KING SAUD UNIVERSITY
MEDICAL COLLEGE
PHYSIOLOGY DEPARTMENT
APPLIED PHYSIOLOGY MODULE
FOR
MASTER DEGREE IN NURSING (FEMALE)
(SUBSPECIALITY: SURGERY)
PHYSIOL -582
SECOND SEMISTER
1428
COURSE ORGANIZER: DR. Eman A. El Eter
CHAIRMAN: Abdul Majeed Al Drees
FOREWORD
This course module contains programs for the nursing students
applying for master degree in Nursing, Surgery subspecialty. It includes
the flow chart with lectures, seminars, discussion sessions…etc. The
module also describes methods of student evaluation during the course.
As these students are going to take their subspecialty in surgery,
the course focuses on topics in applied physiology which are expected to
be of importance and give them solid relevant knowledge. All the topics
are quite interesting and encourage the students for extensive readings.
Having said that, the course will depend on student's contribution in the
form of case study, presentations, and Medline search.
Applied physiology module:
General information:
This course is the only one you need as pre-requisite for your
master degree in surgery. It is 3 credit hour course. The study including
evaluation extends up to 16 weeks.
Methods:
Instructional methods used are lectures, discussion group and
student activities. Self-evaluation questions have been given at the end.
These are sample of multiple choice questions with feedback on correct
answers.
Text book:
Human Physiology and Mechanisms of Disease, Gyuton.
Reference Book:
Review of Medical Physiology, Ganong 22ND edition.
Some additional readings through the net search may be needed.
Attendance:
Attendance is compulsory in all classes. Participation of the students
during the course is a must.
Evaluation:
There will be three exams besides student activities. The detailed marking
and evaluation are given below:
Total marks:
100
First continuous Assessment (Week 9)
Second continuous Assessment (Week 13)
Two Seminar presentations
Two case studies/internet search
Final Exam (Week 16)
15 marks
15 marks
2x 5 = 10 marks
2x 10 = 20 marks
40 marks
Summary of mark distribution:
Continuous Assessment
Final Exam
= 60 marks
= 40 marks
The pass mark is 70% of the total course performance.
Best Wishes
Dr. Eman El Eter,
Course Organizer.
LECTURE CONTENTS:
The first three lectures are concerned with the applied renal physiology.
This topic is of relevant importance for persons dealing with patients in
surgery departments, especially in the post-operative period.
Understanding the normal acid base status, electrolytes and body fluids
and their disorders will be the focus of these lectures. Students will
contribute through presenting cases and discussion.
Lecture 1:
1. Introduction to normal acid base status, blood pH, alkali reserve…
2. Mechanisms involved in the regulation of acid-base balance.
3. Acid-base disorders.
Lecture 2:
1. Important electrolytes, their plasma levels, functions.
2. Regulation of electrolyte levels.
3. Disorders of electrolyte balance.
Lecture 3:
1. Body fluid volume/distribution.
2. Disorders of body fluid balance: hyper-hypovolemia & hyper-hypoosmolality.
The next two lectures are concerned with the applied cardiovascular
physiology. The topics will include disorders of blood pressure, methods
used for measurements of blood pressure and blood flow (Doppler
flowmeter), normal ECG and arrhythmias, pathophysiology of heart
failure.
Lecture 4:
1. Normal ABP range, variations.
2. Brief review of blood pressure control.
3. Pathophysiology of hyper and hypotension.
4. Heart failure.
Lecture 5:
1. Normal waves of ECG.
2. Types of arrhythmias.
The following two lectures will discuss disorders of the respiratory
functions, after brief introduction revising the functions of the respiratory
system.
Lecture 6:
1. Introduction.
2. Cyanosis & dyspnea: definitions/causes.
Lecture 7:
1. Respiratory centers.
2. Mechanisms of Respiratory Failure.
3. Artificial breathing
The next two lectures will be concerned with applied physiology of the
heamopoietic system.
Lecture 8:
1. Revision of coagulation cascade.
2.Pathophysiology of hypercoagulable states
Lecture 9:
1.Bleeding disorders: hemophilia, thrombocytopenia.
The next lectures will discuss some of the pathophysiology of the central
nervous system as pain/analgesia, wakefulness/coma.
Lecture 10:
1.Pain/ body analgesia system
2. How aneasthetics work?
Lecture 11:
1. Introduction: control of cerebral activity ,normal EEG waves
2. Sleep/coma, brain edema.
Lecture 12:
1. Body temperature regulation.
2. Fever/hyperthermia, hypothermia.
The following lectures will focus on endocrine disorders .
Lecture 13:
Thyroid crisis/ Addisonian crisis, acute hypocalcemia.
APPLIED PHYSIOLOGY COURSE FLOW CHART
L = Lecture
Week
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Day /date
Tus 2.2.1428
20.2.2007
Tus
9.2.1428
27.2.2007
Tus
16.2.1428
6.3.2007
Tus
23.2.1428
13.3.2007
Tus
1.3.1428
20.3.2007
Tus
8.3.1428
27.3.2007
Tus
15.3.1428
3.4.2007
Tus
22.3.1428
10.4.2007
Tus
29.3. 1428
17.4.2007
Tus
7.4.1428
24.4.2007
Tus
14.4.1428
1.5.2007
Tus
21.4.1428
8.5.2007
Tus
28.4.1428
15.5.2007
Tus
5.5.1428
22.5.2007
Tus
12.5.1428
29.5.2007
Tus
19.5.1428
4.6.2007
S = Seminar
CS = case study
Time
9-12
A.m
9-12
A.m
Activity
L
Topic
Introduction to program.
Instructor
Dr. Eman
L
Acid-base balance/disorders
Dr. Eman
9-12
A.m
L
CS
Electrolyte balance/disorders
Dr. Eman
9-12
A.m
L
CS
Body fluid
regulation/disorders
Dr. Eman
9-12
A.m
L
Seminar
Dr. Eman
9-12
A.m
L
Pathophysiology of
hyper/hypotension/Heart
Failure
Normal ECG waves
Arrhythmias
9-12
A.m
L
CS
Cyanosis/dyspnea
Dr. Eman
9-12
A.m
L
Respiratory centers/Resp
failure & artificial respiration.
Dr. Eman
9-12
A.m
CAT-1
L
Dr. Eman
9-12
A.m
L
Seminar
CS
L
Coagulation
Cascade/hypercoagulable
state.
Bleeding disorders.
Pain/body analgesia
system/aneasthesia
Dr. Eman
9-12
A.m
Dr. Eman
Dr. Eman
9-12
A.m
L
Cerebral activity/EEG.
Sleep/coma
Dr. Eman
9-12
A.m
CAT-2
L
Temperature
regulation/Fever/hypothermia
Dr. Eman
9-12
A.M
L
Endocrine disorders
Dr. Eman
9-12.
A.m
CSSeminar
Revision
Dr. Eman
FINAL EXAM
Dr. Eman
9-12
A.m
STUDY QUESTIONS:
Advised to go through MCQs in the last chapter of Ganong Physiology
book. Also Online case studies and MCQs relevant to the studied topics.
Best Wishs.