Advanced Critical Care in Medical, Surgical & Neonatal Nursing SN Nanjunde Gowda, Jyothi Nanjunde Gowda
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FM3Advanced Critical Care in MEDICAL, SURGICAL AND NEONATAL NURSING (As per INC Syllabus)
SN Nanjunde Gowda MSc (N) DPN PhD Professor and Principal Anil Baghi College of Nursing Ferozepur, Punjab, India Formerly, Principal Padmashree Institute of Nursing Ikon Nursing College Dayananda Sagar College of Nursing Bengaluru, Karnataka, India Jyothi Nanjunde Gowda MSc (N) DPN Vice-Principal Anil Baghi College of Nursing Ferozepur, Punjab, India Formerly, Deputy Principal and Nursing Officer Nizwa Hospital, Ministry of Health Sultanate of Oman Foreword Nagarajaiah
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Advanced Critical Care in Medical, Surgical and Neonatal Nursing
First Edition: 2017
Printed at
It is important for the nurse to recognize the great development in child care in the country. Such an understanding is essential not only for the nurse as a professional caregiver but also for a parent and community member, which helps in recognition and appreciation of children as unique individuals with special needs and qualities. The term holism is applicable to our perception of children. It is important to consider the child as composed of physical, intellectual, emotional and spiritual natures, and to relate the child as a whole or biopsychosocial individual. As a result of this thought, child care has been shifted from treatment of diseases to prevention of diseases and promotion of health. Nurses are no longer solely involved in the episodic care of children during an acute illness. They are increasingly responsible for providing comprehensive and distributive care that attempts to meet the needs of children and their families.
The presentation of this book, Advanced Critical Care in Medical, Surgical and Neonatal Nursing, is with practical procedures for Post Basic BSc Nursing, which includes modern concept of child health care, healthy child, nursing care of neonate, nursing management of common childhood diseases, and also the practicum is formulated. The content of this book will be a great resource for both nurse educators and students, in an effective manner to teach and learn better by utilizing information.
I recommend this book to be used for Post Basic BSc Nursing as well as nurse educators; should be a reference book for every student and teacher.
I congratulate the author who has brought together the most important ideas from the old and new nursing principles under one roof of advanced critical care.
Formerly, Associate Professor
National Institute of Mental Health and Neurosciences (NIMHANS)
Bengaluru, Karnataka, IndiaFM6
It gives us great pleasure and satisfaction to introduce the first edition of Advanced Critical Care in Medical, Surgical and Neonatal Nursing to Post Basic BSc Nursing students and teachers, and nursing community. In offering this title, we remain grateful to readers, specially nursing teachers, who supported our books such as Foundations of Nursing, Fundamentals of Nursing for General Nursing and Midwifery, Intravenous Therapy for Nurses, Perioperative Nursing Manual, Clinical Practice Dairy, Cumulative Record of Clinical Learning Experience for Post Basic BSc Nursing and A to Z Guideline Manual in Nursing Performance Evaluation Tool (for Practitioners and Students).
One of the ways to improve quality of care could be use of new technology to manage complex health issues of children. Health promotion depends on development of new health policy and the responsibility of healthcare providers, especially nurses who involve in educating the community on lifestyle, prevention of disease and health promotion, particularly the child health.
This first edition deals with modern concept of child health care, healthy child, nursing care of neonate, nursing management of common childhood diseases and surgical aspects, including the practicum formulated. This book has been written as a basic textbook for Post Basic BSc Nursing students. We hope that the content of this textbook will help students and educators in providing guidance; as a result, future nurses achieve the goal of the profession.
Our sincere thought—if the nursing teachers, students and other healthcare personnel apply scientific principles, which are described in this book, our hard work will be recognized. We sincerely welcome constructive criticism from readers that will help us to enrich our knowledge to contribute more to the profession.
SN Nanjunde Gowda
Jyothi Nanjunde GowdaFM8
The development of this book resulted from the combined effort of many talented professionals. As authors, we acknowledge their dedication, skill and professionalism. We are very proud to be associated with such fine individuals.
We are deeply indebted to Dr YG Patil and Dr Shylaja Patil, Senior Specialist, Sultanate of Oman, whose help, stimulating suggestions and encouragement helped us all the time in producing this book.
Our special thanks to the professional members who offered suggestions and supported for completion of this book.
Our warm appreciation and thanks goes to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President) and Mr Tarun Duneja (Director–Publishing) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for sharing our vision for this book and giving us the chance to turn vision into reality.
I, Dr Nanjunde Gowda, express deepest gratitude toward my loving wife, daughter and son-in-law, who has been my support throughout the process.
Above all, we are thankful to Almighty God for bestowing His bountiful grace for the successful completion of this book.FM10
FM11Syllabus as per Indian Nursing Council (INC)
Selected Topic from BSc(N) Syllabus
Nursing management of patient (adult including elderly) with genitourinary problems
  • Review of anatomy and physiology of genitourinary system
  • Nursing assessment—history and physical assessment
  • Nursing management of:
    • Nephritic
    • Nephritic syndrome
    • Renal calculus
    • Tumors
    • Acute renal failure
    • Chronic renal failure
    • End stage renal disease
    • Dialysis and renal transplant
Selected Topic from MSc(N) Nephrourology Syllabus
  • Dialysis history, types, principles
  • Hemodialysis, vascular access sites, temporary and permanent
  • Peritoneal dialysis
  • Dialysis procedure—steps, equipment, maintenance
  • Role of nurse—predialysis, intra- and post-dialysis
  • Complication
  • Counseling
  • Patient educations
  • Record and report
Selected Topic from BSc(N) Medical Surgical Nursing
Management of patient with blood and cardiovascular problems
  • Coronary artery disease
  • Ischemic heart disease
  • Coronary atherosclerosis
  • Angina pectoris
  • Myocardial infarction
  • Congenital and acquired
  • Rheumatic heart disease
  • Cardiac emergencies
Nursing management of patient in critical care unit
  • Nursing assessment—history and physical assessment
  • Principles of critical care nursingFM12
  • Protocols, equipment and supplies
  • Special equipment, ventilators, cardiac monitors, defibrillators
  • Drugs used in critical care unit
Selected Topic from BSc(N) Child Health Nursing
Nursing care of neonate
  • Nursing care of a normal newborn/Essential newborn care
  • Neonatal resuscitation
  • Nursing management of low-birth-weight baby
  • Nursing management of common neonatal disorder
  • Organization of neonatal unit
  • Identification of nursing management of common congenital malformation
  • Integrated management of neonatal childhood illness
Nursing management in common childhood disease
  • Respiratory disorders and infection
  • Cardiovascular problem, congenital defect and rheumatic fever
Selected Topic from PB BSc(N) Child Health Nursing
Nursing care of neonate
  • Nursing care of a normal newborn/Essential newborn care
  • Neonatal resuscitation
  • Nursing management of low-birth-weight baby
  • Kangaroo mother care
  • Nursing management of common neonatal disorders
  • Organization of neonatal unit
Selected Topic from GNM Medical Surgical Nursing—Practical
  • Connect and monitor ECG and pulse oximetry
  • Assist in endotracheal intubation and suctioning; provide care for a patient on ventilator
  • Handling emergency drug/Trolley/Crash cart
  • Assisting in insertion of central line and monitoring central venous pressure
Cardiology ward/ICCU/Cardiothoracic and velcro
  • Perform cardiac vascular assessment recording ECG and identify basic changes in ECG
  • Monitoring of patient on cardiac monitor
  • Preparing and assisting frequently performed diagnostic, therapeutic, noninvasive and invasive procedures
  • Administer cardiac drug
  • Advance/Basic cardiac life support (ACLS/BCLS)
  • Monitoring and caring for patient with chest drainage
  • Assist in defibrillation
  • Monitoring patient in ICU
  • Maintain flow sheet
  • Perform endotracheal suction
  • Demonstrate use of ventilatorFM13
  • Physical examination
  • Collect specimen and interpret ABG analysis
  • Assist with arterial puncture
  • Maintain CVP Line
  • Bag-mask ventilation
  • Administration of drug