Course: Intensive nursing care in internal disciplines 2

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Course title Intensive nursing care in internal disciplines 2
Course code UOP/MPIN2
Organizational form of instruction Lecture + Seminary
Level of course Master
Year of study not specified
Semester Winter
Number of ECTS credits 3
Language of instruction Czech
Status of course Compulsory
Form of instruction Face-to-face
Work placements This is not an internship
Recommended optional programme components None
Lecturer(s)
  • Bulava Alan, prof. MUDr. Ph.D.
  • Pokorná Jitka, MUDr. Ph.D.
  • Jarošová Michaela, MUDr.
  • Bortlík Martin, doc. MUDr. Ph.D.
  • Kimmerová Jana, Mgr. Ph.D.
Course content
Lectures: Nephrology - acute renal failure (definition, incidence, etiology, pathophysiology, diagnosis, therapy, complications, prevention).Elimination methods (indications, procedures used). Continuous, intermittent elimination methods Nephrology - patient in chronic dialysis program (elimination principles, vascular access, membranes, replacement solutions, anticoagulation). Complications in patients in established dialysis programs. Acute conditions in endocrinology (thyrotoxic crisis, myxedema coma, acute adrenocortical crisis) causes, clinical manifestations, diagnosis, treatment options, complications, prognosis. Acute conditions in endocrinology (hypo pituitary crisis, hypercalcemic crisis, pheochromocytoma) cause, clinical manifestations, diagnosis, treatment options, complications, and prognosis. Acute conditions in diabetes (hypoglycaemic coma, diabetic ketoacidosis, hyperglycaemic hyperosmolar coma, lactic acidosis) characteristics, incidence, causes, pathogenesis, clinical manifestations, diagnosis, treatment options, and complications. Disorders of metabolism and internal environment - water and electrolyte management (internal environment, total body water and conditions of its distribution, osmolality and its requirements, infections of sodium, potassium, chloride, and magnesium metabolism in critically ill patients) Disorders of metabolism and internal environment - disorders of acid-base balance (reactions of the organism, primary conditions of ABR, compensation of diseases, diagnosis of ABR) GIT in intensive care medicine (acute GIT bleeding) - causes, clinical picture, diagnosis, therapy. She was bleeding from esophageal varices (causes, clinical picture, first aid, treatment), introducing the Sengstaken-Blakemore probe. GIT in intensive care medicine (acute pancreatitis) definition, division, causes, pathogenesis, clinical picture, diagnosis, therapy, prognosis GIT in intensive care medicine (acute liver failure, hepatorenal syndrome) definition, division, causes, pathogenesis, clinical picture, diagnosis, therapy, prognosis Seminars: Nephrology - acute renal failure (definition, incidence, etiology, pathophysiology, diagnosis, therapy, complications, prevention). Elimination methods (indications, procedures used). Continuous, intermittent elimination methods - specifics of the nurse's work in providing vascular access, preparation and operation of the CRRT machine, and highly specialized nursing care. Nephrology - patient in chronic dialysis program (elimination principles, vascular access, membranes, replacement solutions, anticoagulation). Complications in patients in established dialysis programs. Specifics of the work of a nurse in a hemodialysis center. Acute conditions in endocrinology (thyrotoxic crisis, myxedema coma, acute adrenocortical crisis) - highly specialized nursing care. Acute conditions in endocrinology (hypo pituitary crisis, hypercalcemic crisis, pheochromocytoma) - highly specialized nursing care Acute conditions in diabetes (hypoglycaemic coma, diabetic ketoacidosis, hyperglycaemic hyperosmolar coma, lactic acidosis) - highly specialized nursing care Metabolic and internal environmental disorders - water and electrolyte management (internal environment, total body water and conditions of its distribution, osmolality and its conditions, infections of sodium, potassium, chloride, and magnesium metabolism in critically ill patients) - proper blood collection and evaluation of laboratory results Disorders of metabolism and internal environment - disorders of acid-base balance (reaction of the organism, primary ABR disorders, compensation of diseases, diagnosis of ABR) - arterial and capillary blood collection for ABR examination, practical training, evaluation of laboratory results Gastrointestinal issues in intensive care medicine

Learning activities and teaching methods
Monologic (reading, lecture, briefing), Work with text (with textbook, with book), Demonstration, Activating (simulations, games, drama)
Learning outcomes
Annotation: The subject is theoretical-practical. It introduces students to the problems of intensive nursing care in internal medicine. It focuses on highly specialized intensive care nursing for patients with acute internal medicine. Objectives: - To familiarize the student with the primary diagnostic and therapeutic procedures performed in internal medicine intensive care. - To introduce the student to the fundamentals of pharmacokinetics and pharmacodynamics in acute medicine - To familiarize the student with patient care before, during, and after diagnostic and therapeutic procedures in acute conditions in internal medicine - To introduce the student to the basics of blood purification methods - To teach the student how to care for the patient when performing blood purification methods - To familiarize the student with the chronic dialysis program and the work of the nurse in the hemodialysis center - To familiarize the student with the principles and delivery of highly specialized nursing care for patients with severe GIT impairment - To familiarize the student with the principles and delivery of highly specialized nursing care for patients with acute complications of diabetes mellitus and endocrine disorders
The student knows the basics of blood purification methods, - The student knows how to care for the patient when performing blood purification methods - The student is familiar with the chronic dialysis program. - The student can explain the principles and provide highly specialized nursing care to patients with severe GIT impairment - The student can explain the principles and provide highly specialized nursing care to patients with acute complications of diabetes mellitus and endocrine system - The student can explain the principles and provide highly specialized nursing care to patients with severe hematological and haemato-oncological disorders - The student can recognize metabolic and endocrine disorders, including complications, and participate in their management,
Prerequisites
unspecified
UOP/MPIN1

Assessment methods and criteria
Oral examination, Student performance assessment, Test

Credit terms: Active participation in seminars min 90 %. Successful completion of the credit test at 75%. Preparation and presentation of the assigned topic according to the instructor's requirements. Completion of the assigned homework assignments - self-study Examination: Oral examination.
Recommended literature
  • Bartůněk, Petr,; Jurásková, Dana,; Heczková, Jana,; Nalos, Daniel. Vybrané kapitoly z intenzivní péče. 1. vydání. Praha : Grada Publishing, a.s., 2016. ISBN 978-80-247-4343-1.
  • DÍTĚ, Petr. Akutní stavy v gastroenterologii. Praha: Galén, 2005. ISBN 80-7262-305-2.
  • Jan Maláska, Jan Stašek, Milan Kratochvíl, Václav Zvoníček a kol. Intenzivní medicína v praxi. Maxdorf, 2020. ISBN 978-80-7345-675-7.
  • KRŠKA, Zdeněk. Krvácení do gastrointestinálního traktu. 2007. ISBN 978-80-7254-994-8.
  • Sulková, Sylvie. Hemodialýza. Praha : Maxdorf, 2000. ISBN 80-85912-22-8.
  • Ševčík Pavel. Intenzivní medicína. 3 vydání. Praha: Galén, 2014. ISBN 978-80-749-2066-0.
  • VACHEK, Jan, et al. Akutní stavy ve vnitřním lékařství. 2018. ISBN 978-80-7345-550-7.
  • Zadák, Zdeněk; Havel, Eduard. Intenzivní medicína na principech vnitřního lékařství. 2., doplněné a přepracované vydání. Praha : Grada Publishing, 2017. ISBN 978-80-271-0282-2.


Study plans that include the course
Faculty Study plan (Version) Category of Branch/Specialization Recommended year of study Recommended semester