ARYA NURSING COLLEGE

COURSE PLAN FOR

B.Sc. NURSING 2nd YEAR
SUBJECT: MEDICAL SURGICAL NURSING - I
Prepared by:

Mr. S. Somorjit Singh

Class Coordinator
 COURSE PLAN (2nd Year B.Sc. NURSING)

Time allotted: Theory -210 Hrs

Practical -720 hrs

Course Title : Medical Surgical Nursing 1

Course Description : The purpose of this course is to acquire knowledge and develop proficiency in caring for patients with medical and
surgical disorders in varieties of health care settings and at home.
Placement of the course: Second year B.Sc. Nursing

General objectives:

On completion of the course the students will be able to

􀂾 Appreciate the trends in medical and surgical nursing.

􀂾 Describe the role of a nurse in caring for adult patient in hospital and community.
􀂾 Describe the concepts of Medical Surgical asepsis
􀂾 Describe the common signs, symptoms, problems and their Specific nursing interventions
􀂾 Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures and management of patients (adults including
elderly) with disorders of respiratory systems, disorders of digestive systems, blood and cardiovascular problems, vascular conditions
and its nursing management, disorders of genito-urinary system, disorders of male reproductive system, disorders of endocrine
system, disorders of Skin, disorders of musculoskeletal system, disorders of Immunological System and Communicable Diseases.
􀂾 Describe the Organization and physical set up of operation theatre
􀂾 Identify the various instruments and equipments used for used for common surgical procedures
􀂾 Describe the infection control measures in the Operation theatre
􀂾 Describe the role of the nurse in the Peri Operative nursing care

Unit CONTENTS HOURS FACULTY NAME METHOD OF

no. EVALUATION
 I Introduction: 15
• Introduction to medical surgical nursing- Evolution and trends of medical and 􀂾 Short answers
surgical nursing
• Review of Concepts of Health and illness Disease concepts, causations, 􀂾 Objective Type
classification- International Classification Diseases (lCD- 10 or later version),
Acute illness Chronic illness & Terminal illness, stages of illness 􀂾 Assessment of skills
• Review of concepts of comprehensive nursing care in medical surgical with check list
conditions 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 settings
Introduction to Medical Surgical asepsis
- Inflammation and Infection
- Immunity
- Wound healing
Care of Surgical Patient
- Pre-operative, Intra operative, Post Operative
II Common signs and symptoms and management 15 􀂾 Short answers
- Fluid and electrolyte imbalance.
- Vomiting 􀂾 Objective Type
- Dyspnea and cough, respiratory obstruction
- Fever
- Shock
- Unconsciousness, Syncope
- Pain
- Incontinence
- Edema
- Age related problems geriatric
III Nursing management of patients (adults including elderly) with respiratory 20 􀂾 Essay type
problems
• Review of anatomy and physiology of respiratory system, 􀂾 Short answers
• Nursing Assessment- History and Physical assessment
• Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment 􀂾 Objective type
modalities and medical, surgical, dietetics & nursing management of adults
including elderly with – Upper Respirator’ that infection 􀂾 Assessment of
- Bronchitis skills with check list
- Asthma
- Emphysema
- Empyema
- Atelectasis 􀂾 Assessment of
- Chronic Obstructive Patient management
- Pulmonary Diseases problem
 - (COPD)
- Bronchiectasis, Pneumonia,
- Pulmonary tuberculosis
- Lung abscess
- Pleural effusion
- Cysts and Tumours
- Chest injuries
- Respiratory arrest and insufficiency
- Pulmonary embolism
IV Nursing management of patient (adults including elderly) with disorders of 30 􀂾 Essay type
digestive system
• Review of anatomy and physiology of digestive system 􀂾 Short answers
• Nursing Assessment-History and Physical assessment, Etiology,
Pathophysiology, clinical manifestations,diagnosis, treatment modalities 􀂾 Objective type
and medical, surgical, dietetics & nursing management
• Disorders of 􀂾 Assessment of skills
• Oral cavity- lips, gums, and teeth with check list
• Oesophagus —inflammation, stricture, obstruction, bleeding and tumours
• Stomach and deudenumhiatus hernia, gastritis, peptic and deudenal ulcer, 􀂾 Assessment of
bleeding,tumours, pyloric stenosis Patient management
• Small intestinal disorders inflammation and infection, entritis, malabsorption, problem
obstruction, tumour and perforation
• Large intestinal disorders- Colitis, inflammation and infection, obstruction and
tumour and lump Hernias
• Appendix-inflammation, 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
V patient (adults including elderly) with blood and cardio vascular problems 30 􀂾 Essay type
• Review of anatomy and physiology of blood and cardio vascular system,
• Nursing Assessment-History and Physical assessment 􀂾 Short answers
• Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of- 􀂾 Objective type
• Vascular system
- Hypertension, Hypotension - Artherio sclerosis 􀂾 Assessment of skills
- Raynaud’s disease - Aneurism and Peripheral with check list
vascular disorders Heart 􀂾 Assessment of
• Coronary artery diseases • Ischemic Heart Disease Patient management
• Cornory atherosclerosis • Angina pectoris problem
 • Myocardial infarction • Valvular disorders of the heart
- Congenital and acquired - Rheumatic Heart diseases
• Endocarditis,Pericarditis,Myocarditis • Cardio Myopathies
• Cardiac dysrhythmias, Heart Block • Congestive cardiac failure
Cor-pulmonale, pulmonary edema, cardiogenic shock, cardiac tamponade
• Cardiac emergencies and arrest
• Cardio Pulmonary Resuscitation (CPR)
• Blood • Anaemias
• Polycythemia
• Bleeding disorders; clotting factor defects and platelets defects
• Thalassemia • Leukaemias
• Leukopenias and agranulocytosis • Lymphornas
• Myelornas • Special therapies
• Blood transfusion, safety checks, procedure and requirements, management
of adverse transfusion reactioli:, records for blood transfusion.
• Management and counselling of blood donors, phlebotomy procedure, and post
donation management. Blood bank functioning and hospital transfusion
committee.
Biosafety and waste management in relation to blood transfusion
• Role of a nurse in Organ donation, retrieval and banking
Alternative therapies
Nursing procedures
Drugs used in treatment of blood and cardio vascular disorders
VI Nursing management of patient (adults including elderly) with 10 􀂾 Essay type
genitourinary problems
• Review of anatomy and physiology of genito-urinary system 􀂾 Short answers
• Nursing Assessment-History and Physical assessment
• Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment 􀂾 Objective type
modalities and medical, surgical, dietetics & nursing management of-
• Nephritis 􀂾 Assessment of skills
• Nephrotic syndrome with check list
• Nephrosis
• Renal calculus 􀂾 Assessment of
• Tumours Patient management
• Acute renal failure problem
• Chronic renal failure
• End stage renal disease
• Dialysis, renal transplant
• Congenital disorders, urinary infections
• Benign prostate hypertrophy.
• Disorders of ureter, urinary bladder and urethera inflammation, infection,
stricture, obstruction, tumour, prostrate
Special therapies, alternative therapies
Nursing procedures
 Drugs used in treatment of genitourinary disorders
VII Nursing Management of disorders of male(adults including elderly) 5 􀂾 Essay type
reproductive system
• Review of anatomy and physiology of male reproductive system 􀂾 Short answers
• Nursing Assessment-History and Physical assessment
• Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment 􀂾 Objective type
modalities and medical, surgical, dietetics & nursing management of
disorders of male reproductive system 􀂾 Assessment of skills
• Congenital malformations; Hypospadiasis, •Alospadiasis, Epispadiasis with check list
• Infections
• Testis and adjacent structures 􀂾 Assessment of
• Penis Patient management
• Prostate: inflammation, infection, hypertrophy, tumour problem
• Sexual Dysfunction Infertility
• Contraception
• Breast; gynecomastia, tumour
• Climacteric changes Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of male reproductive system
VIII Nursing management of patient(adults including elderly) with disorders of 10 􀂾 Essay type
endocrine system
• Review of anatomy and physiology of endocrine system 􀂾 Short answers
• Nursing Assessment-History and Physical assessment
• Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment 􀂾 Objective type
modalities and medical, surgical, dietetics & nursing management of-
• Disorders of Thyroid and Parathyroid 􀂾 Assessment of skills
• Diabetes mellitus with check list
• Diabetes insipidus
• Adrenal tumour 􀂾 Assessment of
• Pituitary disorders. Patient management
Special therapies, alternative’ therapies problem
Nursing procedures
Drugs used in treatment of disorders of endocrine system
IX Nursing management of patient (adults including elderly) with disorders of 10 􀂾 Essay type
Integumentary system
• Review of anatomy and physiology of Skin and its appendages 􀂾 Short answers
• Nursing Assessment-History and Physical assessment
• Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment 􀂾 Objective type
modalities and medical, surgical, dietetics & nursing management of
disorders of skin and its appendages – 􀂾 Assessment of skills
• Lesions and abrasions with check list
• Infection and infestations; Dermititis
• Dermatoses; infectious and Non infectious “inflammatory dermatoses” 􀂾 Assessment of
• Acne Vulgaris Patient management
 • Allergies and Eczema problem
• Psoriasis
• Malignant melanoma
• Alopecia
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of Integumentary system
X Nursing management of patient (adults including elderly) with 15 􀂾 Essay type
musculoskeletal problems
• Review of anatomy and physiology of musculoskeletal system, 􀂾 Short answers
• Nursing Assessment-History and Physical assessment
• Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment 􀂾 Objective type
modalities and medical, surgical, dietetics & nursing management of -
• Disorders of: 􀂾 Assessment of skills
• Muscles, Ligaments and Joints - inflammation, infection, trauma with check list
• Bones-inflammation, infection, dislocation, fracture, tumour and trauma
• Osteomalacia and osteoporosis 􀂾 Assessment of
• Arthritis Patient management
• Congenital deformities problem
• Spinal column- defects and deformities, Tumor, Prolapsed inter vertebral disc,
pott’s spine
• Paget’s disease Amputation Prosthesis
• Transplant & replacement surgeries
Rehabilitation.
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of musculoskeletal system
XI Nursing management of patient (adults including elderly) with 10 􀂾 Essay type
Immunological problems
• Review of Immune system, 􀂾 Short answers
• Nursing Assessment-History and Physical assessment
• Etiology, Pathophysiology, clinical manifestations, diagnosis. treatment 􀂾 Objective type
modalities and medical, surgical, dietetics & nursing management of-
• Immunodeficiency disorder. 􀂾 Assessment of skills
• Primary immuno deficiency. with check list
• Phagocytic dysfunction B-cell and T-cell deficiencies
• Secondary immunodeficiencies 􀂾 Assessment of
Acquired immunodeficiency syndrome (AIDS) Patient management
• Incidence of HIV & AIDS Epidemiology Transmission-Prevention of problem
Transmission
• Standard Safety precautions
• Role of Nurse; Counseling
• Health education and home care consideration.
• National AIDS Control Program - NACO, various national and international
 agencies
• Infection control program
• Rehabilitation. Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of immune logical system
XII Nursing management of patient (adults including elderly) with 20 􀂾 Essay type
Communicable Diseases
• Overview of infectious disease, the infectious process 􀂾 Short answers
• Nursing Assessment-History and Physical assessment
• Epidemiology, infectious process, clinical manifestations, diagnosis, treatment, 􀂾 Objective type
prevention and dietics.
Control and eradication of common Communicable Diseases 􀂾 Assessment of skills
• Tuberculosis with check list
• diarrhoeal diseases • hepatitis A - E
• herpes • chickenpox 􀂾 Assessment of
• smallpox • typhoid Patient management
• meningitis • gas gangrene problem
• leprosy. • Dengue
• Plague • Malaria
• Diptheria • Pertussis
• Poliomyelitis • Measles
• Mumps • Influenza
• Tetanus • Yellow fever
• Filariasis • HIV, AIDS
• Reproductive Tract Infections
• Special infection control measures: Notification, Isolation, Quarantine,
Immunization, Infectious Disease Hospitals
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of Communicable diseases
XIII Peri operative nursing: 25 􀂾 Essay type
• Organization and Physical set up of the Operation Theatre (OT):
- Classifications 􀂾 Short answers
- O.T. DESIGN
- Staffing 􀂾 Objective type
- Members of the OT team.
- Duties and responsibilities of nurse in O.T. 􀂾 Assessment of skills
- Principles of Health and operating room attire. with check list
• Instruments,
• Sutures and suture materials
• Equipments
• O.T. tables and sets for common surgical procedures 􀂾 Assessment of
• Positions and draping for common surgical procedures Patient management
• Scrubbing procedures problem
• 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
sterlisation
Biomedical waste management
• Prevention of’ accidents and hazards in O.T
• Anaesthesia
• Types
• Methods of administration, Effects and Stages
• Equipments
• Drugs
• Cardio Pulmonary Resuscitation (CPR)
• Pain management techniques
• Legal Aspects