Emory NRSG 537 - Student Notes (2012)
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Transcript of Emory NRSG 537 - Student Notes (2012)
1 t:\school of nursing\12.5.12\537 student notes_ir_3 dec 2012.docx
Schedule and Reading Assignments
Contents SOAP Notes/Prescriptions/GU Exam for Male and Female: January 16 ........................................ 2
Required readings-Burns 1144-1147 .......................................................................................... 2
HEENT: January 23 .......................................................................................................................... 3
Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719 ......... 3
Respiratory Issues: January 30 ........................................................................................................ 6
Required readings-Burns: 708-738 ............................................................................................. 6
Neurological Issues: February 6 ...................................................................................................... 8
Required readings-Burns: 585-621 ............................................................................................. 8
Gastrointestinal Issues: February 13 ............................................................................................ 10
Required readings-Burns: 739-788 ........................................................................................... 10
Child Abuse: February 20 .............................................................................................................. 12
Required readings- .................................................................................................................... 12
Dermatological Issues: February 27 .............................................................................................. 13
Required readings-Burns: 877-927 ........................................................................................... 13
Midterm and Fever/Sepsis: March 6 ............................................................................................ 16
Required readings-Burns: 485-489 ........................................................................................... 16
Musculoskeletal-Orthopedic-Injury Issues ................................................................................... 18
Required readings-Burns: 928-960, 1000-1031 ........................................................................ 18
GU/STI/Reproductive Health: March 27 ....................................................................................... 22
Required readings- Burns: 809-876 and 2010 STD Treatment Guidelines ............................... 22
Hematological Issues: April 3 ........................................................................................................ 25
Required readings-Burns: 557-584 ........................................................................................... 25
Newborn Issues: April 17 .............................................................................................................. 27
Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999 .................................... 27
Communicable Diseases: April 17 ................................................................................................. 29
Required readings-Burns: 427-493 ........................................................................................... 29
Mental Health/Behavior Issues: April 24 ...................................................................................... 31
Required readings-Burns: 273-298,358-386 ............................................................................. 31
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SOAP Notes/Prescriptions/GU Exam for Male and Female: January 16
Required readings-Burns 1144-1147
Review 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?
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HEENT: January 23
Required readings-Burns: 445-446, 477-478, 628, 638-648, 652-668, 803-806, 714-719
Ten 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)
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Mastoiditis
Gingivostomatitis
Aphthous ulcer
Benign migratory glossitis (geographic tongue)
Ankyloglossia
Epistaxis
Lymphedema/Lymphenadenitis
(#) Associated CHOA protocol
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HEENT
Other information needed? Differentials? Management?
A newborn female, 2 weeks, presents with discharge from both eyes. Mom states it started 2 days ago and she’s been cleaning her eyes with tea and describes it as green and thick. No fever.
A two-year-old male presents with fussiness and increased drooling. Mom states he does not want to eat anything and he has felt warm for the last 2 days.
A seven-year-old female presents with ear pain for one day. She missed school today and looks miserable. Mom states she had a fever of 102.1F (38.9C) and has been holding her head. She gave her Advil, not sure of the quantity, but it didn’t really help.
A 14-year-old male presents with sore throat for two days. Says something is going around school and my tummy hurts. School called the parents when he presented with fever and said he had to be cleared before returning.
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Respiratory Issues: January 30
Required readings-Burns: 708-738
Ten 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
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Respiratory Issues
Other information needed? Differentials? Management?
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Neurological Issues: February 6
Required readings-Burns: 585-621
Ten 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
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Neurological Issues
Other information needed? Differentials? Management?
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Gastrointestinal Issues: February 13
Required readings-Burns: 739-788
Ten 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
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Gastrointestinal Issues
Other information needed? Differentials? Management?
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Child Abuse: February 20
Required readings-
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Dermatological Issues: February 27
Required readings-Burns: 877-927
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
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
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Vitiligo
Alopecia
Onychomycosis
Paronychia
Herpetic whitlow
Eczema
Café au lait spots
Viral exanthems (#) Associated CHOA protocol
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Dermatological Issues
Other information needed? Differentials? Management?
Update Case Study
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Midterm and Fever/Sepsis: March 6
Required readings-Burns: 485-489
Ten 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
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Fever/Sepsis
Other information needed? Differentials? Management?
Update Case Study
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Musculoskeletal-Orthopedic-Injury Issues
Required readings-Burns: 928-960, 1000-1031
Ten 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
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Hematomas
Stress fractures
Bites (animal/child)
Insect/stings
Motor vehicle trauma (#) Associated CHOA protocol Common 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 sign List of common musculoskeletal conditions in children:
club feet (talipes equinovarus)
metatarsus adductus
pes planus
vertical valus
calcaneo valgus
in-toe
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out-toe
genu varum
genu valgum
Blount's disease
internal/external tibial torsion
femoral anteversion/retroversion
Osgood-Schlatter's disease
congenital dislocatged hip (CDH)
Legg-Perthes disease
slipped capital femoral epephysis (SCFE)
lordosis
kyphosis
scoliosis
osteomyelitis
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Ortho Issues
Other information needed? Differentials? Management?
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GU/STI/Reproductive Health: March 27
Required readings- Burns: 809-876 and 2010 STD Treatment Guidelines http://www.cdc.gov/STD/treatment/2010/default.htm
Ten 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
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Dysmenorrhea
Amenorrhea
Pregnancy
Dysfunctional uterine bleeding
Endometriosis
Vaginitis/vaginal discharge
Sexually transmitted infections (23)
Pelvic inflammatory disease (#) Associated CHOA protocol
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GU/STI/Reproductive Health Issues
Other information needed? Differentials? Management?
Update Case Study
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Hematological Issues: April 3
Required readings-Burns: 557-584
Ten 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
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Hematological Issues
Other information needed? Differentials? Management?
Update Case Study
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Newborn Issues: April 17
Required readings-Burns: 773-774, 605, 615-616, 834, 943, 973-999
Ten 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
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Newborn Issues
Other information needed? Differentials? Management?
Update Case Study
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Communicable Diseases: April 17
Required readings-Burns: 427-493
Ten 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
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Communicable Diseases
Other information needed? Differentials? Management?
Update Case Study
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Mental Health/Behavior Issues: April 24
Required 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