1

DOA REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATION

COLLEGE OF NURSING

RESOURCE UNIT IN OXYGENATION

COURSE NAME: NCM 103 CARE OF CLIENTS ACROS THE LIFESPAN WITH PROBLEMS IN OXYGENATION
COURSE DESCRIPTION: This course deals with the principles and techniques of nursing care management of sick clients across the lifespan in any setting with alterations/ problems in
oxygenation.
COURSE CREDIT: 5 units Lecture, 3 units RLE
CONTACT HRS/SEM: 24 hours lecture, 72 hours RLE
PREREQUISITES: NCM102
PLACEMENT: Third year, First Semester
TERMINAL COMPETENCY:
Given an actual client, population group with problems in oxygenation, the student should be able to:

1. Utilize the nursing process in the care of individuals, families in selected settings:
a. Assess clients with recognition through interview, physical examination, interpretation of laboratory problems;
b. Identify actual and potential nursing diagnoses;
c. Plans appropriate nursing interventions with clients and clients families with problems in oxygenation;
d. Implements plan of care with clients and fmily;
e. Evaluates progress of his/her clients condition and outcomes of care
2. Apply nursing theories in the management of care of the client with disturbances in oxygenation.
3. Live the core values cherished by the profession such as love of God, caring as the core of nursing, love of people and love of country.
4. Ensure a well-organized and accurate documentation system (oral and written).
5. Relate well with client and his family and collaborates with health team members.
6. Observe bioethical concepts, principles and the eleven key areas of responsibility in the care of clients.
7. Assume responsibilities for personal and professional growth.
8. Demonstrate leadership and management skills in the care of clients with problems in oxygenation.
9. Utilize research findings to improve the health care delivery system.









2

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
Given an adult (
young, middle, old,
old-old adult) with
responses to
altered Respiratory
function, the
student will be able
to:

A. Apply knowledge
and normal
anatomy and
physiology and
assessment
techniques in
caring for clients.
Responses to Altered
Oxygenation, Respiratory Gas
Exchange, Transport,
Perfusion

- I.A. Review: Anatomy and
Physiology of the Respiratory
System

UPPER RESPIRATORY
TRACT
- Nose, Paranasal sinuses,
Pharynx, tonsils,adenoids,
Larynx, Trachea

LOWER RESPIRATORY
TRACT
- Lungs, Mediastinum, Lobes
- Bronchi and Bronchioles,
Alveoli

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
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
4h Review/
demonstration/
simulation/ role
play on:

a. Physical
Assessment
b. Admission
and
discharge of
patients
c. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Alagau
- Guava
- Carrots
- Rosemary
- Gumamela
- Kalamansi
- Lagundi
- Luya
- Sambong
72h


3




INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
B. Assess the health
status of a client

1. Conduct a health
history and
functional health
status of clients
having or at risk for
alterations in
oxygenation,
ventilation and gas
exchange.

2. Perform
systematic and
comprehensive
physical assessment
to validate assessed
data.
I.C. Nursing Process:
A. Assessment:

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

B. Past Health, Family, and
Social History
C. Functional Health Patterns

2. Objective Data:
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
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:
a. Oxygen
administration
Blood
transfusion
b. Tracheostomy
c. Incentive
spirometry
d. Aerosol
therapy
e. Postural
drainage
f. Ventilation
therapy
g. Artificial
airways
h. Chest
drainage
i. suctioning
Physical
assessment
report

Updated
individualized
NCP
incorporating
pharmacologic
action of drugs

Submission
of journal
reading and
evidence-
based
practices and
research
findings
relevant to the
case




4



INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION















3. Interprets
deviations from
normal findings in
the physical
assessment,
diagnostic and
laboratory
examination

4. Identify the
indications/
purposes,
contraindications,
side effects,
complications and
nursing
responsibilities
before, during and
after the procedure
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

B. Diagnostic Exams
b.1. Non-invasive
- Pulmonary Function Test
- Pulse Oximetry
- Ventilation Perfusion Scan
- Radiologic Studies: Chest X-
rays
- CT Scan, MRI, PET, Pulmonary
- Angiography

b.2. Invasive
- Endoscopic Exams:
Laryngoscopy,
- Bronchoscopy,
Mediatinoscopy
- Lung Biopsy
- Thoracentesis and Pleural
fluid Analysis
- Fluoroscopic studies
- Lung scans
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

- Thoracic
Inspection
- Chest
Configuration
- Breathing
Patterns and
Respiratory Rates
- Thoracic
Palpation
- Respiratory
Excursion
- Tactile Fremitus
- Thoracic
Percussion
- Diaphragmatic
excursion
- Thoracic
Auscultation
- Breath Sounds
assessment
Discussion of
clinical
significance of
diagnostic
examination
ordered for a
particular
patient

Assists in any
medical-
surgical and
diagnostic
procedures


Actual
administration
of drugs
utilizing the 10
rights and
principles

Recording
and reporting
of care
rendered and
patients
response to
care




5


INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION









5. Utilize the
assessed data in
order to:

a. Prioritize
nursing diagnosis

b. Discuss the
pathophysiologic
al responses to
altered
oxygenation:
ventilation and
gas exchange


b.3. Laboratory Tests
- Sputum Culture
- Nose and throat culture
- ABGs
- Fagerstrom Test
(Standardized degree of
nicotine dependence)
- Smoke analyser

B. Analysis/ Nursing
Diagnosis

1. Ineffective airway clearance
as evidenced by shortness of
breath, dyspnea, orthopnea,
retractions, nasal flaring,
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)
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices

Brainstorming

Panel Discussion

Symposium
4h Review/
demonstration/
simulation/ role
play on:

- Pulmonary
Function Test
- Pulse Oximetry
- Ventilation
Perfusion Scan
- Radiologic
Studies: Chest X-
rays
- CT Scan, MRI,
PET, Pulmonary
- Angiography
- Endoscopic
Exams:
Laryngoscopy,
- Bronchoscopy,
Mediatinoscopy
- Lung Biopsy
- Thoracentesis
and Pleural fluid
Analysis
- Fluoroscopic
studies
- Lung scans
- Sputum Culture
- Nose and throat
culture
- ABGs

Health
education to
individual
clients/ groups
of clients and
significant
others

Making
nursing case
study/nursing
rounds/bedside
conference


Organize
ward class

Participation
in research

6



INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
- Plan the care of
clients utilizing
evidence-based
nursing research
C. Planning:

1. Planning for health
promotion
2. Planning for health
restoration and maintenance

a. Maintain airway patency:
coughing techniques,
suctioning
b. Relieving apprehension and
fear
c. Reducing metabolic
demands
d. Maintaining rest and activity
e. Decreasing the efforts of
breathing
f. f. Maintaining nutrition and
hydration
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
p. Lobectomy
q. Pneumonectomy
r. Segmental Resection

CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:
a. Oxygen
administration
Blood transfusion
b. Tracheostomy
c. Incentive
spirometry
d. Aerosol
therapy
e. Postural
drainage
f. Ventilation
therapy
g. Artificial
airways
h. Chest
drainage
i. suctioning
-



7

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
Given an actual
patient with upper
respiratory
problems, chest
and lower
respiratory tract
disorders, Chronic
Pulmonary
Diseases and
Pediatric
respiratory
problems, the
student will be
able to:

1. Explain the
various respiratory
problems and
explicate all the
precipitating
factors and risk
factors that
may lead to the
development of
these diseases
/disorders.

2. Enumerate the
pathognomonic
manifestations of
each disease and
explain the
reason why they
develop.
I.D. COMMON HEALTH
PROBLEMS

A. Nursing Care of Clients
with Upper Respiratory
Problems
- Rhinitis
- Viral Rhinitis
- Rhinosinusitis
- Pharyngitis
- Tonsillitis and adenoiditis
- Peritonsillar abscess
- Laryngitis
- Laryngitis
- Epistaxis
- Nasal Obstruction
- Fractures of the nose
- Laryngeal Obstruction
- Cancer of the larynx

B. 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

CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices

Brainstorming

Panel Discussion

Symposium
4h Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Alagau
- Guava
- Carrots
- Rosemary
- Gumamela
- Kalamansi
- Lagundi
- Luya
- Sambong


8

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION

3. Discuss the
psychopathophysiologic
process of these
diseases from causes to
manifestations and its
complications
- Pulmonary Arterial
Hypertension
- Pulmonary Heart Disease (
CorPulmonale)
- Cardiac Tamponade
- Subcutaneous Emphysema
- Pulmonary Embolism
- Pulmonary Hypertension
- Pulmonary Edema
- Occupational Lung Disease
- Asbestosis
- Silicosis
- Coal Workers
Pneumoconiosis
- Hypersensitivity
Pneumonitis
- Sarcoidosis
- Lung Cancer
- Tumors of the Mediastinum
- Trauma of the Chest or
Lungs
- Thoracic Injury: Rib
- Fracture, flail chest,
- Pulmonary
- Contusion, Blunt
- Trauma, Penetrating
- trauma: Gunshot
- and stab wounds
- Inhalational Injury:
- smoke inhalation
- near drowning



CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices

Brainstorming

Panel Discussion

Symposium
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Alagau
- Guava
- Carrots
- Rosemary
- Gumamela
- Kalamansi
- Lagundi
- Luya
- Sambong





9

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION

4. Apply the
nursing process in
the formulation of
nursing care plans
for the
prevention,
curative and
rehabilitation of
clients with
altered
respiratory
function
C. Nursing Care of Clients
with Chronic Pulmonary Disease

a. Chronic Obstructive
Pulmonary Disease
b. Emphysema
c. Bronchitis
d. Bronchiectasis
e. Asthma
f. Status Asthmaticus
g. Cystic Fibrosis

D. 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

CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices

Brainstorming

Panel Discussion

Symposium
4h Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Alagau
- Guava
- Carrots
- Rosemary
- Gumamela
- Kalamansi
- Lagundi
- Luya
- Sambong

10

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION




- Implement
individualized
nursing care:

1. Safely and
knowledgeably
administers
prescribed
medications and
treatments/
alternative
complementary
medicine
2. Actively
participates in
planning and
coordinating
culturally sensitive
interdisciplinary
care
3. Provide
appropriate client
education and
health maintenance
and community-
based care of
clients.

- evaluated the
progress of
his/her/their
clients condition
andoutcomes of
care
c. Others
- Otitis Media
- RDS/ SIDS

I.E. IMPLEMENTATION

1. Pharmacological
Therapeutics
- Antitussives
- Decongestants and
Antihistamines
- Antitubecular
- Broad Spectrum Antibiotics
- Adrenergic Stimulants
- Methylxanthines
Anticholinergics
- Corticosterioids
- Mast Cells Stabilizers
- Lekotriene Modifiers
- Surfactant Adminitration
- Expectorants

2. Complimetary and Alternative
Therapy
- Echinacea
- Golden Seal
- Zinc

3. Nutrition and Diet Therapy
- Tube Feedings
- Fluid Therapy per Orem, IV
- High Protein, High Calorie

4. Client Education

CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

d. Physical
Assessment
e. Admission
and
discharge of
patients
f. Health
education
Assists in any
medical-
surgical and
diagnostic
procedures

Actual
administration
of drugs
utilizing the 10
rights and
principles

Recording
and reporting
of care
rendered and
patients
response to
care

Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Alagau
- Guava
- Carrots
- Rosemary
- Gumamela
- Kalamansi
- Lagundi
- Luya
- Sambong

11

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
Given an adult (
young, middle,
old, old-old adult)
with responses to
altered
Oxygenation:
Cardiac and
Peripheral Tissue
Perfusion/
Transport, the
student will be
able to:

A. Apply
knowledge and
normal anatomy
and physiology
and assessment
techniques in
caring for clients.

B. Assess the
health status of a
client

1. Conduct a
health history and
functional health
status of clients
having or at risk
for alterations in
II. RESPONSES TO ALTERED
OXYGENATION, CARDIAC AND
TISSUE PERIPHERAL
PERFUSION/ TRANSPORT

II.a Review: Anatomy and
Physiology of the
Cardiovascular and Hemato-
Lympathic System

1. Anatomy of the Heart
- Heart Chambers, Heart
Valves, Coronary Arteries

2. Functions of the Heart
- Cardiac Electrophysiology
- Cardiac Action Potential
- Cardiac Cycle
- Cardiac output

II. b. Nursing Process

a. Assessment
1. Subjective Data:

A. Nursing History:
a. Common symptoms
- Chest Pain
- Shortness of breath
- Peripheral edema
- Palpitations
- Fatigue
- Dizziness
- Syncope
- Changes in levels of
consciousness
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices

Brainstorming

Panel Discussion

Symposium
4h Review/
demonstration/
simulation/ role
play on:

a. Physical
Assessment
b. Admission
and
discharge
of patients
c. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- Kalamansi
- Sambong



12

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION

oxygenation;
cardiac and
peripheral
tissueperfusion/
transport

2. Perform
systematic and
comprehensive
physical
assessment to
validate assessed
data.

B. Functional Health Patterns
C. Past health, family and social
history

2. Objective Data
a. Physical Assessment
- General Appearance
- Inspection of the skin
- Blood Pressure
- Pulse Pressure
- Postural Blood Pressure
Changes
- Arterial Pulses
- 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
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Review/
demonstration/
simulation/ role
play on:

g. Physical
Assessment
h. Admission
and
discharge of
patients
i. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong









13

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
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
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

j. Physical
Assessment
k. Admission
and
discharge of
patients
l. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong








14

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
3. Interprets
deviations from
normal findings in
the physical
assessment,
diagnostic and
laboratory
examination









4. Identify the
indications/
purposes ,
contraindications,
side effects,
complications and
nursing
responsibilities
before, during and
after the
procedure.
B. Diagnostic Tests and
Procedures
1. Non-invasive:
- ECG
- Ultrasound
- chest Xray
- Cardiac Stress Testing
- Exercise stress Testing
- Pharmacological Stress Testing
- Echocardiography
- CT scan
- MRI
- Radio-nuclides studies

4. Invasive Studies:

- Cardiac Catheterization
- Angiography
- Aortography
- Coronary Arteriography
- Right Heart Catheterization
- Electrophysiologic Testing
- Arteriogram
- Venogram
- Lymphography
- Bone marrow aspiration
- Hemodynamic monitoring
* CVP
* Pulmonary artery pressure
* Intraarterial BP monitoring


CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

m. Physical
Assessment
n. Admission
and
discharge of
patients
o. Health
education
Discussion of
clinical
significance of
diagnostic
examination
ordered for a
particular
patient

Assists in any
medical-
surgical and
diagnostic
procedures

Actual
administration
of drugs
utilizing the 10
rights and
principles

Recording
and reporting
of care
rendered and
patients
response to
care


Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong





15


INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
















5. Utilize the
assessed data in
order to:

- Prioritize nursing
diagnosis
- Discuss the
pathophysiological
responses to
altered
oxygenation:
cardiac and
peripheral tissue
perfusion/
transport
5. Laboratory Tests
a. Cardiomarker analysis
- Enzymes and Isoenzymes
Studies: CPK-MB,
- C-Reactive Protein, Troponin-I
b. Blood Chemistry,
Hematology and coagulation
studies
c. Brain (B-type)
Natriuretic Peptide
d. C-reactive Protein
e. Homocysteine
f. ESR, ASO-Titer
g. Torniquet Test
h. Throat Culture

b. ANALYSIS/ NURSING
DIAGNOSIS:

1. Decreased Cardiac Output as
evidenced by increasedHeart
rate, 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
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

p. Physical
Assessment
q. Admission
and
discharge of
patients
r. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong

16


INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION













- Plan the care of
clients utilizing
evidence-based
nursing research
- Achieve the best
clinical outcomes
utilizing ethico-
moral and legal
principles
- Plan effective
care.

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

c. PLANNING

1. Planning for health promotion
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

CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

a. basic life
support, CPR
b. advanced life
support

Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong





17

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
Given an actual
patient with
Dysrhythmias and
Conduction
Problems, Coronary
Vascular Diseases,
Structural,
Infectious and
Inflammatory
Cardiac Disorders,
Complications from
Heart Diseases, the
student will be able
to:


1. Explain what are
the various cardiac
problems and
Explicate all the
precipitating factors
and risk factors that
may lead to the
development of
these diseases
/disorders.
II.C. COMMON HEALTH
PROBLEMS

A. Nursing Care of Clients
with Dysrhythmias and
Conduction Problems

1. Dysrhythmias
a. SINUS NODE DYSRHYTHMIAS
- Sinus Bradycardia
- Sinus Tachycardia
- Sinus Arrhythmias

b. ATRIAL DYSRHYTHMIAS
- Premature atrial complex
- Atrial Flutter
- Atrial Fibrillation

c. JUNCTIONAL DYSRHYTHMIAS
- Premature Junctional Complex
- Nonparoxysmal Junctional
Tachycardia
- Atrioventriculr Nodal Reentry
Tachycardia

d. VENTRICULAR DYSRHYTHMIAS
- Premature Ventricular
Complex
- Ventricular Tachycardia
- Venticular Fibrillation
- Idioventricularrhythym
- Ventricular asystole
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
4h Review/
demonstration/
simulation/ role
play on:

c. Physical
Assessment
d. Admission
and
discharge of
patients
e. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong







18

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
2. Enumerate the
pathognomonic
manifestations of each
disease and explain the
reason why they
develop.


3. Discuss the
psychopathophysiologic
process of these
diseases from causes to
manifestations and its
complications

4. Apply the nursing
process in the
formulation of nursing
care plans for the
prevention,
curative and
rehabilitation of
clients with altered
cardiac function
2. 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 Vascular Disease
a. Coronary Atherosclerosis
b. Angina Pectoris
c. Acute Coronary Syndrome
and Myocardial Infarction

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
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

f. Physical
Assessment
g. Admission
and
discharge of
patients
h. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong




19

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION










Given an actual
patient
withVascular
Disorder and
Problems of
Peripheral
Circulation,
Hypertension,
Hematologic
Disorders, Pediatric
Cardiovascular
Disorders the
student will be able
to:

1. Explain what are
the various vascular
and hematologic
problems and
explicate all the
precipitating factors
and risk factors that
may lead to the
development of
these diseases
/disorders.
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 and Problems
of Peripheral Circulation
a. Peripheral Occlusive Disease
b. Upper Extremity Arterial
Occlusive Disease
c. 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
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
4h Review/
demonstration/
simulation/ role
play on:

i. Physical
Assessment
j. Admission
and
discharge of
patients
k. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong



20

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION

2. Enumerate the
pathognomonic
manifestations of each
disease and explain the
reason why they
develop.


3. Discuss the
psychopathophysiologic
process of these
diseases from causes to
manifestations and its
complications


4. Apply the nursing
process in the
formulation of nursing
care plans for the
prevention,
curative and
rehabilitation of
clients with altered
vascular and
hematologic function
F. Nursing Care of Clients with
Hypertension
a. Hypertension
b. Hypertensive Crises

G. Nursing Care of Clients
with Hematologic 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
k. Primary Thrombocythemia
l. Secondary Thrombocytosis
m. Thrombocytopenia
n. Idiopathic
Thrombocytopenic Purpura
o. Platelet Defects
p. Thalassemias
q. Hemophilias
r. Von Willebrands Disease
s. Vitamin K Deficiency
t. Thrombotic Disorders
u. Hyperhomocysteinemia
v. Antithrombin Deficiency
w. Protein C Deficiency
x. Protein S Deficiency
y. Activated Protein C
Resistance and Factor V
Leiden Mutation
z. Acquired Thrombophilia

CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

l. Physical
Assessment
m. Admission
and
discharge of
patients
n. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up
care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong

21

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
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
- TruncusArteriosus

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
CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
4h Review/
demonstration/
simulation/ role
play on:

o. Physical
Assessment
p. Admission
and
discharge of
patients
q. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up
care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong






22

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION















- Implement
individualized
nursing care:

1. Safely and
knowledgeably
administers
prescribed
medications and
treatments/
alternative
complementary
medicine
F. Pediatric Hematologic
Disorders

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

D. IMPLEMENTATION:
a. Pharmacologic Therapy
- Cholesterol lowering drugs,
statins, bile acids
- Sequestrants, nicotinic acid,
fibric acid derivatives
- Antianginal: Nitroglycerine,
beta blockers, calciumChannel
blockers
- Antiplatelet: Oral and IV drugs
- Antidysrhythmic Drugs
- Heart Failure: ACE inhibitors,
Angiotensin II
- Receptor blockers, diuretics,
positive inotropic Agents,
sympathomimetics, digoxin,
phophodi
- Esterase inhibitors

CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

r. Physical
Assessment
s. Admission
and
discharge of
patients
t. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong
72h




23

INTERMEDIATE
COMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUATION
2. Actively
participates in
planning and
coordinating
culturally sensitive
interdisciplinary
care

3. Provide
appropriate client
education and
health maintenance
and community-
based care of
clients.

4. Efficiently and
effectively utilize
available resources
in the care of clients
to achieve
outcomes

5. Evaluate
effectiveness of
nursing care,
revising the nursing
care plan as needed
to promote,
maintain or restore
functional health
status of clients

6. Maintain
confidentiality and
protect clients
privacy
- Anemia: Iron sources, B12
sources, folic acid
- Sources
- Antihypertensive: alpha
adrenergic blockers,
- ACE inhibitors, beta
adrenergic blockers, calcium
Channel blockers, centrally
acting
- Anticoagulants: Heparin,
Warfarin

b. Complementary and
Alternative Therapies
- 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

d. Blood Transfusion
e. Bone Marrow Transplant
f. Splenectomy

E. Client Education

CLASSROOM TF RELATED LEARNING EXPERIENCE 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
Indicators:

Paper & Pencil
Test

Multiple choice

Essay

Performace
Rating Scale
on Ret dem

Checklist to
evaluate case
studies

Submission of
satisfactory
written reports
on
comprehensive
history, NCP,
pharmacological
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices

Brainstorming

Panel Discussion

Symposium
Review/
demonstration/
simulation/ role
play on:

u. Physical
Assessment
v. Admission
and
discharge of
patients
w. Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process

Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care

Emphasis on
rehabilitative
nursing

Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation

Use of herbal
drugs

- Bawang
- Guava
- Cocoa
- Rosemary
- Sili
- sambong


24