Comprehensive Medical and Surgical Nursing Guide

Aug 22, 2024

Medical and Surgical Nursing Lecture Notes

Introduction

  • Presenter: Jung
  • Focus: Medical and surgical nursing for second and third year diploma students.
  • Importance of subscribing for updates.

Overview of Course Content

  • Topics covered include:
    • Gastrointestinal system and disorders
    • Respiratory system and disorders
    • Musculoskeletal system
    • Cardiovascular system
    • Nervous system and disorders
    • ENT (Ear, Nose, Throat) and disorders
    • Skin and disorders
    • Blood and blood disorders
    • Cancer and types of cancer

Study Strategies for Medical and Surgical Nursing

  • Understanding the subject:
    • Medical = related to medicine
    • Surgical = related to surgical procedures
  • Importance of knowing medicine names:
    • Trade name (company name)
    • Generic name

Key Aspects of Medicines

  • Indications: When to give the medicine?
  • Dosage Frequency: How often to administer?
  • Side Effects: Unwanted effects of the medicine
  • Contraindications: Circumstances where the medicine should not be given
  • Interactions: How the medicine interacts with other drugs or food

The Five Rights of Medication Administration

  1. Right medicine
  2. Right patient
  3. Right time
  4. Right route
  5. Right dose

Surgical Management

  • Types of Surgical Management:
    • Preoperative
    • Postoperative

Preoperative Management

  • Head-to-toe examination:
    • Assess Glasgow Coma Scale (GCS):
      1. Eye contact
      2. Verbal response
      3. Obeying commands
    • Vital signs assessment
    • Ensure informed consent is obtained
    • Charting all relevant investigations (CBC, electrolytes, etc.)
    • Marking operative sites

Postoperative Management

  • Conduct head-to-toe examination
  • Assess GCS and vital signs
  • Pain management
  • Monitor drainage bags (if applicable)

Understanding Diseases

  • Steps to study a disease:
    1. Define the disease
    2. Understand pathophysiology (abnormalities in function)
    3. Identify clinical features (signs and symptoms)
    4. Determine causes and types of the disease
    5. Possible investigations (X-rays, CBC, etc.)
    6. Management of the disease
    • Medical management (using medicines)
    • Nursing management (care procedures)

Conclusion

  • Importance of a comprehensive approach to medical and surgical nursing
  • Focus on patient assessment, treatment understanding, and effective communication.