1

DOA REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATION

COLLEGE OF NURSING

CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE,

NUTRITION AND METABOLISM AND ENDOCRINE

Course Description: This course deals with the principles and techniques of nursing
care management of sick clients across lifespan with emphasis on the
adult and the older person, population group in any setting with
alterations/ problems in oxygenation, fluid and electrolyte balance,
nutrition and metabolism and endocrine function and clients undergoing
surgery.

Course Code : NCM 103

Course Credit: 8 units lecture, 6 units RLE

Contact Hours/sem: 136 hours lecture and 306 hours RLE

Prerequisite: NCM 102

Placement: 3rd year, 1st semester

Course Objectives:
At the end of the course, students will be able to:
1. Use the nursing process in the care of individuals, families in community and hospital settings.
Assess with client/s his/her/their condition/health status through interview, physical
examination, interpretation of laboratory findings.
Identify actual and at-risk nursing diagnosis
Plan appropriate evidence-based nursing interventions with client/s and family for
identified nursing diagnosis
Implement plan of care with client/s and family.
Evaluate the progress of his/her/their clients condition and outcomes of care.

2. Perform actual patient care in accordance with existing laws, legal, ethical and moral
principles.
3. Effectively communicate in speaking, writing, and presenting using culturally-appropriate
language with client/s and their family and the health team.
4. Document data on client care clearly, concisely, accurately and in a timely manner.

LEARNING OBJECTIVES TOPIC DATE / LECTURER

TIME
Given an adult ( young, I. Responses to Altered Oxygenation,
middle, old, old-old adult) Respiratory Gas Exchange, Transport, Perfusion August 3
with responses to altered
Respiratory function, the I.A. Review: Anatomy and Physiology of the
student will be able to: Respiratory System

A. UPPER RESPIRATORY TRACT

Differentiate the
normal and abnormal - Nose, Paranasal sinuses, Pharynx,
anatomy and physiology of tonsils,adenoids, Larynx, Trachea
the Respiratory system

B. LOWER RESPIRATORY TRACT

- Lungs, Mediastinum, Lobes
- Bronchi and Bronchioles, Alveoli
 2

LEARNING OBJECTIVES TOPIC DATE / LECTURER

TIME
I. B Functions of the Respiratory System
- Oxygen Transport
- Respiration
- Ventilation
- Air Pressure Variances
- Airway Resistance
- Compliance
- Lung Volumes and Capacities
- Pulmonary Diffusion and Perfusion
- Ventilation and Perfusion Balance and
Imbalance
- Gas Exchange

Differentiate normal & I.C. Nursing Process:

abnormal signs and A. Assessment:
symptoms of respiratory
system 1. Subjective Data:

A. Nursing History
a. Common Symptoms
- Dyspnea
- Cough
- Sputum Production
- Chest Pain
- Wheezing
- Hemoptysis
- Orthopnea
- Cyanosis
- Restlessness
- Tachypnea
- Confusion
- Stridor
- Nasal and sinus complains

Gather relevant information B. Past Health, Family, and Social History

about the present & past C. Functional Health Patterns
health, family & social
history of the patient with 2. Objective Data:
respiratory disorder A. Physical Assessment
1. General Appearance
- Clubbing of the fingers
- Cyanosis
2. Assessment of the Upper Respiratory
Structures
- Nose and sinuses
- Mouth and Pharynx
- Trachea
3. Assessment of the Lower Respiratory
Structures and Breathing
- Thoracic Inspection
- Chest Configuration
- Breathing Patterns and Respiratory
Rates
- Thoracic Palpation
- Respiratory Excursion
- Tactile Fremitus
- Thoracic Percussion
- Diaphragmatic excursion
- Thoracic Auscultation
- Breath Sounds
 3

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

B. Diagnostic Exams
b.1. Non-invasive
1. Interprets - Pulmonary Function Test
deviations from - Pulse Oximetry
normal findings in - Ventilation Perfusion Scan
the physical - Radiologic Studies: Chest X-rays
assessment, - CT Scan, MRI, PET, Pulmonary
diagnostic and - Angiography
laboratory
examination b.2. Invasive
- Endoscopic Exams: Laryngoscopy,
2. Identify the Bronchoscopy, Mediatinoscopy
indications/ - Lung Biopsy
purposes, - Thoracentesis and Pleural fluid
contraindications, Analysis
side effects, - Fluoroscopic studies
complications - Lung scans
and nursing
responsibilities b.3. Laboratory Tests
before, during - Sputum Culture
and after the - Nose and throat culture
procedure. - ABGs
- Fagerstrom Test (Standardized
degree of nicotine dependence)
- Smoke analyser

B. Analysis/ Nursing
Formulate nursing Diagnosis
diagnosis related to
respiratory problems 1. Ineffective airway clearance as evidenced
using their knowledge of by shortness of breath, dyspnea,
the assessment of the orthopnea, retractions, nasal flaring,
respiratory altered chest excursion
2. Ineffective breathing patterns as
evidenced by ineffective cough,
diminished or abnormal breath sounds,
cyanosis, restlessness
3. Impaired gas exchange as evidence by
cyanosis, abnormal respiratory rate,
rhythm, nasal flaring, tachycardia,
diaphoresis, confusion
4. Impaired spontaneous ventilation as
evidenced by dyspnea, use of accessory
muscles, tachycardia, apprehension
5. Disturbed sleep pattern (sleep-rest)
6. Anxiety (Self- Perception- Self- Concept)

C. Planning:

Make an 1. Planning for health promotion

effective & 2. Planning for health restoration and
comprehensive maintenance
nursing care plan a. Maintain airway patency: coughing
for clients with techniques, suctioning
respiratory b. Relieving apprehension and fear
disorders c. Reducing metabolic demands
d. Maintaining rest and activity
e. Decreasing the efforts of breathing
f. Maintaining nutrition and hydration
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LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

g. Preventing and controlling infection
h. Planning for oxygen therapy
i. Incentive spirometry
j. Aerosol therapy
k. Postural drainage
l. Ventilation therapy
m. Artificial airways
n. Chest drainage
o. Chest surgery
- Lobectomy
- Pneumonectomy
- Segmental Resection
- Wedge Resection
- Decortication
- Exploratory Thoracotomy
- Thoracotomy not involving lungs
- Video- assisted thoracic surgery (VATS)
- Lung volume Reduction Surgery (LVRS)

Explain the various I.D. COMMON HEALTH August 4 MRS. MAGNO

respiratory problems PROBLEMS
and recite all the - Nursing Care of Clients with Upper
precipitating factors Respiratory Problems
and risk factors that - Rhinitis
may lead to the - Viral Rhinitis
development of these - Rhinosinusitis
diseases /disorders.
- Pharyngitis
- Tonsillitis and adenoiditis
Enumerate the
pathognomonic - Peritonsillar abscess
manifestations of each - Laryngitis
disease and explain - Laryngitis
the reason why they - Epistaxis
develop. - Nasal Obstruction
- Fractures of the nose
- Laryngeal Obstruction
- Cancer of the larynx

A. Nursing Care of Clients with Chest and

Lower Respiratory Tract Disorders
- Pneumonia
- Aspiration
- Severe Acute Respiratory Syndrome
- Pulmonary Tuberculosis
- Lung Abscess
- Pleurisy
- Pleural Effusion
- Empyema
- Pulmonary Edema
- Acute Respiratory Failure
- Acute Respiratory Distress Syndrome
- Pulmonary Arterial Hypertension
- Pulmonary Heart Disease
(CorPulmonale)
- Cardiac Tamponade
- Subcutaneous Emphysema
- Pulmonary Embolism
- Pulmonary Hypertension
- Pulmonary Edema
 5

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

Explain the various * Occupational Lung Disease August 11 MRS. MAGNO
respiratory problems
and recite all the - Asbestosis
precipitating factors - Silicosis
and risk factors that - Coal Workers Pneumoconiosis
may lead to the - Hypersensitivity Pneumonitis
development of - Sarcoidosis
these diseases - Lung Cancer
/disorders. - Tumors of the Mediastinum
- Trauma of the Chest or Lungs
Enumerate the - Thoracic Injury: Rib Fracture, flail
pathognomonic chest, Pulmonary Contusion, Blunt
manifestations of Trauma, Penetrating trauma: Gunshot
each disease and
and stab wounds
explain the reason
- Inhalational Injury: smoke inhalation
why they develop.
- near drowning

B. Nursing Care of Clients with Chronic August 10 MRS. DE ASIS

Pulmonary Disease

a. Chronic Obstructive Pulmonary Disease

b. Emphysema
c. Bronchitis
d. Bronchiectasis
e. Asthma
f. Status Asthmaticus
g. Cystic Fibrosis

C. Nursing Care of Pediatric Clients with

Respiratory
Disorders

a. Upper Respiratory Tract

- Common Colds
- Allergic Rhinitis/ Chronic Rhinitis
- Sinusitis
- Pharyngitis
- Tonsilitis
- Epistaxis
- Aspiration
- Laryngitis
- Croup
- Choanal atresia

b. Lower Respiratory Tract

- Asthma, Status Asthmaticus
- Pneumonia
- PTB/ Primary Complex
- Cystic Fibrosis
- Bronchitis/ Bronchiolitis
- Atelectasis
- Pneumothorax

c. Others
- Otitis Media
- RDS/ SIDS
 6

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

- Implement I.E. IMPLEMENTATION
individualize the 1. Pharmacological Therapeutics
nursing care: - Antitussives
- Decongestants and Antihistamines
1. Safely and - Antitubecular
knowledgeably - Broad Spectrum Antibiotics
administer prescribed - Adrenergic Stimulants
medications and
- Methylxanthines Anticholinergics
treatments/ alternative
- Corticosterioids
complementary
medicine - Mast Cells Stabilizers
- Lekotriene Modifiers
3. Provide appropriate - Surfactant Adminitration
client education and - Expectorants
health maintenance
and community- based 2. Complimetary and Alternative
care of clients. Therapy
- Echinacea
4. Evaluate the progress - Golden Seal
of his/her/their clients - Zinc
condition and 3. Nutrition and Diet Therapy
outcomes of care
- Tube Feedings
- Fluid Therapy per Orem, IV
- High Protein, High Calorie

4. Client Education

II. RESPONSES TO ALTERED OXYGENATION,

CARDIAC AND TISSUE PERIPHERAL PERFUSION/ August 11 MRS. ALFONSO
TRANSPORT
Differentiate the normal
and abnormal anatomy II.a Review: Anatomy and Physiology of the
and physiology of the Cardiovascular and Hemato-Lympathic System
Cardiovascular
&Hematolymphatic 1. Anatomy of the Heart
System - Heart Chambers, Heart Valves,
Coronary Arteries
2. Functions of the Heart
- Cardiac Electrophysiology
- Cardiac Action Potential
- Cardiac Cycle
- Cardiac output
II. b. Nursing Process
Differentiate normal &
abnormal signs and a. Assessment
symptoms of respiratory 1. Subjective Data:
system A. Nursing History:

a. Common symptoms
- Chest Pain
- Shortness of breath
- Peripheral edema
- Palpitations
- Fatigue
- Dizziness
- Syncope
- Changes in levels of consciousness
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LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

Gather relevant B. Functional Health Patterns
information about the C. Past health, family and social history
present & past health, 2. Objective Data
family & social history of
a. Physical Assessment
the patient with
- General Appearance
respiratory disorder
- Inspection of the skin
- Blood Pressure
Differentiate normal & - Pulse Pressure
abnormal signs and - Postural Blood Pressure Changes
symptoms of - Arterial Pulses
cardiovascular systems - Jugular Venous Pulses
- Heart Inspection and Palpation
- Heart Auscultation
- Inspection of the extremities
- Assessment of other systems
a. Lungs
b. Abdomen
2.a. Problems of Oxygenation: Perfusion

- Fatigue, fluid retention, dyspnea

- Irrregular heartbeat, pain
- tenderness in the calf or legs
- syncope, leg pain
- Altered neurologic function
2. b. Problems in Oxygenation Transport:

- Skin: flushing, jaundice, cyanosis,

excoriations, pruritus, leg ulcers,
- angiomas, telangiectasis, nevus purpura
- petechiae, ecchymosis, hematomas,
- chondroma, plasmacytoma
- Eyes: Icteresia, Conjunctival pallor,
blurred Vision, diplopia, visual fields cut
- Nose: Epistaxis
- Mouth: Gingival and mucosal membrane
Changes
- Lymph Nodes: Adenopathies
- Heart and Chest: tachycardia,
palpitations,
- Altered BP, sternal tenderness, low
- Oxygen saturation
- Abdomen: Hepato-splenomegaly
- Nervous System: Paresthesia, Headache,
- Nuchal Rigidity
- Musculoskeletal system: bone pain, joint
- Swelling and arthralgia
Identify the B. Diagnostic Tests and Procedures
indications/ purposes, 1. Non-invasive:
contraindications, side - ECG
effects, complications - Ultrasound
and nursing - chest Xray
responsibilities before, - Cardiac Stress Testing
during and after the - Exercise stress Testing
procedure. - Pharmacological Stress Testing
- Echocardiography
- CT scan
- MRI - Radio-nuclides studies
 8

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

Interpret deviations from 2. Invasive Studies:
normal findings in the - Cardiac Catheterization
physical assessment, - Angiography
diagnostic and - Aortography
laboratory examination - Coronary Arteriography
- Right Heart Catheterization
Communicate to the - Electrophysiologic Testing
patient the result of the
- Arteriogram
diagnostic and lab
- Venogram
examination
- Lymphography
- Bone marrow aspiration
- Hemodynamic monitoring
* CVP
* Pulmonary artery pressure
* Intraarterial BP monitoring

3. Laboratory Tests

a. Cardiomarker analysis
- Enzymes and Isoenzymes Studies: CPK-MB,
- C-Reactive Protein, Troponin-I

a. Blood Chemistry, Hematology and

coagulation studies
b. Brain (B-type) Natriuretic Peptide
c. C-reactive Protein
d. Homocysteine
e. ESR, ASO-Titer
f. Torniquet Test
Formulate nursing
g. Throat Culture
diagnosis related to
respiratory problems b. ANALYSIS/ NURSING DIAGNOSIS:
using their knowledge of 1. Decreased Cardiac Output as
the assessment of the evidenced by increasedHeart rate,
cardiovascular system fatigue, SOB, decreased urine output,
2. Impaired mental processing,
decreasing LOC
3. Activity Intolerance as evidenced by
weakness, fatigue, vital signs changes
4. Fatigue as evidenced by difficulty
completing usual daily activities,
frequent desire to rest
5. Risk for peripheral neurovascular
dysfunction as evidenced by changes in
color, temperature, sensation of
extremities
6. Impaired tissue integrity (Nutrional
Metabolic)
7. Ineffective Breathing Patterns
8. Fluid Volume Excess
9. Nutrition, Altered, less than body
requirement
10. Growth and development, altered
11. Family Process, Altered
12. Pain
13. Activity Intolerance
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LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

Make an effective & c. PLANNING
comprehensive nursing
care plan for clients with 1. Planning for health promotion
respiratory disorders a. Risk Factor and risk management
b. Promotion of circulation
c. Prevention of infection: immunizations
d. genetic counselling
e. role of nutrition
2. Planning for health Maintenance and
restoration
a. Planning for basic life support, CPR
b. Planning for advanced life support
c. Planning for the client having cardiac
surgery
Explain the various
II.C. COMMON HEALTH PROBLEMS
cardiovascular August 17 MRS. DE ASIS
A. Nursing Care of Clients with
problems and
recite all the Dysrhythmias and Conduction Problems
precipitating factors 1. Dysrhythmias
and risk factors that may a. SINUS NODE DYSRHYTHMIAS
lead to the - Sinus Bradycardia
development of these
- Sinus Tachycardia
diseases
- Sinus Arrhythmias
b. ATRIAL DYSRHYTHMIAS
Enumerate the
Pathognomonic - Premature atrial complex
Manifestations of each - Atrial Flutter
disease and explain the - Atrial Fibrillation
reason why they c. JUNCTIONAL DYSRHYTHMIAS
develop. - Premature Junctional Complex
- Nonparoxysmal Junctional Tachycardia
Discuss the - Atrioventriculr Nodal Reentry
psychopathophysiologic Tachycardia
process of these d. VENTRICULAR DYSRHYTHMIAS
diseases from causes to - Premature Ventricular Complex
manifestations and its - Ventricular Tachycardia
complications
- Venticular Fibrillation
- Idioventricularrhythym
- Ventricular asystole

1. CONDUCTION ABNORMALITIES
a. First-degree Atriventricular block
b. Second-degree Atriventricular Block, Type
I (Wencke Bach)
c. Second-degree Atriventricular Block, Type
II
d. Third-degree Atriventricular Block

B. Nursing Care of Clients with Coronary August 18 MRS. ALFONSO

Vascular Disease
a. Coronary Atherosclerosis
b. Angina Pectoris
c. Acute Coronary Syndrome and
Myocardial Infarction
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LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

C. Nursing Care of Clients with Structural,
Infectious and Inflammatory Cardiac Disorders
a. Mitral Valve Prolapse
b. Mitral Regurgitation
c. Mitral Stenosis
d. Aortic Regurgitation
e. Aortic Stenosis
f. Septal Defects
g. Cardiomyopathy
h. Rheumatic Endocarditis
i. Infective Endocarditis
j. Myocarditis
k. Pericarditis

D. Nursing Management of Clients with

Complications from Heart Disease
a. Chronic Heart Failure
b. Pulmonary Edema
c. Thromboembolism
d. Pericardial effusion and cardiac
tamponade
e. Cardiac arrest

E. Nursing Care of Clients with Vascular Disorder August 24 MRS. ALFONSO

and Problems of Peripheral Circulation
a. Peripheral Occlusive Disease
b. Upper Extremity Arterial Occlusive Disease
c. ThromboangitisObliterans
d. Aortoiliac Disease
e. Aneurysms
f. Dissecting Aorta
g. Arterial Embolism and arterial thrombosis
h. Raynauds Phenomenon
i. Chronic Venous Insufficiency/
Postthrombotic Syndrome
j. Leg Ulcers
k. Varicose Veins
l. Lymphagitis and Lymphadenitis
m. Lymphedema and elephantiasis

F. Nursing Care of Clients with Hypertension

a. Hypertension
b. Hypertensive Crises

G. Nursing Care of Clients with Hematologic

August 25 MRS. DE ASIS
Disorders
a. Hypoproliferativeanemias
b. Hemolyticanemias
c. Polycythemia Vera
d. Secondary Polycythemia
e. Neutropenia
f. Lymphopenia
g. Acute Myeloid Leukemia
h. Chronic Myeloid Leukemia
i. Hodgkin Lymphoma
j. Non-hodgkin Lymphoma
 11

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

k. Primary Thrombocythemia
l. Secondary
m. ThrombocytosisThrombocytopenia
n. Idiopathic Thrombocytopenic Purpura
o. Platelet Defects
p. Thalassemias
q. Hemophilias
r. Von Willebrands Disease
s. Vitamin K Deficiency
t. Disseminated Intravascular Coagulation
u. Thrombotic Disorders
v. Hyperhomocysteinemia
w. Antithrombin Deficiency
x. Protein C Deficiency
y. Protein S Deficiency
z. Activated Protein C Resistance and Factor V
Leiden Mutation
aa. Acquired Thrombophilia

August 31 MRS. ALFONSO

H. Pediatric Cardiovascular Disorders
A. Defects with increased pulmonary blood
flow
- VSD, ASD, PDA
B. Defects with Obstruction to blood flow
- PS, AS, COA
C. Defects with mixed blood flow
- Transposition of great vessels
- Truncus Arteriosus
D. Defects with decreased pulmonary blood
flow
- Tricuspid atresia
- TOF
E. Acquired Heart Disease
- CHF
- Rheumatic Fever
- Persistent Pulmonary Hypertension
- Kawasaki Disease
- Endocarditis
- Arrythmias
- Hypertension
- Dyslipidemia
- Cardiomyopathy

I. Pediatric Hematologic Disorders September

1 MRS. MAGNO
- Hyperbilirubinemia
- Anemias
- Polycythemia
- Leukemia
- Purpuras- ITP, HenochSchonlein syndrome
- Hemophilias: Factors 8,9,11 deficiencies,
- Von Willebrands disease
- Thalassemias
- DIC
 12

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

Implement D. IMPLEMENTATION:
individualized nursing A. Pharmacologic Therapy
care: - Cholesterol lowering drugs, statins, bile acids
- Sequestrants, nicotinic acid, fibric acid
1. Safely and derivatives
knowledgeably - Antianginal: Nitroglycerine, beta blockers,
administers calcium Channel blockers
prescribed
- Antiplatelet: Oral and IV drugs
medications
- Antidysrhythmic Drugs
and treatments/
alternative - Heart Failure: ACE inhibitors, Angiotensin II
complementary Receptor blockers, diuretics, positive
medicine inotropic Agents, sympathomimetics, digoxin,
phophodi , Esterase inhibitors
2. Provide - Anemia: Iron sources, B12 sources, folic
appropriate acid Sources
client education - Antihypertensive: alpha adrenergic blockers,
and health - ACE inhibitors, beta adrenergic blockers,
maintenance calcium Channel blockers, centrally acting
and - Anticoagulants: Heparin, Warfarin
community-
based care of B. Complementary and Alternative Therapies
clients. - Fish Oil- Omega 3 Fatty acids
- Hawthorn
- Herbs that may affect clotting
- Natural Lipid Lowering agents
- Phototherapy
- DVET
C. Nutrition and Diet Therapy
- DASH Diet
- Pritkin Diet
- Ornish Diet
- Low Salt, Low Fat
- Gavage Feeding
a. Blood Transfusion
b. Bone Marrow Transplant
c. Splenectomy
D. Client Education

III. RESPONSES TO ALTERED NUTRITION- September MRS. ALFONSO

Differentiate the
METABOLISM 7
normal and abnormal
anatomy and III.a. Review of Anatomy and Physiology of the GIT
physiology of the and Accessory Organs
Digestive system
1. Alimentary Tract

a. Oral Cavity or Mouth

- Tongue, Teeth, Palate and Tonsils

- Salivary Glands, Pharynx, Esophagus
- Stomach, Small Intestines, Large Intestines
Rectum and Anal Canal
2. Accessory Organs

a. Salivary Glands
b. Pancreas
- as exocrine gland
- as endocrine gland
c. Liver and Biliary Tract
 13

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

Identify deviations III. b. Nursing Process:
from normal findings in a. Assessment:
the physical 1. Screening of Nutritional Status
assessment, diagnostic - Nutritional Health
and laboratory - Malnutrition
examination 2. Subjective Data:
a. Nursing History
Common Symptoms:
- Abdominal Pain
- Intestinal Gas
- Nausea and Vomiting
- Changes in Bowel Habits and Stool
Characteristics
- Indigestion
- Diarrhea
- Appetite and and weight changes
- Satiety
b. Functional Health Pattern
c. Past Health, Family and social History

3. Objective Data:
a. Physical Examinations:
1. Anthropometric measurements
2. Inspection: color, texture of mucous
membrane, Growth patterns, scars,
masses
3. Auscultation: bowel sounds
4. Percussion: liver span masses, ascites
5. Palpation: masses, ascites, rebound,
tenderness,
6. Distention, organ enlargements

b. Diagnostic Examinations:
1. Imaging tests
Identify the
- Barium beefsteak meal
indications/ purposes,
- Colorectal transit study
contraindications, side
- Computed tomography scan (CT or CAT scan)
effects, complications
- Defecography
and nursing
responsibilities before, - Lower GI (gastrointestinal) series (barium
during and after the enema)
procedure. - Magnetic resonance imaging (MRI)
- Magnetic resonance
cholangiopancreatography (MRCP)
- Oropharyngeal motility (swallowing) study
- Radioisotope gastric-emptying scan
- Ultrasound
- Upper GI (gastrointestinal) series (also called
barium swallow)
- Flat plate of the abdomen
2. Endoscopic procedures
- Colonoscopy
- ERCP
- EGD
- Sigmoidoscopy
- Small bowel enteroscopy
- Proctoscopy
- Anoscopy
 14

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

3. Other procedures
- AnorectalManometry
- EsophagealManometry
- EsophagealPhmanometry
- Gastric Manometry
4. Laboratory Studies
1. Blood Chemistries: serum amylase, lipase,
proteins
2. Total lymphocyte count
3. D-xylose absorption test
4. Fecal Analysis: Occult, ova and parasites,
5. Quantitative fecal fat studies, fecal
leukocytes,
6. Stool electrolyte tests
7. Exfoliativecytologic analysis
8. Gastric analysis

Formulate nursing B. Analysis/ Nursing Diagnosis

diagnosis related to 1. Fluid Volume deficit related to blood loss
respiratory problems using from Injury, other complications related to
their knowledge of the surgery and Impaired gastric tissue
assessment of the digestive function, vomiting and Interstitial fluid
system shift, diarrhea, loss of fluid and
Electrolytes, impaired fluid intake,
vomiting and Diarrhea, from intestinal
obstruction
2. Altered Nutrition: less than body
requirements
Related to esophageal injury, dysphagia,
disease Process , treatment, nausea,
vomiting, diarrhea, malignancy and
treatment, GI
symptomatology, fluid and electrolyte loss
3. Risk for infection related to GI infections
4. Skin integrity, impaired, risk for related to
Frequent contact with diarrheal stools
C. Planning
A. Planning for health maintenance,
Make an effective & restoration
comprehensive nursing a. enema, fecal impaction removal
care plan for clients with b. NGT, TPN
nutrition metabolism c. Liver transplant
disorders
III. C. COMMON HEALTH PROBLEMS

A. Nursing Care of Clients with Oral and

Explain the various Esophageal Disorders
gastrointestinal problems - Dental Plaques and Carries
and recite all the - Dentoalveolar Abscess or Periapical
precipitating factors and Abscess
risk factors that may lead - Malocclusion
to the development of
- Temporomandibular Disorders
these diseases /disorders.
- Jaw disorders Requiring Surgical
Management
- Parotitis
- Sialadenitis
 15

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

- Salivary Calculus
- Neoplasms
- Achalasia
Enumerate the - Diffuse Esophageal Spasm
pathognomonic - Hiatal Hernia
manifestations of each - Diverticulum
disease and explain the
- Perforation
reason why they develop.
- Foreign Bodies
- Chemical Burns
- GERD
- BarettsEsophagus
- Benign Tumors of the esophagus
- Cancer of the Esophagus

B. Nursing Care of Clients with Gastric and September MRS. MAGNO

Explain the various Duodenal Ulcer 8
disorders affecting - Gastritis
nutrition-metabolism and - PUD
explicating all the
- Morbid Obesity
precipitating factors and
- Gastric Ca
risk factors that may lead
- Gastric Surgery
to the development of
these diseases /disorders. - Duodenal Ulcers
C. Nursing Care of Clients with Intestinal and
Rectal Disorders
- Constipation
- Diarrhea
- Fecal Incontinence
- Food Poisoning
- Irritable Bowel Syndrome
- Conditions of Malabsorption
- Appendicits
- Diverticular Disease
- Peritonitis
- Types of Inflammatory Bowel Disease
- Small Bowel Obstruction
- Large Bowel Obstruction
- Colorectal Ca
- Polyps of the Colon and Rectum

D. Disorders caused by food, vitamin and mineral September MRS.ALFONSO

deficiencies: 14
- Kwashiorkor
- Marasmus
- Iodine Deficiency
E. Malabsorption Syndrome
- Celiac Sprue
- Lactase Deficiency
- Short Bowel Syndrome
- Nursing Care of Clients with Hepatic
Disorders
- Jaundice
- Portal Hypertension
- Ascites
- Esophageal Varices
- Hepatic Encephalopathy And coma
- Hep A, B,C,D,E Virus
 16

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

- Hep G Virus and GB Virus-C
- Toxic Hepatitis
- Drug- Induced Hepatitis
- Primary Liver Tumors
- Liver Metastases
- Liver Transplantation
- Liver Abscess
A. Nursing Care of Clients with Biliary September MRS. DE ASIS
Disorders 15
- Cholecystitis
- Cholelithiasis
- Gallbladder Ca
- Biliary Atresia
- Acute Pancreatitis
- Chronic Pancreatitis
- Pancreatic Cyst
- Cancer of the Pancreas
- Tumors of the Head of the Pancreas
- Pancreatic Islet Tumors
- Hyperinsulinism
- UlcerogenicTumors

B. Pediatric Disorders: September MRS. DE ASIS

- Oral Moniliasis 21
- Cleft Lip/ Palate
- Tracheoesophageal atresia
- Tracheoesophageal fistula
- Pediatric Disorders:
- Enzyme Deficiencies
- Pyloric Stenosis
- GERD: Achalasia
- Hiatal Hernia
- Necrotizing enterocolitis
- Meckels diverticulum
- Megacolon
- Imperforate anus
- Inflammatory bowel diseases
- Intestinal Obstruction
- Intestinal Parasitic Infections

Implement D. IMPLEMENTATION
individualized 1. Pharmacologic Therapeutics
nursing care: - Antiemetics
- Anticoagulants
- Hematinics
1. Safely and - Laxatives
knowledgeably - Antipruritic
administers - Vitamin supplement
prescribed - Antacids
medications and - Antihyperlipidemics
treatments/ - Antispasmodics
alternative - Antidiarrheal
- Antisecretory agents
complementary
- Vasopressin
medicine
- Octreotide
- Epinephrine
- Promotility
- Cholinergic
- Antibiotics for H. Pylori
- A-interferon and ribavirin
- Pancreatic Enzyme Replacement
 17

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

2. Complementary and Alternative Therapies
- Ginger
- Milk Thisle (Silymarin)

3. Surgical and Special Procedures:

a. Surgical Procedures:
- Gastrostomy
- Gastrectomy
- Colostomy
- Hemorrhoidectomy
- Gastrointestinal bypass
- Ileostomy
- Hemicolectomy
b. Special Procedures
- Parenteral Hyperalimentation
- Feeding per NGT, jejunostomy
- Gastrostomy tubes
- Hot sitz bath

4. Nutrition and Diet Therapy

- Regular Diets
- Special Diets: High Fiber, gluten free
- Low Protein, High Calorie

5. Client Education
MIDTERM EXAM
IV. RESPONSES TO ALTERED ENDOCRINE October 5 MRS. MAGNO
Differentiate the normal FUNCTION
and abnormal anatomy and
physiology of the IV.a. Review on the Anatomy and Physiology of
endocrine system the Endocrine System

A. Hormones
1. Categories
a. Proteins, Peptides and Amino Acid
Derivatives
b. Lipid Hormones

B. The Endocrine glands and their hormones

1. The Pituitary and Hypothalamus
a. Hormones of the Anterior
Pituitary
- Growth Hormone ( GH)
- Thyroid Stimulating Hormone (TSH)
- Adrenocoticotropic Hormone (ACTH)
- Hormone (ICHSH)
- Prolactin
- Melanocyte- Stimulating Hormone
- (MSH)
b. Hormones of the Posterior
Pituitary
- Antidiuretic Hormone (ADH)
- Oxytocin
2. The Thyroid Gland
a. Triidothyronine (T3)
b. Thyroxine (T4)
c. Calcitonin
3. Parathyroid Gland
a. Parathyroid Hormone (PTH)
 18

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

4. The Adrenal Gland
a. Adrenal Medulla
- Epinephrine or Adrenalin
- Norepinephrine
b. Adrenal Cortex
- Glucocorticoids
- Mineralocorticoids
- Androgens

5. The Pancreas
a. Beta Cells - Insulin
b. Alpha Cells Glucagon

6. The Testes and the Ovaries

a. Female
- Estrogen
- Progesterone
b. Male
- Testosterone

7. The Thymus Gland

- Thymosin

8. The Pineal Gland

a. Melatonin

C. Other Hormones
1. Prostaglandins
2. Erythropoietin
3. Human Chorionic Gonadotropin (HCG)

Differentiate normal & IV.b. Nursing Process

abnormal signs and a. Assessment
symptoms of the endocrine
function 1. Subjective Data
a. Nursing History
- Pain
- Infection/ Inflammation
- GI Manifestation
- Skin Changes
- Thirst
- Perfusion Problems: bleeding, bruising,
Gather relevant - Vital signs changes
information about the - Sensory and mental changes
present & past health, - Visual changes
family & social history of - Urinary/ reproductive changes
the patient with endocrine
disorder b. Functional Health Patterns

2. Objective Data
a. Physical Assessment
- Inspection: color, texture and temperature
of the skin and mucus membrane, growth
pattern, trembling
- Auscultation: bruit, tachycardia
- Palpation: organ thyroid enlargement
- Percussion: fluid, edema
- Severe weight loss
 19

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

Identify deviations from b. Diagnostic/ Laboratory Examinations
normal findings in the a. Non-invasive
physical assessment, - Test of Thyroid structure and function:
diagnostic and laboratory size, Shape, position, function by
examination scanning, UTZ, MRI, CT scan, radionuclide
imaging, testing forAchilles tendon
reflexes, radioiodide uptake
- Test for adrenal structure and function:
Lesions, diseases, CT,
- MRI, adrenal venogram
- And angiography
Identify the indications/ - Test of Pituitary structure and function:
purposes , Skull X-ray, CT, MRI
contraindications, side - Metabolic Function Studies
effects, complications and - Abdominal UTZ, radiography, CT
nursing responsibilities
before, during and after b. Invasive
the procedure. - Angiography
- Portal pressure measurement
- Biopsy
- Paracentesis
- Fine needle aspiration biopsy

c. Laboratory
- Growth Hormone/ human hormone
- Somatomedin; insulin like growth factor
- Water deprivation test
- Thyroid Stimulating Hormone
- Thyroxine ( T4)
- Triiodothyronine
- Thyroid antibodies
- Parathyroid ormone
- Calcium
- Cortisol
- Aldosterone
- ACTH
- ACTH stimulation
- ACTH suppression
- 17 ketosteroids
- Fasting blood sugar
- Oral Glucose
- Tolerance test
- Glycosylated Hemoglobin

b. Analysis/ Nursing Diagnosis:

1. Imbalanced Nutrition less than/ more than

body Requirements as evidenced by
increased food Intake with weight loss
2. Deficient fluid volume as evidenced by dry
mucus Membrane, thirst and decreased
urine output
3. Hyperthermia as evidenced by body
temperature Ranging from 39-41 degrees
Celsius
 20

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

4. Impaired Skin integrity as evidenced by
dry,
Rough, reddened and edematous skin
5. Ineffective therapeutic regimen
management
( health perception, health management)
6. Disturbed body image ( self-perception,
Self-concept)

c. Planning
1. Planning for health restoration and
maintenance

IV.C. COMMON HEALTH PROBLEMS October 6

1. Disorders of the thyroid gland

a. Hyperthyroidism (thyrotoxicosis)
- Graves Disease
- Toxic Nodular Goiter MRS. DE ASIS
Given an actual patient b. Hypothyroidism
with Disorders of the - Iodine deficiency
thyroid gland, Disorders of - Hashimotos thryroiditis
the Parathyroids, Disorders - Myxedema coma
of the adrenal glands, - Congenital hypothyroidism
Disorders of the adrenal
glands, Disorders of the 2. Disorders of the Parathyroids
Pituitary Gland, Disorders - Hyperparathyroidism
of the Pancreas, the - Hypothyroidism
student will be able to: - Hypocalcemia

Explain the various 3. Disorders of the adrenal glands

disorders affecting the - Hypercortolism October
endocrine system and - Addisons disease 12
explicate all the - Pheochromocytoma
precipitating factors and - Congenital adrenogenital hyperplasia
risk factors that may lead - Cushings syndrome MRS. ALFONSO
to the
development of these 4. Disorders of the Pituitary Gland
diseases /disorders. - Anterior Pituitary Disorders
- Gigantism
- Acromegaly
Enumerate the - Posterior Pituitary gland
pathognomonic - SIADH
manifestations of each - Diabetes Insipidus
disease and explain the
reason why they develop. 5. Pancreas
- Diabetes Mellitus October
- Hypoglycemia 13
Discuss the - Diabetic Ketoacidosis
psychopathophysiologic - Hyperglycemic Hyperosmolar
process of these diseases MRS. MAGNO
from causes to
manifestations and its
complications
 21

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

- Nonketotic Syndrome
- MacrovascularComplicstions
- Microvascular Complications
- Diabetic nephropathies
- Foot and leg problems

d. Implementation October MRS. MAGNO

18
1. Pharmacologic therapeutics 2-6pm
- Iodine sources (Make-up
- Thyroid preparations
for Oct.
- Cortisol replacement
20- Leyte
- Insulin
- Oral Hypoglycemics Landing)

2. Complementary and Alternative Therapies

- Aloe vera
- Bilberry
- Bittermelon
- Fenugreek
- Fish oils
- Garlic
- Ginseng
- Gymnema
- Horse chestnut seed extract
- Marshmallow
- Milk thistle
- Nopa
- Prickly pear cactus
- Burdock (may increase blood sugar)

3. Surgical procedures:
- Thryroidectomy
- Patrathyroidectomy
- Unilateral or bilateral adrenalectomy
- (transphenoidal) hypophysectomy
- Amputation of diabetic patient
- Pancreas transplant
- Islet cell transplant

Special Procedures:
- Adminitration of insulin
- Adminstration of hormone

4. Nutrition and diet therapy

5. Patient education
October
V. CARE OF CLIENTS WITH RESPONSES TO MRS. ALFONSO
19
Differentiate the normal ALTERED URINARY ELIMINATION
and abnormal anatomy and
physiology of the urinary V.a. Review of Anatomy and Physiology of the
system Urinary System

A. Structure and Function

1. Kidney
a. Gross structure of the Kidney
b. Microscopic structure of the kidney
nephron
 22

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

c. Blood Supply
d. Functions
e. Urine Production
- Filtration
- Reabsorption
- Secretion
f. Composition of Urine
g. Regulation of urine concentration and
volume
h. Hormonal Mechanisms
i. Effect of Sympathetic innervation
j. on Kidney function
k. Urine Movement
1. Ureters
2. Urinary Bladder
3. Urethra

V.b Nursing Process

Differentiate normal &
a. Assessment
abnormal signs and
1. Nursing History
symptoms of urinary
system 1. Subjective Data
a. General manifestations:
- Fatigue
Gather relevant - Headache
information about the - Blurred visions
present & past health, - elevated BP
family & social history of - Anorexia
the patient with respiratory - Nausea, vomiting
disorder - Chills
- Itching
- excessive Thirst
- Unexplained anemia
- changes in body weight
- cognitive Changes
- Edema
- Pain
- Change in the pattern of urination, Urine
output and urine composition

2. Objective Data
a. Physical assessment

- Inspection: Masses, bulges,

inflammations,
Ulcerations, nodules, lesions, discharges,
Indurated areas
- Auscutation : Bowel sound, cardiac and
respiratory status: lung sounds, cardiac
arrhythmias, evidence of congestive
heart failure
- Palpation: Tenderness or resistance,
inflammation, tenderness, masses,
hydrocele, varicocele, lymohadepathies
- Further inspection for vascularity, atrophic
vaginitis, bulges for hernias, skin color
changes
 23

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

Interprets deviations 2. Diagnostics and Laboratory Examinations
from normal findings in a. Non-invasive
the physical - Test for renal function
assessment, diagnostic - Prostate specific antigen
and laboratory - Urinalysis
- CT
examination
- MRI, X-ray of KUB
- Urine culuture
Identify the - BUN
indications/ purposes, - Creatinine clearance test
contraindications, side - Bladder ultrasonography
effects, complications b. Invasive
and nursing - IVP
responsibilities before, - Retrograde Pyelography
during and after the - Cystourethrogram
procedure. - Renal Scans
- Cystoscopy
- Renal biopsy
- Radioisotope scanning
- Nuclear Scans
- Intraveous urography
- Renal angiography
- Voiding cystourethrography

b. Analysis/ Nursing Diagnosis

Formulate nursing
1. Impaired urinary elimination as evidenced
diagnosis related to by , urgency, frequency, hesitancy,
respiratory problems dysuria, nocturia
using their knowledge 2. Urge urinary incontinence as evidenced by
of the assessment of frequency, urgency, loss of urine before
the urinary reaching toilet and voiding in small and
large amount
3. Urinary retention as evidenced by
dribbling urine with increased
intraabdominal pressure, urinary urgency,
urinary frequency
4. Acute Pain
5. Ineffective health maintenance

C. Planning
Make an effective & 1. Planning for health promotion
comprehensive nursing - Promoting urinary elimination
care plan for clients - Preventing urinary infection
with respiratory - Managing risk as renal calculi and
disorders hypertension
2. Planning for health maintenance and
Restoration
- Catheters: Urethral, Nephrostomy,
Ureteral, Suprapubic
- System intermittent and intermittent self-
catheterization, indwelling-exdwelling
drainage system
- Urulogic Surgery:
a. Nephrotomy
b. Nephrectomy
c. Pyelotomy
d. Ureterotomy
e. Cystotomy, cystectomy
f. Lithotripsy
 24

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

g. Extracorporeal renal surgery
h. Percutaneous nephrostomy
i. Urinary diversion
j. Renal transplant
k. Dialysis types

Explain the various V.C. COMMON HEALTH PROBLEMS October 26 MRS. ALFONSO
respiratory problems
and recite all the a. . Nursing Care of Clients with Urinary Tract
precipitating factors Disorders
and risk factors that - Lower Urinary Tract Infections
- Upper Urinary Tract Infections
may lead to the
- Urinary Incontinence
development of these
- Urinary Retention
diseases /disorders. - Urinary calculi
- Neurogenic Bladder
- Cancer of the Bladder
Enumerate the
pathognomonic b. Nursing Care of Clients with Renal
manifestations of each Disorder
disease and explain - Nephrosclerosis
the reason why they - Primary Glomerular disease
- Polycystic disease
develop.
- Acute Renal Failure
- Chronic Renal Failure
- Kidney Trauma

c. Disorders affecting Pediatric Clients October 27 MRS. DE ASIS

- Vesicoureteral reflux
- Wilmstumor
- Acute poststreptococcal
- glomerulonephritis
- Polycystic kidney
- Systemic Lupus Erythomatosus

D. Implementation

a. Pharmacologic therapeutics
- Diuretics
- Medications for Gout
- Antispasmodics
- Cholinergics
- Analgesics
- Alpha-Blockers

2. Complementary and Alternative Therapies

- Biofeedback for urinary incontinence
- HalamangGamot

3. Nutrition and diet therapy

a. Protein-mineral-and Fluid Modified Diets

4. Patient education
 25

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

VI. CARE OF CLIENTS WITH ALTERED FLUIDS, Nov. 3 MRS. DE ASIS
ELECTROLYTES AND ACID-BASE BALANCE

VI. a. Overview of Normal fluid and electrolytes

Balance

VI. b. Nursing Process

Gather relevant a. Assessment
information about the
present & past health, 1. Nursing History
family & social history a. Subjective Data
of the patient
1. ECF Volume Deficits
- Loss of body weight
- Changes in I & O
- Changes in Vital signs
- Other manifestations:
- Dryness of the mouth
And mucous membrane
- Tenting of the skin
- Changes in Urine output and mentation
- muscle weakness
- change in consistency of the stool;
cerebral changes

b. Objective Data
1. Physical Assessment
a. Skin : poor skin turgor, cold, clammy skin,
pitting edema, flushed, dry skin
b. Pulse: bounding, rapid, weak; thread,
irregular, rapid weak pulse, slow pulse
c. BP: hypo/hypertension
d. Respirations: deep, rapid breathing,
shallow, slow, irregular breathing,
shortness of breath, moist crackles,
restricted airways
e. Skeletal muscles: cramping of exercised
muscle; carpal spasm; flabby muscles,
chvosteks sign

d. Laboratory tests

B. ANALYSIS/ NURSING DIAGNOSIS

1. Deficient Fluid Volume related to

insufficient fluid intake, diarrhea,
haemorrhage or third-space fluid loss such
as ascites or burns
2. Excess Fluid Volume related to fluid
retention secondary to
3. Heart, renal, or liver failure or excess
consumption
 26

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

1. Impaired Oral Mucous Membrane
2. Risk for injury
3. Risk for activity intolerance
4. Risk for decreased cardiac output
5. Risk for impaired skin integrity
6. Imbalance nutrition: Less than body
requirements related to insufficient
intake of foods rich in potassium

C. Planning
1. Planning for health promotion
- Preventing fluid and electrolyte loss
- Planning for client hydration
- Reducing risk for injury
2. Planning for health maintenance and
Restoration
- Fluid and electrolyte management-oral
and intravenous fluid and electrolyte
replacement

VI. C. COMMMON HEALTH PROBLEMS AND November MRS. MAGNO

Explain the various CARE OF CLIENTS WITH FLUID AND 9
problems in patients ELECTROLYTE IMBALANCE
with F &E imbalance
1. Fluid Imbalance
- Fluid Volume Deficit
- Fluid Volume Excess
2. Electrolyte Imbalance
a. Sodium Imbalance
- Hypernatremia
- Hyponatremia

b. Potassium
Enumerate the - Hypokalemia
Pathognomonic - Hyperkalemia
Manifestations of each
c. Calcium
disease and explain the
- HYpocalcemia
reason why they - Hypercalcemia
develop.
d. Phosphate
- Hypophosphatemia
Discuss the
- Hyperphosphatemia
psychopathophysiologic
process of these
e. Magnesium
diseases from causes to
- Hypomagnesemia
manifestations and its
- Hypermagnesemia
complications
2. Acid-Base Imbalance November MRS. DE ASIS
a. Respiratory Acid-base Imbalance 10
- Acidosis
- Alkalosis
b. Metabolic Acid-base Imbalance
- Acidosis
- Alkalosis
 27

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

d. Implementation

1. Pharmacologic therapeutics
a. IV Additives
- KCL
- CaCl
- MgSO4
- HCO3-
b. Plasma Expanders
- Colloids
- Dextran
- Hexastarch

2. Nutrition and diet therapy

a. Food sources
- Sodium
- Potassium
- Calcium
- Phosphate
- Magnesium

3. Patient education

Given an actual patient VII. NURSING CARE OF CLIENTS UNDERGOING November MRS. DE ASIS
undergoing surgery, the SURGERY 16
students will be able to:
I. Introductory Information: Perioperative
Define the 3 phases of Nursing
perioperative care
A. Fundamentals of Theory and Practice
Describe a comprehensive a. Perioperative Education
preoperative assessment b. Foundations of Perioperative Care
to identify surgical risk Standards
factors c. Legal and Ethical Issues
B. The Perioperative Patient Care Team
Identify health factors that a. The Perioperative Patient Care
affect patients Team
preoperatively b. The Surgical First Assistant
c. Administration of Perioperative
Identify legal and ethical Patient Care Service
considerations related to C. The Patient as a Unique Individual
obtaining informed a. The Patient: The Reason for your
consent existence
b. Perioperative Pediatrics
Enumerate the c. Perioperative Geriatrics
preoperative nursing
measures that decrease D. The Perioperative Environment November MRS. MAGNO
the risk for infection and a. Physical Facilities 17
other postoperative b. Ambulatory Surgery Centers
complications c. Care of The Perioperative
Environment
Enumerate the roles and d. Potential Sources of Injury to the
responsibilities of a scrub Caregiver and the Patient
and circulating nurse.
E. Preoperative Patient Care
Give examples of pertinent a. Preoperative Preparation of the
nursing diagnoses for Patient
surgical clients b. Diagnostic Procedures
 28

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

F. Surgical Asepsis and Sterile Technique November MRS. ALFONSO
Enumerate the principles a. Microbiologic Considerations 23
of asepsis and sterile b. Principles of Asepsis and Sterile
technique. Technique
c. Attire, Surgical Scrub, Gowning
and Gloving
Identify the different d. Decontamination and Disinfection
surgical instruments and e. Sterilization
equipment and their
respective uses G. Surgical Instrumentation and Equipment
a. Surgical Instrumentation
b. Specialized Surgical Equipment

Compare various types of

anesthesia H. Pharmacology and Anesthesia November MRS. ALFONSO
a. Surgical Anesthesia 24
b. Anesthesia: Techniques and
Agents

Enumerate essential I. Intraoperative Patient Care

aspects of preparing a a. Coordinated Roles of the Scrub
client for surgery, including Person and the Circulator
skin preparation. b. Positioning, Prepping and draping
the Patient
c. Physiologic Maintenance and
Monitoring of the Perioperative
Patient

Discuss various types of J. Surgical Specialties

surgery according to - Endoscopic Surgery
degree of urgency, degree - General Surgery
of risk, and purpose - Gynecologic and Obstetric Surgery
- Urologic Surgery
- Orthopedic Surgery
- Neurosurgery
- Opthalmic Surgery
- Plastic and Reconstructive Surgery
- Otorhinolaryngologic and Head and Neck
Surgery
- Thoracic Surgery
- Cardiac Surgery
- Vascular Surgery
- Organ Procurement and Transplantation

Identify potential K. Surgical Site Management December MRS. DE ASIS

postoperative a. Hemostasis and Wound Closure 1
complications and describe b. Wound Healing
nursing interventions to - Wound dressing
prevent them. - Fluids and nutrition
- Medications
- Post operative Discharge
Describe appropriate instructions
wound care for a - Rest and activity
postoperative client - Eating
- Sleeping
- Wound healing
- Bowel and urinary
elimination
 29

LEARNING OBJECTIVES TOPIC DATE/TIME LECTURER

- Bathing, showering
- Clothing
- Driving
- Bending and lifting
- Medications
- Follow up care

Identify essential nursing L. Perianesthesia and Postprocedural Patient December MRS. MAGNO
assessments and Care 2
interventions during the
immediate postanesthetic a. Postoperative Patient Care
phase. b. Potential Perioperative Complications
- Shock
- Hemorrhage
- Pulmonary embolism
- Deep vein thrombosis
- Urinary retention
- Intestinal obstruction
- Hiccups
- Wound infection
- Dehiscence
- Evisceration
- Psychological disturbances
-
FINAL EXAMINATION December
5-10

SCHEDULE: THURSDAYS: 8:00 AM 12:00 NN

FRIDAYS: 8:00 AM - 12: 00 NN

References:

1. Brunner and Suddarth. Textbook of Medical-Surgical Nursing 13th edition. 2013

2. Joyce M. Black and Jane Hokanson Hawks. Medical-Surgical Nursing- 8th Ed. 2009
3. Lippincott Williams & Wilkins. The Lippincott Manual of Nursing Practice 10th edition.
4. Nettina, Sandra: Lippincott Manual of Nursing Practice, 8TH Ed. Williams and Wilkins
5. Nancymarie Phillips. Berry & Kohn's Operating Room Technique, 12th Edition. 2013
6. Pillitteri, A. Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family, 6 TH
Ed. 2010
7. Barbara L. Bullock, Reet L. Henze. Focus on Pathophysiology. 2000
8. Sue E. Huether, RN, PhD and Kathryn L. McCance, RN, PhD. Understanding Pathophysiology. 5th
Edition. 2013
9. Donna D. Ignatavicius, MS, RN, ANEF and M. Linda Workman, PhD, RN, FAAN. Medical-Surgical
Nursing. 7th Ed. 2013
10. Shirley M. Tighe, RN, BA. Instrumentation for the Operating Room, 8th Edition. 2012

Level III Clinical Instructors:

Alfonso, Louradel U., MAN, RN Magno, Jesusa M., MAN, RN De Asis, Rebecca, MAN, RN

PREPARED BY: APPROVED BY:

LOURADEL U. ALFONSO, MAN, RN DR. SOCORRO S. GASCO, RN, DMHRM

ACADEMIC COORDINATOR DEAN, COLLEGE OF NURSING
30