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University of the Cordilleras

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

III. 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.
PLACEMENT:

3rd year, 1st semester

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.

6. Expand scholarship to a wider segment.


7. Update curricula to keep abreast of change.
8. Community involvement and research intensified.

V.

COURSE OUTCOMES

Course
Outcomes
CO1

CO2
CO3
CO4
CO5

VI.

Description

PO1

PO2

P03

PO4

PO5

PO6

PO7

PO8

PO9

PO10

PO11

PO12

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.

COURSE CONTENT

OBJECTIVES

INTERMEDIATE
COMPETENCIES

At the end of the


1.
Identify risk
lecture discussion,
factors among
the students will be
clients that
able to:
contribute to the
1. Utilize the
development of
nursing process
problems in
in the care of
Oxygenationindividuals,
cardiovascular risk
families with
factors (modifiable
problems in
and nonoxygenation in
modifiable).
community and
hospital
2. Identify significant
settings;
subjective data
2. Ensure a well
from client history
organized and
related to
accurate
problems in
documentation
oxygenation.
system;

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

a. Inspection- gas exchange,


perfusion
b. Palpation- gas exchange,
perfusion
c. Percussion- gas exchange
d. Auscultation- gas exchangeheart 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 test
standardized degree of
nicotine dependence
Cardiac: ultrasound, ECG, 2-D
echo, stress test
Vascular: Doppler
ultrasonography
Blood: pulse oximeter
Invasive:
Pulmonary: bronchoscopy,
ABG, 4horacentesis,
pulmonary angiography
Cardiac: CO determination,
cardiac catheterization, CVP,
hemodynamics monitoring,
enzyme levels, Serum,
Cholesterol

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

At the end of the


10.
Identify risk
lecture discussion,
factors among
the students will be
clients that
able to:
contribute to the
1. Utilize the
development of
nursing process
problems in Fluid
in the care of
and Electrolytes.
individuals,
11.
Enumerate the
families with
principles
and
problems in
techniques
of
Fluids and
physical
electrolyte
examination in
imbalances in
newborn, children,
community and
adults, deviations
hospital settings.
from normal.
2. Ensure a well
organized and
accurate
documentation
12.Identify results
system;
and implications
3. Relate with
of
client/s and their
diagnostic/laborat
family and the
ory examinations
health team
of clients with
appropriately;
reference to
4. Observe
problems in
bioethical
concepts/principl 13.Determine the
Patho-physiologic
es, core values
Mechanisms of
and nursing
Fluid and
standards in the
electrolyte
care of clients;
imbalances.
and,
5. Promote
personal and
professional
growth of self

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.

metabolic acidosis and


alkalosis; respiratory acidosis
and alkalosis
14.Enumerate
Nursing diagnoses
taxonomy
pertinent to
problems/alteratio
n in Fluid and
electrolyte
imbalance.
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:
a. Health
promotive
b. Disease
preventive
c. Curative and
restorative

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 elimination
g. Impaired integumentary
integrity
a. Fluid Volume Deficit
Determination and
management of cause
Hydration
Blood transfusion as
needed
Drug therapy
electrolyte
Supportive management
Prevention of infection
Prevention of
complication
Prevention of
psychosocial problems
Rehabilitation
b. Fluid Volume Excess
Determination and
management of cause
Drug therapy diuretics,
electrolytes
Dietary restriction
sodium
Supportive management
Prevention of infection
Prevention of
complication

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

At the end of the


lecture discussion,
the students will be
able to:

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

Percussion liver span,


masses
a. Non-invasive: ultrasound of the
abdomen, stool culture
b. Invasive: to include: barium
swallow, esophagoscopy,
biopsy, cytology examination,
gastric secretion analysis,
endoscopy (gastroscopy,
duodenoscopy),
proctosigmoidoscopy and
rectal examination
a. Disturbances in ingestion
problems in buccal cavity and
esophagus
b. Disturbances in digestion
peptic acid disease, gastritis
and gastric cancer
c. Disturbances in absorption
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
A. Disturbances in ingestion
Determination and
management of cause
Drug therapy
Dietary management

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

At the end of the


27. Identify risk
lecture discussion,
factors among
the students will be
clients that
able to:
contribute to the
1. Utilize the
development of
nursing process
problems in
in the care of
Endocrine
individuals,
Function.
families with
28.
Identify
problems in
significant
endocrine
subjective data
functioning in
from client history
community and
related to
hospital settings.
problems in
2. Ensure a well
endocrine
organized and
functioning.
accurate
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
29.Enumerate the
personal and
principles and
professional
techniques of
growth of self
physical
and others.
examination in
newborn,
children,
adults,
deviations

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

Inspection- color, texture of


skin, mucous membrane,
growth patterns, obesity
Auscultation bruit, heart
sounds, breath sounds
Palpation- organ-thyroid
enlargement, masses, edema
Percussion- fluid, edema

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.

Others weight, delayed


healing of wounds

a. Screening: glucose tolerance


test
Non-invasive: e.g. GI x-ray,
ultrasound abdomen, Radioiodine assay (RAI), protein
bound iodine (PBI), thyroid
scan, free thyroxin level, basal
metabolic rate (BMR),
thyroxine 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 Hyperfunction of the
hypothalamus
c. Hypo- and Hyperfunction of the
thyroid organ
d. Hypo- and Hyperfunction of the
parathyroid organ
e. Hypo- and Hyperfunction of the
adrenal organ
f. Hypo- and Hyperfunction of the
gonads
g. Problems in glucose
metabolism hypoglycemia

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.

and hyperglycemia (IDM,


NIDDM)
a. Alterations in nutrition less
than body requirement
b. Fluid volume deficit
c. Activity intolerance

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

VII. TEACHING-LEARNING ACTIVITIES (TLA)


TLA
Lecture/ Discussion
Group Work
Case Analysis/Study
Film Viewing
Total

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%

VIII. ASSESSMENT TOOLS (AT)


AT
Quiz(Essay
and
Recall)
Group Presentation
Case
Study
Presentation
Film
Analysis/Reaction
Total

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%

IX. COMPUTATION OF SCORES


NCM 103 A Grade: Prelims: PG = 60% CS + 40% Exam

2.5
hours

Midterms RMG = 60% CS+40% Exam


MG = 50% PG +50% RMG
Finals: RFG = 40%CS +60% Exam
FG= 25% PG +25 % RMG +50% RFG
NCM 103-B
Prelims: PG= 60% CS +40% Exam

(CS= 30% Rotational Grade+ 20% Skills Lab +10% E-Learning)

Midterms: RMG =60% CS+40% Exam


MG = 50% PG +50% RMG

(CS= 30% Rotational Grade+ 20% Skills Lab +10% E-Learning)

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.

Commission on Higher Education Memorandum No. 14 Series of 2009


Nettina S.,(2001), The Lippincotts Pocket Manual of Nursing Practice, New York: Lippincott
Marieb, E., (2006), Essentials of Human Anatomy and Physiology, Pearson Education South Asia PTE. LTD.
Brunner, L. and Suddarth, D., (2008), Textbook of Medical-Surgical Nursing, Philadelphia: Lippincott
Black, J and Hawks, J., (2008), Medical Surgical Nursing: Clinical Management for Positive Outcomes, Philadelphia: Lippincott
Lemone, P. and Burke, K., (2004) Medical Surgical Nursing: Critical Thinking in Client Care, NJ: Pearson Prentice Hall
Sharon Lewis, (2007) Medical Surgical Nursing: Assessment and Management of Clinical Problems, Mosby

Prepared by:

Evaluated by:

Approved by:

Noted by:

Mr. Michael Joel C. Piduca, RN, MAN


BASAEN
Instructor

Eddieson Pasay-an,Ph.D,RN
Area Head

Dr. Marian Grace Gascon


Dean

Dr. CLEOFAS
VPAA