ncm103 SYLLABUS

Emilio Aguinaldo College
Dasmarias
Congressional Road, Burol Main,

Cavite
Tel # (046) 416-4341 to42

http//www.eac.edu.ph
Course Name: CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM AND
ENDOCRINE
Course Code: NCM 103
Course Description: This course deals with the principles and techniques of nursing care management of sick clients across lifespan with emphasis on the adult
and the older person, population group in any setting with alterations/problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism and
endocrine function.
Course Credit: 8 units lecture; 6 units RLE (1 unit skills lab, 5 units Clinical)
Contact Hours/ Semester: 144 lecture hours; 306 RLE hours
Pre-requisite: NCM 102
Placement: 3rd year, 1st semester
Course Objectives: At the end of the course and given relevant actual clients with problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism,
and endocrine function, the student should be able to:
1. Utilize the nursing process in the care of individuals, families in community and hospital settings.
Assess with client/s his/her/their condition/health status through interview, physical examination, interpretation of laboratory findings.
Identify actual and at-risk nursing diagnosis
Plan appropriate nursing interventions with client/s and family for identified nursing diagnosis
Implement plan of care with client/s and family.
Evaluate the progress of his/her/their clients condition and outcomes of care.
2. Ensure a well-organized and accurate documentation system;

3. Relate with client/s and their family and the health team appropriately;
4. Observe bioethical concepts/principles, core values and nursing standards in the care of clients; and,
5. Promote personal and professional growth of self and others.
EMILIO AGUINALDO COLLEGE

SCHOOL OF NURSING
COURSE SYLLABUS IN CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE, NUTRITION AND
METABOLISM AND ENDOCRINE
TIME
FRAME
/WEEK
Week1
9hours
CONTENT/
TOPIC
The different risk
factors among clients
that contribute to the
development of
problems in
oxygenation:
a. Current
respiratory
problems
b. History of
respiratory
disease
c. Lifestyle
(smoking,
alcoholism,
exercise
d. patterns)
e. Presence of
cough
INTERMEDIATE
COMPETENCIES
TEACHINGLEARNING
ACTIVITIES
At the end of the unit, Lecture
the students will be Discussion
able to:
1. Identify risk factors
among
clients that contribute
to the
development of
problems in
Oxygenationcardiovascular risk
factors (modifiable
and non-modifiable).
INSTRUCTION
AL
MATERIALS
Powerpoint
Presentation
Whiteboard
Marker
EVALUATION
Oral
Participation
Post Test
ASSIGNME
NT
REFERENCE
Do an
1. Lippincott Williams &Wilkins.
advance
Introductory Medical Surgical nursing.
reading
9th edition. 2007. Pp 337-405.
regarding
subjective
data from
client
history
related to
problems in
oxygenation
f. Presence of
Chest Pain
g.
Lung
Cancer
h. Cardiovasc
ular disease
i. Stroke
j. Tuberculosi
s
k. Dietary
assessment
l. Medication
history
A. Chief
complaints
B. Relevant
information, to
include eleven
functional patterns:
1. Health
perception
management
pattern
2. Nutritional/met
abolic pattern
3. Elimination
pattern
4. Activity/exercis
e patterns
5. Cognitive/perce
ptual pattern
6. Sleep-rest
pattern
7. Selfperception-selfconcept pattern
8. Role
2.Learn significant
subjective data from
client
history related to
problems
in oxygenation
Lecture/Disc
ussion
Powerpoint
Presentation
Whiteboard and
marker
Pre-Test
Recitation
Post-Test
Do an
advance
reading
about
principles
and
techniques
of physical
examination
in
assessing
the
oxygenation
status in
newborn,
children,
adults.
1.
Lippincott
Williams
&Wilkins.
Introductory Medical Surgical nursing.
9th edition. 2007.
2. Barbara Kozier, Glenora erb, Audrey

Berman
and
Shirlee
Snyder.
Fundamentals of Nurisng. 7th edition.
2004. P.272.
relationship
pattern
9. Sexualityreproductive
pattern
10. Coping-stress
tolerance
pattern
11. Value-belief
pattern
a. Inspection- gas
exchange, perfusion
b. Palpation- gas
exchange, perfusion
c. Percussion- gas
exchange
d. Auscultation- gas
exchange- heart
sound, breath
sounds, deviations,
fluid transport
Screening
procedure-peak
flow meter
Diagnostic
Procedures
Non-invasive
Pulmonary e.g.
sputum
microscopy, chest
x-ray, pulmonary
function tests,
smoke analyzer
Fagerstrom teststandardized
degree of nicotine
3. Enumerate the
principles and
techniques of physical
examination in
assessing the
oxygenation status in
newborn, children,
and adults.
Lecture/Discussi Powerpoint
Presentation
on
Whiteboard
Demonstration
Pretest
Recitation
Return
Demonstration
Do an
advance
reading on
Screening
procedurepeak flow
meter
1.
Lippincott
Williams
&Wilkins.
Brunner and Suddarths Textbook of
Medical-Surgical Nursing. 12th edition.
2010. Pp.499-506.
4. Identify results and

implications of
diagnostic/laboratory
examinations of
clients with reference
to problems in
Oxygenation.
Presentation
on
Pretest
Oral Recitation
Answer
Chapter 22
critical
thinking
questions of
the textbook
page 548

2010. Pp.507-514.
Marker
Whiteboard
Marker
3_9
dependence
Cardiac:
ultrasound,
ECG, 2-D
echo, stress
test
Vascular:
Doppler
ultrasonograph
y
Blood: pulse
oximeter
Invasive
Pulmonary:
bronchoscopy,
ABG,
3horacentesis,
pulmonary
angiography
Cardiac: CO
determination,
cardiac
catheterization,
CVP,
hemodynamics
monitoring,
enzyme levels,
Serum,
Cholesterol
Vascular:
angiography
Blood: CBC
and bone
marrow biopsy
a. Alteration in gas
5. Illustrate the
Case Analysis
Powerpoint
Recitation
Do a
hours
exchange ventilator
dysfunction, impaired
perfusion
b. Alteration in cardiac
performance heart
rate
problems, impaired
stroke volume
secondary
to altered preload,
afterload, myocardial
contractility
c. Alteration in
vascular integrity
transport
network impairment
d. Alteration in oxygen
carrying capacity of
the blood- decreased
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
3entilatory weaning
pathophysiologic
mechanisms of the
alterations in oxygen
Lecture/Discussi Presentation
Whiteboard
on
6. Formulate nursing
diagnoses taxonomy
pertinent to
problems/alteration in
Oxygenation.
Case Analysis
Lecture/Discussi
on
Group
discussion
Post- Test
reporting in
nursing
diagnoses
taxonomy

2010. Pp.518-632.
Pre-test
Post-test
Do a
reporting
regarding
principles of
various
modalities
of
manageme
nt clients
with
problems in
oxygenation

2010. Pp.518-632.
Marker
Powerpoint
Presentation
Whiteboard and
marker
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/hemoglo
bin
i. Activity intolerance
related to
malnutrition tissue
hypoxia
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
7. Learn principles of
various
modalities of
management
of clients with
problems in
oxygenation taking
into consideration the
following levels of
care:
1. Health promotion
2. Disease preventive
3. Curative and
restorative
Powerpoint
Reporting
Pretest
Presentation
Lecture/Discussi
Oral Recitation
Whiteboard and Roleplaying
on
marker
Handouts
Do a
reporting
about
pharmacolo
gic actions,
therapeutic
uses, side
effects,
indications,
contraindica
tions, and
nursing
responsibilit
ies in
administerin
g
medications

2010. Pp.518-632.
4_9
hours
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
. Pulmonary
Bronchodilators
Expectorants
Antitussives
Antihistamines
b. Cardiac
8. Describe
Pharmacologic
actions, therapeutic
uses, side effects,
indications,
contraindications, and
Reporting
Lecture/Discussi
on
Case Analysis
Group
Discussion
Powerpoint
Presentation
Whiteboard and
marker
Post Test
Recitation
Seatwork
Answer
Chapter 25
critical
thinking
questions of
the text

2010. Pp.518-632.
Sympathomym
etic agents
Sympatholytic
agents
Anti-anginal
agents
Antiarrhythmic
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
1.1 Assessment and
care during the
perioperative period
1.2 Techniques in
assisting the surgical
team during the
operation
nursing
responsibilities in
administering
medications clients
with oxygenation
problems.
9. State the purposes,

indications, nursing
responsibilities for the
surgical and special
procedures in
alterations in
oxygenation.
book page
680
Lecture/Discussi
on
Demonstration
Case Analysis
Powerpoint
Presentation
Whiteboard
Marker
Recitation
Return
Demonstration
Do a
reporting
about risk
factors
among
clients that
contribute
to the
developmen
t of
problems in

2010. Pp.636-679.
1.3 Principles of
safety, comfort and
privacy during the
perioperative period
1.4 Nursing
responsibilities during
the perioperative
period Preoperative
physical,
psychological,
spiritual preparation
Intraoperative
circulating nurse
functions, scrub 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
Fluid and
Electrolytes
5_9
hours
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
3.1 Vascular a.
Surgical procedures
endarterectomy,
aneurysmectomy,
insertion of
intravascular stents b.
Special procedures
application of
antiembolic stockings
3.2 Blood forming
organs a. Surgical
procedures bone
marrow aspiration,
bone marrow
transplant b. Special
procedures blood
component
transfusion, reverse
isolation
Potential factors for
exceeding renal
10. Identify risk

Powerpoint
Reporting
Lecture/Discussi Presentation
Pre-Test
Post-Test
Do
an 1. Lippincott Williams &Wilkins.
advance
reserve capacity,
dietary habits to
include salt intake,
hypertension,
infection, diabetes.
6_9
hours
Inspectionsigns of
dehydration,
overhydration
Palpation- edema,
ascites, neck vein
filling, hand vein
filling, neuromuscular
irritability,
characteristic of pulse
Percussionabdomen for
presence of air, fluid
Auscultation-rates
A. Diagnostic
tests
Non-invasive:
electrolyte
determination,
intake and
output, KUBIVP and
ultrasound
Invasive biopsy
Whiteboard and
marker
on
Group
Discussion
11. Demonstrate the

principles and
examination in
newborn, children,
adults, deviations
from normal.
Oral
Presentation
on
Participation
Whiteboard and Return
Demonstration
marker
Demonstration
Do an
advance
reading in
Chapter 14
and answer
Chapter 14
critical
thinking
questions of
the textbook
page 310

2010. Pp.264-309.
12.Identify results and

implications of
examinations of
to Fluid and
Electrolyte
imbalances
Presentation
on
Do an
advance
reading on
pathophysio
logic
mechanism
s of fluid
and
electrolyte
imbalances.

2010. Pp.264-309.
Whiteboard and
marker
Roleplaying
reading on Medical-Surgical Nursing. 12th edition.

principles
2010. Pp.264-309.
and
techniques
of physical
examination
in newborn,
children,
adults,
deviations
from normal

development of
problems in Fluid and
Electrolytes.
Post test
Recitation
7_9hou
rs
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
metabolic acidosis
and alkalosis;
respiratory acidosis
and alkalosis
a. Risk for fluid
volume deficit
b. Fluid volume
excess
c. Fluid volume deficit
d. High risk for injury
related to electrolyte
deficit/excess
e. High risk for injury
related to acid/base
imbalance
f. Altered urinary
13. Determine the

Patho- physiologic
Mechanisms of Fluid
and electrolyte
imbalances.
Lecture
Discussion
Powerpoint
Presentation
Whiteboard and
marker
Post test
Do an
advance
reading on
nursing
diagnoses
taxonomy
pertinent to
problems/alt
eration in
Fluid and
electrolyte
imbalance.

2010. Pp.264-309.
14. Explain Nursing

diagnoses taxonomy
pertinent to
Fluid and electrolyte
imbalance.
Case Analysis
Lecture
Discussion
Powerpoint
Presentation
Whiteboard and
marker
Oral
Participation
Do a
reporting
about
principles of
various
modalities
of
manageme
nt of clients
with
problems in
fluid and

2010. Pp.264-309.
elimination
g. Impaired
integumentary
integrity
a.
Fluid Volume
Deficit
Determination
and management of
cause
Hydration
Blood
transfusion as needed
Drug therapy
electrolyte
Supportive
a.
management
b.
Prevention of c.
infection
Prevention of
complication
Prevention of
psychosocial
problems
Rehabilitation
b.
Fluid Volume
Excess
Determination
and management of
cause
Drug therapy
diuretics, electrolytes
Dietary
restriction sodium
Supportive
management
Prevention of
electrolyte
imbalances
15. Identify principles

of various
modalities of
management of
clients with
problems in fluid
and electrolyte
imbalances taking
into consideration
the following levels
of care:
Health promotive
Disease preventive
Curative and
restorative
Lecture
Discussion
Powerpoint
Presentation
Whiteboard and
marker
Recitation
Post test
Do a
reporting
about
Pharmacolo
gic actions,
therapeutic
uses, side
effects,
indications,
contraindica
tions, and
nursing
responsibilit
ies in
administerin
g
medications
clients in
fluid and
electrolyte
imbalances.

2010. Pp.264-309.
infection
Prevention of
complication
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,
7ypercalcaemia,
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
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
8_9
hours
and management of
cause
Drug therapy
Dietary
management
Supportive
management
Prevention of
complication
Prevention of
psychosocial
problems
Rehabilitation
a.
Fluid
Parenteral
fluids
Hypotonic
Hypertonic
Isotonic
b.
Electrolyte
Sodium
Potassium
Calcium
Magnesium
Phosphate
c.
diuretics
Potassiumsparing
Potasiumlosing
Osmotic
diuretics
d.
Vitamin D
supplements
Renal dysfunction
16.
Give
Pharmacologic
uses, side effects,
indications,
nursing
responsibilities in
administering
medications clients in
fluid and electrolyte
imbalances.
Oral
Presentation
on
Participation
Whiteboard
and
Case Analysis
Post test
17. Name the
Lecture
marker
Powerpoint
Pretest
Do an
advance
reading on
purposes,
indications,
nursing
responsibilit
ies for the
surgical and
special
procedures
in
alterations
in fluid and
electrolyte
imbalances.

2010. Pp.264-309.
Do a
9_9
hours
a.
Major surgical
procedures
nephrectomy,
nephrostomy,
cystectomy,
uterostomy, renal
transplants, urinary
diversion
b.
Special
proceduresperitoneal dialysis,
hemodialysis, bladder
training,
cystoclysis/bladder
irrigation
Risk factors related to
malnutrition, obesity.
purposes, indications,
nursing
procedures in
alterations in fluid and
electrolyte
imbalances.
Discussion
Questioning
Presentation
Whiteboard and
marker
Oral
Participation
reporting on Brunner and Suddarths Textbook of

risk factors
among
2010. Pp.264-309.
clients that
contribute
to the
developmen
t of
problems in
Nutrition
and
Metabolism
18.
Determine risk
development of
problems
in Nutrition and
Metabolism.
Lecture
Discussion
Questioning
Powerpoint
Presentation
Whiteboard and
marker
Post test
Do an
advance
reading on
significant
subjective
data from
client
history
related to
problems in
nutrition
and
metabolism

2010. Pp.1117-1243.
a.
Chief
complaints
b.
Relevant
information, to include
eleven functional
patterns
Health
19. Identify significant

subjective data from
client history related
to problems in
nutrition and
metabolism.
Lecture
Discussion
Questioning
Powerpoint
Presentation
Whiteboard and
marker
Pretest
Recitation
Answer
Chapter 41
critical
thinking
questions of
the textbook
pages

2010. Pp.1117-1243.
perception
management pattern
1242-1243
Nutritional/metabolic
pattern
Elimination
pattern
Activity/exercise
patterns
10_9
hours
Cognitive/perceptual
pattern
Sleep-rest
pattern
Selfperception-selfconcept pattern
Role
relationship pattern
Sexualityreproductive
pattern
Coping-stress
tolerance
pattern
Value-belief
pattern
3.3 Gastrointestinal
function IPPA
Inspectioncolor, texture of skin,

mucous membrane,
20. Demonstrate the

principles and
examination in
newborn, children,
Presentation
on
Whiteboard
Demonstration
Market
Oral
Particpation
Return
Demonstration
Do
a
reporting on
results and
implications
of

2010. Pp.1117-1243.
growth patterns,
scars, masses
Auscultationbowel sounds, bruits
Palpation
focus on GIT for
presence of masses,
ascites, rebound
tenderness, distention
Percussion
liver span, masses
11_9
hours
adults, deviations
from normal.
diagnostic/l
aboratory
Mechanism
Mn
of
clients with
reference to
problems in
Nutrition
and
Metabolism.
21. Analyze results

and implications
of
diagnostic/laborat
ory examinations
of clients with
reference to
problems in
Nutrition and
Metabolism.
Lecture
Discussion
Questioning
Case Analysis
Powerpoint
Presentation
Whiteboard and
marker
Oral
Participation
Post test
22. Determine the

a Disturbances in Pathophysiologic
ingestion
mechanisms of the
problems in
Alterations in Nutrition
buccal cavity
and Metabolism.
and esophagus
b Disturbances in
digestion
peptic acid
disease,
gastritis and
gastric cancer
c Disturbances
in absorption
Lecture
Discussion
Case Analysis
Powerpoint
Presentation
Whiteboard
Marker
Handouts
Recitation
Post test
Do an
advance
reading
pathophysio
logic
Mechanism
of the
Alterations
in Nutrition
and
Metabolism
Do an
advance
reading on
nursing
diagnoses
taxonomy
pertinent to
problems/alt
eration in
Nutrition
and
Metabolism.

2010. Pp.1117-1243.

2010. Pp.1117-1243.
13_hrs
malnutrition,
malabsorption
syndrome and
inflammatory
bowel
conditions
d Disturbances in
elimination
bowel
obstruction,
hemorrhoids,
diarrhea and
constipation.
a.
Alteration in
nutrition less than
body requirement
b.
Alteration in
nutrition more than
body requirement
c.
Alteration in
oral mucous
membrane integrity
d.
Alteration in
comfort: epigastric
pain/abdominal pain
e.
Fluid volume
deficit
12_9 hrs
A. Disturbances in
ingestion
Determination
and management of
cause
Drug therapy
Dietary management
Supportive
23. Specify Nursing

diagnoses taxonomy
pertinent to
Nutrition and
Metabolism.
24. Identify
principles of
various modalities
of management of
clients with
problems in
Nutrition and
Metabolism taking
into consideration
Lecture
Discussion
Questioning
Powerpoint
Presentation
Whiteboard
Marker
Pretest
Oral Recitation
MIDTERM EXAMINATION
Pretest
Presentation
on
Recitation
Whiteboard and
Questioning
marker
Do a
reporting
regarding
principles of
various
modalities
of
manageme
nt of clients
with
problems in
Nutrition
and
Metabolism

2010. Pp.1117-1243.
Do a
Research
Do an
advance
Reading
Do a
reporting

2010. Pp.1117-1243.
management
Prevention of
4.
complication
5.
Prevention of
6.
psychosocial
problems
Rehabilitation
Disturbances in
digestion
Determination and
management of cause
Drug therapy
Dietary management
Supportive
management
Prevention of
complication
Prevention of
psychosocial
problems
Rehabilitation
Disturbances in
absorption
Determination and
management of cause
Drug therapy
Dietary management
Supportive
management
Prevention of
complication
Prevention of
psychosocial
problems
Rehabilitation

of care:
Health promotive
Disease preventive
Curative and
restorative
Disturbances in
elimination
Determination and
management of cause
Drug therapy
Dietary management
Supportive
management
Prevention of
complication
Prevention of
psychosocial
problems
Rehabilitation
Disturbances in
hepatic, biliary
and pancreatic
functions
Determination
and
management of
cause
Drug therapy
Dietary
management
Supportive
management
Prevention of
complication
Antiemetics
Anticoagula
nts
Hematinics
25. List
Pharmacologic
actions,
therapeutic uses,
side effects,
Lecture/Discussi
on
Questioning
Case Analysis
Powerpoint
Presentation
Whiteboard and
marker
Oral
Participation
Seatwork
Do a
reporting
about
purposes,

2010. Pp.1117-1243.
14_9
hours
agents
Laxatives
and stool
softeners
Antipruritus
Vitamin
supplement
Antacids
Antihyperlipi
demics
Antispasmo
dics
Antidiarrhea
l
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
indications,
contraindications,
and nursing
responsibilities in
administering
medications clients
with Nutrition and
Metabolism
problems.
26. Know the

purposes, indications,
nursing
procedures in
alterations in Nutrition
and Metabolism
indications,
nursing
responsibilit
ies for the
surgical and
special
procedures
in
alterations
in Nutrition
and
Metabolism
Presentation
on
Whiteboard
Questioning
Marker
Handouts
Oral
Participation
Post test
Do an
advance
reading on
risk factors
among
clients that
contribute
to the
developmen
t of
problems in
Endocrine
Function.

2010. Pp.1117-1243.
medications via NGT,

J tube, G tube; hot
sitz bath
Risk factors related to
endocrine hypo or
hyperfunctioning.
15_9
hours
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
Selfperception-selfconcept pattern
27. Recognize risk

development of
problems in Endocrine
Function.
28. Differentiate
significant subjective
data from client
history related to
problems in endocrine
functioning
Pretest
Presentation
on
Recitaion
Whiteboard
and
Questioning

2010. Pp.1246-1285.
marker
Lecture
Discussion
Questioning
Powerpoint
Presentation
Whiteboard
Marker
Pretest
Seatwork
Do an
advance
reading on
principles
and
techniques
of physical
examination
in newborn,
children,
adults,
deviations
from normal
in the
endocrine
system

2010. Pp.1246-1285.

Role
relationship pattern
Sexualityreproductive pattern
Coping-stress
tolerance pattern
Value-belief
pattern
Inspectioncolor, texture of skin,

mucous membrane,
growth patterns,
obesity
Auscultation
bruit, heart sounds,
breath sounds
Palpationorgan-thyroid
enlargement, masses,
edema
Percussionfluid, edema
Others
weight, delayed
healing of wounds
a. Screening: glucose
tolerance test
Non-invasive:
e.g. GI x-ray,
ultrasound abdomen,
Radio-iodine assay
(RAI), protein bound
iodine (PBI), thyroid
scan, free thyroxin
level, basal metabolic
rate (BMR), thyroxine
29. Demonstrate the

principles and
examination in
newborn, children,
adults, deviations
from normal in the
endocrine system
30. Evaluate results

and implications of
examinations of
to problems in
endocrine functioning.
Lecture/Discussi
on
Demonstration
Group
Discussion
Lecture/Discussi
on
Questioning
Case Analysis
Powerpoint
Presentation
Whiteboard
Market
Handouts
Return
Demonstration
Oral
Participation
Answer
Chapter 42
critical
thinking
questions of
the
text
book pages
1287-1288

2010. Pp.1246-1285.
Powerpoint
Presentation
Whiteboard and
marker
Posttest.
Seatwork
Do an
advance
reading on
pathophysio
logic
mechanism
s of the
Alterations
in endocrine
functioning.

2010. Pp.1246-1285.
16_9
hours
stimulating hormone
(TSH) test, OGTT
(Glucose tolerance
test) urinalysis
(glycosuria, ketonuria)
Invasive: e.g.
percutaneous
transhepatic
cholangiogram, liver
function test, serum
thyroxine and
triiodothyronine test,
iodine 131 uptake,
blood sugar tests
(fasting blood sugar
FBS), random blood
sugar (RBS),
glycosylated
hemoglobin (Hgb),
two-hour post prandial
blood glucose,
endocrine assay
a.
Hypo- and
Hyperfunction of the
pituitary organ
b.
Hypo- and
hypothalamus
c.
Hypo- and
thyroid organ
d.
Hypo- and
parathyroid organ
e.
Hypo- and
31. Determine the

Pathophysiologic
mechanisms of the
Alterations in
Lecture/Discussi
on
Case Analysis
Group
Discussion
Powerpoint
Presentation
Whiteboard and
marker
Pretest
Seatwork
Oral
Participation
Do a
reporting
about
nursing
diagnoses
taxonomy
pertinent to
problems/alt
eration in
endocrine
functioning

2010. Pp.1246-1285.
adrenal organ
f.
Hypo- and
gonads
g.
Problems in
glucose metabolism
hypoglycemia and
hyperglycemia (IDM,
NIDDM)
a.
Alterations in
nutrition less than
body requirement
b.
Fluid volume
deficit
c.
Activity
intolerance
Corticosteroid
s
Alphaadrenergic
blocking
agents
Beta-
32. Enumerate
Nursing diagnoses
taxonomy pertinent to
endocrine functioning
Lecture
Discussion
Recitation
Powerpoint
Presentation
Whiteboard
Marker
Handouts
Pretest
Recitation
Do
reporting on
Pharmacolo
gic actions,
therapeutic
uses, side
effects,
indications,
contraindica
tions, and
nursing
responsibilit
ies in
administerin
g
medications
clients with
endocrine
problems.

2010. Pp.1246-1285.
33. Name
Pharmacologic
uses, side effects,
indications,
nursing
Lecture
Discussion
Case Analysis
Powerpoint
Presentation
Whiteboard
and marker
Handouts
Oral Recitation
Post test
Do a
reporting
about
principles of
various
modalities
of

2010. Pp.1246-1285.
17_9
hours
adrenergic
responsibilities in
blocking
administering
agents
medications clients
Tyrosine
with endocrine
problems.
inhibitors
Dopamine
receptor
antagonists
Glucocorticoid
s
Parathyroid
hormone
agents
Thyroid
hormone
agents
Insulin
Oral
hypoglycemic
agents
34. Know the
Determination
principles of
and
various modalities
management of
of management of
cause
clients with
Drug therapy problems in
diuretics,
endocrine
electrolytes
functioning taking
Dietary
into consideration
management
Supportive
of care:
management
a. Health promotive
Prevention of b. Disease preventive
complication
c. Curative and
Prevention of
restorative
psychosocial
manageme
nt of clients
with
problems in
endocrine
Lecture
Discussion
Questioning
Powerpoint
Presentation
Whiteboard and
marker
Pretest
Seatwork
Do an
advance
reading on
purposes,
indications,
nursing
responsibilit
ies for the
surgical and
special
procedures
in
alterations
in endocrine
functioning.

2010. Pp.1246-1285.
problems
Rehabilitation
A. Surgical
procedures
thyroidectomy,
parathyroidecto
my
B. Special
procedures
monitoring of
blood glucose
levels;
maintenance of
blood glucose
diet, exercise,
drugs
35. List the purposes,

indications, nursing
procedures in
alterations in
Lecture
Discussion
Questioning
Group
Discussion
Powerpoint
Presentation
Handouts
Whiteboard and
marker
Pretest
Recitation
Do a
documentati
on on return
demonstrati
on done for
the whole
unit.

2010. Pp.1246-1285.
Guide for RLE: Provide opportunities to demonstrate the procedures for oxygenation, fluid electrolytes balance, nutrition and metabolism, endocrine functions, and
intra-operative care.
Regarding the intra-operative care experience, provide opportunities for the following:
1. Act as a circulating nurse in THREE (3) MAJOR SURGICAL CASES IN THE HOSPITAL SETTING
2. Act as a scrub nurse in AT LEAST THREE (3) MAJOR SURGICAL CASES IN THE HOSPITAL SETTING ONLY
In the event that the required competencies are not developed within the allotted hours/weeks, the nursing student/s shall be made to extend his/her Related
Learning Experience (RLE) exposure until the expected competencies are satisfactorily achieved.
To standardize documentation, a prescribed form shall be completed right after the related clinical experience.
Provide opportunities for actual hospital and community experiences to ensure that competencies are developed.
GRADING SYSTEM:
Class Standing
25%
Attendance
Recitation
Quizzes
Assignment
Project
10%
20%
30%
20%
20%
100%
Class Standing
Prelim
25%
15%
Midterm
15%
Finals
15%
RLE
30%
100%
REFERENCE:
1. Lippincott Williams &Wilkins. Introductory Medical Surgical nursing. 9 th edition. 2007.
2. Barbara Kozier, Glenora erb, Audrey Berman and Shirlee Snyder. Fundamentals of Nurisng. 7 th edition. 2004.
1. Lippincott Williams &Wilkins. Brunner and Suddarths Textbook of Medical-Surgical Nursing. 12 th edition. 2010
EMILIO AGUINALDO COLLEGE

SCHOOL OF NURSING
COURSE SYLLABUS
IN
CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM AND ENDOCRINE
Submitted to:
Ms. Obdulia Almarez
Submitted by:
Bato-bato, Job
Bustonera, Maria Rocell
Caliolio, Aimee
Camarinta, Caryl
May 20, 2014

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Emilio Aguinaldo College

Congressional Road, Burol Main,

Tel # (046) 416-4341 to42

2. Ensure a well-organized and accurate documentation system;

5. Promote personal and professional growth of self and others.

EMILIO AGUINALDO COLLEGE

2. Barbara Kozier, Glenora erb, Audrey

4. Identify results and

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.

Brunner and Suddarths Textbook of

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.

9. State the purposes,

1. Lippincott Williams &Wilkins.

10. Identify risk

11. Demonstrate the

1. Lippincott Williams &Wilkins.

12.Identify results and

1. Lippincott Williams &Wilkins.

reading on Medical-Surgical Nursing. 12th edition.

that contribute to the

13. Determine the

1. Lippincott Williams &Wilkins.

14. Explain Nursing

1. Lippincott Williams &Wilkins.

15. Identify principles

1. Lippincott Williams &Wilkins.

17. Name the

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.

reporting on Brunner and Suddarths Textbook of

1. Lippincott Williams &Wilkins.

19. Identify significant

1. Lippincott Williams &Wilkins.

Inspectioncolor, texture of skin,

20. Demonstrate the

1. Lippincott Williams &Wilkins.

Auscultationbowel sounds, bruits

21. Analyze results

22. Determine the

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.

23. Specify Nursing

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.

the following levels

1. Lippincott Williams &Wilkins.

26. Know the

1. Lippincott Williams &Wilkins.

medications via NGT,

27. Recognize risk

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.

Inspectioncolor, texture of skin,

29. Demonstrate the

30. Evaluate results

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.

31. Determine the

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.

1. Lippincott Williams &Wilkins.