Notre Dame University College of Health Sciences Cotabato City Outline of TOPICS First Semester S.Y.

2009-2010 NCM 104 Curative and Rehabilitative Nursing Care Management ACUTE BIOLOGIC CRISIS (8-unit Subject, 24 Lecture Hours) 3 Categories of Acute Biologic Crisis: 1. High Risk Pregnancy 2. High Risk Newborn 3. High Risk Adult I. HIGH RISK PREGNANCY definition ASSESSMENT Head to toe - Health History - Labs IDENTIFYING High Risk Pregnancy

4. Coagulation Disorders & Pregnancy 5. Idiopathic Thrombocytopenia Purpura C. Renal and Urinary Disorders & Pregnancy 1. Urinary Tract Infection 2. Chronic Renal Disorders D. Respiratory Disorders & Pregnancy 1. 2. 3. 4. 5. 6. E. Acute Nasopharyngitis Influenza Pneumonia Asthma Tuberculosis Cystic Fibrosis

Rheumatic Disorders & Pregnancy 1. Juvenile Rheumatoid Arthritis 2. SLE

F.

Gastrointestinal Pregnancy 1. 2. 3. 4. 5.

Disorders

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FACTORS that Categorizes: A. Infection during Including STDs Pregnancy

Outline of the following diseases: - Definition - Assessment - Etiology - Diagnostics - Treatment - Complications - Management - Nursing Diagnosis 1. Candidiasis 2. Trichomoniasis 3. Bacterial Vaginitis 4. Chlamydia Trachomatis 5. Syphilis 6. Gonorrhea 7. Human Papilloma Virus (HVP) 8. Group B Streptococcal Infections 9. HIV 10.TORCH - Toxoplasmosis - Others (STD Hepa) - Rubella - Cytomegalovirus - Herpes B. Hematologic Disorders in Pregnancy - Anemia & Pregnancy 1. Iron Deficiency Anemia 2. Folic Acid Deficiency Anemia (Megaloblastic Anemia) 3. Sickle Cell Anemia

Appendicitis Hiatal Hernia Cholecystitis & Cholelithiasis Viral Hepatitis Inflammatory Bowel Syndrome

G. Neurologic Disorders & Pregnancy 1. Seizure disorders 2. Myesthenia Gravis 3. Multiple Sclerosis H. Musculoskeletal Pregnancy 1. Scoliosis I. Cardiovascular Disorders & Pregnancy 1. 2. 3. 4. 5. Left-sided Heart Failure Right-sided Heart Failure Peripartal Heart disease With Artificial Valve Prosthesis With Chronic HPN Vascular disease 6. Venous Thromboembolic Disease J. Endocrine Disorder & Pregnancy 1. 2. 3. 4. 5. 6. Thyroid Dysfunction Hypothyroidism Hyperthyroidism Diabetes Mellitus Gestational Diabetes Hyperglycemia Disorders &

K. TRAUMA & Pregnancy - Physiologic changes OPEN Wounds: 1. Laceration 2. Puncture 3. Animal Bites 4. Blunt Abdominal Trauma 5. Gunshot wound 6. Poisoning 7. Choking 8. Orthopedic injuries 9. Burns 10.Battered women COMPLICATIONS OF PREGNANCY: 1. Bleeding during Pregnancy - Bleeding & development of shock Conditions Bleeding associated with 1st Trinal

8. Eclampsia 9. HELLP Syndrome 10.Multiple Pregnancy 11.Polyhydramnios 12.Post-term pregnancy 13.Pseudocyesis 14.Isoimmunization incompatibility) 15.Fetal Death II.

(RH

HIGH RISK NEWBORN definition ASSESSMENT Nursing Diagnosis Implementation Outcome Evaluation

A. NEONATAL Assessment 1. APGAR Score 2. Head to Toe 3. Neurologic Assessment (reflexes) 4. 8 Priotities of 1st-day life B. ABNORMALITIES/Deviations 1. 2. 3. 4. 5. 6. SGA LGA Preterm infant Cardiovascular dysfunction Hypoglycemia Post-term infant - 3 stages of Fetal Dysmaturity Syndrome

1. ABORTION a. Spontaneous b. Threatened c. Imminent d. Complete e. Incomplete f. Missed g. Recurrent/Habitual COMPLICATIONS of Abortion: a. b. c. d. e. Hemorrhage Infection Septic Abortion Isoimmunization Powerlessness

C. ILLNESS of Newborn 1. 2. 3. 4. 5. 2nd Trinal Respiratory Distress Syndrome Transient Tachypnea of NB Meconium Aspiration Syndrome APNEA SIDS Apparent Life Threatening Event (ALTE) 6. Periventricular Leucomalacia (PVL) 7. Hyperbilirubinemia 8. Hemolytic Disease of NB (Erythroblastosis Fetalis) a. General Informations b. Rh incompatibility c. ABO incompatibility d. Assessment findings e. Nursing Intervention 9. Hemorrhagic disease of NB 10. Twin-to-twin transfusion 11. Necrotizing Enterocolitis D. Newborns at Risk due to Maternal Infection or Illness 1. Beta-Hemolytic Group B Strep Infections 2. Congenital Rubella 3. Opthalmia Neonatorum 4. Hepa B Virus infection 5. Generalized Herpes virus Infection

2. ECTOPIC Pregnancy Conditions Bleeding associated with

1. Hydatidiform Mole (H-Mole) 2. Incompetent Cervix Conditions Bleeding associated with 3rd Trinal

1. Placenta Previa including types 2. Premature separation of placenta (Abruptio Placenta) OTHER Complications: 1. 2. 3. 4. 5. 6. 7. Preterm Labor D.I.C. with pathophysiology PROM P.I.H. with pathophysiology Gestational HPN Mild Pre-eclampsia Severe Pre-eclampsia

6. Infant with Diabetic mother 7. Infant of drug-dependent mother 8. Infant with Fetal Alcohol Syndrome (FAS) III. HIGH RISK ADULT including assessment. Definition

Ventricular Tachycardia Ventricular Fibrillation Idioventricular Rhythm Ventricular Asystole

A. Respiratory Disorders 1. Pulmonary Embolism 2. Acute Respiratory Distress Syndrome (ARDS) 3. Respiratory Failure 4. Acute Respiratory Failure (ARF) 5. Chronic Respiratory Failure (CRF) MECHANICAL VENTILATOR - Definitions, modes ventilation - Barotrauma of

Nursing Interventions Adjuctive Modalities Management

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E. BURNS Classifications - Characteristics (depth) - Factors (death) Extent of Body Surface Area 1. Rule of Nines 2. Lund & Browder Metod 3. Palm Method 4. Local & Systemic Response to burns Overview of Physiologic changes after a major burn injury 1. Cardiovascular 2. Effects on Fluid, Electrolyte & Blood volume 3. Pulmonary - Categories of Pulmonary injury - Indicators of pulmonary damage - Pulmonary complication secondary to Inhalation treatment 4. Other system responses Management and Treatment of Burn Injury

B. ENDOCRINE/Metabolic Disorders 1. DKA 2. Thyrotoxic Crisis (Thyroid Storm) 3. Adrenal Crisis 4. Hepatic Failure (hepatic coma) - 4 stages C. RENAL Disorders 1. RENAL Failure a. Acute Categories & Phases b. Chronic Pathophysiology 4 stages, Signs & Symptoms - ESRD & Medical Management D. CARDIOVASCULAR Disorders 1. Angina Pectoris - Types, manifestations, MONA 2. Acute Myocardial Infarction - ECG & Cardiac Enzymes 3. Cardiac Failure a. CHF b. Ventricular Failure b.1. Left-sided b.2. Right-sided 4. Cardiogenic Shock 5. Thromboembolism 6. Pericardial Effusion & Cardiac Tamponade 7. Dysrhythmias polarization - Types: a. Sinus Dysrhythmias Sinus Bradycardia Sinus Tachycardia SinusArrhythmia b. Atrial Dysrhythmias PAC Paroxysmal Altered Atrial Flutter Atrial Fibrillation c. Junctional Dysrhythmias Premature Junctional Rhythm AV Nodal Reentry Tachycardia d. Ventricular Dysrhythmias PVC

F. Disorders of Wound Healing 1. 2. 3. 4. Scars Keloids Failure to heal Contractures Process of WOUND

Nursing HEALING

****** End of NCM 104 Concept ******