King Saud University
Faculty of Nursing
Minisrty of higher education
Undergraduate Curriculum
Course Content
Course Number: NUR 224
CourseTitle: MedicalSurgical Nursing
Credit Hours: 4hours (2theories+ 2Clinical)
Co-requisite: NUR 230
Course Overview
This course focuses on the management of major health concerns among ill adults. It is designed to discuss the common problems encounter in the care of the ill adults. The course involves studying alternations in human functioning and care of patients with alterations within the body systems. The focus is on the nursing care of medical- surgical patients experiencing disruptions in health status characterized by moderate intensity. Learning experiences include working with adults in ambulatory and acute setting.
Course Objectives
By the end of the course, the student will be able to:
1. Comprehend the pathophysiology changes associated with alterations in various body systems.
2. Apply the nursing process following NANDA classification in providing nursing care to adult patients with medical- surgical problems.
3. Acquire competence in the care of patients experiencing common medical- surgical disorders.
4. Participate in performing diagnostic and therapeutic measures to patients experiencing disruptions of moderate intensity in their health status.
Course Requirements
Each student will be expected to submit a weekly nursing care plan for different patients with different diagnosis as assigned. A nursing assignment every two weeks concerning a clinical problem will be required from every student.
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Course Outline
I. Nursing process/ NANDA classification
◊ Application of the nursing process steps
◊ How to formulate nursing diagnoses
◊ How to develop a nursing care plan
II. Care of the patient with neoplastic disorders
◊ Pathophysiology
◊ Medical and nursing intervention
III. Pain management
◊ Nature of the problem
◊ Medical and nursing management
IV. Perioperative nursing care
◊ Preoperative nursing care
◊ Intraoperative nursing care
◊ Postoperative nursing care
V. Care of patient with fluid and electrolyte imbalances
◊ Fluid imbalance
◊ Electrolyte imbalance
◊ Acid-base imbalance
◊ Assessment and nursing care of fluid and electrolyte imbalance
VI. Management of patients with cardiovascular disorders
◊ Assessment of the cardiovascular system
◊ Pathophysiology and electro- physiology of the heart
◊ Nursing care of patients with:
- Dysrhythmias & conduction problem
- Vulvular heart disease
- Coronary artery disease
- Hypertension
- Heart failure
VII. Management of patients with respiratory system disorders
◊ Nursing management of patient with upper airway problems
◊ Nursing management of patient with lower airway problems
VIII. Management of patients with endocrine system disorders
◊ Hepatic ,gall bladder & liver disorders
◊ Diabetics Mellitus
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IX. Management of patients with gastrointestinal system disorders
◊ Diagnostic tests of GIT
◊ Intestinal obstruction
◊ Gastritis
◊ Duodenal and gastric ulcers
◊ Appendicitis / appendectomy
Assignment:-
◊ Each student is responsible for making one case presentation about her patient; she is responsible for caring in the hospital
◊ Perform the following with preceptor assistance:
· Medical administration (oral, SC, 1M, IV).
· Pre and post-operative care of assigned patients.
· Dressing change.
◊ Carry out basic nursing interventions to assigned patients according to plan of care.
◊ Carry out specific nursing interventions according to patient care assignment.
◊ Communicate respectfully and courteously with patient, staff, relatives, colleagues, and
other members of the caring team.
◊ Adhere to hospital policies and procedures in all patients' nursing care activities.
◊ Follow standard procedures in caring for patients prior to and following special
investigation procedures in both (Medical and surgical units).
Student Evaluation:
◊ Assignment and reports
◊ Midterm written examination 20%
◊ Clinical practice 10%
◊ Final clinical examination 20%
◊ Final written examination 40%
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