Medical Surgical Nursing for Basic B.Sc. (Nursing)

S.No

Curriculum Planning in Medical Surgical Nursing-I

Topic

DOMAIN

Time

1 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 Diseases (ICD -10 or later version),Acute illness chronic stages if illness
· Review of concepts of comprehensive nursing care in medical surgicalconditions 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
 

  • MUST KNOW
  • NICE TO KNOW
  • MUST KNOW
  • DESIRABLE TO KNOW
  • MUST KNOW
  • MUST KNOW
  • MUST KNOW

 

 

15 Hrs
2 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

 

  • MUST KNOW

 

 

 

 

 

  • DESIRABLE TO KNOW
15Hrs
3 UNIT: III      
Nursing management of patients (adults including elderly) with respiratory problems
Review of anatomy and physiology of respiratory system,
· Nursing Assessment—History and Physiology assessment
· Etiology, Pathophysiology,
· Clinical manifestations, diagnosis, treatment modalities and medical, surgical,dietetics& nursing management of adult including elderly with—
– Upper Respiratory tract infections.
– Bronchitis
– Asthma
– Emphysema
– Empyema
– Atelectasis
– Chronic obstructive –
– Pulmonary Diseases (COPD)
– Bronchiectasis
– Pneumonia –
– Pulmonary tuberculosis
– Lung abscess
– Pleural effusion
– Cysts and Tumors
– Chest injuries
– Respiratory arrest and insufficiency
– Pulmonary embolism special therapies,alternative therapies
Nursing procedures: Drugs used in treatment of respiratory disorders
 

 

  • NICETO KNOW
  • DESIRABLE TO KNOW

 

  • MUST KNOW
  • MUST KNOW
  • DESIRABLEE TO KNOW
20 Hrs

 

 

 

 

 

4 UNIT: IV
Nursing management of patients (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
– Esophagus-inflammation,stricture, obstruction, bleeding and tumors
– Stomach and deodenumhiatus hernia, gastritis,
peptic and duodenal ulcer, bleeding, tumors, pyloric stenosis
– Small intestinal disorders inflammation and infection,
enteritis, malabsorption, obstruction, tumor and perforation
– Large intestinal disorders- Colitis, inflammation and infection, obstruction and tumor and lump
– Hernias
– Appendixinflammation, 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.
 

 

  • NICE TO KNOW
  • DESIRABLE TO KNOW

 

  • MUST KNOW
  • MUST KNOW

 

 

  • MUST KNOW

 

  • DESIRABLE TO KNOW
30 Hrs
5. UNIT: V
Nursing management of patients (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 manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of—
· Vascular system
– Hypertension, Hypotension
– Atherosclerosis
– Raynaud’s disease
– Aneurism and Perpherial vascular disorders

  • Heart

– Coronary artery diseases
– Ischemic Heart Disease
– Ischemic Heart Disease
– Coronary atherosclerosis
– Angina pectoris
– Myocardial infarction
· Valvular disorders of the heart
– Congential and acquired
– Rheumatic Heart diseases
· Endocarditis, Pericarditis Myocarditis
· Cardio Myopathies
· Cardiac dysrhythmias, Heart Block
· Congestive cardiac failure
– Cor-pulmonale, Pulmonary edema, cardiogenic shock, cardiac temponade
· Cardiac emergencies 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 intreatment of blood and cardio vascular disorders

 

 

  • NICE TO KNOW
  • NICE TO KNOW
  • MUST KNOW

 

  • MUST KNOW

 

  • MUST KNOW

 

  • MUST KNOW

 

  • MUST KNOW

 

  • DESIRABLE TO KNOW

 

 

  • NICE TO KNOW

 

30 Hrs
6. UNIT: VI
Nursing management of patients (adults including elderly) with genito-urinary problems
· Review of anatomy and physiology of genitor-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
· Tumors
· Acute renal failure
· Chronic renal failure
· End stage renal transplant
· Congenital disorders, urinary bladder and urethra inflammation, infection,stricture, obstruction, tumor, prostrate
· Special therapies, alternative therapies
Nursing procedures: Drugs used in treatment of genitor-urinary disorders
 

 

  • NICE TO KNOW
  • DESIRABLE TO KNOW

 

  • MUST KNOW

 

  • MUST KNOW

 

  • NICE TO KNOW
10 Hrs
7. UNIT: VII
Nursing management of patients (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 malformation; cryptorchidism
· Hypospadiasis, Epispadiasis
· Infections
· Testis and adjacent structures
· Penis
· Prostate: inflammation, infection, hypertrophy, tumor
· Sexual Dysfunction
· Infertility
· Contraception
· Brest; gynecomastia, tumor
· Climacteric changes special therapies, alternative therapies
Nursing procedures: Drugs used in treatment of disorders of male reproductive system
 

 

  • NICE TO KNOW
  • DESIRABLE TTO KNOW

 

  • MUST KNOW

 

  • MUST KNOW

 

 

  • NICE TO KNOW

 

5 Hrs
8. UNIT: VIII
Nursing management of patients (adults including elderly) with disorders of endocrine system
· Review of anatomy and physiology endocrine system.
· Nursing Assessment — History and Physical assessment
· Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of disorders of Thyroid and Parathyroid
– Diabetes mellitus
– Diabetes insipidus
– Adrenal tumor
– Pituitary disorders
Special therapies,alternative therapies
Nursing procedures: Drugs used in treatment of disorders of endocrine system
 

 

  • NICE TO KNOW
  • DESIRABLE TO KNOW

 

  • MUST KNOW
  • NICE TO KNOW
  • NICE TO KNOW
10 Hrs
9. UNIT: IX
Nursing management of patients (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, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of disorders
of skin and its appendages.
– 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 ofIntegumentary system
 

 

  • NICE TO KNOW
  • DESIRABLE TO KNOW
  • MUST KNOW
  • NICE TO KNOW
  • NICE TO KNOW
10 Hrs
10. UNIT: X
Nursing management of patients (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, treatmentmodalities and medical, surgical, dietetics & nursing management of—
· Disorders of:
– Muscles, Ligaments and joints-inflammation, infection, trauma
– Bones-inflammation, infection, dislocation, fracture, trmour and trauma
– Osteomalacia and osteoporosis
– Arthritis
– Congenital deformities
– Spinal coloumn-defects and deformities, Tumor,
Prolapsed inter vertebral disc, pott’s spine
– Paget’s disease
· Amputation
· Prostheses
· Transplant & replacement surgeries
· Rehabilitation, Special therapies, alternative therapies
Nursing procedures: Drugs used in treatment of disorder of musculoskeletal system
 

 

  • NICE TO KNOW
  • DESIRABLE TO KNOW
  • MUST KNOW
  • MUST KNOW
  • DESIRABLE TO KNOW

 

  • NICE TO KNOW
  • NICE TO KNOW
15 Hrs
11. UNIT: XI
Nursing management of patients (adults including elderly) with Immunological problems.
Review of Immune system. Nursing Assessment— Historyand Physical assessment
· Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of—
· Immunodeficiency disorder
· Primary immuno deficiency
· Phagocytic dysfunction
· B-cell and T-cell deficiencies
· Secondary immunodeficiency’s
· Acquired immunodeficiency’s and Acquired immunodeficiency Syndrome
(AIDS)
· Incidence of HIV & AIDS
· Transmission-Prevention of Transmission
· Standard safety precautions
· Role of Nurse; Counseling
· Health education and home care consideration
· National AIDS Control Programme-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
 

  • NICE TO KNOW
  • MUST KNOW
  • DESIRABLE TO KNOW
  • DESIRABLE TO KNOW
  • MUST KNOW
  • MUST KNOW
  • MUST KNOW
  • MUST KNOW
  • DESIRABLE TO KNOW
  • MUST KNOW
  • NICE TO KNOW
  • DESIRABLE TO KNOW
  • NICE TO KNOW
  • NICE TO KNOW
  • NICE TO KNOW

 

 

10 Hrs

12. UNIT: XII
Nursing management of patients (adults including elderly) with Musculoskeletal problems
Review of anatomy and physiology of musculoskeletal system.
· Nursing Assessment — History and Physical assessment Epidemiology,infectious process, clinical manifestations, diagnosis, treatment, prevention anddietics. Control and eradication of common Communicable Diseases
– Tuberculosis
– Diarrhoeal diseases
– Hepatitis A-B
– Herpes
– Chickenpox
– Smallpox
– Typhoid
– Meningitis
– Gas gangrene
– Leprosy’
– Dengue
– Plague
– Malaria
– Diphtheria
– Pertussis
– Poliomyelitis
– Measles
– Mumps
– Influenza
– Tetanus
– Yellow fever
– Filariasis
– HIV, AIDS
· Reproductive Tract Infections
· Special Infection control measures: Notification, Isolation, Quarantine,Immunization, Infectious Diseases HospitalsSpecial therapies, alternative therapies
Nursing Procedures: Drug used in treatment of Communicable diseases
 

  • NICE TO KNOW

 

  • MUST KNOW

 

 

 

  • MUST KNOW

 

  • DESIRABLE TO KNOW

 

  • NICE TO KNOW
20 Hrs
13. UNIT: XIII
Pen 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, disinfection and sterilization
– Biomedical waste management
– Prevention of accidents and hazards in O.T.
· Anaesthesia
– Types
– Methods of administration
– Equipments
– Drugs
· Cardio Pulmonary Resuscitation (CPR)
· Pain management techniques
· Legal Aspects
 

  • MUST KNOW

 

 

  • DESIRABLE TO KNOW

 

  • MUST KNOW

 

  • MUST KNOW

 

 

  • DESIRABLE TO KNOW
  • NICE TO KNOW
25Hrs
Admission 2017