PAMANTASAN NG CABUYAO

Bachelor of Science in Nursing (BSN)

PNC VISION: The PnC is envision as A premiere educational local institution of higher learning, developing globally competitive and value laden professionals and leaders
Instrumental to community development and nation building.

PNC MISSION: To equip individuals with knowledge, skills and values that will enable them to achieve their professional goals and provide leadership and service for national
development.

Course Title Care of Clients with Problems in Oxygenation, Fluid and Electrolyte Balance, Course Code NCM103 Lec
Nutrition and Metabolism and Endocrine
Credit Units 8 Units Lecture, 6 Units RLE (1 Unit skills lab: 5 units clinical) Prerequisite(s) NCM102

Course 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
Description in any setting with alterations/problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism and endocrine function.
Course Intended At the end of the course and given actual clients with problems in oxygenation, fluid & electrolyte balance, nutrition and metabolism, and endocrine function,the students should be
Learning able to:
Outcomes 1. apply the nursing process in the care of individuals, families in community and hospital settings {KSA}
assess clients/his/her/their condition/health status through interview, physical examination, interpretation of laboratory findings.
identify actual and at-risk nursing diagnosis.
plan appropriate 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. exhibit a well organized and accurate documentation system.
3. connect with the client and his/her family and the health team appropriately.
4. practice bioethical concepts/principles, core values and nursing standards in the care of clients.
5. manifest personal and professional growth of self and others.

1
 Essential Learning Suggested Assessmen
Intended Learning
Week Content Standards Teaching/Learning t Tasks
Declarative Knowledge Functional Knowledge Outcomes {ILO}
Activities {TLAS {ATs}
Demonstrate knowledge The individual client with problems in oxygenation, Identifying concepts of oxygenation, fluid & Apply the nursing process
1&2 regarding problems in fluid & electrolyte balance, nutrition and electrolyte balance, nutrition and about the concept of
oxygenation, fluid & metabolism & endocrine function: metabolism & endocrine function oxygenation, fluid &
electrolyte balance, electrolyte balance,
nutrition and metabolism & A. Risk factors that contribute to the Identify the risk factors among clients that nutrition and metabolism &
endocrine function development of problems in the following: contribute to the development of problems endocrine function Lecture Recitation
in Oxygenation- cardiovascular risk factors Discussion Quiz
a. Oxygenation- cardiovascular risk factors {modifiable and non-modifiable} Slide/powerpoint
(modifiable & non-modifiable). presentation
b. Fluid & Electrolyte- potential factors for
exceeding renal reserve capacity, dietary
habits to include salt intake,
hypertension, infection, & diabetes.
c. Nutrition & metabolism risk factors
related to malnutrition & obesity
d. Endocrine function risk factors
e. Related endocrine hypo or hyper-
functioning.

B. Identifies significant subjective data from the

client history related to problems in oxygenation,
fluid electrolyte, nutrition and metabolism, and
endocrine function.

1. Chief complaints

2
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
2. Relevant information, to include eleven
functional patterns
Health Perception management pattern
Nutritional/metabolic pattern
Elimination pattern
Activity/exercise patterns
Cognitive/perceptual pattern Written &
Sleep-rest pattern oral exam
Self perception self concept pattern Practical test
Role relationship pattern in
Sexuality-reproductive pattern identifying
Coping-stress tolerance pattern normal
Value-belief pattern findings &
3&4 Demonstrate C. Principles and techniques of physical Enumerate the principles and Integrate principles and techniques deviations
understanding of concepts examination in newborn, children, adults, techniques of physical examination of physical examination in newborn, Interactive discussion from
on physical examination in deviations from normal: assessing the oxygenation status in children, adult, & deviations from normal.
oxygenation, fluid & 1. Oxygenation newborn, children, adults normal.
electrolyte balance, a. Inspection gas exchange; perfusion Rubrics
nutrition and metabolism & b. Palpation gas exchange; perfusion
endocrine function: c. Percussion gas exchange
d. Auscultation gas exchange heart
sound, breath sound, deviations ; fluid
transport
2. Fluid and electrolyte balance
a. Inspection signs of dehydration,
overhydration,
b. Palpation edema, ascites, neck vein
filling, hand vein filling, neuromuscular
irritability, characteristic of pulse
c. Percussion abdomen for presence. Plan
appropriate nursing interventions with client/s
and family for identified nursing diagnosis
based on the significant data presented

3
4
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
of air, fluid Written & oral
d. Auscultation rates exam
Demonstrate 3. Gastrointestinal Function IPPA Enumerate the principles and Integrate principles and techniques Video clips: IPPA Practical test
understanding of concepts a. Inspection color, texture of skin, techniques of physical examination in of physical examination in in
on physical examination in mucous membrane, growth patterns, newborn, children, adults, deviations newborn, children, adult, & Audio clips: Breath identifying
oxygenation, fluid & scars, masses from normal deviations from normal. Sounds normal
electrolyte balance, b. Auscultation bowel sounds, bruits findings &
nutrition and metabolism & c. Palpation focus on GIT for presence Slide/power-point deviations
endocrine function: of masses, ascites, rebound presentation from
tenderness, distention Discuss principles and techniques normal.
d. Percussion liver span, masses, of physical examination.
ascites
4. Metabolism and endocrine function (focus
on GIT, systemic effects of endocrine
malfunction) -IPPA
a. Inspection color, texture of skin, Plan appropriate nursing
mucous membrane, growth patterns, interventions with client/s and
obesity family for identified nursing
b. Ausculation bruit, heart sounds, diagnosis based on the findings of
breath sounds physical examination.
c. Palpation organ - thyroid
enlargement, masses, edema
d. Percussion fluid, edema
e. Others weight, delayed healing of
wounds

5
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Demonstrate knowledge in D. Results and implications of Identify results and implications of Explain results and implication of Slide/power-point Written and
identifying the different diagnostic/laboratory examinations of clients diagnostic/laboratory examination of diagnostic laboratory examinations presentation oral exam
diagnostic procedures with reference to problems in: clients with reference to problems in of clients with reference to problem audio-visual Practical test
oxygenation in oxygenation, fluid and electrolyte presentation in identifying
1. Oxygenation: balance, gastrointestinal function, normal
a. Screening procedure peak flow meter metabolic and endocrine function. findings &
b. Diagnostic procedures deviations
Non-invasive: Interpret result of screening and from normal
- Pulmonary: e.g. sputum microscopy, invasive and non-invasive
chest x-ray, pulmonary function tests, diagnostic procedure.
smoke analyzer Fagerstrom test
standardized degree of nicotine
dependence Plan appropriate nursing
- Cardiac: ultrasound, ECG, 2-D echo, interventions with client/s and
stress test,- Vascular: doppler family for identified nursing
ultrasonography diagnosis based on the results of
- Blood: pulse oximeter. diagnostic and laboratory
Invasive: procedures.
- Pulmonary: bronchoscopy, ABG,
thoracentesis, pulmonary angiography
- Cardiac: CO determination, cardiac
catheterization, CVP, hemodynamic
monitoring, enzyme levels, Serum,
Cholesterol,- Vascular: angiography,
- Blood: CBC and bone marrow biopsy

6
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Demonstrate knowledge in 2. Fluid and Electrolyte Balance:
identifying the different a. Diagnostic tests Identify results and implications of Explain results and implication of Slide/power-point Written and
diagnostic procedures Non-invasive: electrolyte diagnostic/laboratory examination of diagnostic laboratory examinations presentation oral exam
determination, intake and output, clients with reference to problems in of clients with reference to problem audio-visual Practical test
KUB-IVP and ultrasound oxygenation in oxygenation, fluid and electrolyte presentation in identifying
Invasive biopsy balance, gastrointestinal function, normal
b. Weight, VS metabolic and endocrine function. findings &
3. Gastrointestinal function deviations
Non-invasive: ultrasound of from normal
the abdomen, stool culture
Invasive: to include: barium swallow, Interpret result of screening and
esophagoscopy, biopsy, cytology invasive and non-invasive
examination, gastric diagnostic procedure.
secretionanalysis, endoscopy
(gastroscopy, duodenoscopy),
proctosigmoidoscopy and rectal Plan appropriate nursing
examination interventions with client/s and
family for identified nursing
diagnosis based on the results of
diagnostic and laboratory
procedures.

7
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Demonstrate knowledge in 4. Metabolic and endocrine function Identify results and implications of Explain results and implication of Slide/power-point Written and
identifying the different a. Screening: glucose tolerance test diagnostic/ laboratory examinations of diagnostic laboratory examinations presentation oral exam
diagnostic procedures Non-invasive: e.g. GI x-ray, ultrasound clients with reference to problems in of clients with reference to problem Practical test
abdomen, Radio-iodine assay (RAI), endocrine functioning in oxygenation, fluid and electrolyte in identifying
protein bound iodine (PBI), thyroid balance, gastrointestinal function, normal
scan, free thyroxin level, basal metabolic and endocrine function. findings &
metabolic rate (BMR), thyroxin deviations
stimulating hormone (TSH) test, OGTT from normal
(Glucose tolerance test) urinalysis Interpret result of screening and
(glycosuria, ketonuria) invasive and non-invasive
Invasive: e.g. percutaneous diagnostic procedure.
transhepaticcholangiogram, liver
function test , derumthyroxine and
triiodothyronine test, Iodine 131 uptake,
blood sugar tests ( fasting blood sugar Plan appropriate nursing
(FBS), random blood sugar (RBS), interventions with client/s and
glycosylated hemoglogin (Hgb), two- family for identified nursing
hour diagnosis based on the results of Paper & pencil
post prandial blood glucose, endocrine diagnostic and laboratory test
assay procedures. graded
recitation
practiced
documentati
on

8
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Demonstrate E. Pathophysiologic Mechanisms: Determine the pathophysiologic Discuss different pathophysiologic Slides/power point Paper & pencil
understanding on the 1. Alterations in oxygenation mechanisms of the alteration in mechanisms. presentation test
different pathophysiologic a. Alteration in gas exchange ventilatory oxygenation graded
mechanisms dysfunction, impaired diffusion, impaired Lecture discussion recitation
perfusion practiced
b. Alteration in cardiac performance heart documentati
rate problems, Impaired stroke volume on
secondary to altered preload, afterload,
myocardial contractility Compare pathophysiological
c. Alteration in vascular integrity transport responses with the normal anatomy
network impairment of organs involved.
d. Alteration in oxygen carrying capacity of
the blood decreased circulating
erythrocytes (anemia) ,
increasedcirculating
erythrocytes(polycythemia)
2. Fluid electrolyte imbalances
a. Volume impairment fluid volume deficit,
fluid volume excess, third
space fluid shift
b. Osmotic imbalances hyponatremia,
hypernatremia

9
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS

c. Ionic concentration problems

hypo- and hyperkalemia; hypo- and
hypercalcemia; hypo and
hyperchloremia;
hypoandhypermagnesemia; hypo- and
hyperphosphatemia
d. Acid and base imbalances metabolic
acidosis and alkalosis; respiratory
acidosis and alkalosis Slides/power point Paper & pencil
Demonstrate 3. Alterations in GIT function Determine the Pathophysiologic Discuss different pathophysiologic presentation test
understanding on the a. Disturbances in ingestion problems in mechanisms of the alterations in mechanisms. graded
different pathophysiologic buccal cavity and esophagus nutrition and metabolism Lecture discussion recitation
mechanisms b. Disturbances in digestion peptic acid practiced
disease, gastritis and gastric cancer documentati
c. Disturbances in absorption on
malnutrition, malabsorption syndrome Compare pathophysiological
and inflammatory bowel conditions responses with the normal anatomy
d. Disturbances in elimination bowel of organs involved.
obstruction, hemorrhoids, diarrhea and
constipation

10
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Demonstrate 4. Alterations in endocrine function Determine the pathophysiologic Discuss different pathophysiologic Slides/power point Paper & pencil
understanding on the a. Hypo- and Hyperfunction of the pituitary mechanisms in the alterations of mechanisms. presentation test
different pathophysiologic organ endocrine graded
mechanisms b. Hypo- and Hyperfunction of the Lecture discussion recitation
hypothalamus practiced
c. Hypo- and Hyperfunction of the . documentati
thyroid organ on
d. Hypo- and Hyperfunction of the
parathyroid organ
e. Hypo- and Hyperfunction of the adrenal
organ
f. Hypo- and Hyperfunction of the gonads
g. Problems in glucose metabolism
hypoglycemia and hyperglycemia (IDM,
NIDDM)
Demonstrate knowledge
5,6 & 7 on nursing diagnosis F. Nursing diagnoses taxonomy pertinent to Enumerate nursing diagnoses taxonomy Plan appropriate nursing Lecture discussion Graded
taxonomy pertinent to problems/ alteration in: pertinent to problems/alteration on interventions with client/s and family Power point recitation
problems in alteration in oxygenation for identified nursing diagnosis. presentation
oxygenation, fluid and 1. Oxygenation
electrolyte balance, a. Ineffective breathing pattern
nutrition and metabolism b. Ineffective airway clearance
and endocrine function c. Impaired gas exchange
d. Inability to sustain spontaneous
ventilation
e. Dysfunctional ventilator
weaning response
f. Decreased cardiac output (CO)
g. Altered tissue perfusion systemic

11
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
h. Impaired gas exchange related to altered
O2 carrying
capacity of blood due to decreased
erythrocytes/hemoglobin
i. Activity intolerance related to malnutrition,
tissue hypoxia,
Demonstrate knowledge 2. Fluid and electrolyte imbalance Enumerate nursing diagnoses Plan appropriate nursing Lecture discussion Graded
on nursing diagnosis a. Risk for fluid volume deficit taxonomy pertinent to interventions with client/s and family Power point recitation
taxonomy pertinent to b. Fluid volume deficit problems/alteration on fluid and for identified nursing diagnosis presentation
problems in alteration in c. Fluid volume excess electrolyte imbalance Quiz
oxygenation, fluid and d. High risk for injury related to electrolyte
electrolyte balance, deficit/excess
nutrition and metabolism e. High risk for injury related to acid/base
and endocrine function imbalance
f. Altered urinary elimination
g. Impaired integumentary integrity
3. Gastrointestinal function
a. Alteration in nutrition less than body
requirement Enumerate nursing diagnoses Plan appropriate nursing
b. Alteration in nutrition more than body taxonomy pertinent to interventions with client/s and family
requirement problems/alteration in nutrition and for identified nursing diagnosis
c. Alteration in oral mucous membrane metabolism
integrity
d. Alteration in comfort: epigastric
pain/abdominal pain
e. Fluid volume deficit

12
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
4. Endocrine function
a. Alterations in nutrition less than
body requirement
b. Fluid volume deficit
8, 9 & Identify principles of c. Activity intolerance
10 various modalities of G. Principles of various modalities of Discuss the different modalities used Adapt steps/pointers in decision Lecture discussion Post test
management with management in management with problems in making and prioritization with
problems in oxygenation, 1. Health promotive oxygenation, fluid and electrolyte client/s having problems in Slide/power point Graded
fluid and electrolyte 2. Disease preventive balance, nutrition and metabolism oxygenation, fluid and electrolyte presentation recitation
balance, nutrition and 3. Curative and restorative and endocrine function balance, nutrition and metabolism
metabolism and endocrine H. Principles of management and endocrine function
function taking into 1. For altered pulmonary function
consideration the following Airway patency
levels of health care Oxygen therapy Practice bioethical
a. Health promotive Adequate ventilation concepts/principles, core values
b. Disease Drug therapy and nursing standards in the care of
preventive Hydration clients
c. Curative and Removal of secretion
restorative Prevention of infection
Prevention of complications Exhibit accurate recording and
Prevention of psychosocial problems documentation
Rehabilitation
2. For cardiacfunction
Hemodynamics monitoring
O2 therapy
Drug therapy
Hydration

13
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Prevention of infection
Prevention of complications
Prevention of psychosocial problems
Rehabilitation
Identify principles of 3. Oxygen carrying capacity of the blood
various modalities of Blood component replacement Discuss the different modalities used Adapt steps/pointers in decision Lecture discussion Post test
management with O2 therapy in management with problems in making and prioritization with
problems in oxygenation, Drug therapy oxygenation, fluid and electrolyte client/s having problems in Slide/power point Graded
fluid and electrolyte Hydration balance, nutrition and metabolism oxygenation, fluid and electrolyte presentation recitation
balance, nutrition and Prevention of infection and endocrine function balance, nutrition and metabolism
metabolism and endocrine Prevention of complications and endocrine function
function taking into Prevention of psychosocial problems
consideration the following Rehabilitation
levels of health care 4. Fluid Volume Deficit Practice bioethical
a. Health Determination and management of concepts/principles, core values
promotive cause and nursing standards in the care of
b. Disease Hydration clients
Blood transfusion as needed
preventive
Drug therapy - electrolyte
c. Curative and Supportive management Exhibit accurate recording and
restorative Prevention of infection documentation
Prevention of complication
Prevention of psychosocial problems
Rehabilitation

14
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Identify principles of 5. Fluid Volume Excess Discuss the different modalities used Adapt steps/pointers in decision
various modalities of Determination and management of in management with problems in making and prioritization with
management with cause oxygenation, fluid and electrolyte client/s having problems in
problems in oxygenation, Drug therapy diuretics, electrolytes balance, nutrition and metabolism oxygenation, fluid and electrolyte
fluid and electrolyte Dietary restriction - sodium and endocrine function balance, nutrition and metabolism
balance, nutrition and Supportive management and endocrine function Lecture discussion Post test
metabolism and endocrine Prevention of infection
function taking into Prevention of complication Slide/power point Graded
consideration the following Prevention of psychosocial problems Practice bioethical presentation recitation
levels of health care Rehabilitation concepts/principles, core values
a. Health promotive 6. Electrolyte Deficit-hyponatremia, and nursing standards in the care of
b. Disease hypokalemia, hypocalcemia, clients
preventive hypomagnesemia, hypophosphatemia
c. Curative and Determination and management of
restorative cause Exhibit accurate recording and
Drug therapy electrolyte replacement documentation
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
7. Electrolyte Excess- hypernatremia,
hyperkalemia, hypercalcemia,
hypermagnesemia, hyperphosphatemia

15
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Determination and management of
cause
Drug therapy electrolyte replacement
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial
problems
Identify principles of Rehabilitation Discuss the different modalities used Adapt steps/pointers in decision Lecture discussion Post test
various modalities of 8. Metabolic Alkalosis Base bicarbonate in management with problems in making and prioritization with
management with excess oxygenation, fluid and electrolyte client/s having problems in Slide/power point Graded
problems in oxygenation, Determination and management of balance, nutrition and metabolism oxygenation, fluid and electrolyte presentation recitation
fluid and electrolyte cause and endocrine function balance, nutrition and metabolism
balance, nutrition and Drug therapy - and endocrine function
metabolism and endocrine Dietary management
function taking into Supportive management
consideration the following Prevention of complication Practice bioethical
levels of health care Prevention of psychosocial problems concepts/principles, core values
a. Health promotive Rehabilitation and nursing standards in the care of
b. Disease 9. Metabolic Acidosis base bicarbonate clients
preventive deficit
Determination and management of
c. Curative and
cause Exhibit accurate recording and
restorative Drug therapy documentation
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation

16
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Identify principles of 10. Respiratory Alkalosis carbonic acid Discuss the different modalities used Adapt steps/pointers in decision
various modalities of deficit in management with problems in making and prioritization with
management with Determination and management of oxygenation, fluid and electrolyte client/s having problems in
problems in oxygenation, cause balance, nutrition and metabolism oxygenation, fluid and electrolyte
fluid and electrolyte Drug therapy and endocrine function balance, nutrition and metabolism
balance, nutrition and Dietary management and endocrine function Lecture discussion Post test
metabolism and endocrine Supportive management
function taking into Prevention of complication Slide/power point Graded
consideration the following Prevention of psychosocial problems Practice bioethical presentation recitation
levels of health care Rehabilitation concepts/principles, core values
a. Health promotive 11. Respiratory Acidosis carbonic acid and nursing standards in the care of
b. Disease excess clients
preventive Determination of cause
c. Curative and Drug therapy
Dietary management Exhibit accurate recording and
restorative Supportive management documentation
Prevention of complication
Prevention of psychosocial problems
Rehabilitation

17
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Identify principles of 12. Disturbances in ingestion Discuss the different modalities used Adapt steps/pointers in decision
various modalities of Determination and management of in management with problems in making and prioritization with
management of clients with cause oxygenation, fluid and electrolyte client/s having problems in
problems in nutrition and Hydration balance, nutrition and metabolism oxygenation, fluid and electrolyte
metabolism taking into Drug therapy and endocrine function balance, nutrition and metabolism
consideration the following Dietary management and endocrine function Lecture discussion Post test
levels of care; Supportive management
a. Health promotive Prevention of infection Slide/power point Graded
b. Disease Prevention of complication Practice bioethical presentation recitation
preventive Prevention of psychosocial problems concepts/principles, core values
c. Curative and Rehabilitation and nursing standards in the care of
rehabilitative 13. Disturbances in digestion clients
Determination and management of
cause
Hydration Exhibit accurate recording and
Drug therapy documentation
Dietary management
Supportive management
Prevention of infection
Prevention of complication
Prevention of psychosocial problems
Rehabilitation

18
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Identify principles of 14. Disturbances in absorption Discuss the different modalities used Adapt steps/pointers in decision
various modalities of Determination and management of cause in management with problems in making and prioritization with
management of clients with Hydration oxygenation, fluid and electrolyte client/s having problems in
problems in endocrine Drug therapy balance, nutrition and metabolism oxygenation, fluid and electrolyte
functioning taking into Dietary management and endocrine function balance, nutrition and metabolism
consideration the following Supportive management and endocrine function Lecture discussion Post test
levels of care: Prevention of infection
a. health promotive Prevention of complication Slide/power point Graded
b. disease Prevention of psychosocial problems Practice bioethical presentation recitation
preventive Rehabilitation concepts/principles, core values
c. curative and 15. Disturbances in elimination and nursing standards in the care of
rehabilitative Determination and management of cause clients
Hydration
Drug therapy
Dietary management Exhibit accurate recording and
Supportive management documentation
Prevention of infection
Prevention of complication
Prevention of psychosocial problems
Rehabilitation

19
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
Identify principles of 16. Disturbances in hepatic, biliary and Discuss the different modalities used Adapt steps/pointers in decision
various modalities of pancreatic functions in management with problems in making and prioritization with
management of clients with Determination and management of oxygenation, fluid and electrolyte client/s having problems in
problems in endocrine cause balance, nutrition and metabolism oxygenation, fluid and electrolyte
functioning taking into Hydration and endocrine function balance, nutrition and metabolism
consideration the following Drug therapy and endocrine function Lecture discussion Post test
levels of care: Dietary management
a. health promotive Supportive management Slide/power point Graded
b. disease Prevention of infection Practice bioethical presentation recitation
preventive Prevention of complication concepts/principles, core values
c. curative and Prevention of psychosocial problems and nursing standards in the care of
rehabilitative Rehabilitation clients
17. Disturbances in endocrine hypo-
function
Determination and management of Exhibit accurate recording and
cause documentation
Drug therapy diuretics, electrolytes
Dietary restriction - sodium
Supportive management
Prevention of infection
Prevention of complication
Prevention of psychosocial problems
Rehabilitation

20
 Essential Learning Suggested
Intended Learning Outcomes Assessment
Week Content Standards Teaching/Learning
Declarative Knowledge Functional Knowledge {ILO} Tasks {ATs}
Activities {TLAS
18. Disturbances in endocrine hyperfunction Discuss the different modalities used Lecture discussion Post test
Determination and management of cause in management with problems in
Drug therapy diuretics, electrolytes oxygenation, fluid and electrolyte Slide/power point Graded
Dietary restriction - sodium balance, nutrition and metabolism presentation recitation
Supportive management and endocrine function
Prevention of infection
Prevention of complication
Prevention of psychosocial problems
Rehabilitation
11,12, Demonstrate knowledge I. Pharmacologic actions, therapeutic uses, Identify the pharmacologic actions, State the pharmacologic actions, Lecture discussion Rubric
13 & on the pharmacologic side effects, indications,contraindications, therapeutic uses, side effects, therapeutic use, side effects, Role play in giving Post test
14 actions, therapeutic uses, and nursing responsibilities: indications, contraindications and indications, contraindications and medication
side effects, indications, 1. Pulmonary nursing responsibilities in nursing responsibilities
contraindications and Bronchodilators administering medications
nursing responsibilities in Expectorants
administering medications Antitussives Exhibit accurate recording and
Antihistamines documentation
2. Cardiac
Sympathomymetic agents
Sympatholytic agents
Anti-anginal agents
Anti-arrhythmic agents
Angiotensin converting enzyme inhibitors
Antilipemic agents
Anticoagulant agents
Thrombolytics
Peripheral vascular agents

21
 Essential Learning Suggested Assessment
Intended Learning Outcomes
Week Content Standards Teaching/Learning Tasks
Declarative Knowledge Functional Knowledge {ILO}
Activities {TLAS {ATs}
Demonstrate knowledge 3. Blood Lecture discussion Rubric
on the pharmacologic Hematinics Identify the pharmacologic actions, Discuss pharmacologic actions, Role play in giving Post test
actions, therapeutic uses, Vitamin supplements therapeutic uses, side effects, therapeutic use, side effects, medication
side effects, indications, 4. Fluid indications, contraindications and indications, contraindications and
contraindications and a. Parenteral fluids nursing responsibilities in nursing responsibilities
nursing responsibilities in hypotonic, administering medications
administering medications hypertonic
isotonic solutions Exhibit accurate recording and
5. Electrolyte documentation
Sodium
Potassium
Calcium
Magnesium
Phosphate
6. Diuretics
Potassium-sparing
Potassium-losing
Osmotic diuretics
7. Vitamin D supplements
8. Gastrointestinal, hepato-biliary
and pancreatic function
Antiemetics
Anticoagulant
Hematinics agents
Laxatives and stool softeners
Antipruritus
Vitamin supplement

22
 Essential Learning Suggested
Assessment
Week Content Standards Intended Learning Outcomes {ILO} Teaching/Learning
Declarative Knowledge Functional Knowledge Tasks {ATs}
Activities {TLAS
Antacids
Antihyperlipidemics
Antispasmodics
Demonstrate knowledge Antidiarrheal Identify the pharmacologic actions, Discuss pharmacologic actions, Lecture discussion Rubric
on the pharmacologic 9. Endocrine function therapeutic uses, side effects, therapeutic use, side effects, Role play in giving Post test
actions, therapeutic uses, Corticosteroids indications, contraindications and indications, contraindications and medication
side effects, indications, Alpha-adrenergic blocking agents nursing responsibilities in nursing responsibilities
contraindications and Alpha-adrenergic blocking agents administering medications
nursing responsibilities in Beta-adrenergic blocking agents
administering medications Tyrosine inhibitors
Dopamine receptor antagonists
Glucocorticoids Exhibit accurate recording and
Parathyroid hormone agents documentation
Thyroid hormone agents
Insulin
Oral hypoglycemic agents
10. Perioperative care
Preoperative pre-operative
medications
Intraoperative anaesthetic agents
general, spinal, blocks
Postoperative analgesics, opioids,
antipyretics, Outlining nursing process in Recognize the different surgical Discussion Rubric
Demonstrate knowledge in antibiotics relations to different surgical procedures
15,16, identifying different surgical J. Purpose, indications, nursing procedures
17 & procedures responsibilities for the following
18 surgical and special procedures:
1. Pulmonary
a. Surgical procedures tracheostomy

23
 Essential Learning Suggested
Assessment
Week Content Standards Intended Learning Outcomes {ILO} Teaching/Learning
Declarative Knowledge Functional Knowledge Tasks {ATs}
Activities {TLAS
Demonstrate knowledge in thoracostomy, lungresection, lobectomy, Outlining nursing process in Recognize the different surgical
identifying different surgical pneumonectomy, relations to different surgical procedures Discussion Recitation
procedures thoracoplasty,decortication procedures Paper and
b. Special procedures pen test
endotracheal/tracheal suctioning
andcare, humidification, IPPB, Rubric
ventilatory assist
2. Cardiac
a. Surgical procedures coronary artery
bypass, pacemakerinsertion, valve
replacement, repair of congenital
abnormality, insertion of ventricular
assist device, heart transplant
b. Special procedures laser therapy,
basic life support, advance life support
3. Vascular
a. Surgical procedures endarterectomy,
aneurysmectomy, insertion of
intravascular stents
b. Special procedures application
of antiembolic stockings
6. Blood forming organs
a. Surgical procedures bone marrow
aspiration, bone marrow transplant
b. Special procedures - blood component
transfusion, reverse isolation

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 Essential Learning Suggested
Assessment
Week Content Standards Intended Learning Outcomes {ILO} Teaching/Learning
Declarative Knowledge Functional Knowledge Tasks {ATs}
Activities {TLAS
Demonstrate knowledge in 5. Renal dysfunction Outlining nursing process in Recognize the different surgical
identifying different surgical a. Major surgical procedures - relations to different surgical procedures Lecture discussion Recitation
procedures nephrectomy, nephrostomy, procedures Power-point Paper and
cystectomy, ureterostomy, renal presentation pen test
transplants, urinary diversion
b. Special procedures - peritoneal
dialysis, hemodialysis, bladder training,
cystoclysis/bladder irrigation
6. Gastrointestinal dysfunction
a. Surgical procedures gastrostomy,
gastrectomy, colostomy,
hemorrhoidectomy, gastrointestinal
bypass, ileostomy
b. Special procedures parenteral
hyperalimentation; feeding
pernasogastric, jejunostomy,
gastrostomy tubes; colostomy care and
irrigation, dietary planning for common
GT and endocrine
problems; administering
medications via NGT, J tube,
G tube; hot sitz bath
7. Endocrine dysfunction
a. Surgical procedures
Thyroidectomy,
Parathyroidectomy

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 Essential Learning Suggested
Assessment
Week Content Standards Intended Learning Outcomes {ILO} Teaching/Learning
Declarative Knowledge Functional Knowledge Tasks {ATs}
Activities {TLAS
b. Special procedures
monitoring of blood glucose levels,
maintenance of blood glucose diet,
exercise, drugs
Demonstrate knowledge in K. Safe and comprehensive perioperative Identify the different surgical and Recognize the different surgical Lecture discussion Pre-test
identifying different surgical nursing care special procedures procedures Recitation
procedures 1. Assessment and care during the Power point
perioperative period presentation
2. Techniques in assisting the surgical
team during the operation
3. Principles of safety, comfort and
privacy during the perioperative period
4.Nursing responsibilities during the
perioperative period
Preoperative - physical, psychological,
spiritual preparation
Intraoperative circulating nurse
functions, scrub nurse functions
Postoperative airway, breathing,
circulation priorities.

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 Essential Learning Suggested
Assessment
Week Content Standards Intended Learning Outcomes {ILO} Teaching/Learning
Declarative Knowledge Functional Knowledge Tasks {ATs}
Activities {TLAS
Demonstrate principles, L. Meeting the physical, Identify steps/pointers in decision Practice bioethical concepts/principles, Lecture discussion Quiz
concepts, and application psychological and spiritual needs of the making and prioritization with core values, and nursing standards in Recitation
of bioethics in the care of client. client/s having problems in the care of clients
clients. M. Steps/pointers in decision making and oxygenation, fluid and electrolyte
prioritization with client/s having problems balance, nutrition and metabolism Create appropriate plan including
in oxygenation, fluid and electrolyte and endocrine function health education
balance, metabolic and endocrine
function. Exhibit accurate recording and
N. Principles, concepts and applications documentation
of bioethics in the care of clients.
O. Developing outcome criteria for clients
with problems in oxygenation, fluid and
electrolyte balance, metabolic
andendocrine function.
P. Appropriate discharge plan including
health education
Q. Accurate recording and
documentation
FINAL EXAMINATION Multiple Choice
Written Examination

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Basic Readings Balita, Carl E. (2008). Ultimate Learning Guide. Manila, Philippines. Tri-MegaPrinting
Timby, Barbara &Smith,Nancy (2003) Introductory Medical Surgical Nursing. Lippincott Williams and Wilkins, Philadelphia
Boyer, Mary Jo.(2008). Text book of Medical-Surgical Nursing, Lippincott Williams and Wilkins, Philadelphia
Daniels, Rick, et al (2007). Contemporary Medical-Surgical Nursing, Delmar Learning, Singapore
Brunner and Suddarth Textbook of Medical-Surgical Nursing 11th Edition Copyright Lippincott Williams and Wilkins

Course Assessment As Prescribed

Course Policies 1. Classroom attendance {Please refer to p.8 of the Student Handbook 2013 ed.}
2. Innovative participation
3. Completion of assessment tasks
4. Attendance in seminar workshop/write shop
5. Respect the rights, opinions, and property of others
6. You are expected to maintain academic integrity all the time. Cheating will automatically mean a grade of 5.0 for the particular
assessment

Grading System Midterm Standing = Prelim Grade + Midterm Grade

(50%) (50%)

Final Grade = Prelim Grade + Midterm Grade + Final Grade

Approval Committee:

PROF. MARILOU R. TAYAO DR. ISABEL F. INLAYO

Vice President for Academic Affairs University President

28
Consultation Hour: A.Y. Term of Effectivity Validated by Prepared by Pages

JOSIELYN P. MALIGALIG.,RN.,MAN.,ED.D 28
June 2017-2018 DR. EMELITA S. PESIGAN Lecturer
Dean, College of Health Allied Sciences
Contact Number: 09327142534

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