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

Application of diagnostic and therapeutic processes (2017/2018)

Course code
4S000098
Credits
6
Coordinator
Ugo Moretti

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
SCIENZE DIETETICHE 1 MED/49-FOOD AND DIETETIC SCIENCES INF VI - 2° anno 1° sem Angiola Vanzo
FARMACOLOGIA CLINICA 2 BIO/14-PHARMACOLOGY INF VI - 2° anno 1° sem Ugo Moretti
INFERMIERISTICA APPLICATA AI PERCORSI DIAGNOSTICI E TERAPEUTICI 2 MED/45-NURSING INF VI - 2° anno 1° sem Paola Scalzotto
DIAGNOSTICA PER IMMAGINI E RADIOPROTEZIONE 1 MED/36-IMAGING AND RADIOTHERAPY INF VI - 2° anno 1° sem Leonardo Giarraputo

Learning outcomes

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MM: SCIENZE DIETETICHE
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The teaching is based on the safe and efficient assistance’s precepts, achieving health results or a patient’s rewarding condition and evaluating the caring’s progress in collaborations with a multidisciplinary team. The approach considers the various application modalities for a prescribed diagnostic and therapeutic process and the monitoring strategies for the personal effects too.
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MM: FARMACOLOGIA CLINICA
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The course aims to provide to the student knowledgebase of clinical pharmacology necessary for nursing, and useful in the control and management of drug therapies, with particular reference to the identification and prevention of major adverse drug events for each category of drugs studied. Equally important it is to have the necessary knowledge to be able to make an effective drug education to patients.
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MM: INFERMIERISTICA APPLICATA AI PERCORSI DIAGNOSTICI E TERAPEUTICI
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Learning Outcomes (knowledge and skills acquired) The teaching is based on the safe and efficient assistance’s precepts, achieving health results or a patient’s rewarding condition and evaluating the caring’s progress in collaborations with a multidisciplinary team. The approach considers the various application modalities for a prescribed diagnostic and therapeutic process and the monitoring strategies for the personal effects too.
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MM: DIAGNOSTICA PER IMMAGINI E RADIOPROTEZIONE
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Describe and understand the principles of radiation protection and the characteristics of the main radiological investigations to avoid risks and complications

Syllabus

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MM: SCIENZE DIETETICHE
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Patient’s Nutritional needs, population’s daily recommended taking levels Food and water digestion’s physiology Nutritional supplement and nutritional mixture Nutritional approach to overweight, malnourished and cachexistic patients Cardio-vascular and empathic affected patient’s diet
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MM: FARMACOLOGIA CLINICA
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At the end of the course the student should know the most important characteristics, the mechanism of action (in relation to the adverse events), the most frequent and serious adverse reactions, the contraindications, the precautions, the problems related to the management of the therapy (eg interactions, drugs administration), the main indications and the most used single drugs for each of the following drug classes: Cardiovascular drugs: digitalis, antiarrhythmics, Antihypertensives, antianginals, diuretics, cholesterol lowering agents, Anticoagulants, Antiplatelet agents (the following categories also include Calcium channel blockers, beta blockers, ACE inhibitors, sartans and statins) Respiratory drugs: Antiasthmatics, Cough Sedatives, Mucolytics Gastrointestinal drugs: Antiulcer (gastroprotectors), Antiemetics, laxatives Drugs of the nervous system: Opioid analgesics (pain therapy), Anxiolytic - Sedative-hypnotics (benzodiazepines), antidepressants. As part of the course is scheduled the discussion of one or more clinical cases.
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MM: INFERMIERISTICA APPLICATA AI PERCORSI DIAGNOSTICI E TERAPEUTICI
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Syllabus Safe therapies giving: oral, parenteral, meals and nutriment associated therapy: empty or full stomach, managing drugs during perioperative period and diagnostic investigation. Drug’s shattering and pulverizing (no-eating patient with gastro-nasal probe) Infusional and oral therapy’s calculation exercise. Peripheral and central vascular catheter management, main complication (occlusion, inflammation, infiltration) Venous and arteriosus blood sample, radial artery’s. emogasanalisys, capillary blood sample. Emoculture sample, faeces’s sample, complete urine examination and sheltering Preparation and post examination caring for colon and bronchial tubes examination, in contrast means required examination. Nutrition recovery after particular examinations (colon and stomach) Taking care of a disphagic patient, enteral feeding, using gastro-nasal probe, total parenteral nutrition and PEG.
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MM: DIAGNOSTICA PER IMMAGINI E RADIOPROTEZIONE
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Ionizing radiation: classification. Coolidge tube: components, materials and functions. X-ray image. Concept of contrast in radiodiagnostics. Applications of traditional radiology. Radiobiology: basic concepts on ionizing radiation. Excitation phenomenon, photoelectric effect and Compton effect. Interactions photons matter. Law of quadratic radiation dispersion. Dose concept, quality factor and dose equivalence. Dosimetry. Radiation damage. Cellular and tissue radiosensitivity, radioresistance. Ellinger cellular radiosensitivity scale. Somatic damage in the professionally exposed subjects. Stochastic and non-stochastic effect. Expected effects depending on the time of uterine irradiation of the conception product. Sources of ionizing radiation: natural and artificial. Radiation protection. Classification of areas: controlled and supervised. Classification of workers. Ecotomography, ultrasound physics, operating principles technology. Phenomena related to propagation: specular reflection, scattering, refraction and reverberation. Ultrasound generation. Axial resolution and lateral resolution. Doppler effect. Biological effects of ultrasound: mechanical effects and thermal effects. Magnetic resonance imaging: principles of image formation clinical applications. Types of magnets. Coils. Contraindications to the MRI examination. Organocontrast media: classification. Adverse events and risk factors: dose dependent (hemodynamic, cardiovascular and nephrotoxic effects) and independent doses (mild and severe). Prophylaxis and prevention of nephrotoxicity. Late reactions. What to request before a contrast analysis. Barred contrast media and organo-ionates for traditional study. Outline of contrast media in ultrasound. Kinetic stability of contrast media in RM. Transmetallation. NSF: risk factors.

Assessment methods and criteria

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MM: SCIENZE DIETETICHE
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Writing Test
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MM: FARMACOLOGIA CLINICA
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Written text with multiple choice questions. See the program of the entire course for details.
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MM: INFERMIERISTICA APPLICATA AI PERCORSI DIAGNOSTICI E TERAPEUTICI
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Assessment methods Writing Test
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MM: DIAGNOSTICA PER IMMAGINI E RADIOPROTEZIONE
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Reference books
Author Title Publisher Year ISBN Note
Taylor - Lillis - Lynn Principi fondamentali dell'assistenza infermierisitica (Edizione 8) Piccin 2018
Marina Vanzetta Roberto Leone Maurizio Volterrani Farmaci e infermiere. Un prontuario per la somministrazione McGraw-Hill Education 2013
A. Conforti, L. Cuzzolin, R. Leone, U. Moretti, G. Pignataro, M. Taglialatela, M. Vanzetta Farmacologia per le professioni sanitarie (Edizione 1) Idelson-Gnocchi 2015 978-88-7947-592-1
Rossi F., Cuomo V., Riccardi C Farmacologia per le professioni sanitarie (Edizione 1) Edizioni Minerva Medica 2014 9788877117878
Saiani L., Brugnolli A. Trattato di cure infermieristiche Idelson Gnocchi, Napoli 2020




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