KIRINYAGA UNIVERSITY
SCHOOL OF HEALTH SCIENCES
DEPARTMENT: NURSING YEAR: 2021/2022 SEMESTER 2
COURSE: BSC IN NURSING Year 2 Trimester 2. COURSE CODE: HNS 2234
COURSE TITLE : Medical Surgical Nursing II. LECTURE HOURS: 45.
PRE-REQUISITES: Medical Surgical I
LECTURER: SUSAN KAMAU CONTACTS : 0727708023 EMAIL: [email protected]
a) Course Purpose
To equip learners with knowledge skills and appropriate attitudes in the management of
patients with medical surgical conditions of haematological and cardiovascular nature
b) Learning Outcomes
At the end of the Course, learners should be able to:
1. Apply the nursing process in the management of patient with Haematological
conditions
2. Apply the nursing process in the management of patient with cardiovascular disorders
3. Prepare patients for special diagnostic and therapeutic procedures of the
Haematological and cardiovascular conditions)
c) Course Content
Week TOPIC SUB-TOPIC
1 INTRODUCTION
2 HEAMTOLOGIC SYSTEM Review Anatomy and Physiology: blood cells
Assessment: Health Hx, Physical Assessment
3 HEMATOLOGIC SYSTEM bone marrow aspiration, puncture, transplants,
blood transfusion, splenectomy, therapeutic
Diagnostic and Therapeutic
apheresis, therapeutic, phlebotomy, peripheral
procedures
blood stem cell transplantation.
4 HEMATOLOGIC DISORDERS disorders of the red blood cells-anaemia,
polycythaemia; disorders of coagulation-
thrombocytopenia, haemophilia,
5 CAT 1 disseminated intravascular coagulation;
leucopoenia; neoplastic disorders-lymphomas,
HEMATOLOGIC DISORDERS
myelomas, Leukaemia, Myeloproliferative disorders,
6 CARDIOVASCULAR SYSTEM Review Anatomy and Physiology: Cardiovascular
System
Assessment: Health Hx, Physical Assessment
CARDIOVASCULAR SYSTEM
pacemakers, cardiac catheterization, angioplasty,
Diagnostic and Therapeutic
atheroctomy, cardiac surgery, arthroplasty, invasive
procedures
coronary artery procedures,
7 CARDIOVASCULAR SYSTEM electrocardiography, echocardiography, cardiac
stress testing, CT scan, MRI, angiography, central
Diagnostic and Therapeutic
nervous pressure monitoring, pulse oximetry,
procedures
pulmonary artery pressure monitoring,
8 CARDIOVASCULAR valve repair and replacement procedure. vulvar
DISORDERS heart disorders- mitral stenosis, mitral
regurgitation, aortic stenosis, aortic regurgitation;
9 CARDIOVASCULAR coronary artery disease; myocardial infarction;
DISORDERS heart failure; pulmonary hypertension;
inflammatory heart disorders; rheumatic heart
disease; hypertension;
10 CAT 2 cardiovascular conditions secondary to other
disease processes- cardiac and non-cardiac shock
(circulatory failure), dysrhythmias, cardiac arrest,
pulmonary oedema;
11 CARDIOVASCULAR disorders of the peripheral vascular system-
DISORDERS atherosclerotic arterial occlusive disease, aneurysm,
arterial embolism,
12 CARDIOVASCULAR venous thrombosis, thrombophlebitis; lymphatic
DISORDERS disorders; special cardiac procedures;-
13 FINAL EXAM
14 FINAL EXAM
d) Teaching Methodology
Lectures, Self-instruction Materials, Self-check/Self-evaluation check points, Group discussions,
Case Studies, CD-Roms, Clinical Teaching/Bedside teaching, Perceptors in each site coordinating
with Clinical Instructors.
e) Instructional Materials
LCD projectors, computers, White boards, Flip charts
f) Course Assessment
The course shall be assessed as follows;
Continuous Assessment (CATs, Practicals, Assignments) 30
End of Trimester Examinations 70%
Total 100%
g) Course Textbooks
1. Lewis, S.M. and Heitkemper, M. (2004). Medical-surgical nursing: Assessment and
management for clinical problems. (6th edition.). St. Louis: Mosby. ISBN 10: 0323016111
ISBN 13: 9780323016117.
2. Nanda. (2005-2006). Nursing diagnoses: Definitions and classification. Philadelphia:
North American Nursing Diagnosis Association. ISBN 10: 0963704249 ISBN 13:
9780963704245.
3. Smith, S.F., Duell, D. and Martin, B. (2004). Clinical nursing skills: Basic to Advanced. (6th
edition.). Prentice Hall. ISBN 10: 0130493716 ISBN 13: 9780130493712.
h) Course Journals
1. Journal of Gerontological Nursing. The American Geriatrics Society. ISSN: 1938-243X.
2. American Journal of Nursing. Wolters Kluwer Health, Inc. ISSN:0002-936X. ISSN: 1538-
7488.
3. Annals of Long-Term Care: Clinical Care and Aging. The American Geriatrics Society ISSN:
1524-7929.
i) Reference Textbooks
1. Dochterman, J.M. and Bulechek, G.M. (2004). Nursing interventions classification, (4th
edition.). St. Louis: Mosby. ISBN 10: 0323023924 ISBN 13: 9780323023924.
2. Jenkins, J.F. and Halsey Lee, D. (2005). Nursing care in the genomic era: A case-based
approach. Boston: Jones & Bartlett Publishers. ISBN 10: 0763733253 ISBN 13:
9780763733254.
3. Ignatavicius & Workman. (2005). Medical-Surgical Nursing- critical Thinking for
collaborative care. (5th edition.). Saunders. ISBN 0721606717.
4. Kozier, E.and Burke B. (2015). Fundamentals of Nursing, (10th edition.), Upper Saddle
River N.J. Prentice-Hall.ISBN-13: 978-0133974362 ISBN-10: 0133974367
j) Reference Journals
1. American Journal of Surgery. Elsevier. ISSN: 0002-9610.
2. British Journal of Surgery. John Wiley & Sons. ISSN: 1365-2168
3. ANZ Journal of Surgery. John Wiley & Sons. ISSN: 1445-2197.
