VNSG 2510 – Nursing in Health & Illness III
Unit V – Care of the Patient with Disorders of the Immunological System
1.
Objectives
Discuss assessment of patients with impaired
immunity.
I.
Content
Assessment
A. History
1. Infection
2. Immunization
3. Allergy
4. Autoimmune disorders
5. Chronic illness and surgery
6. Blood transfusions
B. Physical assessment
1. Skin and mucous membrane lesions
2. Urticaria
3. Temperature
4. Palpable nodes
5. Joint range of motion
6. Abnormal lung sounds
7. Hepatosplenomegaly
8. Nutritional status
9. Functional limitations
C. Risk factors
D. Developmental variations
2.
Identify clinical significance and nursing
implications of various tests and procedures used for
diagnosis of immunological function.
II. Diagnostic Tests
A. Lab tests
1. CBC with differential
2. T – cell
3. L E prep
4. Erythrocyte sedimentation rate
5. R A factor
6. Culture and sensitivity
B. Allergy sensitivity skin tests
3.
Describe etiology, pathophysiology, and clinical
manifestations of the selected immunological
disorders.
III. Selected Disorders
A. Acquired Immune Deficiency Syndrome
B. Hypersensitivity reaction
1. Anaphylactic reactions
C. Lupus Erythematosus
D. Tissue rejection
E. Anthrax
Learning Opportunities
Hopper – Chapter 18, 19, 20
VIDEO TVCC Website
History and Virology of Pandemic Influenza Part 1
Infection Control and Public Health Measures Part 3
Tuberculosis: New Strategies for the Healthcare Worker
Principles of Infection Control in Standards for Infection
Control Part 1
Bioterrorism and Other Emergencies: Be Prepared, Be
safe
Fighting Antimicrobial – Resistant pathogens
Review
Allergies
Arthritis
Rheumatoid arthritis
Objectives
4.
Use the nursing process to describe care for patients
with selected immune disorders, including
treatments, medications, teaching plans and
complications.
V\Vocation Level III\VN 2510 Immune
Content
F. Small Pox
IV. Implementation
A. Dependent Interventions
1. Medications
a. Antirejection drugs
b. Anti-inflammatory
1.) Salicylates
2.) Non-steroidal anti-inflammatory
Drugs
c. Antiretroviral agents
d. Allergy Emergency Meds
1.) Epinephrine 1:1000
2.) Benadryl
B. Independent Interventions
1. Infection prevention measures
2. Patient education
3. Refer to community resources
a. CDC National AIDS Hotline
b. Hemophilia and AIDS/HIV Network
c. Minority Task force on AIDS
d. Mothers of AIDS Patients
e. AIDS Hotlines
f. The Asthma and Allergy Foundation of
America
g. Medic Alert Foundation
h. American Lupus Society
i. The Arthritis Foundation
j. Lupus Foundation of America
C. Interdependent Interventions
1. Home care
Learning Opportunities
Review 07/15