Académique Documents
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Baguio City
College of Nursing
Course Syllabus
I. COURSE CODE:
II. COURSE NAME:
NCM 103
Care of Clients with Problems in Oxygenation, Fluid and Electrolyte Balance, Nutrition and Metabolism and Endocrine
CREDIT:
8 units lecture; 6 units RLE (1 unit skills lab, 5 units Clinical); 144 lecture hours; 306 RLE hours
PRE-REQUISITE:
NCM 102
IV.UC-PVMO
PHILOSOPHY :
VISION :
MISSION :
UC believes that education is the foundation of a progressive nation in the rearing of the youth towards civil efficiency and
the development of moral character that the benefits of higher education should be made accessible to everyone who
deserves it.
UC envisions itself as a community of scholars aggressively involved in the pursuit of knowledge who help preserve
Filipino culture and values to act positively by training them to think critically and creatively.
UCs mission is to provide functional knowledge and skills, dynamic interaction and leadership in various disciplines for a
better quality of life.
OBJECTIVES:
1. Develop an environment conducive to inquiry.
2. Empower constituents in the quest for progress.
3. Contribute to appreciation of historical and cultural heritage.
4. Actively involve in the molding of a national identity.
5. Deeper sense of moral and spiritual values.
V.
COURSE OUTCOMES
Course
Outcomes
CO1
CO2
CO3
CO4
CO5
VI.
Description
PO1
PO2
P03
PO4
PO5
PO6
PO7
PO8
PO9
PO10
PO11
PO12
COURSE CONTENT
OBJECTIVES
INTERMEDIATE
COMPETENCIES
COURSE CONTENT
The different risk factors among
clients that contribute to the
development of problems in
oxygenation:
Current respiratory
problems
History of respiratory
disease
Lifestyle (smoking,
alcoholism, exercise
patterns)
Presence of cough
Presence of Chest Pain
Lung Cancer
Cardiovascular disease
Stroke
Tuberculosis
Obesity
Dietary assessment
Medication history
a. Chief complaints
b. Relevant information, 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-selfconcept pattern
Role relationship pattern
TEACHING-LEARNING
ACTIVITIES
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
TIME
FRAM
E
2.5
hours
GRADING
PERIOD
PRELIM
ASSESSMENT
TOOL
Quiz (Objective)
Case
Analysis
Presentation
Role
Analysis
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Postl test
2
hours
Play
Group
Discussion
Group
Presentation/
Report
3. Relate with
client/s and
their family and
the health team
appropriately;
4. Observe
bioethical
concepts/princi
ples, core
values and
nursing
standards in the
care of clients;
and,
5. Promote
personal and
professional
growth of self
and others.
3. Enumerate the
principles and
techniques of
physical
examination in
assessing the
oxygenation status
in newborn,
children, adults.
4. Identify results
and implications
of
diagnostic/laborat
ory examinations
of clients with
reference to
problems in
Oxygenation.
Sexuality-reproductive
pattern
Coping-stress tolerance
pattern
Value-belief pattern
Demonstration
Return
Demonstration
Lecture
Discussion
Post test
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
3
hours
2.5
hours
Output
Presentation
Oral
Graded
Recitation
5. Determine the
Patho-physiologic
mechanisms of the
Alterations in
oxygenation
a.
b.
c.
d.
6. Enumerate
Nursing diagnoses
taxonomy
pertinent to
problems/alteratio
n in Oxygenation.
Vascular: angiography
Blood: CBC and bone marrow
biopsy
Alteration in gas exchange
ventilator dysfunction,
impaired perfusion
Alteration in cardiac
performance heart rate
problems, impaired stroke
volume secondary to altered
preload, afterload, myocardial
contractility
Alteration in vascular integrity
transport network
impairment
Alteration in oxygen carrying
capacity of the blooddecreased circulating
erythrocytes (anemia),
increased circulating
erythrocytes (polycythemia)
a. Ineffective breathing
pattern
b. Ineffective airway
clearance
c. Impaired gas exchange
d. Inability to sustain
spontaneous ventilation
e. Dysfunctional
5entilatory weaning
response
f. Decreased cardiac
output (CO)
g. Altered tissue perfusion
systemic
h. Impaired gas exchange
related to altered O2
carrying capacity of
blood due to decreased
erythrocytes/hemoglobi
n
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
16
hours
2
hours
Prioritization of
Nursing
Diagnosis
NCP
Analysis
Presentation
Reaction Paper
i.
7. Identify principles
of various
modalities of
management of
clients with
problems in
oxygenation taking
into consideration
the following levels
of care:
1. Health
promotive
2. Disease
preventive
3. Curative
and
restorative
Activity intolerance
related to malnutrition
tissue hypoxia
a. For altered pulmonary
function:
Airway patency
Oxygen therapy
Adequate ventilation
Drug therapy
Hydration
Removal of secretion
Prevention of infection
Prevention of
complications
Prevention of
psychosocial problems
Rehabilitation
b. For cardiac function
Hemodynamics
monitoring
O2 therapy
Drug therapy
Hydration
Prevention of infection
Prevention of
complications
Prevention of
psychosocial problems
Rehabilitation
c. Oxygen carrying capacity of
the blood
Blood component
replacement
O2 therapy
Drug therapy
Hydration
Prevention of infection
Prevention of
complications
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
4
hours
8.
Enumerate
Pharmacologic
actions, therapeutic
uses, side effects,
indications,
contraindications,
and nursing
responsibilities in
administering
medications clients
with oxygenation
problems.
9.
List the
purposes,
indications, nursing
responsibilities for
the surgical and
special procedures
in alterations in
oxygenation.
a.
b.
Pulmonary
Bronchodilators
Expectorants
Antitussives
Antihistamines
Cardiac
Sympathomymetic agents
Sympatholytic agents
Anti-anginal agents
Anti- arrhythmic agents
Angiotensin converting
enzyme inhibitors
Antilipemic agents
Anticoagulant agents
Thrombolytics
Peripheral vascular agents
c. Blood
Hematinics
Vitamin supplements
1. Safe and comprehensive
perioperative nursing care
1.1Assessment and care during
the perioperative period
1.2Techniques in assisting the
surgical team during the
operation
1.3Principles of safety, comfort
and privacy during the
perioperative period
1.4Nursing responsibilities
during the perioperative
period
Preoperative
physical,
psychological,
spiritual preparation
Intraoperative
circulating nurse
functions, scrub
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2
hours
Group
Presentation
Case Analysis
nurse functions
Postoperative
airway, breathings,
circulation priorities.
Meeting the physical,
psychological and
spiritual needs of the
cliet.
2. Pulmonary
a. Surgical procedures
tracheostomy, thoracostomy,
lung resection, lobectomy,
pneumonectomy,
thoracoplasty, decortications
b. Special procedures
endotrcheal/tracheal
suctioning and care,
humidication, IPPB, ventilator
assist
3. Cardiac
a. Surgical procedures
coronary aretery bypass,
pacemaker insertion, valve
replacement, repair of
congenital abnormality,
insertion of ventricular assist
device, heart plansplant
b. Special procedures laser
therapy, basic life support,
advance life support
3.1Vascular
a. Surgical procedures
endarterectomy,
aneurysmectomy, insertion
of intravascular stents
b. Special procedures
application of antiembolic
stockings
3.2Blood forming organs
a. Surgical procedures bone
marrow aspiration, bone
Prelim Exam
Quiz (Objective)
Role
Play
marrow transplant
b. Special procedures blood
component transfusion,
reverse isolation
Potential factors for exceeding
renal reserve capacity, dietary
habits to include salt intake,
hypertension, infection,
diabetes.
Inspection- signs of
dehydration, overhydration
Palpation- edema, ascites,
neck vein filling, hand vein
filling, neuromuscular
irritability, characteristic of
pulse
Percussion- abdomen for
presence of air, fluid
Auscultation- rates
a. Diagnostic tests
Non-invasive: electrolyte
determination, intake and
output, KUB-IVP and ultrasound
Invasive biopsy
b. Weight
c. Vital Signs
a. Volume impairment fluid
volume deficit, fluid volume
excess, third space fluid shift
b. Osmotic imbalances
hyponatremia, hypernatremia
c. Ionic concentration problems
hypo- and hyperkalemia; hypo
and hyperchloremia; hypo- and
hypermagnesemia; hypo- and
hyperphosphatemia
d. Acid and base imbalances
Analysis
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
Demonstration
Return
Demonstration
Lecture
Discussion
Post test
1.5
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
1.5
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
12
hours
2
hours
MIDTERM
Group
Discussion
Group
Presentation/
Report
Output
Presentation
Prioritization of
Nursing
Diagnosis
NCP
Analysis
Presentation
and others.
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
12
hours
Oral
Graded
Recitation
Prevention of
psychosocial problems
Rehabilitation
c. Electrolyte Deficit
hyponatremia,
hypokalemia,
hypocalcemia,
hypomagnesemia,
hypophosphatemia
Determination and
management of cause
Drug therapy
electrolyte replacement
Dietary management
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
d. Electrolyte Excess
hyperkalemia,
11ypercalcaemia,
hypermagnesemia,
hyperphosphatemia
Determination and
management of cause
Drug therapy
electrolyte replacement
Dietary management
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
e. Metabolic Alkalosis Base
bicarbonate exces
Determination and
management of cause
Reaction Paper
Drug therapy
Dietary management
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
a. Metabolic Acidosisbase bicarbonate
deficit
Determination and
management of cause
Drug therapy
Dietary management
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
f. 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
g. Respiratory Acidosis
carbonic acid excess
Determination and
management of cause
Drug therapy
Dietary management
Group
Presentation
Case Analysis
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
16.
Enumerate
a.
Fluid
Pharmacologic
Parenteral fluids
actions, therapeutic
Hypotonic
uses, side effects,
Hypertonic
indications,
Isotonic
contraindications,
b.
Electrolyte
and nursing
Sodium
responsibilities in
Potassium
administering
Calcium
medications clients
Magnesium
in fluid and
electrolyte
Phosphate
imbalances.
c.
diuretics
Potassium-sparing
Potasium-losing
Osmotic diuretics
d. Vitamin D supplements
17.
List the
Renal dysfunction
purposes,
a. Major surgical
indications, nursing
procedures
responsibilities for
nephrectomy,
the surgical and
nephrostomy,
special procedures in
cystectomy, uterostomy,
alterations in fluid
renal transplants,
and electrolyte
urinary diversion
imbalances.
b. Special proceduresperitoneal dialysis,
hemodialysis, bladder
training,
cystoclysis/bladder
irrigation
18. Identify risk
Risk factors related to
factors among
malnutrition, obesity.
clients that
contribute to the
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2.5
hours
Midterm Exam
Quiz (Objective)
Role
Analysis
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
Play
2.5
hours
Group
Discussion
Group
Presentation/
Report
Pre-tests
Case Analysis
Small Group
1 hour
FINALS
1. Utilize the
development of
nursing process
problems in
in the care of
Nutrition and
individuals,
Metabolism.
families with
problems in
19.
Identify
nutrition and
significant
metabolism in
subjective data
community and
from client history
hospital settings.
related to
2. Ensure a well
problems in
organized and
nutrition and
accurate
metabolism.
documentation
system;
3. Relate with
client/s and their
family and the
health team
appropriately;
4. Observe
bioethical
concepts/principl
es, core values
and nursing
standards in the
care of clients;
and,
5. Promote
20.
Enumerate the
personal and
principles
and
professional
techniques
of
growth of self
physical
and others.
examination in
newborn, children,
adults, deviations
from normal.
a. Chief complaints
b. Relevant information, 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-selfconcept pattern
Role relationship pattern
Sexuality-reproductive
pattern
Coping-stress tolerance
pattern
Value-belief pattern
3.3Gastrointestinal function
IPPA
Inspection- color, texture
of skin, mucous
membrane, growth
patterns, scars, masses
Auscultation- bowel
sounds, bruits
Palpation focus on GIT
for presence of masses,
ascites, rebound
tenderness, distention
Learning
Lecture
Discussion
Post test
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2
hours
Output
Presentation
Oral
Graded
Recitation
Demonstration
Return
Demonstration
Lecture
Discussion
Post test
1.5
hours
Prioritization
of
21.Identify results
and implications
of
diagnostic/laborat
ory examinations
of clients with
reference to
problems in
Nutrition and
Metabolism.
22.
Determine the
Patho-physiologic
mechanisms of the
Alterations in
Nutrition and
Metabolism.
23.Enumerate
Nursing diagnoses
taxonomy
pertinent to
problems/alteratio
n in Nutrition and
Metabolism.
24.
Identify
principles of
various modalities
of management of
clients with
Nursing
Diagnosis
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
1.5
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
12
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
1.5
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
12
hours
NCP
Analysis
Presentation
problems in
Nutrition and
Metabolism taking
into consideration
the following levels
of care:
4. Health
promotive
5. Disease
preventive
6. Curative
and
restorative
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
B. Disturbances in digestion
Determination and
management of cause
Drug therapy
Dietary management
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
C. Disturbances in absorption
Determination and
management of cause
Drug therapy
Dietary management
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
D. Disturbances in elimination
Determination and
management of cause
Drug therapy
Dietary management
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
Discussion
Post test
Reaction Paper
25. Enumerate
Pharmacologic
actions, therapeutic
uses, side effects,
indications,
contraindications,
and nursing
responsibilities in
administering
medications clients
with Nutrition and
Metabolism
problems.
26. List the
purposes,
indications, nursing
responsibilities for
the surgical and
special procedures
in alterations in
Nutrition and
Metabolism.
E. Disturbances in hepatic,
biliary and pancreatic
functions
Determination and
management of cause
Drug therapy
Dietary management
Supportive management
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
Antiemetics
Anticoagulants
Hematinics agents
Laxatives and stool
softeners
Antipruritus
Vitamin supplement
Antacids
Antihyperlipidemics
Antispasmodics
Antidiarrheal
a. Surgical procedures
gastrostomy, gastrectomy,
colostomy, hemorrhoidectomy,
gastrointestinal bypass,
ileostomy
b. Special procedures parenteral
hyperalimentation; feeding per
nasogastric, 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
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2.5
hours
Group
Presentation
bath
Risk factors related to
endocrine hypo or hyperfunctioning.
A. Chief complaints
B. Relevant information, 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-selfconcept pattern
Role relationship pattern
Sexuality-reproductive
pattern
Coping-stress tolerance
pattern
Value-belief pattern
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
1.5
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2
hours
Demonstration
Return
Demonstration
Lecture
Discussion
Post test
1.5
hours
Case Analysis
from normal in
the endocrine
system.
30.Identify results
and implications
of
diagnostic/laborat
ory examinations
of clients with
reference to
problems in
endocrine
functioning.
31.
Determine the
Patho-physiologic
mechanisms of the
Alterations in
endocrine
functioning.
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2.5
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
10
hours
32.Enumerate
Nursing diagnoses
taxonomy
pertinent to
problems/alteratio
n in endocrine
functioning.
33. Enumerate
Pharmacologic
actions, therapeutic
uses, side effects,
indications,
contraindications,
and nursing
responsibilities in
administering
medications clients
with endocrine
problems.
34.
Identify
principles of
various modalities
of management of
clients with
problems in
endocrine
functioning taking
into consideration
the following levels
of care:
a. Health
promotive
b. Disease
preventive
c. Curative and
Corticosteroids
Alpha-adrenergic blocking
agents
Beta-adrenergic blocking
agents
Tyrosine inhibitors
Dopamine receptor
antagonists
Glucocorticoids
Parathyroid hormone agents
Thyroid hormone agents
Insulin
Oral hypoglycemic agents
Determination and
management of cause
Drug therapy - diuretics,
electrolytes
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial
problems
Rehabilitation
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
1.5
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
2.5
hours
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
12
hours
Final Exam
restorative
35. List the
purposes,
indications, nursing
responsibilities for
the surgical and
special procedures
in alterations in
endocrine
functioning.
a. Surgical procedures
thyroidectomy,
parathyroidectomy
b. Special procedures
monitoring of blood
glucose levels;
maintenance of blood
glucose diet, exercise,
drugs
Pre-tests
Case Analysis
Small Group
Learning
Lecture
Discussion
Post test
CO 1
50%
25%
230%
2%
100%
CO2
50%
25%
23%
2%
100%
CO3
50%
25%
23%
2%
100%
CO4
50%
25%
23%
2%
100%
CO 1
50%
CO2
50%
CO3
50%
CO4
50%
25%
230%
25%
23%
25%
23%
25%
23%
2%
2%
2%
2%
100%
100%
100%
100%
2.5
hours
Finals: RFG= 40% CS + 60% Compre (CS= 15% Rotational Grade+ 15% Skills Lab +10% E-Learning)
FG = 25% PG +25 % RMG +50% RFG
NCM 103 Grade: (NCM 103 Lecture Final Grade x 8) + ((NCM 103 RLE x6)
14
X. REFERENCES:
1.
2.
3.
4.
5.
6.
7.
Prepared by:
Evaluated by:
Approved by:
Noted by:
Eddieson Pasay-an,Ph.D,RN
Area Head
Dr. CLEOFAS
VPAA