Nursing - Course A - Roma Azienda Policlinico Umberto I

Activity type

Interdisciplinari e cliniche

SSD

MED/09

Year

N/D

Semester

N/D

CFU

2

Hours distribution

24 classroom hours

Lecturers

DANIELE PASTORI

Activity type

Primo soccorso, Scienze medico - chirurgiche

SSD

BIO/14, BIO/14

Year

N/D

Semester

N/D

CFU

2

Hours distribution

24 classroom hours

Lecturers

PAOLA CASOLINI

Activity type

Scienze infermieristiche

SSD

MED/45

Year

N/D

Semester

N/D

CFU

2

Hours distribution

24 classroom hours

Lecturers

Gennaro Salvati

At the end of the course, the student will be able to:

describe the fundamental principles of pharmacokinetics and pharmacodynamics, the factors influencing therapeutic response, and the main adverse drug reactions;

demonstrate knowledge of the principal classes of drugs used in clinical practice and emergency care, and understand their application in nursing practice;

recognize the main internal medicine conditions (respiratory, metabolic, hepatic, renal, cardiovascular) and relate them to the patient’s nursing care needs;

plan and implement targeted nursing interventions, collaborating with physicians in therapeutic and diagnostic management;

prevent and manage the most frequent complications in medical settings;

apply specific nursing protocols and procedures (paracentesis, transfusions, pain management, hospital isolation, diagnostic examinations);

educate patients and their families in the management of chronic diseases and the prevention of complications.

Basic knowledge of anatomy, physiology, and general pathology.

Fundamental principles of general nursing and medical semeiotics.

Module: INTERNAL MEDICINE
Acute respiratory failure and principles of oxygen therapy/NIV
Chronic respiratory failure (asthma, COPD)
Deep vein thrombosis and pulmonary embolism
Diabetes mellitus and principles of oral and intravenous therapy
Acute and chronic viral hepatitis
Metabolic liver disease (hepatic steatosis)
Liver cirrhosis
Acute renal failure
Chronic renal failure


Module: PHARMACOLOGY
The course aims to provide students with a solid foundation in general and special pharmacology, with particular focus on drug mechanisms of action, pharmacokinetic and pharmacodynamic processes, factors influencing therapeutic response, and major adverse drug reactions.
Attention will also be devoted to the main classes of drugs most widely used in clinical practice and in emergency settings.

Course Content

General Pharmacology

Principles of pharmacokinetics: absorption, distribution, metabolism, and elimination of drugs;

Principles of pharmacodynamics: general mechanisms of drug action;

Factors influencing therapeutic efficacy;

Adverse drug reactions.

Special Pharmacology
The most clinically relevant drug classes will be addressed, with specific reference to agents commonly employed in emergency medicine:

Drugs acting on the Autonomic Nervous System;

Drugs acting on the Central Nervous System (with special attention to anxiolytics and benzodiazepines);

Antibiotics;

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs);

Steroidal Anti-Inflammatory Drugs;

Antiulcer agents;

Antiemetic agents;

Antihypertensive agents;

Diuretics.

Expected Learning Outcomes

Upon completion of the course, students will be able to:

Describe the fundamental principles of pharmacokinetics and pharmacodynamics;

Identify the main factors influencing therapeutic response and associated adverse events;

Demonstrate knowledge of the principal drug classes used in clinical practice and their applications in both general and emergency medicine.


Module: NURSING IN THE MEDICAL AREA
Nursing management of the patient with chest pain
Definition and clinical aspects
Risk factors related to acute coronary syndromes
Hints of electrocardiography
Nursing care
Interventions and profiles of collaboration with the physician

Nursing management of the patient with cirrhosis
Organ physiology and pathology
Characteristics of the cirrhotic patient
What to watch for in the cirrhotic patient
Complications of cirrhosis
Prevention of complications
Therapy management
Specific procedures: paracentesis (nursing management)
Possible interventions and profiles of collaboration with the physician
Nursing management of the patient in hospital isolation
Definition of hospital isolation
Types of isolation
The main pathologies that require isolation
Personal Protective Equipment
Nursing management of the patient who has to perform diagnostic examinations
Indications, description and preparations related to the most commonly encountered examinations in the medical area
Diagnostic imaging (Chest Rx, CT, HRTC and MRI)
Digestive endoscopies (RSCS and EGDS)
Exploratory punctures (paracentesis, rachicentesis and thoracentesis)
Abdominal and complete ultrasound
Transthoracic and transesophageal echocardiography
Scintigraphy with labeled leukocytes
Checks to be performed pre and post examination

Nursing management of the diabetic patient
Diabetes type 1 and type 2: clinical aspects and epidemiology
What to look out for in the diabetic patient
Laboratory tests and controls that can be performed on the ward
Acute and chronic complications of diabetes mellitus and their prevention
The management of therapy
Health education for the patient and family members
Nursing management of blood component transfusion
Theoretical principles
Procedures, clinical and bureaucratic management of transfusion
Pre- and post-transfusion controls
Complications
Nursing management of the hypertensive patient
The detection of blood pressure
Primary and secondary hypertension
Complications of hypertension
The nursing management of antihypertensive therapy
Health education to patient and family members
Nursing management of the patient with renal failure
IRA and CRI, clinical aspects
Checks to be performed
The management of therapy
Hemodialysis and peritoneal dialysis
The management of pain in the medical area
The 5th vital parameter
The mechanisms of pain
The pain measurement scales
The therapies (WHO pyramid)
The management of narcotic drugs

Module: INTERNAL MEDICINE
- Medicina interna - Ediz 2019 di Massini - Izzi - Marchetti - Passeretti - Pelosio - Recine
- Medicina Interna per scienze infermieristiche di Antonelli - Incalzi • 2021


Module: PHARMACOLOGY
For exam preparation, students are expected to rely primarily on the teaching material (slides) provided through the Moodle platform.
To complement their study, the following textbooks are recommended:

Whalen – Le basi della Farmacologia, 3rd edition, Zanichelli

Di Giulio, Gorio, Carelli, Cella, Scaglione – Farmacologia generale e speciale. Per le lauree sanitarie, Piccin

Note: For examination purposes, the topics and terminology presented during lectures and in the Moodle slides shall prevail. The recommended textbooks are intended to clarify concepts, broaden understanding, and support critical preparation.


Module: NURSING IN THE MEDICAL AREA
Materials provided by the teacher.

Module: INTERNAL MEDICINE
N/D
Module: PHARMACOLOGY
N/D
Module: NURSING IN THE MEDICAL AREA
N/D

Lectures.

Thematic seminars and case study discussions.

Practical exercises and simulations.

Professional training activities (clinical internship) related to the course.

Mandatory, with a minimum attendance of 75% of the scheduled hours.

Oral examination on the topics covered in the three modules.

The final evaluation will be unique and will result from the synthesis of the outcomes achieved in each module.

The final grade will be recorded by the professor responsible for the integrated course.

Pharmacology: Describe the phases of drug pharmacokinetics.

Nursing: Which nursing checks are required before and after a blood transfusion?

Internal Medicine: What are the main complications of chronic renal failure?

Nursing: Which nursing procedures are necessary for a patient in isolation for tuberculosis?

Pharmacology: What are the differences between NSAIDs and corticosteroids in terms of mechanisms of action and side effects?

Module: INTERNAL MEDICINE

• Diabetes Mellitus
  • Books: Medicina Interna per scienze infermieristichedi Antonelli - Incalzi  • 2021


• acute and chronic respiratory failure
  • Books: Medicina Interna per scienze infermieristichedi Antonelli - Incalzi  • 2021


• acute and chronic renal failure
  • Books: Medicina Interna per scienze infermieristichedi Antonelli - Incalzi  • 2021


• venous thromboembolism
  • Books: Medicina Interna per scienze infermieristichedi Antonelli - Incalzi  • 2021


• anticoagulant therapy
  • Books: Medicina Interna per scienze infermieristichedi Antonelli - Incalzi  • 2021


• metabolic liver diseases
  • Books: Medicina Interna per scienze infermieristichedi Antonelli - Incalzi  • 2021


• viral hepatitis
  • Books: Medicina Interna per scienze infermieristichedi Antonelli - Incalzi  • 2021


• liver cirrhosis
  • Books: Medicina Interna per scienze infermieristichedi Antonelli - Incalzi  • 2021

• Pharmacokinetics: Absorption, distribution, metabolism, and elimination of drugs;- Pharmacodynamics: the general principles of drug action;
  • Books: material provided as PDF and available on the Moodle platform


• Factors influencing therapeutic outcome; Adverse drug reactions
  • Books: material provided as PDF and available on the Moodle platform


• Drugs Acting on the Autonomic Nervous System; Drugs Acting on the Central Nervous System: Opioid Analgesics, Benzodiazepine Anxiolytics
  • Books: material provided as PDF and available on the Moodle platform


• Antibiotics
  • Books: material provided as PDF and available on the Moodle platform


• Nonsteroidal Anti-Inflammatory Drugs
  • Books: material provided as PDF and available on the Moodle platform


• Steroid Anti-Inflammatory Drugs
  • Books: material provided as PDF and available on the Moodle platform


• Antiulcer drugs; Antiemetic drugs
  • Books: material provided as PDF and available on the Moodle platform


• Antihypertensive Drugs; Diuretic Drugs
  • Books: material provided as PDF and available on the Moodle platform

• Chest pain nursing
  • Books: Material provided in PPTX format uploaded to the moodle platform


• Liver cirrhosis nursing
  • Books: Material provided in PPTX format uploaded to the moodle platform


• Diabetes mellitus nursing
  • Books: Material provided in PPTX format uploaded to the moodle platform


• Kidney failure nursing
  • Books: Material provided in PPTX format uploaded to the moodle platform


• Arterial hypertension nursing
  • Books: Material provided in PPTX format uploaded to the moodle platform


• Chronic pain nursing
  • Books: Material provided in PPTX format uploaded to the moodle platform


• Hospital isolation
  • Books: Material provided in PPTX format uploaded to the moodle platform


• Diagnostic exams preparation
  • Books: Material provided in PPTX format uploaded to the moodle platform