Emory NRSG 537 - Student Notes (2012)

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Emory NRSG 537 - Student Notes (2012)

  1. 1. Schedule and Reading AssignmentsContentsSOAP Notes/Prescriptions/GU Exam for Male and Female: January 16 ........................................ 2 Required readings-Burns 1144-1147 .......................................................................................... 2HEENT: January 23 .......................................................................................................................... 3 Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719......... 3Respiratory Issues: January 30 ........................................................................................................ 6 Required readings-Burns: 708-738 ............................................................................................. 6Neurological Issues: February 6 ...................................................................................................... 8 Required readings-Burns: 585-621 ............................................................................................. 8Gastrointestinal Issues: February 13 ............................................................................................ 10 Required readings-Burns: 739-788 ........................................................................................... 10Child Abuse: February 20 .............................................................................................................. 12 Required readings- .................................................................................................................... 12Dermatological Issues: February 27.............................................................................................. 13 Required readings-Burns: 877-927 ........................................................................................... 13Midterm and Fever/Sepsis: March 6 ............................................................................................ 16 Required readings-Burns: 485-489 ........................................................................................... 16Musculoskeletal-Orthopedic-Injury Issues ................................................................................... 18 Required readings-Burns: 928-960, 1000-1031 ........................................................................ 18GU/STI/Reproductive Health: March 27 ....................................................................................... 22 Required readings- Burns: 809-876 and 2010 STD Treatment Guidelines ............................... 22Hematological Issues: April 3 ........................................................................................................ 25 Required readings-Burns: 557-584 ........................................................................................... 25Newborn Issues: April 17 .............................................................................................................. 27 Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999 .................................... 27Communicable Diseases: April 17 ................................................................................................. 29 Required readings-Burns: 427-493 ........................................................................................... 29Mental Health/Behavior Issues: April 24 ...................................................................................... 31 Required readings-Burns: 273-298,358-386............................................................................. 31 1t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  2. 2. SOAP Notes/Prescriptions/GU Exam for Male and Female: January 16Required readings-Burns 1144-1147Review of case studies  Each class, people will be selected randomly to lead the case discussion o What did you notice? o Do you need additional information? o Are there any areas of interest that you would like to research? o What would you like to do? o What educational/teaching issues would you like to address? 2t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  3. 3. HEENT: January 23Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719Ten question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Herpangina  Hand-foot-mouth disease  Pharyngitis (1)  Tonsillitis  Sinusitis (16)  Rhinitis  Conjunctivitis (2) o Newborn o Bacterial o Viral o Allergic  Blepharitis  Hordeolum  Chalazion  Nasolacrimal Duct o Dacryostenosis o Dacrocystitis  Periorbital Cellulitis  Corneal Abrasion  Cerumen impaction  Otitis externa (3)  Foreign body in ear/nose  Acute otitis media (10)  Otitis media with effusion (6) 3t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  4. 4.  Mastoiditis  Gingivostomatitis  Aphthous ulcer  Benign migratory glossitis (geographic tongue)  Ankyloglossia  Epistaxis  Lymphedema/Lymphenadenitis(#) Associated CHOA protocol 4t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  5. 5. HEENTOther information needed? Differentials? Management?A newborn female, 2 weeks, presents A two-year-old male presents withwith discharge from both eyes. Mom fussiness and increased drooling.states it started 2 days ago and she’s Mom states he does not want to eatbeen cleaning her eyes with tea and anything and he has felt warm for thedescribes it as green and thick. No last 2 days.fever.A seven-year-old female presents with A 14-year-old male presents with soreear pain for one day. She missed throat for two days. Says somethingschool today and looks miserable. is going around school and my tummyMom states she had a fever of 102.1F hurts. School called the parents when(38.9C) and has been holding her he presented with fever and said hehead. She gave her Advil, not sure of had to be cleared before returning.the quantity, but it didn’t really help. 5t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  6. 6. Respiratory Issues: January 30Required readings-Burns: 708-738Ten question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Upper respiratory infection (4)  Asthma (5)  Bronchiolitis (8), including RSV  Pneumonia (18)  Croup (24)  Pertussis  Foreign body aspiration  Bronchitis  Epiglottitis(#) Associated CHOA protocol 6t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  7. 7. Respiratory IssuesOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 7t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  8. 8. Neurological Issues: February 6Required readings-Burns: 585-621Ten question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Closed head injury (9)  Partial seizures: o Simple o Complex o Partial seizures secondarily generalized  Generalized seizures: o Clonic o Tonic o Tonic-Clonic  Absence  Status epilepticus (19A)  Febrile seizures (19B)  Bell palsy  Meningitis  Gullain-barre syndrome  Headaches o Types and management  Migraines(#) Associated CHOA protocol 8t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  9. 9. Neurological IssuesOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 9t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  10. 10. Gastrointestinal Issues: February 13Required readings-Burns: 739-788Ten question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Acute gastroenteritis (7)  Dysphagia  Vomiting  Dehydration  Constipation  Encopresis  Diarrhea  Gastroesophageal reflux  Peptic Ulcer disease  Colic  Foreign body ingestion  Appendicitis  Intussusception  Abdominal pain and functional abdominal pain syndrome  Malabsorption  Inflammatory Bowel disease/irritable bowel syndrome  Parasites(#) Associated CHOA protocol 10t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  11. 11. Gastrointestinal IssuesOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 11t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  12. 12. Child Abuse: February 20Required readings- 12t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  13. 13. Dermatological Issues: February 27Required readings-Burns: 877-927Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Cellulitis, Abscess, Impetigo (13)  Fungal infections o Candidiasis o Tinea corporis/capitus/cruris/pedis/versicolor (20) o Intertrigo  Herpes simplex  Herpes zoster  Molluscum contagiosum  Warts  Pediculosis  Scabies  Acne vulgaris  Atopic Dermatitis  Diaper dermatitis  Seborrheic dermatitis  Sunburn  Urticaria  Angioedema  Drug reactions  Erythema multiforme/ Stevens-Johnson  Pityriasis rosea  Psoriasis  Lichen striatus  Keratosis pilaris  Nevi  Acanthosis nigricans 13t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  14. 14.  Vitiligo  Alopecia  Onychomycosis  Paronychia  Herpetic whitlow  Eczema  Café au lait spots  Viral exanthems(#) Associated CHOA protocol 14t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  15. 15. Dermatological IssuesOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 15t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  16. 16. Midterm and Fever/Sepsis: March 6Required readings-Burns: 485-489Ten question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Febrile infants (11)  Febrile children (15)  Fever of unknown origin(#) Associated CHOA protocol 16t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  17. 17. Fever/SepsisOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 17t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  18. 18. Musculoskeletal-Orthopedic-Injury IssuesRequired readings-Burns: 928-960, 1000-1031Ten question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Sprains/strains (17)  Clavicular fractures  Costocondritis  Back pain  Scoliosis  Legg-calve-perthes disease  Slipped capital femoral epiphysis  Femoral anteversion  Genu varum  Genu valgum  Osgood-schlatter  Tibial torsion  Knee injuries  Pes planus  Metatarsus adductus  Talipes equinovarus  Toe walking  Leg pain  Limps  Overuse syndromes of childhood  Abrasions  Puncture wounds  Ingrown toenails  Lacerations 18t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  19. 19.  Hematomas  Stress fractures  Bites (animal/child)  Insect/stings  Motor vehicle trauma(#) Associated CHOA protocolCommon Orthopedic Terminology:1. Define the following terms:  Varus  Valgus  Inversion  Eversion  Supination  Pronation  Abduction  Adduction  Flexion  Extension  internal rotation  external rotation  planus  cavus  equinus  calcancus  dorsiflexion  plantarflexion  sublux  dislocate (luxate)  epiphysis  apophysis  Gower signList of common musculoskeletal conditions in children:  club feet (talipes equinovarus)  metatarsus adductus  pes planus  vertical valus  calcaneo valgus  in-toe 19t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  20. 20.  out-toe  genu varum  genu valgum  Blounts disease  internal/external tibial torsion  femoral anteversion/retroversion  Osgood-Schlatters disease  congenital dislocatged hip (CDH)  Legg-Perthes disease  slipped capital femoral epephysis (SCFE)  lordosis  kyphosis  scoliosis  osteomyelitis 20t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  21. 21. Ortho IssuesOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 21t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  22. 22. GU/STI/Reproductive Health: March 27Required readings- Burns: 809-876 and 2010 STD Treatment Guidelineshttp://www.cdc.gov/STD/treatment/2010/default.htmTen question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Urinary tract infection (14)  Pyelonephritis  Vesicoureteral reflux  Hematuria  Proteinuria  Enuresis  Nephrotic syndrome  Nephritis/glomerulonephritis  Nephrolithiasis/urolithiasis  Wilms tumor  Cryptorchidism  Hypospadias  Phimosis  Hydrocele  Varicocele  Inguinal hernia  Balanitis  Scrotal trauma  Testicular torsion  Epididymitis  Labial adhesions  Vulvovaginitis 22t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  23. 23.  Dysmenorrhea  Amenorrhea  Pregnancy  Dysfunctional uterine bleeding  Endometriosis  Vaginitis/vaginal discharge  Sexually transmitted infections (23)  Pelvic inflammatory disease(#) Associated CHOA protocol 23t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  24. 24. GU/STI/Reproductive Health IssuesOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 24t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  25. 25. Hematological Issues: April 3Required readings-Burns: 557-584Ten question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Anemia/iron deficiency (21)  Anemias caused by inadequate red blood cell production  Anemias caused by nutritional deficiencies or metabolic abnormalities  Anemias caused by increased destruction of RBCs  Thalassemia  Sickle cell (21)  Hereditary spherocytosis  Platelet/coagulation disorders  Childhood neutropenias(#) Associated CHOA protocol 25t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  26. 26. Hematological IssuesOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 26t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  27. 27. Newborn Issues: April 17Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999Ten question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Common skin issues  Caput succedaneum  Cephalhematoma  Cleft lip and palate  Failure to thrive  Brachial plexus  Head growth, microcephaly/macrocephaly  Hypospadias  Hip dysplasia  Jaundice (25)  Respiratory distress syndrome  Pyloric stenosis  Hirschsprung disease  Meconium ileus  Hydronephrosis  Metabolic disorders  Hydrocephalus  Ischemic insults(#) Associated CHOA protocol 27t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  28. 28. Newborn IssuesOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 28t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  29. 29. Communicable Diseases: April 17Required readings-Burns: 427-493Ten question quiz before class.Objectives: 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  Influenza  Roseola  Varicella  Mumps  Erythema infectiosum  West nile  Tick-borne disease  MRSA  Meningoccal  Tuberculosis  Infectious mononucleosis syndrome 29t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  30. 30. Communicable DiseasesOther information needed? Differentials? Management?Update Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  AbcdUpdate Case Study Update Case Study  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd  Abcd 30t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx
  31. 31. Mental Health/Behavior Issues: April 24Required readings-Burns: 273-298,358-386 1) Define and describe the etiology of following conditions, 2) Explain pathophysiology of each, 3) Analyze subjective finding associated, 4) Analyze objective findings associated with each, 5) Evaluate the assessment process used to diagnose each of the conditions including, a. Use and interpretation of diagnostic tests b. Criteria necessary for establishing diagnosis 6) Summarize appropriate nurse practitioner management for each of the conditions a. Plans and education b. Indications for consultation or referral 7) Identify potential complications or long term sequelae of these problems  ADHD  Delayed milestones  Learning disorders  Autism  Fears  Anxiety  Tic disorders  PTSD  OCD  Mood disorders o Depression o Bipolar disorder  Conduct disturbance  Substance Abuse 31t:school of nursing12.5.12537 student notes_ir_3 dec 2012.docx

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