Unit PHARMACOLOGY, ANESTHESIOLOGY AND GENERAL SURGERY. FIRST AID
- Course
- Midwifery
- Study-unit Code
- A001456
- Curriculum
- In all curricula
- Teacher
- Emira Maria Ayroldi
- CFU
- 7
- Course Regulation
- Coorte 2019
- Offered
- 2021/22
- Type of study-unit
- Obbligatorio (Required)
- Type of learning activities
- Attività formativa integrata
ANESTHESIOLOGY
Code | 50002101 |
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CFU | 1 |
Teacher | Edoardo De Robertis |
Teachers |
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Hours |
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Learning activities | Base |
Area | Primo soccorso |
Academic discipline | MED/41 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian |
Educational objectives | - To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma. - Run BLS-D. - Know the strategies to stabilize vital functions and prevent post-anoxic brain damage - Monitor the patient and manage respiratory support. - Be able to monitor acute and chronic algic syndromes. |
Prerequisites | In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors. |
Teaching methods | Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine. |
Extended program | Pharmacological basis anesthesia (Clinical pharmacology of intravenous and inhalation anesthetics, opioids, benzodiazepines, NSAIDs, local anesthetics) Perioperative medicine Preoperative evaluation and preparation General and locoregional anesthesia techniques Anesthesia work station and intraoperative monitoring Airway management Management of acute postoperative and first aid pain Partoanalgesia Cardiac arrest (BLS-D, ALS) Respiratory insufficiencies Oxygen therapy and respiratory support bases Shock: possible causes and treatment Obstetric bleeding |
GENERAL SURGERY
Code | 50111501 |
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CFU | 1 |
Teacher | Francesco Barberini |
Teachers |
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Hours |
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Learning activities | Base |
Area | Primo soccorso |
Academic discipline | MED/18 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian |
Reference texts | R. Dionigi: Chirurgia. Basi teoriche e chirurgia generale-Chirurgia specialistica: 1-2 (ed. 2017) |
Educational objectives | The student will be able to: know the most important nosologie surgery concerning obstetrics. to distinguish the signs and symptoms of different diseases, understand the degree of severity of various diseases. |
Prerequisites | Anatomical, physiopathological and technological bases |
Teaching methods | face to face |
Learning verification modality | oral exam |
Extended program | Acute appendicitis (historical notes pathophysiology, classification, clinical symptoms and signs, laboratory and instrumental examinations, medical and surgical therapy) Pathology of the biliary tract: cholelithiasis, acute cholecystitis, obstructive jaundice (pathophysiology, classification, clinical signs and symptoms, laboratory and instrumental examinations, medical and surgical therapy) Acute abdomen: peritonitis, traumatic hemoteritoneum, visceral perforations, intestinal occlusion (pathophysiology, classification, clinical signs and symptoms, laboratory and instrumental examinations, medical and surgical therapy) Surgical pathology of colon, rectum and anus: diverticulosis / diverticulitis, neoplasms, hemorrhoidal disease (pathophysiology, classification, clinical signs and symptoms, laboratory and instrumental examinations, medical and surgical therapy) |
PHARMACOLOGY
Code | 50573402 |
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CFU | 2 |
Teacher | Emira Maria Ayroldi |
Teachers |
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Hours |
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Learning activities | Base |
Area | Primo soccorso |
Academic discipline | BIO/14 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian |
Contents | GENERAL PHARMACOLOGY 1 Pharmacokinetics: Absorption, Distribution, Metabolism, Excretion: 2 Elements of Pharmacodynamics 3 Elements of Toxicology SPECIAL PHARMACOLOGY 1 Estrogen, SERMs, progestins and drugs affecting uterine motility 2 General principles of antibiotic therapy 3 Nonsteroidal antiinflammatory drugs (NSAIDs) 4 Glucocorticoids 5 Opioid analgesics and their antagonists 6 Local anesthetics 7 Sedative-hypnotics: benzodiazepines |
Reference texts | Clementi Francesco, Fumagalli Guido Farmacologia generale e molecolare, casa editrice UTET - Katzung B.G., - Farmacologia generale e clinica - Piccin, Padova - Cella, Di Giulio, Gorio, Scaglione, Farmacologia Generale e Speciale per lauree sanitarie, Casa Editrice Piccin - Rang H.P., Dale M.M., Ritter J.M. – Farmacologia - Casa Editrice Ambrosiana, Milano - Mario Furlanut Farmacologia Principi e applicazioni, Casa Editrice Piccin |
Educational objectives | After completing the course, students: 1) should know and understand (To know) the most recent acquisitions in the field of pharmacology, with particular attention to the drugs used in pregnancy. Students must have the exact awareness of how the pregnancy is a peculiar period in terms of pharmacological treatment and must be able to recognize both, drugs allowed and prohibited (toxic or teratogenic), in the light of the most recent acquisition in this discipline; 2) must have the ability (know-how) to supervise drug treatment on pregnant women, having authority and relationship skills (knowing how to be) in the pharmacological control of pregnancy. These capabilities are achieved through a full understanding of the pharmacokinetics and pharmacodynamics of the main drugs. |
Prerequisites | To fully understand the topics enclosed in the programs, the student must have basic knowledge of biology, reproductive physiology, electrophysiology and pathophysiology of inflammation. |
Teaching methods | The lessons will be divided in three main headings: 1) General pharmacology, which lays the basis for studying the mechanism of action of drugs; 2) Special pharmacology, which analyzes the mechanism of action, clinical use and side effects of the most common drugs; 3) Obstetric pharmacology that studies mechanism of action, clinical use and side effects of drugs most widely used in obstetrics. Each new lesson will be preceded by a summary of the previous lesson, with the help of students, who are often encouraged to intervene in the course of the lesson, with the aim to achieve maximum understanding and learning of the topic, directly in classroom. |
Other information | Frequency is required |
Learning verification modality | The exam is an oral test consisting in a discussion lasting about 20 minutes, which will be aimed not only to test knowledge of the program, but also to judge the student's ability to critically associate the notions, for example, pharmacological effects with the pathophysiology and side effects. The potential to apply the acquired knowledge and presentation skills and reasoning, will compete for the final judgment of the student. |
Extended program | GENERAL PHARMACOLOGY 1) Pharmacokinetics: - Absorption: transfer mechanisms of drug across membranes, water-soluble and lipid-soluble drugs, drug ionization, routes of administration. Blood-brain barrier and placental barrier - Distribution: factors affecting the distribution of drugs, plasma-proteins binding - Metabolism: phase I and phase II reactions. Enzyme induction and inhibition. Pharmacokinetic tolerance - Excretion: renal and biliary excretion. Other routes of drug excretion. Clearance and half-life. Bioavailability and first pass effect. 2) Pharmacodynamics: - Mechanism of drug action - Definition of agonist, antagonist, partial agonist - Dose-response curves: definition of effectiveness and potency - Structure and function of the four classes of receptor 3) Elements of Toxicology: -Toxic effects of drugs, teratogenicity, abuse, tolerance, addiction. Basic knowledge of major drug addictions SPECIAL PHARMACOLOGY 1) Ovarian cycle: - Estrogen, SERMs (selective estrogen receptor modulators), progestins and anti-progestins - Menopause and hormone replacement therapy - Hormonal contraceptives 2) Drugs affecting uterine motility 3) General principles of antibiotic therapy: - Penicillin - Cephalosporin 4) Nonsteroidal anti-inflammatory drugs (NSAIDs): - Arachidonic acid - Physiological and pathological role of prostaglandins, prostaglandins and inflammation - Mechanism of action of NSAIDs - Aspirin and acetaminophen - NSAIDs and pregnancy 5) Glucocorticoids - Mechanism of action and hypothalamic-pituitary-adrenal axis - Physiological and pharmacological effects - Side effects and clinical uses - Glucocorticoids and pregnancy 6) Opioid analgesics and their antagonists - Opioid receptors and endogenous opioid peptides - Mechanism of action of opioid analgesics 7) Local anesthetics: Mechanism of action and clinical uses (surface, infiltration, troncular, epidural and spinal anesthesia,) 8) Sedative-hypnotics: benzodiazepines - GABAergic transmission - Mechanism of action of benzodiazepines - Side effects, dependence and withdrawal syndrome - Benzodiazepines and pregnancy |
GENERAL, CLINICAL AND PAEDIATRIC NURSING SCIENCES
Code | 50144401 |
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CFU | 1 |
Teacher | Nicola Ramacciati |
Teachers |
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Hours |
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Learning activities | Caratterizzante |
Area | Scienze ostetriche |
Academic discipline | MED/45 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian |
Contents | First Aid and Basic Life Support in life-threatening conditions. |
Reference texts | Carpenito-Moyet L.J. Diagnosi Infermieristiche. Milano: CEA, 2004. Capitolo: Introduzione, pp. xxv-xlix. ENA, Emergency Nursing Core Curriculum. S. Louis: Saunders-Elsevier, 2007 Capitoli: 2. Triage, pp. 29-50; 22. Emergenze Ostetriche e Ginecologiche pp.536-570. ERC Linee Guida European Resuscitation Council per la Rianimazione 2021: Capitolo 3 Sistemi che salvano vite Capitolo 4 Supporto vitale di base Chapter 8 First Aid Berni G, Francois C, Tonelli L. (a cura di). National Early Warning Score (NEWS) SNLG Regioni 24. (2016) Gruppo Formazione Triage. Triage Infermieristico. 4 ed. Milano. McGraw-Hill. (2019) Capitoli 4,5,6. |
Educational objectives | The goal is to rapidly identify potentially life-threatening conditions requiring immediate intervention. |
Prerequisites | None |
Teaching methods | Lecturer, Simulation |
Other information | None |
Learning verification modality | Oral Examination |
Extended program | First Aid vs Emergency care. The “bifocal clinical practice model” of Linda J. Carpenito-Moyet. CRM Crisis resources management and first aid. NEWS - National Early Warning Score. Assessment and intervention for: A Airway patency B Breathing effectivenesss C Circulation effectivenesss D Disability E Environmental controls First Aid in orthopedic and medical emergency wound care |
Obiettivi Agenda 2030 per lo sviluppo sostenibile | Goal 3: Good health and well-being |
MIDWIFERY, NURSING AND GYNAECOLOGICAL SCIENCES
Code | 50512902 |
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CFU | 2 |
Teacher | Rosamaria Garofoli |
Teachers |
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Hours |
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Learning activities | Caratterizzante |
Area | Scienze ostetriche |
Academic discipline | MED/47 |
Type of study-unit | Obbligatorio (Required) |
Language of instruction | Italian |
Contents | THE ROLE OF THE MIDWIFE IN THE OPERATING ROOM the activities of a midwife in the operating room in all gynecological-obstetric Emergencies and urgencies in ostetrricia and Gynecology |
Reference texts | Testi di riferimento: Pescetto.De Cecco.Pecorari : MANUALE DI GINECOLOGIA E OSTETRICIA. MARTIN : MANUALE ELENCO FERRI CHIRURGICI- M. Guana, F. Lucchini : ARTE E SCIENZA DELLA MIDWIFERY L’ostetrica oggi – Ed. Cic Internazionali M.Cattaneo Milko P. Zanini : IL PROCESSO DI STERILIZZAZIONE |
Educational objectives | The student must acquire ability to learn and apply the principles underlying diagnostic-therapeutic procedures of urgency and emergency.Must acquire knowledge about techniques for analgesia in labor in childbirth and knowing how to understand and interpret theanesthesia folder. |
Prerequisites | |
Teaching methods | face-to-face Practical training |
Other information | |
Learning verification modality | Oral Exam |
Extended program | Preparing the operating room for surgery. Check list. Forms. Acceptance of the patient in the operating room. Surgical path of pt. Correct access mode in the operating room.Surgicalhand washing.Coroner responsibility of midwife. THE MIDWIFE AND CESAREAN SECTION.: Preparing professionals room; TC Elective and urgent, the midwife in Dan operating roomemergency, principals and medicines. Various types of sutureCheck list routine medicationsand emergency PRE-INTRA-OPERATORY. POST: positioning the patient in the surgical bed.VitaliControllosuturaControllo parameter control drainage.Blood loss control. BLOOD RECOVERY MACHINE MANAGEMENT Preparing blood recovery Machine Activation devices.Autologous blood infusion in the operating room MIDWIFE'S ROLE IN REGIONAL ANESTHESIA CARE Epidural, Spinal THE BABY WAS BORN BY CAESAREAN SECTION Encourage the first link bambinoPrime/mother/child care certifications of Midwife and/or EDUCATIONAL WORKSHOP: CAESAREAN INSTRUMENTATION-INSTRUMENTATION LAPAROSCOPY FOR ECTOPIC PREGNANCY.LAPAROISTERECTOMIA INSTRUMENTATION WITH BILATERALANNESSECTOMIA. COLPOISTERECTOMIA – PLASTIC INSTRUMENTATION Procedure.maintenance surgical instruments: Decontamination dell'operatore irons Protection manual washing-mechanical testing-packaging-traceability Steam sterilization under pressure or Plasma Gas Responsibility and preservation ofdocumentiClassificazione of different procedures in the operating room: Sanitizing, disinfection, sterilization. |