Elaborate on:
1. Mr. X, aged 50 yrs brought to the hospital in an unconscious state is admitted in ICU.
a) Discuss the various causes of unconsciousness.
b) Explain the assessment of Mr. X.
c) Elaborate the nursing management of Mr. X.
d) Discuss the legal issues in organ donation.
2. Mr. R, age 45 yrs is admitted in coronary care unit with the diagnosis of myocardial infarction.
a) List down the risk factors of myocardial infarction.
b) Explain the pathophysiology of myocardial infarction.
c) Detail the medical management of Mr. R.
d) Draw a nursing care plan to provide care to Mr. R.
3. a) Explain the predisposing factors and mechanisms of Acute Respiratory Failure.
b) Detail on the collaborative management Acute Respiratory Failure.
4. a) Describe the infection surveillance and prevention in critical care unit.
b) Explain the management of hyperglycemic patient and education on Diabetic keto acidosis.
5. a) What are the causes of CVA.
b) Enumerate the pathophysiology of CVA.
c) Explain the management of CVA including Rehabilitative measures.
6. a) What are the legal and ethical issues involved in critical care?
b) Explain the Nurses role in critical care set up.
7. a) Define Respiratory failure.
b) Enumerate the causes, pathophysiology of respiratory failure.
c) Discuss the collaborative and nursing management of a patient with respiratory failure.
8. Discuss in detail about the lay out, physical set up, equipments and personnel planning to set an ideal medical ICU for 500 bed multispecialty hospital.
9. Mr. ‘X’ is admitted with diagnosis of diabetic keto acidosis (DKA) in critical care unit. Discuss the following:
a) Pathophysiology of DKA.
b) Clinical manifestations of DKA.
c) Write nursing management by applying nursing process.
10. a) Classify burns and describe the pathophysiology of burns. b) Explain the management of a patient with 70% burns Injury.
11. Mr. ‘X’ is admitted to Critical Care Unit with a diagnosis of Acute Renal Failure.
a) Describe etiology, pathophysiology with clinical manifestations.
b) List the phases of ARF.
c) Discuss role of nurse in planning and implementation of hemodialysis.
12. Mrs. ‘Y’ is admitted with a diagnosis of fulminant hepatic failure.
a) Define fulminant hepatic failure and list etiology.
b) Describe the clinical manifestations, medical management and complications.
c) Discuss nursing care of patients with fulminant hepatic failure.
13. a) Define and list the indication for mechanical ventilation.
b) Types and modes of mechanical ventilation.
c) Write the nursing management for patient with mechanical ventilation.
14. a) Discuss the pathophysiology of shock.
b) Describe the clinical manifestations of cardiogenic shock.
c) List the risk factors for the development of septic shock.
d) Describe the surviving sepsis campaign guidelines.
15. Mrs. S aged 45 years brought to the hospital with chest pain and palpitation, admitted in intensive care unit with nocturia, cyanosis, dyspnea and extremity pain.
a) Discuss on the symptoms assessment parameters in cardiovascular diseases.
b) List the conditions, other than myocardial necrosis where treponin is elevated.
c) List the fibrinolytic drugs with their actions and specific indications for use in cardiovascular conditions.
d) Write the nursing management of Mrs. S undergoing PCT (Percutaneous coronary interventions).
16. a) Describe the nursing assessment skills of percussion and auscultation used for physical findings in selected eight chest disorders.
b) Describe the possible causes and signs and symptoms of acid-base disorders resulting from metabolic or respiratory system.
c) Enumerate the complications of intubation and suctioning in respiratory conditions.
d) Describe specific nursing management in any four priority conditions as trouble shooting guidelines when the patient is on mechanical ventilation.
17. a) Explain the pathophysiology and medical management of patient with cardiogenic shock.
b) Discuss the nursing care of patient with intra-aortic balloon pump.
18. Discuss the indications, pre-operative and post-operative nursing care of patient undergoing lung transplantation.
19. Mr. X received in ICU with the complaints of severe breathlessness, sputum production, wheezing and ABG shows respiratory acidosis. Mr. X is been intubated, put on mechanical ventilation and diagnosed as Chronic Obstructive Pulmonary Disease.
a) Describe the risk factors, clinical manifestation and pathophysiology of COPD.
b) Write the pharmacological management and complications in detail.
c) Discuss the bronchial hygiene and ventilator management of Mr. X
20. a) Define Myocardial Infarction and list the causes, clinical manifestation and diagnostic test for MI.
b) Explain in detail about the thrombolytic therapy.
c) Describe the cardiac rehabilitative measures of MI.
Write notes on:
1. Spinal cord injury.
2. Management of acute respiratory distress syndrome.
3. Perforative peritonitis.
4. Renal transplant.
5. Thyroid crisis.
6. Neonatal emergencies.
7. Organization of coronary care unit.
8. Advance cardiac life support.
9. Fluid and Electrolyte therapy of 40% burns.
10. Collaborative management of increased intracranial pressure.
11. Crisis interventions.
12. Dynamic of healing critical care unit.
13. Concepts of critical care nursing.
14. Burn out syndrome in critical care unit.
15. Drug overdose.
16. Pain management in critical care unit.
17. Cardioversion versus defibrillation.
18. Renal Transplantation.
19. ICD Care.
20. Retinal Detachment.
21. Adrenal crisis.
22. Fulminant Hepatic Failure.
23. Tracheo Oesophageal Fistula.
24. Drug Overdose.
25. Deep vein Thrombosis.
26. Fluid and Electrolyte Therapy for Burns.
27. Neurogenic Shock.
28. Total parenteral nutrition.
29. Heart Break
30. Management of hypovolemic shock.
31. Haemorrhagic pancreatitis.
32. ICU psychosis.
33. Burns rehabilitation
34. Defibrillation.
35. Legal and ethical issues in organ donation.
36. Myxedema coma
37. Neonatal seizure.
38. Poisoning.
39. Design of critical care unit.
40. Quality assurance.
41. Pre eclampsia.
42. Pulmonary embolism.
43. Adrenal crisis.
44. Continuous ambulatory peritoneal dialysis.
45. Types of monitors and ventilators used in Critical Care Units.
46. Prevention of burn out syndrome among health care team members.
47. Pain management for a critically ill patient.
48. Increased Intra Cranial Pressure.
49. Anaphylactic shock.
50. Post partum hemorrhage.
51. Draw a critical care unit design with principles for 10 bedded unit.
52. Thoracic trauma.
53. Peritoneal lavage.
54. Liver injury scale.
55. Anti-dotes for specific drugs and toxins.
56. Thyroid crisis.
57. Paralytic Ileus.
58. Types of vertebral injury.
59. Complications of hemodialysis.
60. Mental status examination in neurological disorder.
61. Mechanism of spinal cord injury.
62. Disseminated intravascular coagulation.
63. Abnormal abdominal sounds.
64. Hepatic encephalopathy.
65. Signs and symptoms of thyroid dysfunctions.
66. Management of status asthmaticus.
67. Do Not Resuscitate order.
68. Inotropes in critically ill patients.
69. Wound management in burns.
70. Neonatal emergencies.
71. ABG Analysis.
72. Arterial pressure monitoring.
73. Pain management
74. Post-partum haemorrhage.
75. Perforative peritonitis.
76. Glaucoma
77. Nursing care of patient with head injury.
78. Rehabilitation of burns.
79. Paediatric emergencies.
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