Learning objectives
the intensive nursing course is part of the integrated perioperative medicine course.
The course aims to make the student aware and understand the essential elements relating to the assistance to be provided in areas of intensive care or more generally in a critical area. At the end of the course the student will be able to:
• Identify the characteristics of the critically ill patient and the related criteria for monitoring vital functions;
• Ascertain and manage, applying diagnostic-therapeutic prescriptions, the main signs and symptoms of organ or system failure, with particular attention to the cardiovascular, respiratory and cerebral systems;
• Plan nursing care and collaborative interventions in the patient with organ or system failure and in particular in the patient with respiratory, cardiovascular and cerebral insufficiency
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Course unit content
Introduction and general concepts
- the concept of the critically ill patient
-the concept of critical area
2. Monitoring in an intensive environment
-Cardiovascular monitoring (HR, ECG, INVASIVE AND NON-INVASIVE BLOOD PRESSURE, PVC)
-Respiratory monitoring (PHYSICAL BREATHING MONITORING, VOLUME MONITORING, LUNG VENTILATION AND GAS EXCHANGE MONITORING, SpO2)
- Monitoring diuresis
-Temperature monitoring
3. Patient with cardiovascular problems
- Assistance to patients with heart failure
- Assistance to the patient with aortic aneurysm (especially pre- and post-operative phase)
4. Patient with respiratory problems
- Assistance to the patient with respiratory insufficiency
- Invasive ventilation
-Non-invasive ventilation (ASSISTANCE, DEVICES, EARLY RECOGNITION AND PREVENTION OF SIDE EFFECTS)
-VAP (PREVENTION)
5. Patient with neurological problems
-The neurological evaluation (CONCEPTS OF CONSCIOUSNESS, VIGILLANCE AND COMA, PATIENT OBSERVATION, CGS, PUPILLE EVALUATION, CRANIAL NERVE EVALUATION WITH RELATED REFLEXES, BABINSKI)
- Assistance to the neurological patient
