MIKNE041p Intensive Nursing Care in Neurology - lecture

Faculty of Medicine
Spring 2017
Extent and Intensity
0/0/0. 2 credit(s). Type of Completion: k (colloquium).
Teacher(s)
Mgr. Petra Juřeníková, Ph.D. (lecturer)
prof. MUDr. Pavel Štourač, Ph.D. (lecturer)
Bc. Tereza Polzer, DiS. (assistant)
Jaromíra Saláková (assistant)
Guaranteed by
prof. MUDr. Pavel Štourač, Ph.D.
Department of Neurology – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Contact Person: Jaromíra Saláková
Prerequisites (in Czech)
MIKIN0332p INC in Internal Medicine II-le && MIKOP0343 Nursing Practice III
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
Introducing the basics of clinical neurological examination with a focus on examining patients with qualitative and quantitative disturbances of consciousness. Fundamentals of neurological topology and syndromology including determination of topical level of disability in coma. Vegetative condition, Locked-in-syndrome, state of minimal consciousness. Neurological disease of a patient in intensive care. Detection and Scoring of Quantitative and Qualitative Disorder of Consciousness (Glasgow Coma Scale [GCS], Richmond Agiation and Sedation Scale [RASS], Confusion Assessment Method in the Intensive Care Unit [CAM / ICU] etc.). The concept of brain death. Basic investigation methods in neurology, focusing on intensive care, their indications, contraindications, complications. Neurological complications of critical condition. Familiarization with basic groups of diseases of the nervous system in childhood and adulthood (stroke, epilepsy, vertebrogenic, neuromuscular, demyelinating, neurodegenerative and metabolic diseases, neurotraumatas, neuroinfectives) focusing on intensive care: theoretical background, overview of current diagnostics and therapy, typical casuistics.
Learning outcomes
The student is able to explain and justify the causes, manifestations, diagnosis, treatment in a patient with severe neurological disease.
Syllabus
  • Pathophysiology of central and neuromuscular complications of critical condition. Systemic Inflammatory Response Syndrome [SIRS], sepsis, multi-organ failure. SOFA scores. Critical state encephalopathy (septic encephalopathy). Delirium: etiopathogenesis, semiology, diagnostics, treatment. Neuromuscular complications of critical condition: polyneuromyopathy of critical condition. Basic principles of nervous system development. Specifics of nervous system affection in childhood age. Fundamentals of neurological semiology (symptomatology). Pulmonary disorders, dyskinesia, myoclonus, speech disorders. Sensory system disorders. Sensory disorders. Vegetative disorders. Clinical neurological examination. Quantitative disturbances of consciousness: somnolence, sopor and coma. Glasgow coma scale. Specific clinical syndromes of a "locked-in-syndrome", state of minimal consciousness, vegetative state. Brain death. Ischemic stroke. Hemorrhagic stroke. Organization of nursing care in the Czech Republic. Neurotraumatology, neuroinfection, degenerative, metabolic and demyelinating disorders of the nervous system in intensive care. Basic investigation methods in neurology. Radiodiagnostic methods (RTG, CT, MR, angiography). Lumbar puncture, examination of liquor. Electro-diagnostic methods (EEG, EMG, EP). Epilepsy in childhood. Cerebral palsy. Epilepsy, status epilepticus. Basics of neurological topology and syndromology. Basic topical neurological syndromes. Topical Diagnosis of Level of Impact of Brain Coma.
Literature
  • neurologie pro nelékařské
  • TYRLÍKOVÁ, Ivana, Martin BAREŠ, Marek BALÁŽ, Milan BRÁZDIL, Jaroslav BRICHTA, Jaroslav DUFEK, Michal DUFEK, Zuzana HUMMELOVÁ, Jan CHRASTINA, Robert MIKULÍK, Eduard MINKS, Miroslava MUCHOVÁ, Zdeněk NOVÁK, Ivan REKTOR and Irena REKTOROVÁ. Neurologie pro nelékařské obory. Vyd. 2., rozš. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, 2012, 305 pp. ISBN 978-80-7013-540-2. info
  • SEIDL, Zdeněk. Neurologie : pro nelékařské zdravotnické obory. 1. vyd. Praha: Grada, 2008, 168 s. ISBN 9788024727332. info
  • Sestra a urgentní stavy. Translated by Libuše Čížková. 1. české vyd. Praha: Grada, 2008, 549 s. ISBN 9788024725482. info
  • KAPOUNOVÁ, Gabriela. Ošetřovatelství v intenzivní péči. Vyd. 1. Praha: Grada, 2007, 350 s. ISBN 9788024718309. info
  • KALINA, Miroslav. Akutní neurologie : intenzívní péče v neurologii. Vyd. 1. Praha: Triton, 2000, 194 s. ISBN 8072541005. info
Teaching methods
lecture
Assessment methods
colloquium
Language of instruction
Czech
Further comments (probably available only in Czech)
The course is taught annually.
The course is taught: every week.
Information on the extent and intensity of the course: celkem 6.
The course is also listed under the following terms Spring 2016, Spring 2018, spring 2019, spring 2020, spring 2021, spring 2022, spring 2023, spring 2024, spring 2025.
  • Enrolment Statistics (Spring 2017, recent)
  • Permalink: https://is.muni.cz/course/med/spring2017/MIKNE041p