3rd Semester Adult Health Nursing Notes,
Adult Health Nursing Notes,
bsc nursing Notes,
nursing Notes Pdf

Complete Notes Of Adult Health Nursing


Unit – 1

  • Introduction
  •  Evolution and trends of medical and surgical nursing
  •  International classification of diseases
  •  Roles and responsibilities of a nurse in medical and surgical settings
  • o Outpatient department
  • o In-patient unit
  • o Intensive care unit
  •  Introduction to medical and surgical asepsis
  • o Inflammation, infection
  • o Wound healing – stages, influencing factors
  • Wound care and dressing technique
  •  Care of the surgical patient
  • o pre-operative
  • o post-operative
  •  Alternative therapies used in caring for patients with Medical Surgical Disorders

Unit – 2

  • Intraoperative Care
  •  Organization and physical setup of
  • the operation theatre
  • o Classification
  • o O.T Design
  • o Staffing
  • o Members of the OT team
  • o Duties and responsibilities of the nurse in OT
  •  Position and draping for common surgical procedures
  •  Instruments, sutures and suture
  • materials, equipment for common surgical procedures
  •  Disinfection and sterilization of equipment
  •  Preparation of sets for common surgical procedures
  •  Scrubbing procedures – Gowning, masking and gloving
  •  Monitoring the patient during the procedures
  •  Maintenance of the therapeutic environment in OT
  •  Assisting in major and minor operations, handling specimen
  •  Prevention of accidents and hazards in OT
  •  Anesthesia – types, methods of administration, effects, and stages, equipment & drugs
  •  Legal aspects

Unit – 3

  • Nursing care of patients with common signs and symptoms and management
  •  Fluid and electrolyte imbalance
  •  Shock
  •  Pain

Unit – 4

  • Nursing Management of patients with respiratory problems
  •  Review of anatomy and physiology of the respiratory system
  •  Nursing Assessment – History
  • taking, physical assessment and diagnostic tests
  •  Common respiratory problems:
  • o Upper respiratory tract infections
  • o Chronic obstructive pulmonary diseases
  • o Pleural effusion, Empyema
  • o Bronchiectasis
  • o Pneumonia
  • o Lung abscess
  • o Cyst and tumors
  • o Chest Injuries
  • o Acute respiratory distress syndrome
  • o Pulmonary embolism
  •  Health behaviors to prevent respiratory illness

Unit – 5

  • Nursing Management of patients with disorders of the digestive system
  •  Review of anatomy and physiology of the GI system
  •  Nursing assessment –History and physical assessment
  •  GI investigations
  •  Common GI disorders:
  • o Oral cavity: lips, gums and teeth
  • o GI: Bleeding, Infections, Inflammation, tumors,
  • Obstruction, Perforation & Peritonitis
  • o Peptic & duodenal ulcer,
  • o Mal-absorption, Appendicitis, Hernias
  • o Hemorrhoids, fissures, Fistulas
  • o Pancreas: inflammation, cysts, and tumors

Liver: inflammation, cysts, abscess, cirrhosis, portal
hypertension, hepatic failure, tumors
o Gall bladder: inflammation, Cholelithiasis, tumors
 Gastric decompression, gavage, and stoma care, different feeding techniques
 Alternative therapies, drugs used in the treatment of disorders of the digestive system

Unit – 6

  • Nursing Management of patients with cardiovascular problems
  •  Review of anatomy and
  • physiology of the cardiovascular system
  •  Nursing Assessment: History and Physical Assessment
  •  Invasive & non-invasive cardiac
  • procedures
  •  Disorders of the vascular system- Hypertension, arteriosclerosis,
  • Raynaud‘s disease, aneurysm, and peripheral vascular disorders
  •  Coronary artery diseases: coronary atherosclerosis, Angina pectoris, myocardial infarction
  •  Valvular disorders: congenital and acquired
  •  Rheumatic heart disease:
  • pericarditis, myocarditis, endocarditis, cardiomyopathies
  •  Cardiac dysrhythmias, heart block
  •  Congestive heart failure,
  • corpulmonale, pulmonary edema,cardiogenic shock, cardiac tamponade
  •  Cardiopulmonary arrest

Unit – 7

  • Nursing Management of patients with disorders of blood
  •  Review of Anatomy and Physiology of Blood
  •  Nursing assessment: history, physical assessment & Diagnostic tests
  •  Anemia, Polycythemia
  •  Bleeding Disorders: clotting factor defects and platelets defects, thalassemia, leukemia, leukopenia agranulocytosis
  •  Lymphomas, myelomas

Unit – 8

  • Nursing management of patients with disorders of the endocrine system
  •  Review of anatomy and physiology of the endocrine system
  •  Nursing Assessment –History and Physical assessment
  •  Disorders of the thyroid and
  • Parathyroid, Adrenal, and Pituitary (Hyper, Hypo, tumors)
  •  Diabetes mellitus

Unit – 9

  • Nursing management of patients
  • with disorders of the Integumentary system
  •  Review of anatomy and physiology of skin
  •  Nursing Assessment: History and Physical Assessment
  •  Infection and infestations;
  • Dermatitis
  •  Dermatoses; infectious and Non infectious
  •  Acne, Allergies, Eczema & Pemphigus
  •  Psoriasis, Malignant melanoma, Alopecia
  •  Special therapies, alternative therapies
  •  Drugs used in the treatment of disorders of the integumentary system

Unit – 10

  • Nursing management of patients with musculoskeletal problems
  •  Review of Anatomy and physiology of the musculoskeletal system
  •  Nursing Assessment: History and physical assessment, diagnostic tests
  •  Musculoskeletal trauma:
  • Dislocation, fracture, sprain, strain
  • contusion, amputation
  •  Musculoskeletal infections and
  • tumors: Osteomyelitis, benign and malignant tumour
  •  Orthopedic modalities: Cast, splint, traction, crutch walking
  •  Musculoskeletal inflammation: Bursitis, synovitis, arthritis
  •  Special therapies, alternative therapies
  •  Metabolic bone disorder:
  • Osteoporosis, osteomalacia and Paget‘s disease
  •  Spinal column defects and
  • deformities – tumor, prolapsed intervertebral disc, Pott‘s spine
  •  Rehabilitation, prosthesis
  •  Replacement surgeries

Unit – 11

  • Nursing management of patients with Communicable diseases
  •  Overview of infectious diseases, the infectious process
  •  Nursing Assessment: History and
  • Physical assessment, Diagnostic tests
  •  Tuberculosis
  •  Diarrhoeal diseases, hepatitis AE,
  • Typhoid
  •  Herpes, chickenpox, Smallpox, Measles, Mumps, Influenza
  •  Meningitis
  •  Gas gangrene
  •  Leprosy
  •  Dengue, Plague, Malaria,Chikungunya, swine flu, Filariasis
  •  Diphtheria, Pertussis, Tetanus, Poliomyelitis
  •  COVID-19
  •  Special infection control
  • measures: Notification, Isolation, Quarantine, Immunization
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