Medicine and surgery Emergencies 3Module D.E.U. nursing
Academic Year 2023/2024 - Teacher: CINZIA DI CARAExpected Learning Outcomes
At the end of the course, the student will be able to plan the nursing assistance to the person in critical conditions; identify care priorities by contextualizing the interventions in different situations. It will recognize the main stages of the nursing care process, studying specific clinical cases; recognizing nursing diagnoses according to NANDA-I taxonomy and with partial reference to the ICNP BROWSER. It will recognize the skills of the Critical Area Nurse, the main procedures and the main monitoring systems used in high-complexity care facilities.
Required Prerequisites
as regulation
Detailed Course Content
Nursing skills in the critical area:
- Critical area: definition and conceptualization of critical life
- Approach to high care complexity
- Standards of nursing competence
- Nursing objectives in critical contexts Management of drug therapy in a critical area
- Assistance models in critical areas
- History of the critical area
- Nursing care planning and documentation tools
- The Nursing Triage in the Emergency Room
- Initial and continuous assessment in the critical patient and the use of scales
- Respiratory pathophysiology
- Invasive ventilation: main methods of ventilation, management and monitoring of devices
- Non-invasive ventilation: main methods, management and monitoring of the person subjected to CPAP diving suit/mask
- Implants for gold- and tracheal rhinos
- Management of percutaneous tracheotomy
- Pneumonia from SARS- COV2
- Pronation technique
- Procedure of broncho-aspiration
- Instrumental and clinical heart rate monitoring (HR), non-invasive blood pressure (NIBP), invasive blood pressure (IBP), central venous pressure (CVP), cardiac output (CO), mixed venous saturation (SVO ), electrocardiogram (ECG)
- Person undergoing electrical cardioversion
- Overview of First Aid: BLSD
Maintenance of the regulating function in the critically critical person:
- Acid-base, hydroelectrolyte and metabolic imbalance
- Altered volemia, edema and dehydration Impairment of renal function (continuous venous hemofiltration - CVVH, hints)
- Alteration of nutritional status assessment of nutritional status, management of artificial nutrition (residual gastric volume, intolerance to artificial enteral nutrition),control of the glycemic values and insulin protocol
- Alteration of the state of consciousness
- Scales of assessment
- Evaluation of intracranial pressure (PIC)
- Monitoring and evaluation of the person who has been diagnosed with encephalic death