3rd Semester Adult Health Nursing Notes

Welcome to the 3rd Semester Adult Health Nursing Notes. We are thrilled to provide you with a comprehensive resource designed to enhance your understanding and mastery of adult health nursing concepts. Whether you’re a nursing student seeking detailed notes to supplement your studies or a healthcare professional aiming to refresh your knowledge, you’ve come to the right place. Our meticulously curated content is aimed at supporting your academic and professional journey, making complex topics more accessible, and fostering a deeper comprehension of adult health nursing. Dive into our notes and empower yourself with the information needed to excel in your third-semester studies. Happy learning!

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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