoses for patient with Peripheral Vascular Diseases