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辽宁2010年自考内科护理学考试大纲(Liaoning 2010 internal medicine examination program)

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辽宁2010年自考内科护理学考试大纲(Liaoning 2010 internal medicine examination program)辽宁2010年自考内科护理学考试大纲(Liaoning 2010 internal medicine examination program) 辽宁2010年自考内科护理学考试大纲(Liaoning 2010 internal medicine examination program) Course Code: 03202 Teaching materials: Internal Medicine Nursing (two), edited by Yao Jingpeng, Peking Universit...

辽宁2010年自考内科护理学考试大纲(Liaoning 2010 internal medicine examination program)
辽宁2010年自考内科护理学考试大纲(Liaoning 2010 internal medicine examination program) 辽宁2010年自考内科护理学考试大纲(Liaoning 2010 internal medicine examination program) Course Code: 03202 Teaching materials: Internal Medicine Nursing (two), edited by Yao Jingpeng, Peking University press, January 2009. The first chapter is introduction Understanding: a change in the medical model (A) To understand the guiding role of nursing theory in internal medicine nursing (B) Mastery: the influence of medical models on Nursing (B) Focus on: the definition of care, the concept of nursing procedures, content (B) The aims and requirements of medical nursing (B) The second chapter respiratory system disease Section 1 general introduction Understanding: anatomical features of the respiratory system, physiology (B) Chronic obstructive pulmonary disease, second Understanding: etiology and pathogenesis (D) Mastery: definition, clinical presentation (A) Mastery: the effect of smoking on COPD (B) Focus on: the concept of nursing procedures for patients with chronic obstructive pulmonary disease care (B) Key points: to take care of COPD patients according to nursing procedures for health education (especially for effective cough, chest percussion and abdominal style) Breathing and pursed lip breathing guidance (B) Third section bronchial asthma To understand the pathogenesis and pathophysiological changes (D) Mastery: definitions, common causes and triggers, and clinical manifestations (A) Focus on: in accordance with the nursing program, care for asthma patients, health education (especially to avoid allergens and correct) Using metered dose inhalers (B) Fourth section pneumonia Understanding: predisposing factors and pathogenesis (D) Mastery: definitions of pneumonia, community acquired pneumonia, and hospital acquired pneumonia. Etiology, Clinical manifestations and complications; (A) Master: the first choice of antibiotics for common pneumonia and the precautions for using antibiotics (B) Focus on nursing care of patients with pneumonia, especially those with severe pneumonia (B) Key points: to collect sputum specimens and blood culture specimens, and to educate the patients on health education (C) Fifth pulmonary tuberculosis Understanding: the name and adverse effects of commonly used antituberculosis drugs (A) Mastery: definitions, three infectious links, clinical types and manifestations (A) Focus on: use of nursing procedures to care for patients with tuberculosis, health education, Emergency nursing care for patients with massive hemoptysis (C) Chronic pulmonary heart disease, Sixth Objective: To study the pathogenesis of chronic pulmonary heart disease (CHD) and pulmonary heart disease (C) Mastery: definition, etiology, clinical presentation (A) Focus on providing holistic care for patients with chronic pulmonary heart disease (B) Seventh cases of pulmonary thromboembolism Understand: risk factors for pulmonary thromboembolism are defined (A) Mastery: clinical presentation (A) Mastery: health education for patients with risk factors (B) Eighth cases of respiratory failure and acute respiratory distress syndrome (ARDS) Understanding: the pathogenesis of respiratory failure Master: definition of respiratory failure, classification of blood gases and common causes, definition and common cause of ARDS (A) Key points: according to the concept of nursing program, health education for patients with respiratory failure (B) Ninth Section mechanical ventilation Understanding: mechanical principles of mechanical ventilation (B), commonly used mechanical ventilation methods and their English abbreviations (A) Mastery: definition, complications (A) Focus on the use of nursing procedures for the concept of mechanical ventilation in patients (especially respiratory function monitoring), Airway management and nursing before and after weaning (C) The third chapter is circulatory system disease Section 1 general introduction Understanding: anatomy and physiology of the circulatory system (A) Understanding: advances in cardiovascular disease (C) Mastery: the composition of the circulatory system, the heart conduction system (B) Second heart failure Understanding: underlying causes and causes (A) Mastery: definitions, typical manifestations of left and right heart failure, cardiac function classification (B) Mastering the therapeutic principle of cardiac insufficiency, reducing the common drugs and adverse reactions of heart load; The use of digitalis, precautions, common toxicity, and toxicity (B) Key points: application of nursing procedures for patients with acute and chronic heart failure; for patients with health education (including preventive incentives) (B) Third section arrhythmia Understanding: etiology and pathogenesis (D) Mastery: definition, classification, cause, clinical presentation (A) Focus on: care of patients with arrhythmias; common arrhythmias (premature beats, supraventricular tachycardia), Electrocardiographic characteristics of ventricular tachycardia, atrial fibrillation, ventricular fibrillation, ventricular flutter (C) The fourth section is cardiac cardioversion and artificial cardiac pacing Understanding: the mechanism of action, pacing (D) Mastery: definition, the type of cardiac cardioversion (A) Focus on: health education for patients with pacemakers (B) Key points: cooperate with doctors to perform defibrillation rescue for patients with ventricular fibrillation (C) Fifth coronary atherosclerotic heart disease To understand the pathogenesis of angina pectoris and myocardial infarction (D) To understand the risk factors of atherosclerosis (A) Master: angina pectoris, the cause of myocardial infarction (B) Master: definition, etiology, classification, clinical manifestations and related examinations of angina pectoris and acute myocardial infarction, Diagnostic points, treatment points and their differences (C) Key points: nursing angina pectoris and acute myocardial infarction patients; health education for patients with coronary heart disease; Nursing and health education (C) for patients receiving interventional therapy Sixth cases of hypertension Understanding: pathogenesis, the mechanism and clinical selection of antihypertensive drugs, combined use (D) To master the definition and clinical manifestation of essential hypertension and secondary hypertension (A) Mastery: diagnostic criteria and classification of hypertension; treatment of hypertensive emergencies (B) Key points: nursing care of patients with hypertension and health education (B) The seventh section is viral myocarditis Understanding: definition, etiology (A) Master: clinical manifestation, ECG and myocardial enzyme changes, treatment and nursing of myocarditis (B) The fourth chapter is digestive system disease Section 1 general introduction Understanding: anatomy and physiology of the digestive system (A) Grasp: the anatomical structure and physiological function of the major organs that comprise the digestive system (B) Second peptic ulcer Understanding: pathogenesis (D) Mastery: definition, etiology, clinical presentation, and complications (B) Mastery: key points of treatment (C) Key points: care and health education for patients with peptic ulcer (including gastroscopy) (C) Third ulcerative colitis Understanding: definition, clinical presentation, treatment points (A) Mastering: nursing and health education (including gastroscopy and Nursing) for patients undergoing enteroscopy examination (C) Fourth section cirrhosis Understanding: major pathological changes, assisted examination (B) Mastery: clinical presentation, complications, medication, care (B) The emphasis is on nursing and health education (D) for patients with cirrhosis, decompensation and decompensation Fifth hepatic encephalopathy Understanding: pathogenesis (D) To understand: A Mastery: definition, Common causes and causes (A) To master the clinical manifestation of hepatic encephalopathy in four stage (B) Focus on: care and health education for patients with hepatic encephalopathy (C) Sixth cases of acute pancreatitis Understanding: pathological typing (A) Master: definition, etiology, clinical manifestations and complications of edema type, hemorrhagic necrotic pancreatitis (B) Focus on: the patient's care and health education (C) In the seventh section, massive hemorrhage of upper digestive tract Mastery: definition, etiology, characterization, auxiliary examination, treatment points (B) Focus on: nursing care and health education for patients with massive bleeding in the upper gastrointestinal tract (C) The fifth chapter is urinary system disease Section 1 general introduction Understanding: anatomy and physiology of the urinary system (A) Mastery: the anatomy of the parenchyma and renal vessels; the type of urinary system disease (A) Second glomerular diseases To understand the pathological classification of primary glomerular diseases (D) To understand the pathogenesis of chronic glomerulonephritis (D) Master: definition and clinical classification of glomerular diseases, acute and chronic glomerular diseases and primary diseases The definition, etiology, clinical manifestations, complications, and treatment points of nephrotic syndrome (B) Key points: nursing care of patients with glomerular diseases and health education (C) Third acute and chronic pyelonephritis To understand: A Mastery: definition, clinical presentation, causative agents, routes of infection, and predisposing factors that cause pyelonephritis. (B) To master the similarities and differences of clinical manifestations of acute pyelonephritis and its complications (C) Key grasps: carries on the nursing to the acute, the chronic pyelonephritis patient (the low back nurse, the urine bacteriological examination nursing, Precautions included flow to clean midstream urine culture specimens and health education (D) Fourth renal failure To understand the pathogenesis of renal failure, including the nephron theory of chronic renal failure, the theory of righting disequilibrium, and so on (D) To master the definition of acute renal failure, etiology and oliguria, clinical manifestations, oliguria stage, polyuria stage and recovery stage (C) To master the definition, staging, clinical manifestation and treatment of chronic renal failure (C) Focus on: care and health education for patients with acute and chronic renal failure, for dialysis patients Nursing and health education (B) The sixth chapter blood system disease Section 1 general introduction Understanding: hematopoietic system (A) Mastery: classification of hematopoietic organs, blood composition, and hematologic diseases (B) Second anemia Understanding: the pathogenesis of various anemia (D) Mastery: definition, classification, and clinical presentation of anemia (B) Master: the definition of iron deficiency anemia etiology, clinical manifestation, treatment points of iron and related matters; The source, absorption, translocation, storage, utilization and excretion of iron, iron distribution in vivo (C) Master: AA definition, etiology, clinical manifestation, type and characteristics, the key points of clinical treatment; hemogram and bone marrow features (C) Mastery: definition of hemolytic anemia, etiology, clinical features (especially acute hemolysis), treatment points (B) Focus on: anemia patients care; health groups, vulnerable groups, patients with health education (C) Third hemorrhagic diseases Understanding: hemorrhagic disease classification (A) Understanding: the pathogenesis of various hemorrhagic diseases (D) Mastery: definition of hemorrhagic disease, three elements of disease (B) To master the definition, clinical manifestation, hemogram, marrow image and other examinations of idiopathic thrombocytopenic purpura (ITP), Key points of treatment (glucocorticoid therapy and long-term adverse effects) (C) Master: disseminated intravascular coagulation definition, treatment points (B) Focus on: nursing and health education for bleeding patients (C) Fourth section leukemia Understanding: etiology and pathogenesis (D) Mastery: definition of leukemia, and factors associated with the onset of dream Pavilion www.mengxuange.com (A) To master the clinical manifestation, hemogram, bone marrow appearance, uric acid and uric acid characteristics of acute leukemia; The definition of remission induction and the purpose of post remission treatment, adverse reactions of chemotherapy drugs and prevention and treatment of central nervous system leukemia (C) Master: the definition and characteristics of CML, clinical staging; hemogram, bone marrow, chromosome characteristics; treatment (C) Key points: nursing care and health education for leukemia patients according to nursing procedures (B) Fifth section lymphoma Understanding: classification, etiology, and pathogenesis (D) Mastery: definition, clinical presentation (A) Nursing care of sixth patients with hematopoietic stem cell transplantation Understanding: sources of hematopoietic stem cells and for different classifications (A) Mastery: definition of hematopoietic stem cell transplantation (A) The seventh chapter endocrine metabolic diseases Section 1 general introduction Understanding: negative feedback regulation of the hypothalamus pituitary target gland (D) Mastery: the composition of the endocrine system, the endocrine gland physiological function (B) Second. Thyroid diseases Understanding: Graves associated with morbidity (D) To master the definition of hyperthyroidism, clinical manifestations, drug treatment, radioiodine therapy and surgical treatment; Predisposing factors, clinical features and treatment points of hyperthyroidism crisis (B) Mastery: hypothyroidism, definition, etiology, diagnosis (B) Key points: care of hyperthyroidism patients and their health education, can cooperate with doctors to rescue hyperthyroidism crisis patients (C) Third stage hypopituitarism Understanding: pathogenesis (D) Mastery: definition, etiology, clinical presentation (B) Fourth diabetes Understanding: pathogenesis (D) Mastery: definition, typing (A) To master the related factors of type 1 and type 2 diabetes mellitus, and the manifestations of acute and chronic complications of diabetes mellitus; Main points of treatment and adverse drug reactions (B) Focus on: the occurrence of ketoacidosis, predisposing factors and treatment points (B) Key points: according to the nursing program, nursing care of patients with diabetes mellitus and health education, timely detection of patients Hypoglycemia occurred and treated in time (C) The eighth chapter rheumatic diseases Rheumatoid arthritis Understanding: pathogenesis (D) Master: definition of rheumatic disease, definition of rheumatoid arthritis, clinical presentation (B) Focus on: the patient's care and health education (B) Second cases of systemic lupus erythematosus Understanding: etiology and pathogenesis, pathological changes (D) Mastery: definition, clinical presentation, auxiliary examination and treatment points (B) Focus on: the patient's care and health education (B) Third dry syndrome Mastery: definition, clinical presentation, and nursing Essentials (B) The ninth chapter is about the disease caused by physical and chemical factors Section 1 General poisoning To understand the cause and pathogenesis of poisoning (D) Mastery: poison and poison definition (A) Second organophosphorus insecticides poisoning To understand the cause and pathogenesis of poisoning (D) To master the categories, characteristics, clinical manifestations, diagnostic points and treatment points of organophosphorus pesticides (B) Focus on: the care of the disease, Health Education (C) was carried out among the producers and users of organophosphorus pesticides Third acute carbon monoxide To understand the cause and pathogenesis of poisoning (D) To master the characteristics, clinical features, diagnosis and treatment of carbon monoxide (B) Focus on: the patient's care (B) Fourth heat stroke Understanding: etiology and pathogenesis (D) Mastery: definition of heat stroke, clinical presentation and treatment points (B) Focus on: the patient care, health education for the population (B) The fifth section sedative hypnotic poisoning Understanding: etiology and pathogenesis (D) Master: acute and chronic sedative hypnotic poisoning, withdrawal syndrome definition, clinical manifestations and treatment points of quasi period points (C) Focus on: the patient care, health education for the healthy population (B) The tenth chapter infectious diseases Section 1 general introduction To understand the pathogenic action of pathogens during infection and the immune response of the organism (D) Mastery: definition of infection; 5 manifestations of infection process; characteristics of infectious diseases; isolation and disinfection of infectious diseases (B) Focus on: preventive measures (C) carried out in accordance with the three aspects of the epidemic process of infectious diseases The second section is viral hepatitis Understanding: pathogenesis and pathogenesis (D) Understanding: etiology and epidemiology (A) Mastery: definition, clinical classification (A) Mastery: the characteristics of 5 kinds of hepatitis viruses, especially hepatitis A, hepatitis B virus and hepatitis B The antigen and antibody system, clinical manifestations and nursing measures, diagnostic points and treatment points (C) of the combined spleen To master the clinical manifestation, common laboratory examination and clinical significance of acute icteric hepatitis and severe hepatitis, Diagnostic points and main points of treatment (B) Focus on: according to the epidemiological characteristics of hepatitis A and B, take preventive measures; To treat acute jaundice hepatitis and severe hepatitis, and to treat the crowd and the patients with viral hepatitis, Health education was carried out among the family members, and the health education contents of hepatitis were different in different clinical types (C) Third AIDS Understanding: pathogenesis (D) Understanding: epidemiology and aetiological features (A) Mastering: defining clinical manifestations and common laboratory tests, diagnostic points, and treatment points (focused on antiviral therapy) (B) Key points: care for AIDS patients, health groups, patients and their families to carry out health education; Preventive measures (C) were adopted according to the epidemiological characteristics of AIDS Fourth rabies Understanding: epidemiological characteristics (A) Mastery: definition, combination of pathogenesis, understanding of clinical manifestations, diagnosis, and treatment points (B) Key points: nursing rabies patients; carrying out health education; taking preventive measures against rabies, In particular, patients should be treated with wound and prophylactic immunization (C) Fifth cases of hemorrhagic fever with renal syndrome (EHF) Understanding: epidemiology and etiological features (A) Understanding: pathogenesis (D) Mastery: definition, clinical presentation, diagnosis, and treatment points (B) Focus on: care of the patients and health education (B) Sixth cholera Understanding: pathogenesis (D) Understanding: epidemiological characteristics (A) Mastery: definition, characteristics of Vibrio cholerae, clinical presentation, critical treatment for cholera (rehydration therapy) Importance and reason (C) Key points: preventive measures; nursing cholera patients according to nursing procedures and health education (B) The eleventh chapter is nervous system disease Section 1 general introduction Mastery: the central nervous system, the composition of the peripheral nervous system (A) Second cerebrovascular diseases Understanding: three grade prevention of cerebrovascular disease (A) Mastery: etiology and risk factors (B) To master the definition, etiology, clinical manifestations, auxiliary examination and treatment of transient cerebral ischemia (B) Mastery: definition and classification of cerebral infarction (A) To master the definition, etiology, clinical manifestation and treatment of cerebral thrombosis (B) To master the definition, etiology, clinical manifestation and treatment of cerebral embolism (B) To master the definition, etiology, clinical manifestations and treatment points of cerebral hemorrhage (B) Focus on: care and health education for patients with cerebrovascular diseases (C) Third, Parkinson's disease Understanding: etiology and pathogenesis (D) Mastery: definition, clinical presentation (B) Focus on: the patient's care and health education (C) Fourth section epilepsy Understanding: etiology and pathogenesis (D) Mastery: definition, clinical presentation, treatment points Focus on: the patient's care and health education The self-study exam questions of medical nursing course First, individual choice questions 1, the acute attack of bronchial asthma, which nursing measures inappropriate? A, patients take semi recumbent position or sitting position B, limiting water intake C, oxygen delivery Use of D and a quantitative nebulizer Two, multiple-choice questions 1, for diarrhea patients, the correct nursing measures are: A, less slag digestible diet B, abdominal hot compress C, abdominal cold compress D, warm water bath E, ice water bath Three. Fill in the blanks 1, the majority of chronic nephritis patients to () as the first symptom, but the weight varies. Four. Noun explanation 1 diabetes Five, Jane answer 1. Describe the basic characteristics of infectious diseases. Six, disease example The patient is male, 37 years old. Fever, cough, chest pain complaints and shortness of breath for 2 days, nearly half a day to nausea and vomiting. The heat is gone, but restless and vague. Past health without special medical history. Physical examination: 36 C T, P 110 R / min, 28 / min, BP 80/50mmHg. A read www.baiwandu.com heart (a) the right lower lung decreased breath sounds, percussion sound slightly turbid, with a small amount of rales. No contact between liver and spleen. Laboratory examination: blood WBC 3.5 * 109/L, N 0.90. Please answer: (1) what is medical diagnosis? What is the basis? (2) what are the main nursing diagnoses? (3) what are the nursing interventions for this patient? Description: level requirements: understand, master and focus on the outline of the proportion of 3:4:3 Expected difficulty requirements: A is easier, B is medium difficulty, C is difficult, D is difficult, and the proportion of 2:3:3:2 in the outline In the proposition, the proportion of degree requirements and expected difficulty requirements is basically the same as the requirements of the syllabus.
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