Bachelor's degree in Nursing (to qualify as a nurse) (Verona)

Critical nursing care [Matricole pari] - MEDICINA D'URGENZA

Course code
4S000102
Name of lecturer
Domenico Girelli
Number of ECTS credits allocated
1
Academic sector
MED/09 - INTERNAL MEDICINE
Language of instruction
Italian
Period
INF VR - 3° anno 1° sem dal Oct 22, 2018 al Dec 21, 2018.

To show the organization of the course that includes this module, follow this link * Course organization

Lesson timetable

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Learning outcomes

To give to the students a basic knowledge on the main medical urgencies and emergencies, including early recognition of life-threatening conditions, flow-charts regarding the main acute syndromes, with particular reference to the specific role of the nurse.

Syllabus

APPROACH TO ACUTE CHEST PAIN IN THE EMERGENCY ROOM.
Rapid recognition of life-threatening conditions (Acute Coronary Syndromes, Pulmonary Embolism, Hypertensive Pneumothorax, Mediastinitis, Aortic Dissection, Pericardial Tamponade). Differential diagnosis (principles).
ACUTE CORONARY SYNDROMES (ACS)
ST-Elevation Myocardial Infarction (STEMI), Non ST-Elevation Myocardial Infarction (NSTEMI), Unstable Angina (UA).
Definitions, pathophysiology, symptoms. Role of the nurse in the management of patients with ACS. Principles of treatment of ACS. Recognition and management of the main complications, like cardiogenic shock and arrhythmias (particularly Ventricular Fibrillation and III-degree Atrioventricular Block. The main drugs used for cardiovascular urgencies and emergencies (mechanism of action, indications/contraindications, adverse reactions).
AORTIC DISSECTION
Definition, pathophysiology, symptoms. Principles of diagnosis and treatment.
CARDIOGENIC ACUTE PULMONARY EDEMA
Definitions, pathophysiology, symptoms. Principles of diagnosis and treatment. Role of the nurse in the management of patients with cardiogenic acute pulmonary edema.
NON-CARDIOGENIC ACUTE PULMONARY EDEMA (Acute Respiratory Distress Syndrome, ARDS)
Definition, pathophysiology, symptoms. Principles of diagnosis and treatment. Role of the nurse in the management of patients with non-cardiogenic acute pulmonary edema. VENOUS THROMBOEMBOLISM (VTE)
Deep Venous Thrombosis (DVT) and Pulmonary Embolism. Definition, pathophysiology, symptoms. Risk factors. Strategies for VTE prevention. Diagnostic algorithms. Role of the Well’s score (or other similar scores) and of D-dimer. Principles of VTE treatment.
MAIN ACUTE ORGAN FAILURES. ACUTE LIVER FAILURE
Definition, pathophysiology, symptoms. Porto-Systemic Encephalopathy.
Main acute complications in the cirrhotic patient. Principles of diagnosis and treatment. MAIN METABOLIC URGENCIES. MAIN ACUTE COMPLICATIONS IN THE PATIENT WITH DIABETES MELLITUS. DIFFERENT TYPES OF DIABETIC COMA.
Classification. Definition, pathophysiology, symptoms. Principles of diagnosis and treatment. Role of the nurse in the management of patients with diabetic coma.
MAIN INTOXICATIONS/POISONING
Approach in the emergency room. Clinical recognition based on physical examination (vital signs, ocular signs, body temperature, halitosis, cutaneous discoloration). Acetaminophen intoxication. Acute alcoholic intoxication. Opioid intoxication. Cocaine intoxication. CO intoxication.

Reference books
Author Title Publisher Year ISBN Note
Stefano Grifoni Medicina d'Urgenza - Fisiopatologia Clinica Piccin 2019 978-88-299-2983-2
Gai V. Medicina d'urgenza: pratica e progresso II Edizione C.G. Edizioni Medico Scientifiche, Torino 2013
Maurizio Chiaranda Urgenze ed emergenze. Istituzioni PICCIN 2016

Assessment methods and criteria

Multiple-choice items with automated correction.

STUDENT MODULE EVALUATION - 2017/2018






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