Syllabus Ncm 103 Final

F.L.VARGAS COLLEGE Bagay Road, Caritan Centro Tuguegarao City, Cagayan Valley COLLEGE OF HEALTH SCIENCES Course Name Course Code Course Description : CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM AND ENDOCRINE : NCM 103 : 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. : 8 units lecture; 6 units RLE (1 unit skills lab, 5 units Clinical) : 144 lecture hours; 306 RLE hours : NCM 102 : 3rd year, 1st semester : At the end of the course and given relevant actual clients with problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism, and endocrine function, the student should be able to: 1. Utilize 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 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 client’s condition and outcomes of care. 2. Ensure a well organized and accurate documentation system; 3. Relate with client/s and their family and the health team appropriately; 4. Observe bioethical concepts/principles, core values and nursing standards in the care of clients; and, 5. Promote personal and professional growth of self and others. INTERMEDIATE COMPETENCIES 1. Identify risk factors among clients that contribute to the development of problems in Oxygenation- cardiovascular risk factors (modifiable and Course Credit Contact Hours/ Semester Pre-requisite Placement Course Objectives OBJECTIVES At the end of the lecture discussion, the students will be able to: 1. Utilize the nursing process in the care of COURSE CONTENT The different risk factors among clients that contribute to the development of problems in oxygenation:  Current respiratory problems  History of respiratory disease TEACHING-LEARNING ACTIVITIES       VALUES INTEGRATION TIME FRAME EVALUATION Pre-tests Case Analysis Small Group Assertiveness Cooperation Participation 2.5 hours After the discussion, the students will be able to identify the modifiable and non-modifiable risk factors 2.      Pre-tests Case Analysis Small Group Learning Lecture Discussion Postl test     Assertiveness Cooperation Participation Sensitivity 2 hours The students should be able to identify significant subjective data from client’s history by enumerating the possible chief complaints and recording relevant information guided by the eleven functional patterns. Lifestyle (smoking. Observe bioethical concepts/principles. to include eleven functional patterns  Health perception management pattern  Nutritional/metabolic pattern  Elimination pattern  Activity/exercise patterns  Cognitive/perceptual pattern  Sleep-rest pattern  Self-perception-self-concept pattern  Role relationship pattern  Sexuality-reproductive pattern  Coping-stress tolerance pattern  Value-belief pattern a. Relate with client/s and their family and the health team appropriately. Ensure a well organized and accurate documentation system. . fluid transport    Learning Lecture Discussion Post test  Sensitivity that contribute to the development of problems in oxygenation. smoke analyzer Fagerstrom test – standardized degree of      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2.      Screening procedure.     Demonstration Return Demonstration Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 3 hours 4. 2.g. Identify results and implications of diagnostic/laboratory examinations of clients with reference to problems in Oxygenation.heart sound.peak flow meter Diagnostic Procedures Non-invasive: Pulmonary: e.gas exchange. 5. b. d. 4. pulmonary function tests. families with problems in oxygenation in community and hospital settings. children. and adult’s oxygen status by comparing any deviations from normal findings.gas exchange. individuals. c. sputum microscopy. breath sounds. 3. exercise patterns)  Presence of cough  Presence of Chest Pain  Lung Cancer  Cardiovascular disease  Stroke  Tuberculosis  Obesity  Dietary assessment  Medication history a.gas exchange. non-modifiable). Chief complaints b. 3. children. deviations. core values and nursing standards in the care of clients. Identify significant subjective data from client history related to problems in oxygenation.gas exchange Auscultation. Given actual laboratory results of a patient. Relevant information. chest xray. Inspection. Promote personal and professional growth of self and others. and. perfusion Palpation. perfusion Percussion.5 hours The students will be able to perform the proper techniques in physical examination and apply the principles in correctly assessing the newborn. Enumerate the principles and techniques of physical examination in assessing the oxygenation status in newborn. alcoholism. adults. the student should be able to identify deviations from normal findings. myocardial contractility Alteration in vascular integrity – transport network impairment Alteration in oxygen carrying capacity of the blood. 2-D echo. Activity intolerance related to malnutrition tissue hypoxia For altered pulmonary function:  Airway patency  Oxygen therapy  Adequate ventilation      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 16 hours The students should be able to determine the patho-physiologic mechanisms in the different oxygenation problems. stress test Vascular: Doppler ultrasonography Blood: pulse oximeter Invasive: Pulmonary: bronchoscopy. CVP. ECG. Decreased cardiac output (CO) g. Determine the Pathophysiologic mechanisms of the Alterations in oxygenation   a. Impaired gas exchange related to altered O2 carrying capacity of blood due to decreased erythrocytes/hemoglobin i. 3horacentesis.decreased circulating erythrocytes (anemia).      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2 hours The students should be able to identify possible nursing diagnoses taxonomy pertinent to the derived assessment data to pertinent problems in oxygenation. Altered tissue perfusion systemic h. Identify principles of various modalities of management of clients with problems in oxygenation taking into a. d.      5. enzyme levels. Cholesterol Vascular: angiography Blood: CBC and bone marrow biopsy Alteration in gas exchange – ventilator dysfunction. Ineffective airway clearance c. Enumerate Nursing diagnoses taxonomy pertinent to problems/alteration in Oxygenation. Ineffective breathing pattern b. hemodynamics monitoring. Dysfunctional 3entilatory weaning response f. 6. increased circulating erythrocytes (polycythemia) a.    Pre-tests Case Analysis Small Group Learning     Assertiveness Cooperation Participation Sensitivity 4 hours  The students should be able to apply the various principles in the management of clients . Inability to sustain spontaneous ventilation e. impaired perfusion Alteration in cardiac performance – heart rate problems. nicotine dependence Cardiac: ultrasound. Serum. impaired stroke volume secondary to altered preload. Impaired gas exchange d. cardiac catheterization. afterload. 7. c. b. ABG. pulmonary angiography Cardiac: CO determination. consideration the following levels of care: 1. For cardiac function  Hemodynamics monitoring  O2 therapy  Drug therapy  Hydration  Prevention of infection  Prevention of complications  Prevention of psychosocial problems  Rehabilitation c. Cardiac  Sympathomymetic agents  Sympatholytic agents  Anti-anginal agents  Anti. indications and contraindications and nursing responsibilities in the different medications of clients with oxygenation problems. Disease preventive 3. Curative and restorative 8. with their corresponding pharmacologic actions. blood medications. cardiac. Oxygen carrying capacity of the blood  Blood component replacement  O2 therapy  Drug therapy  Hydration  Prevention of infection  Prevention of complications a.arrhythmic agents  Angiotensin converting enzyme inhibitors  Antilipemic agents  Anticoagulant agents  Thrombolytics  Peripheral vascular agents c. Blood  Hematinics  Vitamin supplements   Lecture Discussion Post test with problems in oxygenation in the actual clinical nursing practice. disease prevention and curative and health restoration. . side effects.      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2 hours The students should be able to enumerate the different pulmonary.  The students should be able to provide the patients/clients with the proper teachings on health promotion. contraindications.  Drug therapy  Hydration  Removal of secretion  Prevention of infection  Prevention of complications  Prevention of psychosocial problems  Rehabilitation b. Enumerate Pharmacologic actions. Health promotive 2. side effects. therapeutic uses. Pulmonary  Bronchodilators  Expectorants  Antitussives  Antihistamines b. therapeutic uses. and nursing responsibilities in administering medications clients with oxygenation problems. indications. breathings. Surgical procedures – bone marrow aspiration. Special procedures – blood component transfusion. valve replacement. 2.9. thoracostomy.2 Blood forming organs a. comfort and privacy during the perioperative period 1. 1. circulation priorities. decortications b. lung resection. thoracoplasty. aneurysmectomy. pneumonectomy. nursing responsibilities for the surgical and special procedures in alterations in oxygenation. . bone marrow transplant b. Special procedures – laser therapy. Special procedures – application of antiembolic stockings 3. insertion of ventricular assist device. spiritual preparation  Intraoperative – circulating nurse functions. Meeting the physical. Surgical procedures – endarterectomy. List the purposes. Safe and comprehensive perioperative nursing care 1. psychological. pacemaker insertion.1 Assessment and care during the perioperative period 1. indications. Surgical procedures – coronary aretery bypass. psychological and spiritual needs of the cliet.3 Principles of safety. lobectomy. reverse isolation      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2 hours The students will be able to list the different surgical and special procedures for clients with oxygenation problems and identify the nursing responsibilities in each procedure. Surgical procedures – tracheostomy. IPPB. Special procedures – endotrcheal/tracheal suctioning and care.4 Nursing responsibilities during the perioperative period  Preoperative – physical.1 Vascular a. insertion of intravascular stents b. repair of congenital abnormality. Pulmonary a. Cardiac a. ventilator assist 3. heart plansplant b. basic life support.2 Techniques in assisting the surgical team during the operation 1. advance life support 3. scrub nurse functions  Postoperative – airway. humidication. Observe bioethical concepts/principles. c. Diagnostic tests  Non-invasive: electrolyte determination.abdomen for presence of air.rates     Demonstration Return Demonstration Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2 hours 12. and adult’s fluids and electrolyte balance status by comparing any deviations from normal findings. characteristic of pulse Percussion. Ensure a well organized and accurate documentation system. 4. c. hypertension. neck vein filling. fluid Auscultation. Risk for fluid volume deficit Fluid volume excess Fluid volume deficit High risk for injury related to electrolyte deficit/excess e. Enumerate Nursing diagnoses taxonomy pertinent to problems/alteration in Fluid and electrolyte imbalance. d.edema. the student should be able to identify deviations from normal findings. infection. b. deviations from normal. adults. dietary habits to include salt intake. 5. fluid volume excess. diabetes.and hyperphosphatemia Acid and base imbalances – metabolic acidosis and alkalosis. Volume impairment – fluid volume deficit. 10. Given actual laboratory results of a patient. b. hand vein filling. respiratory acidosis and alkalosis           Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 1. Relate with client/s and their family and the health team appropriately. 3.      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 1.At the end of the lecture discussion. High risk for injury related to acid/base      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2 hours The students should be able to identify possible nursing diagnoses taxonomy pertinent to the derived assessment data to pertinent problems in fluid . Determine the Pathophysiologic Mechanisms of Fluid and electrolyte imbalances. the students will be able to: 1. KUB-IVP and ultrasound  Invasive – biopsy b. hypo. families with problems in Fluids and electrolyte imbalances in community and hospital settings. Weight c.5 hours 11. Vital Signs a. children. Promote personal and professional growth of self and others. ascites. hypo and hyperchloremia. Enumerate the principles and techniques of physical examination in newborn. intake and output. core values and nursing standards in the care of clients. hypernatremia Ionic concentration problems – hypo. third space fluid shift Osmotic imbalances – hyponatremia.signs of dehydration.5 hours After the discussion. d. children.     Inspection.  Potential factors for exceeding renal reserve capacity.and hyperkalemia. neuromuscular irritability. a. 14. and. Identify results and implications of diagnostic/laboratory examinations of clients with reference to problems in 13. Utilize the nursing process in the care of individuals.     Assertiveness Cooperation Participation Sensitivity 12 hours The students should be able to determine the patho-physiologic mechanisms in the different fluid and electrolyte imbalances. Identify risk factors among clients that contribute to the development of problems in Fluid and Electrolytes. 2. a. The students will be able to perform the proper techniques in physical examination and apply the principles in correctly assessing the newborn. hypoand hypermagnesemia. the students will be able to identify the modifiable and non-modifiable risk factors that contribute to the development of problems in fluid and electrolyte imbalances. overhydration Palpation. Altered urinary elimination g. hypophosphatemia  Determination and management of cause  Drug therapy – electrolyte replacement  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation d. hypermagnesemia. disease prevention and curative and health restoration. Electrolyte Deficit – hyponatremia. electrolytes  Dietary restriction – sodium  Supportive management  Prevention of infection  Prevention of complication  Prevention of psychosocial problems  Rehabilitation c.      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 12 hours  The students should be able to apply the various principles in the management of clients with problems in fluid and electrolyte imbalance in the actual clinical nursing practice. Disease preventive c.  The students should be able to provide the patients/clients with the proper teachings on health promotion. hypocalcemia. Identify principles of various modalities of management of clients with problems in fluid and electrolyte imbalances taking into consideration the following levels of care: a. Electrolyte Excess – hyperkalemia. Fluid Volume Deficit  Determination and management of cause  Hydration  Blood transfusion as needed  Drug therapy – electrolyte  Supportive management  Prevention of infection  Prevention of complication  Prevention of psychosocial problems  Rehabilitation b.15. Impaired integumentary integrity a. hyperphosphatemia  Determination and management of cause  Drug therapy – electrolyte replacement  Dietary management and electrolyte imbalances. hypokalemia. 7ypercalcaemia. Health promotive b. . hypomagnesemia. Fluid Volume Excess  Determination and management of cause  Drug therapy – diuretics. Curative and restorative imbalance f. g.  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation Metabolic Alkalosis – Base bicarbonate exces  Determination and management of cause  Drug therapy  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation a. Metabolic Acidosis.e. f.base bicarbonate deficit  Determination and management of cause  Drug therapy  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation Respiratory Alkalosis – carbonic and acid deficit  Determination and management of cause  Drug therapy  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation Respiratory Acidosis – carbonic acid excess  Determination and management of cause  Drug therapy  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation . urinary diversion b. Enumerate Pharmacologic actions.      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2. uterostomy. Chief complaints Relevant information. Fluid  Parenteral fluids  Hypotonic  Hypertonic  Isotonic b. side effects. a. After the discussion. therapeutic uses. 3. Ensure a well organized and accurate documentation system. the students will be able to identify the modifiable and non-modifiable risk factors that contribute to the development of problems in nutrition and metabolism. Vitamin D supplements Renal dysfunction a.peritoneal dialysis. b. Special procedures. 17. Identify significant subjective data from client history related to problems in nutrition and metabolism. and nursing responsibilities in administering medications clients in fluid and electrolyte imbalances.           Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2. nephrostomy. At the end of the lecture discussion.5 hours Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 1 hour 19. renal transplants. Electrolyte  Sodium  Potassium  Calcium  Magnesium  Phosphate c. hemodialysis. side effects. Identify risk factors among clients that contribute to the development of problems in Nutrition and Metabolism. indications. a. The students should be able to identify significant subjective data from client’s history by enumerating the possible chief complaints and recording relevant information guided by the eleven functional patterns . Major surgical procedures – nephrectomy.5 hours The students should be able to enumerate the different medications in managing clients with fluid and electrolyte imbalances. bladder training. obesity. contraindications. families with problems in nutrition and metabolism in community and hospital settings. cystoclysis/bladder irrigation  Risk factors related to malnutrition. to include eleven functional patterns  Health perception management pattern  Nutritional/metabolic pattern  Elimination pattern  Activity/exercise patterns  Cognitive/perceptual pattern  Sleep-rest pattern  Self-perception-self-concept pattern  Role relationship pattern      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2 hours The students will be able to list the different surgical and special procedures for clients with fluid and electrolyte imbalance and identify the nursing responsibilities in each procedure. cystectomy. Relate with client/s and their family and the health team 18. indications. the students will be able to: 1. List the purposes.16. indications and contraindications and nursing responsibilities in the different medications. nursing responsibilities for the surgical and special procedures in alterations in fluid and electrolyte imbalances. diuretics  Potassium-sparing  Potasium-losing  Osmotic diuretics d. therapeutic uses. Utilize the nursing process in the care of individuals. 2. with their corresponding pharmacologic actions. biopsy. Non-invasive: ultrasound of the abdomen. children. gastritis and gastric cancer Disturbances in absorption – malnutrition. Disturbances in ingestion  Determination and management of cause  Drug therapy           Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 1. masses  Auscultation. and. b. texture of skin.bowel sounds. cytology examination. mucous membrane. c. scars.appropriately. diarrhea and constipation. bruits  Palpation – focus on GIT for presence of masses. 3. 23. esophagoscopy. endoscopy (gastroscopy. Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 12 hours The students should able to determine patho-physiologic mechanisms in different nutritional metabolic problems. a. core values and nursing standards in the care of clients. rebound tenderness. Given actual laboratory results of a patient. and adult’s nutritional and metabolic status by comparing any deviations from normal findings. adults.3 Gastrointestinal function – IPPA  Inspection. hemorrhoids. a. stool culture Invasive: to include: barium swallow. Promote personal and professional growth of self and others.5 hours The students will be able to perform the proper techniques in physical examination and apply the principles in correctly assessing the newborn. gastric secretion analysis. deviations from normal.5 hours The students should be able to identify possible nursing diagnoses taxonomy pertinent to the derived assessment data to pertinent problems in nutrition and metabolism.  The students should be able to apply the various principles in the management of clients     Assertiveness Cooperation Participation Sensitivity 12 hours . Enumerate Nursing diagnoses taxonomy pertinent to problems/alteration in Nutrition and Metabolism. b.color. 22. distention  Percussion – liver span. masses 21. be the the and d. c. e.    20. b. the student should be able to identify deviations from normal findings. proctosigmoidoscopy and rectal examination Disturbances in ingestion – problems in buccal cavity and esophagus Disturbances in digestion – peptic acid disease. Enumerate the principles and techniques of physical examination in newborn. 5. ascites. Sexuality-reproductive pattern Coping-stress tolerance pattern Value-belief pattern     Demonstration Return Demonstration Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 1. Identify principles of various modalities of management of clients with problems in Nutrition and Metabolism         Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Pre-tests Case Analysis Small Group Learning     Assertiveness Cooperation Participation Sensitivity 1. Determine the Pathophysiologic mechanisms of the Alterations in Nutrition and Metabolism. 24. growth patterns. Alteration in nutrition less than body requirement Alteration in nutrition more than body requirement Alteration in oral mucous membrane integrity Alteration in comfort: epigastric pain/abdominal pain Fluid volume deficit A. Identify results and implications of diagnostic/laboratory examinations of clients with reference to problems in Nutrition and Metabolism. d. children.5 hours a. Observe bioethical concepts/principles. malabsorption syndrome and inflammatory bowel conditions Disturbances in elimination – bowel obstruction. duodenoscopy). 4.  The students should be able to provide the patients/clients with the proper teachings on health promotion. Health promotive 5. Disease preventive 6. Disturbances in absorption  Determination and management of cause  Drug therapy  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation D.taking into consideration the following levels of care: 4. Disturbances in elimination  Determination and management of cause  Drug therapy  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation E. . biliary and pancreatic functions  Determination and management of cause  Drug therapy  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation   Lecture Discussion Post test with problems in nutrition and metabolism in the actual clinical nursing practice. Curative and restorative  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation B. Disturbances in hepatic. disease prevention and curative and health restoration. Disturbances in digestion  Determination and management of cause  Drug therapy  Dietary management  Supportive management  Prevention of complication  Prevention of psychosocial problems  Rehabilitation C. a. After the discussion. side effects. the students will be able to: 1. gastrointestinal bypass. 3. blood medications. 27. 4. with their corresponding pharmacologic actions. Ensure a well organized and accurate documentation system. hot sitz bath Risk factors related to endocrine hypo or hyperfunctioning.           Antiemetics Anticoagulants Hematinics agents Laxatives and stool softeners Antipruritus Vitamin supplement Antacids Antihyperlipidemics Antispasmodics Antidiarrheal      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2 hours 26.      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2. Relevant information. jejunostomy. to include eleven functional patterns  Health perception management pattern  Nutritional/metabolic pattern  Elimination pattern  Activity/exercise patterns  Cognitive/perceptual pattern  Sleep-rest pattern  Self-perception-self-concept pattern  Role relationship pattern  Sexuality-reproductive pattern  Coping-stress tolerance pattern  Value-belief pattern          Assertiveness Cooperation Participation Sensitivity 2 hours . hemorrhoidectomy.  Surgical procedures – gastrostomy. A. J tube. indications and contraindications and nursing responsibilities in the different medications of clients with nutrition and metabolism disorders. contraindications. side effects. colostomy. administering medications via NGT.5 hours 28. the students will be able to identify the modifiable and non-modifiable risk factors that contribute to the development of problems in endocrine functioning. Utilize the nursing process in the care of individuals. families with problems in endocrine functioning in community and hospital settings. Identify significant subjective data from client history related to problems in endocrine functioning. The students should be able to identify significant subjective data from client’s history by enumerating the possible chief complaints and recording relevant information guided by the eleven functional patterns      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 1. gastrostomy tubes. and nursing responsibilities in administering medications clients with Nutrition and Metabolism problems. dietary planning for common GT and endocrine problems. gastrectomy. b. List the purposes. Relate with client/s and their family and the health team appropriately. colostomy care and irrigation. nursing responsibilities for the surgical and special procedures in alterations in Nutrition and Metabolism.5 hours The students should be able to enumerate the different pulmonary. Enumerate Pharmacologic actions. Chief complaints B. indications. Observe bioethical concepts/principles. feeding per nasogastric. The students will be able to list the different surgical and special procedures for clients with nutrition and metabolism problems and identify the nursing responsibilities in each procedure. indications. ileostomy Special procedures – parenteral hyperalimentation. therapeutic uses. G tube. At the end of the lecture discussion. therapeutic uses. Identify risk factors among clients that contribute to the development of problems in Endocrine Function. cardiac. 2.25. f. serum thyroxine and triiodothyronine test. liver function test. a. b.g.and Hyperfunction of the hypothalamus Hypo.      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2.and Hyperfunction of the parathyroid organ Hypo. heart sounds. d. a. two-hour post prandial blood glucose. Enumerate Nursing diagnoses taxonomy pertinent to problems/alteration in endocrine functioning. 5. obesity Auscultation – bruit. free thyroxin level. Hypo. adults. random blood sugar (RBS). breath sounds Palpation.core values and nursing standards in the care of clients.g.  The students should be able to apply the various 33. Determine the Pathophysiologic mechanisms of the Alterations in endocrine functioning. Radio-iodine assay (RAI). Enumerate the principles and techniques of physical examination in newborn. mucous membrane.   Corticosteroids Alpha-adrenergic blocking agents     Assertiveness Cooperation 2. thyroid scan.  31.  Inspection. OGTT (Glucose tolerance test) urinalysis (glycosuria. c. Promote personal and professional growth of self and others.      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 10 hours The students should be able to determine the patho-physiologic mechanisms in the different endocrine problems. g.5 hours The students will be able to perform the proper techniques in physical examination and apply the principles in correctly assessing the newborn. deviations from normal in the endocrine system. thyroxine stimulating hormone (TSH) test. glycosylated hemoglobin (Hgb). Enumerate Pharmacologic actions. b. iodine 131 uptake. and. GI x-ray.5 hours The students should be able to identify possible nursing diagnoses taxonomy pertinent to the derived assessment data to pertinent problems in endocrine functioning. edema Others – weight.5 hours . children. and adult’s endocrine functioning by comparing any deviations from normal findings. delayed healing of wounds Screening: glucose tolerance test Non-invasive: e.and Hyperfunction of the gonads Problems in glucose metabolism – hypoglycemia and hyperglycemia (IDM. Given actual laboratory results of a patient. edema Percussion. percutaneous transhepatic cholangiogram. NIDDM) Alterations in nutrition less than body requirement Fluid volume deficit Activity intolerance     Demonstration Return Demonstration Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 1. endocrine assay. Identify results and implications of diagnostic/laboratory examinations of clients with reference to problems in endocrine functioning.and Hyperfunction of the adrenal organ Hypo. masses. c.      a. growth patterns.color.and Hyperfunction of the thyroid organ Hypo. children. blood sugar tests (fasting blood sugar – FBS).5 hours 30.fluid.and Hyperfunction of the pituitary organ Hypo. ultrasound abdomen.      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test Pre-tests Case Analysis     Assertiveness Cooperation Participation Sensitivity 1. ketonuria) Invasive: e. e. 32. texture of skin. 29. the student should be able to identify deviations from normal findings.organ-thyroid enlargement. protein bound iodine (PBI). basal metabolic rate (BMR). therapeutic uses. Curative and restorative        Determination and management of cause Drug therapy . blood medications. th 2. drugs      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 2. Surgical procedures – thyroidectomy. nursing responsibilities for the surgical and special procedures in alterations in endocrine functioning. indications and contraindications and nursing responsibilities in the different medications of clients with endocrine problems. Pearson Education South Asia PTE. 2006 th 3. side effects.therapeutic uses. Essentials of Human Anatomy and Physiology – 8 edition. disease prevention and curative and health restoration. LTD.  The students should be able to provide the patients/clients with the proper teachings on health promotion. Disease preventive c. b. References: th 1. a. cardiac. The students will be able to list the different surgical and special procedures for clients with endocrine problems and identify the nursing responsibilities in each procedure. indications. Health promotive b. Lippincott Williams & Wilkins. side effects. parathyroidectomy Special procedures – monitoring of blood glucose levels.         Beta-adrenergic blocking agents Tyrosine inhibitors Dopamine receptor antagonists Glucocorticoids Parathyroid hormone agents Thyroid hormone agents Insulin Oral hypoglycemic agents    Small Group Learning Lecture Discussion Post test   Participation Sensitivity 34. 2010 . with their corresponding pharmacologic actions. The Lippincott Manual of Nursing Practice – 7 edition. List the purposes. The students should be able to enumerate the different pulmonary. contraindications. electrolytes Dietary management Supportive management Prevention of complication Prevention of psychosocial problems Rehabilitation      Pre-tests Case Analysis Small Group Learning Lecture Discussion Post test     Assertiveness Cooperation Participation Sensitivity 12 hours 35. Brunner and Suddarth. 2001. maintenance of blood glucose – diet. Identify principles of various modalities of management of clients with problems in endocrine functioning taking into consideration the following levels of care: a. Textbook of Medical-Surgical Nursing – 12 edition. indications.5 hours principles in the management of clients with problems in endocrine functioning in the actual clinical nursing practice. Marieb. Elaine N. exercise.diuretics. and nursing responsibilities in administering medications clients with endocrine problems. RN. RN. FURIGAY Director for Instruction Recommending Approval: KATLYN C. MAN Instructor Approved by: MR.Prepared by: FREIDA MICHELLE BONNIT-TAJA. MANGUPAG. JOSEPH B. COLLEGE OF HEALTH SCIENCES . MSN OIC.