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Curriculum | B.Sc. Operation Theatre Technology | Second Year

Curriculum | B.Sc. Operation Theatre Technology | Second Year

BOTT: Year 2
Advanced Anaesthesia Technology
Time Theory -100 Hours

Unit	Topic	Learning Objectives(At the end of the session the students should be able to)	Teaching Guidelines	Methodology	Time
I	Anaesthesia	Explain History of anaesthesia, Evolution of modern anaesthesia. -Dye allergies, -Monitoring, Equipment options in the MRI -General anaesthesia/sedation techniques -Local anaesthesia techniques. -Peripheral pulse – locations -Methods of BP measurement	Cover to History of anesthesia, Introduction of modern anaesthesia, Evolution of modern anaesthesia. -Dye allergies -Monitoring, Equipment options in the MRI (magnetic resonance imaging) suite. -General anaesthesia/sedation techniques and local anaesthesia techniques. -Types of anaesthesia -Premedication -Phases of Anaesthesia : Induction, intubation, maintenance, recovery -Preop check list	Didactic Lecture through power point projection Group discussion on Monitoring Equipments -General anesthesia/sedation techniques and local anaesthesia techniques. -Clinical monitoring -Multiparameter monitor -PACU	6 hr 4 hr
II	Anesthesia Gadgets	Explain Different type of laryngoscope and blades Description of plain and cuffed endotracheal tubes, -Indication, Method of insertion, -Sterilization -complications -Other type of Endotracheal tubes, Latex armored tubes, Ring, Adair and Elwyn tube (RAE), Micro laryngeal tubes, – LMA, Ambu bag, Tracheotomy tubes. -Protocol for tracheotomy decannulation	Cover to Different type of laryngoscope and blades, Description of plain and cuffed endotracheal tubes, -Other type of Endotracheal tubes, Latex, armored tubes, Ring, Adair and elwyn tube (RAE), Micro laryngeal tubes, -Introduction to double lumen tubes -LMA, other SADs – Ambu bag, -Bougie (GEB), Airway exchange catheter (CAEC) -Sizes of Guedels airways and method of insertion -Tracheotomy tubes. Protocol for tracheotomy decannulation	Didactic Lecture through power point projection Group discussion on Different type of laryngoscope and blades, -Sizes of ETT -Suction catheters -Nasogastric tubes -Guedels airways -Bougie (GEB), -Airway exchange Catheter (CAEC) -Multifunction monitor -Pulse Oxymeter -Peripheral nerve stimulator	5 hr 5 hr
III	Anesthesia Monitoring	Enumerate Monitoring during anesthesia. -Multi parameter monitor – Arterial blood pressure – NIBP, IBP, Manual BP monitoring, – Electrocardiogram -SpO2, EtCO2 – Neuromuscular monitoring	Cover to Monitoring during anesthesia. -Importance of clinuical monitoring -Intraop Patient monitoring -Monitoring in PACU – Five vital signs -Multiparameter monitor -Capnography -Plethysmography -Special monitoring techniques -Monitoring during sedation and MAC	Didactic Lecture through power point projection Group discussion on Monitoring during anesthesia, Arterial blood pressure monitoring, Electrocardiogram, Neuromuscular monitoring etc.	5 hr 4 hr
IV	Suction Apparatus	Explain Foot operated, electrically operated suction apparatus, its General Principal, uses and care -Central pipeline suction, colour coding	Cover to Foot operated, electrically operated suction apparatus, its General Principal, uses and care -Benefits of central suctioning unit -Suction catheters – sizes colour coding -Endotracheal suction – procedure and precautions, pressure required for ETT suction	Didactic Lecture through power point projection Group discussion on Foot operated, electrically operated suction apparatus, its General Principal, uses and care. Demonstration of various type Suction Apparatus their uses and care.	3 hr 3 hr 2 hr
V	Medical Ethics	Explain Medical ethics. -Relevant medico legal aspects. -Responsibilities and duties. -Ethical behavior and conduct. -Medico legal aspects and relation to consumer protection act.	Cover to Medical ethics. -Relevant medico legal aspects. -Responsibilities and duties. -Ethical behavior and conduct. -Medico legal aspects and relation to consumer protection act. -Consent , Informed consent – Documentation	Didactic Lecture through power point projection Group discussion on Medical ethics. -Relevant medico legal aspects. -Responsibilities and duties. -Ethical behavior and conduct. -Medico legal aspects and relation to consumer protection act. -Record keeping	4 hr 3 hr
VI	Anaesthetic Drugs	Explain Different route of drug administration. -Drugs used during General anaesthesia and Regional anaesthesia, -Intravenous anaesthetic agents uses and complications. -Pre- medication indication, Type of drugs used for premedication, Doses and side effects. – Narcotic agents -Anticholinesterase drugs – Vasopressors -, Antiarrhythmic, -Hypotensive, -Anticoagulant drugs.	Cover to Different route of drug administration. -Introduction to General anaesthesia and Regional anesthesia, -Labeling of drugs -Intravenous anesthetics -Inhalational anaesthetics -Drugs used in premedication – Narcotic agents, -Reversal agents -Vasopressor , Antiarrhythmic, Hypotensive, and Anticoagulant drugs -Hypoglycaemic drugs	Didactic Lecture through power point projection Group discussion on Different route of drug administration. – General anaesthesia and Regional anesthesia, -Intravenous anaesthetic agents’ uses and complications. – Type of drugs used for premedication, Doses and side effects. – Drugs used in anaesthesia, Narcotic agents, Anticholinesterase, Vasopressor , Antiarrhythmic, Hypotensive, and Anticoagulant drugs.	10 hr 6 hr
VII	Blood Transfusion	Explain Various types of blood and blood products -Pre transfusion Checks -Transfusion reactions	Cover to Various types of blood and blood products (Packed red blood cells, Platelet Rich Plasma, Fresh Frozen Plasma) -Pre transfusion Checks and Transfusion reactions -Blood grouping , cross matching -Blood administration set	Didactic Lecture through power point projection Group discussion on Various types of blood and blood products -Pre transfusion Checks and transfusion reactions	4 hr 3 hr
VIII	Mental Sickness and Cardiology	Explain Electroconvulsive shock therapy, drug effects on seizure duration -Hemodynamic responses and appropriate treatment -Various ECG leads, their placement and normal ECG. -Circulatory shock and its management.	Cover to Electroconvulsive shock therapy (ECT), Pre operative technique and drug effects on seizure duration -Hemodynamic responses and appropriate treatment -Anaesthesia for cardiac catheterization -Various ECG leads, their placement -Circulatory shock and its management. -Introduction to CABG -Angiography	Didactic Lecture through power point projection Group discussion on Various Electroconvulsive shock therapy, drug effects on seizure duration -Hemodynamic responses and appropriate treatment -Various ECG leads, proper placement of electrodes -Anaesthesia outside OT	5 hr 4 hr
IX	Artificial Ventilation and Related Equipment	Discuss Operation room Ventilators and ICU ventilators -Complication in patients on Ventilators -General care of patient on Ventilator -Disinfection and sterilization of ventilators	Cover to Operation room Ventilators and other type ventilators (HFJV,NIV, PSV, CMV, etc) -Complication in patients on Ventilators -General care of patient on Ventilator -Airway exchange catheter (CAEC) -AMBU / manual resuscitator -Suction procedure for endotracheal suction	Didactic Lecture through power point projection Group discussion on Complication in patients on Ventilators and General care of patient on Ventilator -Endotracheal suction / Oropharyngeal suction Demonstration of working and maintenance of different ventilators	3 hr 2 hr 2 hr
X	Anesthesia techniques	Explain General Anaesthesia Technique -Regional / Local Anaesthesia Technique -Topical Anaesthesia Technique -TIVA -Inhalational Anaesthesia -MAC	– General Anaesthesia Techniques -Local Anaesthesia Techniques -Regional Anaesthesia Techniques -Conscious sedation, Monitored Anaesthesia Care (MAC) -Monitoring during sedation and MAC -Intubation equipments and preparation	Didactic Lecture through power point projection Group discussion on General, Regional / Local,Topical Anaesthesia Techniques Demonstration of different anaesthesia techniques	5 hr 3 hr 9 hr

BOTT : Year 2
INTRODUCTION TO OPERATION THEATRE TECHNOLOGY, SURGICAL EQUIPMENTS & MACHINARY
Time Theory -100 Hours

Unit	Topic		Learning Objectives(At the end of the session the students should be able to)	Teaching Guidelines	Methodology	Time
I		OT Techniques	Explain Cleaning, Carbolization and Maintenance of OT. -Scrubbing Techniques. -Handling sterilized articles in operation theatre. -Types of Operation Lights and other sources of lights their care and handling. -Setting and use of Image intensifier -O.T. environment and storing in OT.	Cover to Cleaning, Carbonization and Maintenance of OT. -Theatre clothes including lead apron and Goggles. -Scrubbing Techniques. -Handling sterilized articles in operation theatre -Types of Operation Lights and other sources of lights their care and handling. -Setting and use of Image intensifier – Control of infection, -O.T. environment and storing in OT. – Universal Precautions , PPE	Didactic Lecture through power point projection Demonstration on Cleaning, Carbonization and Maintenance of OT, Scrubbing Techniques, Handling sterilized articles in operation theatre, Operation Lights care and handling, Setting of Image intensifier, storing in OT.	8 hr 6 hr
II		Sterilization and CSSD	-Explain Methods of instruments cleaning, cleaning agents, detergents, mechanical washing ultrasonic cleaner. -Lubrication and inspection of instruments. -Care of micro surgical and titanium instruments. -Principal of sterilization and disinfection -Different methods of sterilization -Precaution to be taken during sterilization -Recent advances in the methods of sterilization -Methods of check for efficiency of sterilization. -Recent amendment in EPA(Environmental Protection Agency) with reference to waste disposable. -CSSD	Cover to Methods of instruments cleaning, cleaning agents, detergents, mechanical washing ultrasonic cleaner. Lubrication and inspection of instruments. Care of micro surgical and titanium instruments. Principal of sterilization and disinfection Methods of sterilization A. Dry sterilization B.Wet sterilization C.Gaseous sterilization D.Chemical sterilization E.Sterilization by radiation(gamma rays, ultraviolet rays) -Techniques of sterilization of rubber articles, fiber optic bronchoscope, endoscopic instruments and orthopedic power surgical instruments. -Technique of sterilization of carbonized articles -Hazards of sterilization -Prevention of hazards of sterilization -Precaution to be taken during sterilization -Recent advances in the methods of sterilization -Methods of check for efficiency of sterilization. -Recent amendment in EPA(Environmental Protection Agency) with reference to waste disposable.	Didactic Lecture through power point projection Group discussion on Different Methods of instruments cleaning, cleaning agents, detergents, mechanical washing ultrasonic cleaner. -Lubrication and inspection of instruments. -Care of micro surgical and titanium instruments. -Principal of sterilization and disinfection -Different methods of sterilization -Precaution to be taken during sterilization -Recent advances in the methods of sterilization -Methods of check for efficiency of sterilization. -Recent amendment in EPA(Environmental Protection Agency) with reference to waste disposable.	5 hr 10 hr
III		Introduction of surgery	Explain basic principal of surgery. Asepsis	Cover Introduction of surgery and basic principal of surgery. -Laying of instrument trolleys	Didactic Lecture through power point projection Demonstration of various surgeries	2 hr 12 hr
IV		Wound Management	Discuss Different types of bandages. -Surgical Needle & Needle holders. -Types of suture material. -Techniques of stitching and removal of stitches.	Cover to Different types of bandages. -Different type of Surgical Needles & Needle holders. -Different Types of suture material. -Various Techniques of stitching and removal of stitches.	Didactic Lecture through power point projection Group discussion on Different types of bandages, surgical Needles & Needle holders, suture material and Various Techniques of stitching. Demonstration different types of bandages, surgical Needles & Needle holders, suture material and Various Techniques of stitching.	9 hr 4 hr
V		Surgical Instruments	Explain Instruments used for cleaning and draping for a surgical procedure. -Classification of General surgical instruments. -Urological surgery Instruments -Orthopedic surgery instruments -Obstetrics and Gynecological surgery instruments -Reconstructive surgery instruments Laparoscopic instruments used for Cholycystectomy and Laparoscopic gynecology procedures	Cover to Instruments used for cleaning and draping for a surgical procedure. -Classification of General surgical instruments. -Urological surgery Instruments -Orthopedic surgery instruments -Obstetrics and Gynecological surgery instruments -Reconstructive surgery instruments Laparoscopic instruments used for Cholycystectomy and Laparoscopic gynecology procedures	Didactic Lecture through power point projection Demonstration of General surgical, Urological, Orthopedic, Obstetrics and Gynecological, Reconstructive surgery instruments -Laparoscopic instruments used for Cholycystectomy and Laparoscopic gynecology procedures	10 hr 5 hr
VI		Applied Surgery	Enumerate Intra-operative & postoperative problems and complications of general surgery. -Management of emergency caesarean section. -Laparoscopic gynecology procedures. -Surgical Consideration in TURP and PCNL -Surgical management in major burns. -Surgical management of Fracture, Joint replacement and arthroscopy. -Surgical management of endoscopies, laryngectomy and cochlear implant. -Management of PPV and perforating eye injury. -Care and maintenance of Para surgical equipment (Cautery, OT lights, OT Table) -Esmarch bandage, simple tourniquet, pneumatic tourniquet uses, care and maintenance -Major abdominal incision. -Positioning of patient for different operation.	Cover to Intra-operative & postoperative problems and complications of general surgery. -Management of emergency caesarean section. -Laparoscopic gynaecology procedures. -Surgical Consideration in TURP ( transurethral resection of prostate) and PCNL (percutaneous nephrolithotomy ) -Surgical management in major burns. -Surgical management of Fracture, Joint replacement and arthroscopy. -Surgical management of endoscopies, laryngectomy and cochlear implant. -Management of PPV (photorefractive keratectomy) and perforating eye injury. -Care and maintenance of Para surgical equipment (Cautery, OT lights, OT Table) -Esmarch bandage, simple tourniquet, pneumatic tourniquet uses, care and maintenance. -Major abdominal incision. -Positioning of patient for different operation.	Didactic Lecture through power point projection Group discussion on Intra-operative & postoperative problems and complications of general surgery, Management of emergency caesarean section, Laparoscopic procedures, Surgical management in major burns, Surgical management of Fracture, Joint replacement and arthroscopy, Management of perforating eye injury, Esmarch bandage, simple tourniquet, pneumatic tourniquet uses, care and maintenance, Major abdominal incision, ositioning of patient for different operation.	14 hr 15 hr

BOTT : Year 2
Basic Anaesthesia Technology
Time Theory -100 Hours

Unit	Topic	Learning Objectives(At the end of the session the students should be able to)	Teaching Guidelines	Methodology	Time
I	Medical Gas	Explain compressed gas cylinders -Colour coding different gas cylinder and pipe line system -Cylinder storage space and things to remember while empty and full cylinder storing. -Diameter index safety system -Medical gas pipe line system and station outlets. -Air compressor -Oxygen concentrator working principal their uses and care. -Alarms and safety devices in pipe line gas supply.	Cover to Medical gas supply -Introduction to compressed gas cylinders -Colour coding different gas cylinder and pipe line system -Introduction to cylinder and cylinder valve -Cylinder storage space and things to remember while empty and full cylinder storing. -Diameter index safety system -Medical gas pipe line system and station outlets. -Air compressor -Oxygen concentrator working principal their uses and care. -Alarms and safety devices in pipe line gas supply.	Didactic Lecture through power point projection Group discussion on compressed gas cylinders, Colour coding different gas cylinder and pipe line system, Diameter index safety system Demonstration of Medical gas pipe line system and station outlets. Working of Air compressor and Oxygen concentrator working principal their uses and care. -Alarms and safety devices in pipe line gas supply.	3 hr 3 hr 2 hr
II	Gas administration devices	Enumerate Simple oxygen administration devices -Flow meters -Gas Regulators -Flow restrictors	Cover to Simple oxygen administration devices -Methods of controlling gas flow reducing valve -Flow meters -Gas Regulators -Flow restrictors	Didactic Lecture through power point projection Demonstration of Medical gas pipe line system and station outlets. Working of Air	4 hr 4 hr
III	Oxygen Therapy	Explain Definition, causes and responses to hypoxemia. -Clinical signs of hypoxemia. -Goals of oxygen therapy. -Evolution of patients receiving oxygen therapy -Hazards of oxygen therapy.	Cover to Definition, causes and responses to hypoxemia. -Clinical signs of hypoxemia. -Goals of oxygen therapy. -Evolution of patients receiving oxygen therapy -Hazards of oxygen therapy.	Didactic Lecture through power point projection Group discussion on causes and responses to hypoxemia. -Clinical signs of hypoxemia. -Goals of oxygen therapy. -Evolution of patients receiving oxygen therapy -Hazards of oxygen therapy.	4 hr 4 hr
IV	Anaesthesia Machine	Explain Boyles Machine and its function. -Modern anesthesia machine. -Hanger and Yoke system -Cylinder pressure gauge -Pin index -Pressure regulator -Flow meter assembly -Vaporizers- TYPES, Hazards, Maintenance, Filling and drainage.	Cover to Boyles Machine and its function. -Modern anesthesia machine. -Hanger and Yoke system -Cylinder pressure gauge -Pin index -Pressure regulator -Flow meter assembly -Vaporizers- TYPES, Hazards, Maintenance, Filling and drainage.	Didactic Lecture through power point projection Demonstration of Boyles Machine and its function, Modern anesthesia machine, Vaporizers Maintenance, Filling and drainage Group discussion on Boyles Machine and its function, Modern anesthesia machine.	4 hr 3 hr 4 hr
V	Breathing System	Explain Open, Semi closed and Closed Circuits, Classification of breathing system -Mapleson breathing system ventilation -Jackson and Rees system -Bain circuit -Non rebreathing valves- Ambu valves	Cover to General consideration and introduction to breathing system -Classification of breathing system -Mapleson breathing system ventilation -Jackson and Rees system -Bain circuit -Non rebreathing valves- Ambu valves , others	Didactic Lecture through power point projection Group discussion on Classification of breathing system -Mapleson breathing system ventilation -Jackson and Rees system -Bain circuit -Non rebreathing valves- Ambu valves	5 hr 4 hr
VI	Injection Techniques	Explain Intra muscular and insertion of Intra Venous channels. -Handling of sterilized syringes and needles.	Cover to Intra muscular and insertion of intra venous channels. -Handling of sterilized syringes and needles.	Didactic Lecture through power point projection Demonstration of I.M. and I.V. insertion, handling of sterilized syringe and needles	3 hr 4 hr
VII	Fluids and Electrolytes	Explain Type of fluid (Crystalloids & Colloids) -Steps to prepare I.V. drip -Indication of specific fluid and their complication	Cover to Type of fluid (Crystalloids & Colloids) -Steps to prepare I.V. drip -Indication of specific fluid and their complication	Didactic Lecture through power point projection Group discussion on Type of fluid and Indication of specific fluid and their complication.	4 hr 3 hr
VIII	Gas Analyzers	Explain Pulse oxymeter -Oxygen Analyser / sensor -CO2 Monitor / Capnography -Transcutaneous oxygen monitor	Cover to Pulse oxymeter -Oxygen Analyser / sensor -CO2 Monitor / Capnography -Transcutaneous oxygen monitor	Didactic Lecture through power point projection Demonstration of oxymeter -Oxygen Analyser / sensor -CO2 Monitor / Capnography -Transcutaneous oxygen monitor	4 hr 4 hr
IX	Resuscitation Techniques	Explain Basic life support (Airway, Breathing, and Circulation) and equipment utilized for it, Drugs used in CPR, Defibrillation	Cover to Basic life support (Airway, Breathing, and Circulation) and equipment utilized for it, Drugs used in CPR, Defibrillation	Didactic Lecture through power point projection Demonstration of Basic life support equipment and their use	4 hr 4 hr
X	Artificial Air Ways	Explain Parts of airway (nasal/oral) and features, Types, Sizes and methods of insertion -Indication for use -Face mask- Types, sizes and its uses.	Cover to Parts of airway (nasal/oral) and features, Types, Sizes and methods of insertion -Indication for use -Face mask- Types, sizes and its uses.	Didactic Lecture through power point projection Demonstration of Parts of airway and features, Types, Sizes and methods of insertion Face mask- Types, sizes and its uses.	4 hr 4 hr
XI	Minimum Standards of Anesthesia	Discuss how to Check the drugs and equipments before anaesthesia and how to keep the airway clear -Pre operative preparation of patient. -Management of pre operative and post operative rooms. -Transportation Techniques of patient in conscious, semi conscious and unconscious patient to and from operation theatre.	Cover to requirement of drugs and equipments before anaesthesia and methods of keeping airway clear. -Pre operative preparation of patient. -Management of pre operative and post operative rooms. -Transportation Techniques of patient in conscious, semi conscious and unconscious patient to and from operation theatre.	Didactic Lecture through power point projection Group discussion on requirement of drugs and equipments before anaesthesia and methods of keeping airway clear. Management of pre operative and post operative rooms. -Transportation Techniques of patient in conscious, semi conscious and unconscious patient to and from operation theatre.	6 hr 4 hr
XII	Anesthesia Equipment Maintenance	Explain Method of cleaning and sterilization of anesthetic equipments.	Cover to Methods of cleaning of different anesthesia equipments. – Disinfection / sterilization -Methods of sterilization of different anesthesia equipments.	Didactic Lecture through power point projection Demonstration of Methods of cleaning of different anesthesia equipments. Methods of sterilization of different anesthesia equipments.	4 hr 4 hr

BOTT : Year 2
MEDICINE RELEVANT TO OPERATION THEATRE

Time Theory -50 Hours

Unit	Topic		Learning Objectives(At the end of the session the students should be able to)	Teaching Guidelines	Methodology	Time
I		Diabetes Mellitus	Explain Signs and symptoms Diabetes Mellitus – Causes- Type- 1, Type -2 – Gestational diabetes, -Other types -Prevention -Management -Lifestyle, Medications, Surgery, Support -Diabetic emergencies -Complications,	Cover Signs and symptoms Diabetes Mellitus – – Causes- Type 1, Type 2, -Gestational diabetes, Other types -Pathophysiology -Diagnosis – HbA1C, GTT -Prevention -Management 1Lifestyle 2Medications 3Surgery 4Support -Diabetic emergencies -Complications,	Didactic Lecture through power point projection Discussion on -Normal blood sugar -Fasting, PP, random BS -Glucometer -Diabetic coma- types -Insulin, Oral Hypoglycaemic Agents (OHA)	4 hr
II		Hypertension	Explain Signs and symptoms -Causes -Pathophysiology -Diagnosis -Prevention -Management	Cover Signs and symptoms 1Secondary hypertension 2Hypertensive crisis 3Pregnancy 4Children -Causes 1Primary hypertension 2Secondary hypertension -Pathophysiology -Diagnosis -Prevention -Management 1Target blood pressure 2Lifestyle modifications 3Medications 4Resistant hypertension	Didactic Lecture through power point projection Discussion on -Methods of BP measurement -Normal and abnormal BP – Mean BP, Pulse Pressure -Anti-hypertensive drugs -Hypertensive emergencies -Drugs used in Hypertensive emergencies	4 hr
III		Ischemic heart disease	Enumerate Signs and symptoms IHD -Risk factors -Pathophysiology -Diagnosis -Prevention -Management	Cover Signs and symptoms of IHD -Risk factors 1Blood fats 2Other -Pathophysiology -Diagnosis 1Stable angina 2Acute coronary syndrome 3Risk assessment -Prevention 1Diet 2Secondary prevention -Management 1Medications 2Surgery	Didactic Lecture through power point projection Discussion on -ECG leads, base line ECG -Exercise ECG – Stress test -Exercise radioisotope test (nuclear stress test, myocardial scintigraphy) -Echocardiography -Coronary angiography -Stents	4 hr
IV		Obesity	Explain Classification of obesity -Effects on health -Causes -Management	Cover to Classification of obesity -Effects on health 1Mortality 2Morbidity Causes 1Diet 2Sedentary lifestyle 3Genetics 4Other illnesses 5Social determinants -Management	Didactic Lecture through power point projection Discussion on -Ideal body weight -Adjusted body weight -BMI -Morbid obesity -Metabolic syndrome	4 hr
V		Elderly patient	Explain -Differences between adult and geriatric medicine -Pharmacology -Practical concerns -Aging-associated diseases	Cover to -Differences between adult and geriatric medicine -Physiological changes -Practical concerns -Common geriatric diseases -Geriatric nursing -Subspecialties and related services 1Medical 2Surgical 3Other geriatrics subspecialties	Didactic Lecture through power point projection Discussion on -Age associated diseases -care of elderly patient -Comorbidities in geriatric surgical patients -Polypharmacy in geriatric surgical patients -Drug doses : guidelines in geriatrics	4 hr

VI	Pregnancy shock	Explain Shock -Types and Causes of pregnancy shock -Clinical Picture of various Shocks -Managements of various types of shocks	Cover Types and Causes of pregnancy shock – Haemorrhagic shock Neurogenic shock Cardiogenic shock Endotoxic shock: Anaphylactic shock Management of shock	Didactic Lecture through power point projection Discussion on -Antepartum haemorrhage (APH) -Post-Partum Haemorrhage (PPH) -Amniotic Fluid Embolism -Rupture of Ectopic pregnancy -Incomplete Abortion -Rupture of uterus -Acute Invertion of uterus	4 hr
VII	COPD	Discuss Signs and symptoms of COPD -Cause of COPD -Pathophysiology -Diagnosis -Prevention -Management	Cover Signs and symptoms 1Cough 2Shortness of breath 3Other features 4Exacerbation -Causes 1Smoking 2Air pollution 3Occupational exposures 4Genetics 5Other 6Exacerbations -Pathophysiology -Diagnosis 1Spirometry 2Severity 3Other tests 4Differential diagnosis -Prevention 1Smoking cessation 2Occupational health 3Air pollution -Management 1Exercise 2Bronchodilators 3Corticosteroids 4Other medication 5Oxygen 6Surgery 7Exacerbations	Didactic Lecture through power point projection Discussion on -Spirometry in COPD -Oxygen therapy in COPD -Ventilatory management in COPD	4 hr
VIII	Anemia	Explain Signs and symptoms -Causes -Diagnosis -Treatments -Epidemiology	Cover Signs and symptoms -Causes 1Impaired production 2Increased destruction 3Blood loss 4Fluid overload -Diagnosis 1Definitions 2Testing 3Red blood cell size 4Production vs. destruction or loss 5Hyperanemia 6Refractory anemia -Treatments 1Oral iron 2Injectable iron 3Blood transfusions 4Erythropoiesis-stimulating agent 5Hyperbaric oxygen	Didactic Lecture through power point projection Discussion on -CBC -Normal Hb levels -Cyanosis -SpO2, PaO2 -Acute and chronic anaemia -Blood transfusion in Anaemia	4 hr
IX	Chronic renal failure	Explain Signs and symptoms -Causes -Diagnosis -Treatment	Cover Signs and symptoms -Causes -Diagnosis 1Etiology 2Differential diagnosis 3Work-up 4Screening 5Referral to nephrologist 6CKD ,. ESRD -Treatment	Didactic Lecture through power point projection Discussion on -Basic knowledge of : -Renal function tests -Acute kidney Injury (AKI), CKD, ESRD -Renal Replacement Therapy – Dialysis, transplant -NSAIDs and renal damage Renal Function Tests –	4 hr

X	Chronic liver disease/failure	Explain Causes – of chronic liver disease -Physical signs -Recognition -Risk factors for various liver diseases -Treatment	Cover -Complications of chronic liver disease -Physical signs 1Signs associated with diagnosis of chronic liver disease 2Signs associated with hepatic coma 3Signs associated with the aetiology -Treatment	Didactic Lecture through power point projection Discussion on -Hepatitis –B, Hepatitis –C -Anti HCV antibody -Hepatitis B surface Ag -Alcoholic cirrhosis -Hepatic coma	3 hr
XI	Paediatric patient infant/neonate	Explain What is Pediatrics? -Physical characteristics of newborn Internal physiological changes at birth -Neonatal Nursing : Care and feeding of newborn -Potential diseases of neonatal period	Explain What is Pediatrics? -Physical characteristics of newborn 1Weight 2Head 3Hair 4Skin 5Genitals 6Umbilical cord 7Internal physiological changes at birth -Care and feeding of newborn -Potential diseases of neonatal period	Didactic Lecture through power point projection Discussion on -Neonate, Infant -Care of a new born -APGAR score – Common diseases of new born -Neonatal resuscitation -NICU	4 hr
XII	Epilepsy	Explain Signs and symptoms -Causes -Pathophysiology -Diagnosis -Prevention -Management	Cover Signs and symptoms -Causes 1Genetics 2Acquired -Mechanism 1Epilepsy 2Seizures -Diagnosis 1Definition 2Classification 3Tests 4Differential diagnosis -Prevention -Management 1First aid 2Medications	Didactic Lecture through power point projection Discussion on -Diagnosis of epilepsy -First Aid in epilepsy -Complications of epilepsy -Anti-epileptic drugs /anticonvulsants	4 hr
XIII	CVA	Explain Types of stroke -Causes -Pathophysiology -Evaluation -Treatment	Cover Types of stroke 1Classification 2Signs and symptoms 3Causes 4Pathophysiology 5Diagnosis 5.1Physical examination 5.2Imaging 5.3Underlying cause 6Prevention 6.1Risk factors 6.3Previous stroke or TIA 7Management 7.1Ischemic stroke 7.2Hemorrhagic stroke	Didactic Lecture through power point projection Discussion on -Stroke / CVA -Main types -TIA / Ministroke -Risk factors -MRI -Antiplatelet drugs -Blood thinners / Anticoagulants	3 hr

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