NU 323 :

Department

Faculty of Nursing

Academic Program

Bachelor in Science in Nursing

Type

Compulsory

Credits

04

Prerequisite

NU 320

Overview

It covers theories and concept that will enable students to critically analyse the health needs and concerns of the individual, family and community with regards to clients experiencing alterations in blood, endocrine, cardiovascular and the peripheral system. It discusses the different disorders and tackles the modalities in the management and treatment of patients having those kinds of disorders.

Classroom and laboratory experiences activities will enable the students to develop skills, knowledge and attitudes and values on health promotion and identification and management of the risk factors involved in those mentioned disorders.

Intended learning outcomes

Knowledge and understanding:

1- Identify the structures and function of the Cardiovascular system, peripheral vascular system, hematologic system and the Endocrine system.

2- Enumerate the different disorders affecting the cardiovascular, peripheral hematologic and endocrine system.

3- Enumerate specific clinical manifestations of each cardiovascular, peripheral vascular, hematologic and endocrine disorders, diagnostic evaluation and related nursing responsibilities.

Mental skills:

1- Present pathophysiologic mechanism of each cardiovascular, peripheral vascular hematologic and endocrine disorders.

2- Enumerate general diagnostic evaluation for patients with alterations in cardiovascular, peripheral vascular , hematologic and endocrine functions.

3- Discuss various nursing management for specific cardiovascular, peripheral vascular, hematologic and endocrine disorders and its implications.

4- Formulate plan of care appropriate to nursing problems identified.

5- Evaluate nursing management for specific disorder/disease and its implication.

Scientific and professional skills:

1- Apply the principles of cardiovascular, peripheral vascular, hematologic and endocrine assessment.

2- Use the nursing process as a framework for the care patients with alteration in cardiovascular, peripheral vascular, hematologic and endocrine functions.

3- Provide nursing interventions and perform nursing procedures appropriate for clients with cardiovascular disorders, peripheral disorders, hematologic disorders and endocrine disorders.

General skills

1- Recognize the significance of the referral system.

2- collaborate with other members of the health care team regarding the care provided for the client with medical and surgical needs.

3- Active participation in the plan of care provided for client with cardiovascular disorders, peripheral vascular disorders, hematologic disorder and endocrine disorders.

4- Apply the skills in recording and documenting.

5- Appreciate the importance of communication between members of the health care team.

Teaching and learning methods

· Lectures/Discussion

· Assignments and Research

· Group discussion, recitation and reporting

· Minor and major examinations

Methods of assessments

• Midterm exam 30%.

• Practical Exam 12%

• Final exam 50%.

• Assignments/HWs/Quizzes 8%.

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

(AR 101)
(ST 101)
(NU 112)
(NU 111)
(EL 101)
(AN 111)
(EL 102)
(SO 101)
(PS 111)
(NU 113)
(AR 102)
(CS 101)
(BC 211)
(NU 201)
(NU 202)
(NU 211)
(EL 201)
(PT 211)
(MB 211)
(EL 202)
(PC 211)
(PA 211)
(NU 213)
(NU 221)
(NU321-ICU)
(NU 312)
(NU322-OT)
(NU322-MN)
(NU322-ICU)
(NU322-GN)
(NU321-OT)
(NU321-MN)
(NU321-GN)
(NU 311)
(NU 310)
(NU 320)
(NU325-MN)
(NU325-OT)
(NU 300)
(NU325-ICU)
(NU325-GN)
(NU324-MN)
(NU 313)
(NU 323)
(NU324-OT)
(NU324-ICU)
(NU324-GN)
(NU423-GN)
(NU423-ICU)
(NU423-MN)
(NU424-GN)
(NU424-ICU)
(NU424-MN)
(NU 400)
(NU 420)
(NU425-MN)
(NU 401)
(NU 410)
(NU426-OT)
(NU426-MN)
(NU426-ICU)
(NU426-GN)
(NU425-OT)
(NU425-ICU)
(NU425-GN)
(NU 421)