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LORENZO WALKER INSTITUTE OF TECHNOLOGY PRACTICAL NURSING PROGRAM COURSE: Medical Surgical Nursing I - Respiratory Nursing PLACEMENT: SEMESTER 2 TIME ALLOTMENT: 25 HOURS PURPOSE: The purpose of this course is to introduce the student to respiratory nursing care concepts that will enhance their ability to provide care for the patient with respiratory diseases and disorders utilizing nursing principles (34.06) COURSE DESCRIPTION: This course will review respiratory structure and function (28.02), identify signs and symptoms of diseases/disorders of the respiratory system (34.01), identify diagnostic tests and medications used in the treatment of respiratory diseases/disorders (34.02, 34.03), and identify nutritional needs of patients with respiratory diseases/disorders (34.04) SUMMARY OF UNITS: Unit 1: A & P Review; Common Respiratory Diagnostic Tests and Treatments Unit 2: Acute Respiratory Diseases and Disorders Unit 3: Chronic Respiratory Diseases and Disorders METHODS OF EVALUATION: Evaluation will be based upon written objective tests and quizzes as well as instructor assigned projects/assignments, class participation and preparedness. COURSE REQUIREMENTS: For successful completion of this course, the student must have an average grade of 80% based on the three unit exams/quizzes and other unit assignments. Additionally, the student must maintain an average score of 80% from all methods of evaluation which includes a Respiratory Pharmacology Calculations Quiz. METHODS OF INSTRUCTION: Required readings Written Assignments Lecture/Discussion Guest lecturers Cooperative learning Multimedia presentations Laboratory Experiences REFERENCES: Castaldi, PA Study Guide for Christensen and Kockrow Foundations of Nursing, St. Louis: Mosby/Elsevier, 2006. Christensen, BL and Kockrow, EO, Foundations of Nursing, 5th edition, St. Louis: Mosby/Elsevier, 2006. Deglin, J and Vallerand, A., Davis’s Drug Guide for Nurses, 10th ed., Philadelphia: FA Davis Company, 2007. FA Davis, Taber’s Cyclopedia Medical Dictionary, Philadelphia: FA Davis Company, 20th ed., 2005. Linton, AD, Introduction to Medical Surgical Nursing, Philadelphia: Saunders/Elsevier, 2007. Resp Scope Rev. 6/08 JP/FA/MC/ML Section E, Page 1 of 5 Maebius, NK, Study Guide for Linton Introduction to Medical-Surgical Nursing, Philadelphia: Saunders/Elsevier, 2007. Myers, E and Hopkins, T., LPN Notes, 2nd ed., Philadelphia: FA Davis Company, 20th ed., 2007. Ogden, S, Calculation of Drug Dosages, 8th ed., St. Louis: Mosby/Elsevier, 2007. Pagano, KD and Pagano, TJ, Mosby’s Diagnostic and Laboratory Test Reference, 8th ed. 2008. Scanlon, Valerie and Sanders, Tina, Essentials of Anatomy and Physiology, 5th ed. Philadelphia: F.A. Davis Company, 2007. Scanlon, Valerie and Sanders, Tina, Student Workbook for Essentials of Anatomy and Physiology, 5th ed. Philadelphia: F.A. Davis Company, 2007. Silvestri, LA, Saunders Comprehensive Review for NCLEX-PN, 3rd ed., Philadelphia:WB Saunders Co., 2007. Sparks, Sheila and Taylor, Cynthia, Nursing Diagnosis Reference Manual, 7th ed. Pennsylvania: Lippincott, Williams and Wilkins, 2008. Virtual Clinical Excursions – Skilled Nursing; for Christensen and Kockrow Foundation of Nursing 5th ed., 2007 Virtual Clinical Excursions – Medical Surgical; for Linton Introduction to Medical Surgical Nursing, 4th ed., 2007. Instructor selected handouts/multimedia Resp Scope Rev. 6/08 JP/FA/MC/ML Section E, Page 2 of 5 Unit 1 - A & P Review; Common Respiratory Diagnostic Tests and Treatments OBJECTIVES: At the completion of this unit, the student will be able to: 1. Describe the structure and function of the respiratory system. 2. Identify the nursing implications of age related changes in the respiratory system. 3. Describe diagnostic tests and procedures for respiratory system diseases and disorders to include: arterial blood gas analysis, pulse oximetry, sputum analysis, chest radiograph, ventilation-perfusion scan, CT scan, MRI, pulmonary function tests, bronchoscopy and thoracentesis. 4. Interpret arterial blood gas measurements to determine acidosis verses alkylosis and respiratory verses metabolic processes. 5. Identify nursing interventions related to respiratory diagnostic tests and procedures. 6. Identify data to be collected in the nursing assessment of the patient with a respiratory disease/disorder. 7. Describe possible abnormal findings of a respiratory assessment including altered breathing patterns and abnormal lung sounds. 8. Describe common therapeutic measures used in respiratory nursing including breathing exercises, chest physiotherapy, suctioning, humidification and aerosol therapy, oxygen therapy, artificial airways and chest tubes. 9. Identify nursing interventions related to respiratory therapeutic measures. 10. Describe nursing care and principles for the patient following thoracic surgery. 11. Identify the major classifications and actions of respiratory medications as well as appropriate nursing care in the administration of these medications. STUDENT ACTIVITIES: Students are expected to complete workbook activities that correspond with chapter readings to enhance learning and facilitate successful completion of this course. Instructors may assign workbook activities to be submitted for review/grading. It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive Review Tex Resp Scope Rev. 6/08 JP/FA/MC/ML Section E, Page 3 of 5 Unit 2 - Acute Respiratory Diseases and Disorders OBJECTIVES: At the completion of this unit, the student will be able to: 1. Describe the pathophysiology, signs and symptoms, complications, diagnostic measures and medical treatment of the following acute respiratory disorders: Sinisitis Epistaxis Acute Viral Rhinitis Pharyngitis Tonsillitis Influenza Laryngitis Acute Bronchitis Pneumonia Empyema Pleurisy Chest Trauma Pneumothorax Hemothorax Rib Fracture Flail Chest Pulmonary Embolism Respiratory Arrest Adult Respiratory Distress Syndrome 2. Describe nursing principles that relate to the care of the patient with acute respiratory diseases/disorders including nutritional considerations. 3. Discuss nursing diagnoses, goals and interventions that are related to the care of the patient with acute respiratory diseases/disorders. 4. Identify commonly used medications and their action in the treatment of acute respiratory diseases and disorders. 5. Demonstrate auscultation of the lungs. STUDENT ACTIVITIES: Students are expected to complete workbook activities that correspond with chapter readings to enhance learning and facilitate successful completion of this course. Instructors may assign workbook activities to be submitted for review/grading. It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive Review Text. Resp Scope Rev. 6/08 JP/FA/MC/ML Section E, Page 4 of 5 Unit 3 – Chronic Respiratory Diseases and Disorders OBJECTIVES: At the completion of this unit, the student will be able to: 1. Describe the pathophysiology, signs and symptoms, complications, diagnostic measures and medical treatment of the following chronic respiratory disorders: Snoring Sleep Apnea Allergic Rhinitis Bronchial Asthma Bronchiectasis Chronic Bronchitis Emphysema Cystic Fibrosis Tuberculosis Occupational Lung Diseases Lung Cancer Cancer of the Larynx 2. Describe nursing principles that relate to the care of the patient with chronic respiratory diseases/disorders including nutritional considerations. 3. Discuss nursing diagnoses, goals and interventions that are related to the care of the patient with chronic respiratory diseases/disorders. 4. Identify commonly used medications and their action in the treatment of chronic respiratory diseases and disorders. 5. Explain special nursing considerations in the care of the laryngectomy patient including tracheostomy care. STUDENT ACTIVITIES: Students are expected to complete workbook activities that correspond with chapter readings to enhance learning and facilitate successful completion of this course. Instructors may assign workbook activities to be submitted for review/grading. It is also recommended that students complete corresponding sections in NCLEX-PN Comprehensive Review Text. Resp Scope Rev. 6/08 JP/FA/MC/ML Section E, Page 5 of 5