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Differentiate the
normal and abnormal
anatomy and
physiology of the
Respiratory system
TOPIC
DATE
AND
TIME
LECTUR
ER
July 16
8-12
Mrs.
Magno
LEARNING OBJECTIVE
TOPIC
DATE
LECTURE
2
TIME
Gather relevant
information about the
present & past health,
family & social history
of the patient with
respiratory disorder
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
3. Assessment of the Lower Respiratory
Structures and Breathing
- Thoracic Inspection
- Chest Configuration
- Breathing Patterns and Respiratory
Rates
- Thoracic Palpation
- Respiratory Excursion
- Tactile Fremitus
- Thoracic Percussion
- Diaphragmatic excursion
- Thoracic Auscultation
- Breath Sounds
3
LEARNING OBJECTIVE
1. Interprets
deviations from
normal findings
in the physical
assessment,
diagnostic and
laboratory
examination
2. Identify the
indications/
purposes,
contraindicatio
ns, side effects,
complications
and nursing
responsibilities
before, during
and after the
procedure.
Formulate nursing
diagnosis related to
respiratory problems
using their knowledge
of the assessment of
the respiratory
Make an
effective &
comprehensive
nursing care
plan for clients
with respiratory
disorders
TOPIC
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
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)
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. Maintaining nutrition and hydration
DATE
TIME
LECTURE
R
LEARNING OBJECTIVE
TOPIC
DATE
TIME
LECTURER
July
23
Mrs.
Magno
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
8-12
LEARNING OBJECTIVE
TOPIC
DATE
TIME
LECTURER
5
Explain the various
* Occupational Lung Disease
July
Mrs.
24
respiratory problems
- Asbestosis
Magno
- Silicosis
and
8-12
- Coal Workers Pneumoconiosis
recite all the
- Hypersensitivity Pneumonitis
precipitating factors
- Sarcoidosis
and riskLEARNING
factors that
TOPIC
DATE
LECTUR
Lung Cancer
may lead
to the
OBJECTIVE
TIME
ER
Tumors of the Mediastinum
development
Gather relevant
of
- Functional
TraumaHealth
of the Patterns
Chest or Lungs
A.
these
information
diseases
about the
- Thoracic
B. Past
health, Injury:
family Rib
and social history
/disorders.
present & past health,
Fracture, flail chest,
family & social history
Pulmonary
2. Objective Data
Enumerate
of the patient
the with
Contusion, Blunt
pathognomonic
respiratory disorder
Trauma, Penetrating
Physical Assessment
manifestations of
trauma: a.
Gunshot
-and
General
Appearance
each disease and
stab wounds
- Inspection
of the
skin
explain the
- Inhalational
Injury:
Blood
Pressure
reason why they
smoke inhalation
Pulse
Pressure
near
drowning
develop.
- Postural Blood Pressure Changes
- Differentiate normal
Arterial
Pulses
A. -Nursing
Care
of Clients with Chronic
& abnormal signs
-Pulmonary
Jugular Venous
Pulses
Disease
and symptoms of
- a.Heart
Inspection
and Palpation
Chronic Obstructive
Pulmonary
cardiovascular
- Heart Auscultation
Disease
systems
- Inspection of the extremities
b.
Emphysema
- Assessment of other systems
c.
Bronchitis
a. Lungs
d.
Bronchiectasis
b. Abdomen
e.
Asthma
f.
Status Asthmaticus
2.a. Problems
of Fibrosis
Oxygenation: Perfusion
g.
Cystic
- Fatigue, fluid retention, dyspnea
Irrregular
pain
B. -Nursing
Careheartbeat,
of Pediatric
Clients with
- tenderness in the calf or legs
Respiratory
July
- syncope, leg pain
Mrs. De
Disorders
30
- Altered neurologic function
Asis
Identify the
indications/
purposes ,
contraindications,
side effects,
complications and
nursing
responsibilities
before, during and
after the procedure.
LEARNING
OBJECTIVE
- Implement
individualize the
nursing care:
DATE
TIME
LECTUR
ER
6
-
Echocardiography
CT scan
MRI
Radio-nuclides studies
TOPIC
LEARNING
OBJECTIVE
4. Invasive Studies:
Interpret deviations
from normal findings
in the physical
assessment,
diagnostic and
laboratory
examination
Communicate to the
patient the result of
the diagnostic and lab
examination
Formulate nursing
diagnosis related to
respiratory problems
using their knowledge
of the assessment of
the cardiovascular
system
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
5. Laboratory Tests
a. Cardiomarker analysis
Enzymes and Isoenzymes Studies: CPKMB,
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
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
DATE
TIME
LECTUR
ER
7
13.Activity Intolerance
LEARNING
OBJECTIVE
Make an effective &
comprehensive
nursing care plan for
clients with
respiratory disorders
TOPIC
DATE
TIME
LECTUR
ER
Aug 6
Mrs. De
Asis
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
II.C. COMMON HEALTH PROBLEMS
A. Nursing Care of Clients with
Dysrhythmias and Conduction Problems
8-12
1. Dysrhythmias
-
a.
Sinus
Sinus
Sinus
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
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
k.
Coronary Atherosclerosis
l.
Angina Pectoris
m.
Acute Coronary Syndrome and
Myocardial Infarction
Aug 7
8-12
Mrs.
Magno
LEARNING
OBJECTIVE
TOPIC
DATE
TIME
LECTUR
ER
Aug 12
(in
lieu of
Aug
17)
8-12
Mrs.
Alfonso
Hypoproliferativeanemias
Hemolyticanemias
Polycythemia Vera
Secondary Polycythemia
Neutropenia
Lymphopenia
Acute Myeloid Leukemia
Chronic Myeloid Leukemia
Aug 13
8-12
Mrs. De
Asis
9
i.
j.
k.
l.
m.
EARNING OBJECTIVE
Hodgkin Lymphoma
Non-hodgkin Lymphoma
Primary Thrombocythemia
Secondary Thrombocytosis
Thrombocytopenia
TOPIC
DATE
TIME
LECTUR
ER
Aug 14
Mrs.
Alfonso
n. Idiopathic Thrombocytopenic
Purpura
o. Platelet Defects
p. Thalassemias
q. Hemophilias
r. Von Willebrands Disease
s. Vitamin K Deficiency
t. Disseminated Intravascular
Coagulation
u. Thrombotic Disorders
v. Hyperhomocysteinemia
w. Antithrombin Deficiency
x. Protein C Deficiency
y. Protein S Deficiency
z. Activated Protein C Resistance
and Factor V Leiden Mutation
aa. Acquired Thrombophilia
H. Pediatric Cardiovascular Disorders
A. Defects with increased pulmonary blood
flow
- VSD, ASD, PDA
8-12
August
20
8-12
Mrs.
Alfonso
10
LEARNING
OBJECTIVE
- Implement
individualized
nursing care:
1. Safely and
knowledgeably
administers
prescribed
medications and
treatments/
alternative
complementary
medicine
2. Provide
appropriate
client education
and health
maintenance
and communitybased care of
clients.
TOPIC
DATE
TIME
LECTURE
R
Aug
26
3-7
Mrs. De
Asis
D. IMPLEMENTATION:
a. Pharmacologic Therapy
E. Client Education
Differentiate the
normal and abnormal
anatomy and
physiology of the
Digestive system
(in
lieu
of
Aug
11
LEARNING
OBJECTIVE
21)
TOPIC
DATE
TIME
2. Accessory Organs
a.
Salivary Glands
b.
Pancreas
as exocrine gland
as endocrine gland
c.
Liver and Biliary Tract
III. b. Nursing Process:
a. Assessment:
1.
2.
Subjective Data:
a. Nursing History
Common Symptoms:
- Abdominal Pain
- Intestinal Gas
- Nausea and Vomiting
- Changes in Bowel Habits and Stool
Characteristics
- Indigestion
- Diarrhea
- Appetite and and weight changes
- Satiety
b. Functional Health Pattern
c. Past Health, Family and social History
3.
Objective Data:
a.
Physical Examinations:
Anthropometric measurements
Inspection: color, texture of mucous
membrane, Growth patterns, scars,
masses
Auscultation: bowel sounds
Percussion: liver span masses, ascites
Palpation: masses, ascites, rebound,
tenderness,
Distention, organ enlargements
1.
2.
3.
4.
5.
6.
Interprets deviations
from normal findings in
the physical
assessment, diagnostic
and laboratory
examinatio
Identify the
indications/ purposes,
contraindications, side
effects, complications
and nursing
responsibilities before,
during and after the
procedure.
b.
1.
-
Diagnostic Examinations:
Imaging tests
Barium beefsteak meal
Colorectal transit study
Computed tomography scan (CT or CAT
scan)
Defecography
Lower GI (gastrointestinal) series
(barium enema)
Magnetic resonance imaging (MRI)
Magnetic resonance
cholangiopancreatography (MRCP)
Oropharyngeal motility (swallowing)
study
Radioisotope gastric-emptying scan
Ultrasound
Upper GI (gastrointestinal) series (also
called barium swallow)
Flat plate of the abdomen
LECTURE
R
12
LEARNING OBJECTIVE
TOPIC
2.
-
Endoscopic procedures
Colonoscopy
ERCP
EGD
Sigmoidoscopy
Small bowel enteroscopy
Proctoscopy
Anoscopy
4.
-
Other procedures
AnorectalManometry
EsophagealManometry
EsophagealPhmanometry
Gastric Manometry
DATE
TIME
LECTURER
Aug.
27
Mrs.
Magno
5. Laboratory Studies
1. Blood Chemistries: serum amylase,
lipase, proteins
2. Total lymphocyte count
3. D-xylose absorption test
4. Fecal Analysis: Occult, ova and
parasites,
5. Quantitative fecal fat studies, fecal
leukocytes,
6. Stool electrolyte tests
7. Exfoliativecytologic analysis
8. Gastric analysis
Formulate nursing
diagnosis related to
respiratory problems
using their knowledge
of the assessment of
the digestive system
Enumerate the
8-12
13
pathognomonic
manifestations of each
disease and explain
the reason why they
develop.
LEARNING
OBJECTIVE
1. Explain the
various
disorders
affecting
nutritionmetabolism and
explicating 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.
Esophageal Disorders
Dental Plaques and Carries
Dentoalveolar Abscess or Periapical
Abscess
Malocclusion
Temporomandibular Disorders
Jaw disorders Requiring Surgical
Management
Parotitis
Sialadenitis
TOPIC
-
DATE
TIME
LECTURE
R
Aug
28
Mrs.
Magno
Salivary Calculus
Neoplasms
Achalasia
Diffuse Esophageal Spasm
Hiatal Hernia
Diverticulum
Perforation
Foreign Bodies
Chemical Burns
GERD
BarettsEsophagus
Benign Tumors of the esophagus
Cancer of the Esophagus
8-12
Kwashiorkor
Marasmus
Iodine Deficiency
E. Malabsorption Syndrome
-
Celiac Sprue
Lactase Deficiency
Sept
Mrs. De
14
-
TOPIC
Oral Moniliasis
Cleft Lip/ Palate
Tracheoesophageal atresia
Tracheoesophageal fistula
Pediatric Disorders:
Enzyme Deficiencies
Pyloric Stenosis
GERD: Achalasia
Hiatal Hernia
Necrotizing enterocolitis
Meckels diverticulum
Megacolon
Imperforate anus
Inflammatory bowel diseases
Intestinal Obstruction
Intestinal Parasitic Infections
D. IMPLEMENTATION
1. Safely and
knowledgeably
LECTURE
R
Sept
4
8-12
Mrs.
Alfonso
Implement
individualized
nursing care:
DATE
TIME
H. Pediatric Disorders:
Asis
Jaundice
Portal Hypertension
Ascites
Esophageal Varices
Hepatic Encephalopathy And coma
Hep A, B,C,D,E Virus
Hep G Virus and GB Virus-C
Toxic Hepatitis
LEARNING
OBJECTIVE
3. Discuss the
psychopathophy
siologic process
of these
diseases
from causes to
manifestations
and its
complications
3
8-12
1. Pharmacologic Therapeutics
- Antiemetics
- Anticoagulants
- Hematinics
- Laxatives
- Antipruritic
15
administers
prescribed
medications and
treatments/
alternative
complementary
medicine
LEARNING
OBJECTIVE
Vitamin supplement
Antacids
Antihyperlipidemics
Antispasmodics
Antidiarrheal
Antisecretory agents
Vasopressin
Octreotide
Epinephrine
Promotility
Cholinergic
Antibiotics for H. Pylori
A-interferon and ribavirin
Pancreatic Enzyme Replacement
TOPIC
DATE
TIME
LECTUR
ER
Differentiate the
normal and abnormal
anatomy and
physiology of the
endocrine system
MIDTERM EXAMINATION
Sept 712
Sept 16
3-7
(in
lieu of
Sept
18
Found
ation
Days)
A. Hormones
1. Categories
a. Proteins, Peptides and Amino Acid
Derivatives
b. Lipid Hormones
B. The Endocrine glands and their
hormones
2. The Pituitary and Hypothalamus
Mrs.
Alfonso
16
k.
l.
LEARNING
OBJECTIVE
TOPIC
1.
a.
b.
-
2. The Pancreas
a. Beta Cells - Insulin
b. Alpha Cells Glucagon
3.
a.
b.
-
1. Subjective Data
a. Nursing History
Pain
DATE
TIME
LECTUR
ER
17
Gather relevant
information about the
present & past health,
family & social history
of the patient with
endocrine disorder
Infection/ Inflammation
GI Manifestation
Skin Changes
Thirst
Perfusion Problems: bleeding, bruising,
Vital signs changes
Sensory and mental changes
Visual changes
Urinary/ reproductive changes
LEARNING
OBJECTIVE
3. Interprets
deviations from
normal findings
in the physical
assessment,
diagnostic and
laboratory
examination
4. Identify the
indications/
purposes ,
contraindication
s, side effects,
complications
and nursing
responsibilities
before, during
and after the
procedure.
TOPIC
Invasive
Angiography
Portal pressure measurement
Biopsy
Paracentesis
Fine needle aspiration biopsy
c. Laboratory
- Growth Hormone/ human hormone
- Somatomedin; insulin like growth
factor
- Water deprivation test
- Thyroid Stimulating Hormone
- Thyroxine ( T4)
- Triiodothyronine
- Thyroid antibodies
- Parathyroid ormone
- Calcium
- Cortisol
- Aldosterone
- ACTH
DATE
TIME
LECTUR
ER
18
4. Utilize the
assessed data in
order to:
- Prioritize nursing
diagnosis
- Discuss the
pathophysiological
responses to
altered nutrition metabolism
LEARNING
OBJECTIVE
ACTH stimulation
ACTH suppression
17 ketosteroids
Fasting blood sugar
Oral Glucose
Tolerance test
Glycosylated Hemoglobin
TOPIC
DATE
TIME
LECTUR
ER
Sept 17
8-12
Mrs. De
Asis
19
1. Explain the
various
disorders
affecting the
endocrine
system 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.
3. Discuss the
psychopathophy
siologic process
of these
diseases
from causes to
manifestations
and its
complications
Hyperparathyroidism
Hypothyroidism
Hypocalcemia
3.
-
4.
-
5.
-
Pancreas
Diabetes Mellitus
Hypoglycemia
Diabetic Ketoacidosis
Hyperglycemic Hyperosmolar
Nonketotic Syndrome
MacrovascularComplicstions
Microvascular Complications
Diabetic nephropathies
Foot and leg problems
LEARNING OBJECTIVE
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
TOPIC
d. Implementation
1.
Pharmacologic therapeutics
-
Iodine sources
Thyroid preparations
Cortisol replacement
Insulin
Oral Hypoglycemics
2.
Complementary and Alternative
Therapies
-
Aloe vera
Bilberry
Bittermelon
Fenugreek
Fish oils
Garlic
Ginseng
Gymnema
Horse chestnut seed extract
Marshmallow
Milk thistle
Sept 24
8-12
Mrs.
Alfonso
Sept 25
8-12
Mrs.
Magno
DATE
TIME
LECTURE
R
20
appropriate
client education
and health
maintenance
and communitybased 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
Nopa
Prickly pear cactus
Burdock (may increase blood sugar)
3.
-
Surgical procedures:
Thryroidectomy
Patrathyroidectomy
Unilateral or bilateral adrenalectomy
(transphenoidal) hypophysectomy
Amputation of diabetic patient
Pancreas transplant
Islet cell transplant
DATE
TIME
LECTURE
R
LEARNING OBJECTIVE
A. Apply knowledge
and normal anatomy
and physiology and
assessment
techniques in caring
for clients
Mrs. De
Asis
Special Procedures:
- Adminitration of insulin
- Adminstration of hormone
6. Maintain
confidentiality
and protect
clients privacy
Given an adult
( young, middle, old,
old-old adult) with
responses to altered
Urinary elimination,
the student will be
able to:
Oct 1
8-12
TOPIC
f. Composition of Urine
g. Regulation of urine concentration and
volume
h. Hormonal Mechanisms
i. Effect of Sympathetic innervation
j. on Kidney function
k. Urine Movement
1. Ureters
2. Urinary Bladder
3. Urethra
V.b Nursing Process
a. Assessment
I. Nursing History
1.
a.
-
Subjective Data
General manifestations:
Fatigue
Headache
21
status of a client
1. Conduct a
health history
and functional
health status of
clients having or
at risk for
alterations in
oxygenation;
cardiac and
peripheral tissue
perfusion/
transport
2. Perform
systematic and
comprehensive
physical
assessment to
validate
assessed data.
2. Objective Data
a. Physical assessment
-
Interprets deviations
from normal findings in
the physical
assessment, diagnostic
and laboratory
examination
4. Utilize the
assessed data in
3.
Diagnostics and Laboratory
Examinations
a.
Non-invasive
Test for renal function
Prostate specific antigen
Urinalysis
CT
MRI, X-ray of KUB
Urine culuture
BUN
Creatinine clearance test
Bladder ultrasonography
EARNING OBJECTIVE
3. Identify the
indications/
purposes ,
contraindication
s, side effects,
complications
and nursing
responsibilities
before, during
and after the
procedure.
Blurred visions
elevated BP
Anorexia
Nausea, vomiting
Chills
Itching
excessive Thirst
Unexplained anemia
changes in body weight
cognitive Changes
Edema
Pain
Change in the pattern of urination,
Urine output and urine composition
TOPIC
b.
-
Invasive
IVP
Retrograde Pyelography
Cystourethrogram
Renal Scans
Cystoscopy
Renal biopsy
Radioisotope scanning
Nuclear Scans
Intraveous urography
Renal angiography
Voiding cystourethrography
DATE
TIME
LECTURE
R
22
order to:
-
Prioritize nursing
diagnosis
Discuss the
pathophysiologi
cal responses to
altered urinary
elimination
LEARNING
OBJECTIVE
TOPIC
II.
Nursing Care of Clients with Renal
Disorder
- Nephrosclerosis
- Primary Glomerular disease
DATE
TIME
LECTUR
ER
Oct 2
8-12
Mrs.
Alfonso
Oct 8
8-12
Mrs.
Magno
23
development of
these
diseases
/disorders.
Polycystic disease
Acute Renal Failure
Chronic Renal Failure
Kidney Trauma
III.
2. Enumerate the
pathognomonic
manifestations
of each disease
and explain the
reason why they
develop.
3. Discuss the
psychopathophy
siologic process
of these
diseases
from causes to
manifestations
and its
complications
Implement
individualized
nursing care:
1. Safely and
knowledgeably
administers
prescribed
medications and
treatments/
alternative
complementary
medicine
d. Implementation
a.
-
Pharmacologic therapeutics
Diuretics
Medications for Gout
Antispasmodics
Cholinergics
Analgesics
Alpha-Blockers
LEARNING
OBJECTIVE
TOPIC
DATE
TIME
LECTUR
ER
Given an adult
( young, middle, old,
old-old adult) with
responses to altered
fluids, electrolytes and
acid-base balance, the
student will be able to:
Oct 9
8-12
Mrs.
Alfonso
A. Apply knowledge
and normal anatomy
24
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
fluids,
electrolytes and
acid-base
balance
2. Perform
systematic and
comprehensive
physical
assessment to
validate
assessed data.
3. Interprets
deviations from
normal findings
in the physical
assessment,
diagnostic and
laboratory
examination.
4. Identify the
indications/
purposes ,
contraindication
s, side effects,
complications
and nursing
responsibilities
before, during
and after the
procedure.
1. Nursing History
a. Subjective Data
1.
-
b. Objective Data
1. Physical Assessment
a. Skin : poor skin turgor, cold, clammy
skin, pitting edema, flushed, dry skin
b. Pulse: bounding, rapid, weak; thread,
irregular, rapid weak pulse, slow pulse
c. BP: hypo/hypertension
d. Respirations: deep, rapid breathing,
shallow, slow, irregular breathing,
shortness of breath, moist crackles,
restricted airways
e. Skeletal muscles: cramping of
exercised muscle; carpal spasm; flabby
muscles, chvosteks sign
d. Laboratory tests
B. ANALYSIS/ NURSING DIAGNOSIS
1. Deficient Fluid Volume related to
insufficient fluid intake, diarrhea,
haemorrhage or third-space fluid loss
such as ascites or burns
2. Excess Fluid Volume related to fluid
retention secondary to
3. Heart, renal, or liver failure or excess
consumption
4. Impaired Oral Mucous Membrane
5. Risk for injury
6. Risk for activity intolerance
7. Risk for decreased cardiac output
8. Risk for impaired skin integrity
9. Imbalance nutrition: Less than body
requirements related to insufficient
intake of foods rich in potassium
LEARNING OBJECTIVE
1. Utilize the
assessed data in
order to:
-
Prioritize nursing
diagnosis
TOPIC
C.
1.
2.
Planning
Planning for health promotion
Preventing fluid and electrolyte loss
Planning for client hydration
Reducing risk for injury
Planning for health maintenance and
DATE
TIME
LECTURE
R
25
-
Discuss the
pathophysiologi
cal responses to
altered fluid,
electrolytes and
acid-base
balance
Plan the care of
clients utilizing
evidence-based
nursing research
Achieve the best
clinical
outcomes
utilizing ethicomoral and legal
principles
Plan effective
care.
2. Enumerate the
pathognomonic
manifestations
of each disease
and explain the
reason why they
develop.
3. Discuss the
psychopathophy
siologic process
of these
diseases
from causes to
manifestations
and its
complications
4. Implement
individualized
nursing care
Restoration
- Fluid and electrolyte management-oral
and intravenous fluid and electrolyte
replacement
Oct 15
8-12
Mrs.
Magno
Oct 16
8-12
Mrs. De
Asis
26
LEARNING OBJECTIVE
TOPIC
1. Define the 3
phases of
perioperative
care
2. Describe a
comprehensive
preoperative
assessment to
identify surgical
risk factors
3. Identify health
factors that
affect patients
preoperatively
4. Identify legal
and ethical
considerations
related to
obtaining
informed
consent
5. Describe the
preoperative
nursing
measures that
decrease the
risk for infection
and other
postoperative
complications
6. Give examples
of pertinent
nursing
diagnoses for
surgical clients
7. Enumerate the
principles of
asepsis and
sterile
technique.
8. Identify the
different surgical
instruments and
equipment and
their respective
uses
9. Identify nursing
responsibilities
in planning
perioperative
nursing care.
10.Enumerate the
roles and
responsibilities
of a scrub and
circulating
nurse.
11.Describe
essential
I.
Introductory Information:
Perioperative Nursing
DATE
TIME
LECTURE
R
Oct 22
Mrs. De
Asis
8-12
Oct 23
8-12
Oct 29
8-10
Mrs.
Magno
Oct 23
10-12
Mrs.
Magno
Mrs.
Alfonso
Oct 30
8-12
Mrs.
Alfonso
Nov 5
Mrs.
Alfonso
8-12
27
preoperative
teaching,
including pain
control, moving,
leg exercises,
and coughing
and deepbreathing
exercises
LEARNING OBJECTIVE
12.Describe
essential
aspects of
preparing a
client for
surgery,
including skin
preparation.
13.Compare
various types of
anesthesia.
14.Describe the
immediate
preoperative
preparation of
the patient
15.Discuss various
types of surgery
according to
degree of
urgency, degree
of risk, and
purpose.
16.Develop a
preoperative
teaching plan
designed to
promote the
patients
recovery from
anesthesia and
surgery, thus
preventing
postoperative
complications
17.postoperative
client.
18.Identify
potential
postoperative
complications
and describe
nursing
interventions to
prevent them.
19.Identify
essential
nursing
assessments
and
interventions
during the
immediate
TOPIC
J.
-
Surgical Specialties
Endoscopic Surgery
General Surgery
Gynecologic and Obstetric Surgery
Urologic Surgery
Orthopedic Surgery
Neurosurgery
Opthalmic Surgery
Plastic and Reconstructive Surgery
Otorhinolaryngologic and Head and
Neck Surgery
Thoracic Surgery
Cardiac Surgery
Vascular Surgery
Organ Procurement and
Transplantation
DATE
TIME
Mrs. De
Asis
Nov 6,
12
8-12
Mrs.
Magno
Nov. 12
8-12
LECTURE
R
Nov
28
postanesthetic
phase.
20.Demonstrate
ongoing nursing
assessments
and
interventions for
the
21.Identify
essential
aspects of
managing
gastrointestinal
suction.
22.Describe
appropriate
wound care for a
postoperative
client.
19-20
FINAL EXAMINATION
SCHEDULE:
THURSDAYS:
FRIDAYS:
8:00 AM 12:00 NN
8:00 AM - 12: 00 NN
References:
1. Brunner and Suddarth. Textbook of Medical-Surgical Nursing 13th
edition. 2013
2. Joyce M. Black and Jane Hokanson Hawks. Medical-Surgical Nursing- 8 th
Ed. 2009
3. Lippincott Williams & Wilkins. The Lippincott Manual of Nursing
Practice 10th edition.
4. Nettina, Sandra: Lippincott Manual of Nursing Practice, 8 TH Ed. Williams
and Wilkins
5. Nancymarie Phillips. Berry & Kohn's Operating Room Technique, 12th
Edition. 2013
6. Pillitteri, A. Maternal & Child Health Nursing: Care of the Childbearing &
Childrearing Family, 6TH Ed. 2010
7. Barbara L. Bullock, Reet L. Henze. Focus on Pathophysiology. 2000
8. Sue E. Huether, RN, PhD and Kathryn L. McCance, RN, PhD.
Understanding Pathophysiology. 5th Edition. 2013
9. Donna D. Ignatavicius, MS, RN, ANEF and M. Linda Workman, PhD, RN,
FAAN. Medical-Surgical Nursing. 7th Ed. 2013
10.
Shirley M. Tighe, RN, BA. Instrumentation for the Operating Room,
8th Edition. 2012
APPROVED BY:
DR. SOCORRO S.
DEAN, COLLEGE OF