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Medical-Surgical Nursing – I
Chapter 1: Introduction to Medical-Surgical Nursing
- Definition and Scope
- Medical-Surgical Nursing focuses on providing care to adult patients with a variety of medical and surgical conditions.
- It includes assessment, planning, implementation, and evaluation of care.
- Role of the Nurse
- Care provider, educator, advocate, researcher, and collaborator in interdisciplinary teams.
- Principles of Patient-Centered Care
- Holistic care, respect for patient autonomy, individualized care plans.
- Ethical and Legal Considerations
- Informed consent, confidentiality, accountability, and maintaining professional boundaries.
Chapter 2: Common Signs and Symptoms of Illness
- General Symptoms
- Fever, fatigue, weakness, weight changes.
- Altered Vital Signs
- Tachycardia, bradycardia, hypertension, hypotension.
- Skin Changes
- Rashes, ulcers, cyanosis, jaundice.
Chapter 3: Fluid and Electrolyte Balance
- Importance
- Regulates bodily functions, maintains homeostasis.
- Fluid Imbalances
- Dehydration: Causes, signs, and nursing interventions.
- Edema: Types, causes, and management.
- Electrolyte Imbalances
- Sodium: Hypernatremia, hyponatremia.
- Potassium: Hyperkalemia, hypokalemia.
- Nursing Interventions: Monitoring lab values, administering IV fluids, and electrolyte replacements.
Chapter 4: Perioperative Nursing
- Preoperative Care
- Patient assessment, obtaining consent, providing education, and reducing anxiety.
- Intraoperative Care
- Ensuring aseptic techniques, assisting the surgical team, monitoring the patient.
- Postoperative Care
- Monitoring for complications, pain management, wound care, and patient education.
Chapter 5: Nursing Management of Patients with Specific Disorders
- Respiratory Disorders
- Pneumonia, COPD, Asthma, TB: Causes, symptoms, and nursing care plans.
- Cardiovascular Disorders
- Hypertension, Myocardial Infarction, Heart Failure.
- Neurological Disorders
- Stroke, Epilepsy, Meningitis.
- Endocrine Disorders
- Diabetes Mellitus, Thyroid Disorders.
- Musculoskeletal Disorders
- Arthritis, Fractures, Osteoporosis.
- Infectious Diseases
- HIV/AIDS, Hepatitis, Malaria.
Medical-Surgical Nursing – II
Chapter 1: Oncology Nursing
- Introduction
- Definition, classification, and risk factors for cancer.
- Warning Signs
- CAUTION mnemonic (Change in bowel habits, A sore that doesn’t heal, etc.).
- Modalities of Treatment
- Surgery, chemotherapy, radiotherapy, immunotherapy.
- Nursing Care
- Managing side effects like nausea, hair loss, and fatigue.
Chapter 2: Nursing Management of Patients with Specific Disorders
- Burns
- Degrees of burns, immediate care, wound care, and prevention of complications.
- Gastrointestinal Disorders
- Peptic Ulcer, Appendicitis, Hepatitis.
- Renal and Urinary Disorders
- Acute Renal Failure, Chronic Renal Failure, UTIs.
- Immunological Disorders
- Lupus, Rheumatoid Arthritis.
- Skin Disorders
Chapter 3: Critical Care Nursing
- ICU Setup
- Equipment, monitoring systems, and environment.
- Patient Monitoring
- Vital signs, consciousness levels, and laboratory results.
- Management of Shock
- Types of shock (hypovolemic, septic), nursing interventions.
Chapter 4: Emergency and Disaster Nursing
- Triage
- Categories, prioritization of care.
- First Aid
- For fractures, burns, poisoning, and cardiac arrest.
- Disaster Management
- Planning, implementation, and evaluation of disaster response.
Chapter 5: Nursing in Specialized Areas
- ICU, CCU, Dialysis Units
- Specialized care techniques, monitoring, and patient education.
Mental Health Nursing
Chapter 1: Concepts of Mental Health and Illness
- Definition
- Mental health as a state of well-being.
- Factors Influencing Mental Health
- Biological, psychological, social, and environmental factors.
Chapter 2: Classification of Mental Disorders
- DSM-V and ICD Systems
- Anxiety disorders, Mood disorders, Psychotic disorders, Personality disorders.
Chapter 3: Nursing Management
- Care Plans for Mental Disorders
- Assessment, diagnosis, interventions, and evaluation.
- Therapeutic Communication
- Active listening, empathy, and trust-building.
- Psychopharmacology
- Common drugs, side effects, and nursing responsibilities.
Chapter 4: Counseling and Therapy
- Individual Counseling
- Techniques, goals, and evaluation.
- Group Therapy
- Benefits, types, and nursing roles.
- Behavioral Therapy
- CBT, DBT, and crisis intervention.
Child Health Nursing
Chapter 1: Growth and Development
- Milestones
- Physical, cognitive, emotional development.
- Assessment Tools
- Growth charts, Denver Developmental Screening Test.
Chapter 2: Nursing Care of the Newborn
- Immediate Care
- APGAR scoring, thermoregulation, cord care.
- Common Neonatal Issues
- Jaundice, sepsis, feeding difficulties.
Chapter 3: Common Childhood Illnesses
- Infectious Diseases
- Measles, Chickenpox, Mumps.
- Nutritional Disorders
- Protein-Energy Malnutrition, Rickets.
- Respiratory Disorders
Chapter 4: Immunization
- Schedule
- National Immunization Schedule for India.
- Vaccine Handling
- Cold chain maintenance, adverse event monitoring.
Chapter 5: Pediatric Emergencies
- Common Emergencies
- Febrile seizures, dehydration, poisoning.
- Management
- First aid, stabilization, and referral.
Practical Components
Medical-Surgical Nursing Practical
- Physical Assessment
- Techniques, documentation, and interpretation.
- Procedures
- Wound dressing, catheterization, IV insertion.
- Post-Operative Care
- Monitoring, pain management, prevention of complications.
Mental Health Nursing Practical
- Patient Interaction
- Building rapport, conducting mental status exams.
- Group Activities
- Participating in therapy sessions.
- Medication Administration
- Monitoring and documenting side effects.
Child Health Nursing Practical
- Growth Monitoring
- Immunization
- Administering vaccines, educating parents.
- Emergency Management
- Handling pediatric emergencies, BLS for children.
