1

DONA REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATION

COLLEGE OF NURSING
CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE
BALANCE, NUTRITION AND METABOLISM AND ENDOCRINE
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 Code : NCM 103
Course Credit: 8 units lecture, 6 units RLE
Contact Hours/sem: 136 hours lecture and 306 hours RLE
Prerequisite: NCM 102
Placement: 3rd year, 1st semester
Course Objectives:
At the end of the course, and given actual clients with problems in
oxygenation, fluid and electrolyte balance, nutrition and metabolism, and
endocrine function, the student should have:
1. used the nursing process in the care of individuals, families in community and
hospital settings.
- assessed with client/s his/her/their condition/health status through interview,
physical examination, interpretation of laboratory findings
- identified actual and at-risk nursing diagnosis
- planned appropriate nursing interventions with client/s and family for identified
nursing diagnosis
- Implementsed plan of care with client/s and family
- evaluated the progress of his/her/their clients condition and outcomes of care
2. created a well organized and accurate documentation system;
3. communicated with client/s and their family and the health team appropriately;
4. adopted bioethical concepts/ principles, core values and nursing standards in the
care of clients; and ,
5. stimulated personal and professional growth of self and others.

LEARNING OBJECTIVE

Given an adult
( young, middle, old,
old-old adult) with
responses to altered
Respiratory function,
the student will be
able to:
A. Apply knowledge
and normal anatomy
and physiology and
assessment
techniques in caring
for clients.

TOPIC

I. Responses to Altered Oxygenation,

Respiratory Gas Exchange, Transport,
Perfusion

DATE
AND
TIME

LECTU
RER

June
26*

Mrs.
Alfons
o

8-10
I.A. Review: Anatomy and Physiology of the
Respiratory System
A. UPPER RESPIRATORY TRACT
- Nose, Paranasal sinuses, Pharynx,
tonsils, adenoids, Larynx, Trachea
B. LOWER RESPIRATORY TRACT
- Lungs, Mediastinum, Lobes
- Bronchi and Bronchioles, Alveoli

2
LEARNING OBJECTIVE

TOPIC

I. B Functions of the Respiratory System

- Oxygen Transport
- Respiration
- Ventilation
- Air Pressure Variances
- Airway Resistance
- Compliance
- Lung Volumes and Capacities
- Pulmonary Diffusion and Perfusion
- Ventilation and Perfusion Balance and
Imbalance
- Gas Exchange
B. Assess the health
status of a client
1. Conduct a
health history
and functional
health status of
clients having
or at risk for
alterations in
oxygenation,
ventilation and
gas exchange.
2. Perform
systematic and
comprehensive
physical
assessment to
validate
assessed data.

I.C. Nursing Process:

A. Assessment:
1. Subjective Data:
A. Nursing History
a. Common Symptoms
- Dyspnea
- Cough
- Sputum Production
- Chest Pain
- Wheezing
- Hemoptysis
- Orthopnea
- Cyanosis
- Restlessness
- Tachypnea
- Confusion
- Stridor
- Nasal and sinus complains
B. Past Health, Family, and Social History
C. Functional Health Patterns
2. Objective Data:
A. Physical Assessment
1. General Appearance
- Clubbing of the fingers
- Cyanosis
2. Assessment of the Upper Respiratory
Structures
- Nose and sinuses
- Mouth and Pharynx
- Trachea
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

DATE
TIME

LECTURE
R

LEARNING OBJECTIVE

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

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

DATE
TIME

LECTURE
R

June
26*

Mrs.
Cadion

1012

b.2. Invasive
- Endoscopic Exams: Laryngoscopy,
Bronchoscopy, Mediatinoscopy
- Lung Biopsy
- Thoracentesis and Pleural fluid
Analysis
- Fluoroscopic studies
- Lung scans

4. Utilize the
assessed data
in order to:
- Prioritize
nursing
diagnosis
- Discuss the
pathophysiologi
cal responses
to altered
oxygenation:
ventilation and
gas exchange

- Plan the care of

clients utilizing
evidence-based
nursing
research

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

June
27
8-12

Mrs.
Cadion

LEARNING OBJECTIVE

- Achieve the
best clinical
outcomes
utilizing ethicomoral and legal
principles
- Plan effective
care.

TOPIC

DATE
TIME

LECTURER

July
3*

Mrs.
Alfonso

g. Preventing and controlling infection

h. Planning for oxygen therapy
i. Incentive spirometry
j. Aerosol therapy
k. Postural drainage
l. Ventilation therapy
m. Artificial airways
n. Chest drainage
o. Chest surgery
- Lobectomy
- Pneumonectomy
- Segmental Resection
- Wedge Resection
- Decortication
- Exploratory Thoracotomy
- Thoracotomy not involving lungs
- Video- assisted thoracic surgery
(VATS)
- Lung volume Reduction Surgery (LVRS)
I.D. COMMON HEALTH
PROBLEMS
A. Nursing Care of Clients with Upper
Respiratory Problems
-

8-10

Rhinitis
Viral Rhinitis
Rhinosinusitis
Pharyngitis
Tonsillitis and adenoiditis
Peritonsillar abscess
Laryngitis
Laryngitis
Epistaxis
Nasal Obstruction
Fractures of the nose
Laryngeal Obstruction
Cancer of the larynx

B. Nursing Care of Clients with Chest and

Lower Respiratory Tract Disorders
Pneumonia
Aspiration
Severe Acute Respiratory
Syndrome
Pulmonary Tuberculosis
Lung Abscess
Pleurisy
Pleural Effusion
Empyema
Pulmonary Edema
Acute Respiratory Failure
Acute Respiratory Distress
Syndrome
Pulmonary Arterial Hypertension
Pulmonary Heart Disease ( Cor
Pulmonale)

July
3*
10-1

Mrs.
Cadion

LEARNING OBJECTIVE

TOPIC

LEARNING
OBJECTIVE

1. Perform
systematic
and
comprehensiv
e physical
assessment
to validate
assessed
data.

LEARNING
OBJECTIVE
Impleme
nt individualized

Pulmonary Edema
Occupational Lung Disease
Cardiac Tamponade
Asbestosis
Silicosis
Subcutaneous Emphysema
Coal
Pneumoconiosis
- Workers
Pulmonary
Embolism
Hypersensitivity
Pneumonitis
Pulmonary Hypertension
Sarcoidosis
Lung Cancer
Tumors of the Mediastinum
Trauma of the Chest or Lungs
- Thoracic Injury: Rib
Fracture, flail chest,
Pulmonary
Contusion, Blunt
Trauma, Penetrating
trauma: Gunshot
and stab woundsTOPIC
- Inhalational Injury:
smoke inhalation
A. Functional
Health Patterns
- near drowning
B. Past health, family and social history

DATE
TIME

LECTURER

July
4*

Mrs.
Cadion

8-10

DATE
TIME

LECTUR
ER

A. Nursing Care of Clients with Chronic

2. Objective
Data
Pulmonary
Disease
July
Mrs.
a.
Chronic Obstructive Pulmonary
4*
Alfonso
a. Physical Assessment
Disease
- b.General
Appearance
Emphysema
10-1
- c.Inspection
of the skin
Bronchitis
- d.Blood
Pressure
Bronchiectasis
- e.Pulse
Pressure
Asthma
- f. Postural
Blood
Pressure Changes
Status
Asthmaticus
- g.Arterial
Pulses
Cystic Fibrosis
- Jugular Venous Pulses
HeartCare
Inspection
and Palpation
B. -Nursing
of Pediatric
Clients with
-Respiratory
Heart Auscultation
July
Mr. Astilla
- Inspection of the extremities
10
Disorders
- Assessment of other systems
a. Lungs
8-12
a.
Respiratory Tract
b. Upper
Abdomen
Common Colds
Allergic Rhinitis/ Chronic Rhinitis
2.a. Problems of Oxygenation: Perfusion
Sinusitis
- - Fatigue,
fluid retention, dyspnea
Pharyngitis
- - Irrregular
heartbeat, pain
Tonsilitis
- - tenderness
Epistaxisin the calf or legs
- - syncope,
leg pain
Aspiration
- - Altered
neurologic
function
Laryngitis
Croup
Problems
in Oxygenation
- 2. b.Choanal
atresia
Transport:
- Skin:
jaundice, cyanosis,
b. flushing,
Lower Respiratory
Tract
pruritus,
leg ulcers,
- excoriations,
Asthma, Status
Asthmaticus
- - angiomas,
telangiectasis, nevus
Pneumonia
- purpura
PTB/ Primary Complex
- - petechiae,
ecchymosis, hematomas,
Cystic Fibrosis
- - chondroma,
plasmacytoma
Bronchitis/
Bronchiolitis
- - Eyes:
Icteresia, Conjunctival pallor,
Atelectasis
Vision, diplopia, visual fields cut
- blurred
Pneumothorax
- Nose: Epistaxis
- Mouth:
Gingival and mucosal
c. Others
- membrane
Otitis Media
- Changes
RDS/ SIDS
- Lymph Nodes: Adenopathies
- Heart and Chest: tachycardia,
palpitations,
- Altered BP, sternal tenderness, low
- Oxygen saturation
- Abdomen: Hepato-splenomegaly
- Nervous System: Paresthesia,
Headache,
- Nuchal Rigidity
- Musculoskeletal system: bone pain,
TOPIC
DATE
LECTUR
joint
TIME
ER
- Swelling and arthralgia
I.E. IMPLEMENTATION

July 11

Mr.
Astilla

6
2. Interprets
deviations
from normal
findings in
the physical
assessment,
diagnostic
and
laboratory
examination

B. Diagnostic Tests and Procedures

1. Non-invasive:
- ECG
- Ultrasound
- chest Xray
- Cardiac Stress Testing
- Exercise stress Testing
- Pharmacological Stress Testing
- Echocardiography
- CT scan
- MRI
- Radio-nuclides studies

LEARNING
OBJECTIVE

TOPIC
-

4. Utilize
the
assessed
data in
order to:
-

Prioritize
nursing
diagnosis
Discuss the
pathophysiologi
cal responses
to altered
oxygenation:
cardiac and
peripheral
tissue
perfusion/
transport

5. Invasive Studies:
Cardiac Catheterization
Angiography
Aortography
Coronary Arteriography
Right Heart Catheterization
Electrophysiologic Testing
Arteriogram
Venogram
Lymphography
Bone marrow aspiration
Hemodynamic monitoring
* CVP
* Pulmonary artery pressure
* Intraarterial BP monitoring
6. 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

DATE
TIME

LECTUR
ER

7
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
13.Activity Intolerance

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

TOPIC

DATE
TIME

LECTUR
ER

July 18

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
1. Dysrhythmias
-

a.
Sinus
Sinus
Sinus

b. ATRIAL DYSRHYTHMIAS
Premature atrial complex
Atrial Flutter
Atrial Fibrillation

SINUS NODE DYSRHYTHMIAS

Bradycardia
Tachycardia
Arrhythmias

c. JUNCTIONAL DYSRHYTHMIAS
Premature Junctional Complex
Nonparoxysmal Junctional Tachycardia
Atrioventriculr Nodal Reentry
Tachycardia
d. VENTRICULAR DYSRHYTHMIAS
Premature Ventricular Complex
Ventricular Tachycardia
Venticular Fibrillation

8-12

8
-

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

July 24

Mrs.
Alfonso

8-12

B. Nursing Care of Clients with Coronary

Vascular Disease
a. Coronary Atherosclerosis
b. Angina Pectoris
c. Acute Coronary Syndrome and
Myocardial Infarction

LEARNING
OBJECTIVE

TOPIC

DATE
TIME

LECTUR
ER

July 25

Mrs.
Alfonso

C. Nursing Care of Clients with Structural,

Infectious and Inflammatory Cardiac
Disorders
a. Mitral Valve Prolapse
b. Mitral Regurgitation
c. Mitral Stenosis
d. Aortic Regurgitation
e. Aortic Stenosis
f. Septal Defects
g. Cardiomyopathy
h. Rheumatic Endocarditis
i. Infective Endocarditis
j. Myocarditis
k. Pericarditis
D. Nursing Management of Clients with
Complications from Heart Disease
a. Chronic Heart Failure
b. Pulmonary Edema
c. Thromboembolism
d. Pericardial effusion and cardiac
tamponade
e. Cardiac arrest
E. Nursing Care of Clients with Vascular
Disorder and Problems of Peripheral
Circulation
a. Peripheral Occlusive Disease
b. Upper Extremity Arterial Occlusive
Disease
c. ThromboangitisObliterans
d. Aortoiliac Disease
e. Aneurysms
f. Dissecting Aorta
g. Arterial Embolism and arterial
thrombosis
h. Raynauds Phenomenon
i. Chronic Venous Insufficiency/
Postthrombotic Syndrome

8-12

9
j.
k.
l.
m.

Leg Ulcers
Varicose Veins
Lymphagitis and Lymphadenitis
Lymphedema and elephantiasis

July 31

Mrs. De
Asis

8-12

F. Nursing Care of Clients with

Hypertension
a. Hypertension
b. Hypertensive Crises
G. Nursing Care of Clients with
Hematologic Disorders
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.

EARNING OBJECTIVE

Hypoproliferativeanemias
Hemolyticanemias
Polycythemia Vera
Secondary Polycythemia
Neutropenia
Lymphopenia
Acute Myeloid Leukemia
Chronic Myeloid Leukemia
Hodgkin Lymphoma
Non-hodgkin Lymphoma
Primary Thrombocythemia
Secondary Thrombocytosis
Thrombocytopenia

TOPIC
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
B. Defects with Obstruction to blood flow
- PS, AS, COA
C. Defects with mixed blood flow
- Transposition of great vessels
- TruncusArteriosus
D. Defects with decreased pulmonary blood
flow
- Tricuspid atresia
- TOF
E. Acquired Heart Disease

DATE
TIME

LECTUR
ER

Aug 1 *

Mrs.
Cadion

8-1pm

10
-

CHF
Rheumatic Fever
Persistent Pulmonary Hypertension
Kawasaki Disease
Endocarditis
Arrythmias
Hypertension
Dyslipidemia
Cardiomyopathy

F. Pediatric Hematologic Disorders

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

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

TOPIC
D. IMPLEMENTATION:
1. Pharmacologic Therapy

- Cholesterol lowering drugs, statins, bile

acids
Sequestrants, nicotinic acid, fibric acid
derivatives
Antianginal: Nitroglycerine, beta
blockers, calcium Channel blockers
Antiplatelet: Oral and IV drugs
Antidysrhythmic Drugs
Heart Failure: ACE inhibitors,
Angiotensin II
Receptor blockers, diuretics, positive
inotropic Agents, sympathomimetics,
digoxin, phophodi
Esterase inhibitors
Anemia: Iron sources, B12 sources,
folic acid
Sources
Antihypertensive: alpha adrenergic
blockers,
ACE inhibitors, beta adrenergic
blockers, calcium Channel blockers,
centrally acting
Anticoagulants: Heparin, Warfarin
2. Complementary and Alternative
Therapies

Fish Oil- Omega 3 Fatty acids

DATE
TIME

LECTUR
ER

11
-

Hawthorn
Herbs that may affect clotting
Natural Lipid Lowering agents
Phototherapy
DVET

3. Nutrition and Diet Therapy

DASH Diet
Pritkin Diet
Ornish Diet
Low Salt, Low Fat
Gavage Feeding
4. Blood Transfusion
5. Bone Marrow Transplant
6. Splenectomy

E. Client Education

Given an adult
( young, middle, old,
old-old adult) with
responses to altered
nutrition-metabolism ,
the student will be
able to:

Aug 7

Mrs. De
Asis

8-12

III. RESPONSES TO ALTERED NUTRITIONMETABOLISM

III.a. Review of Anatomy and Physiology of
the GIT and Accessory Organs
1. Alimentary Tract
a.
Oral Cavity or Mouth
- Tongue, Teeth, Palate and Tonsils
- Salivary Glands, Pharynx, Esophagus
- Stomach, Small Intestines, Large
Intestines
- Rectum and Anal Canal

LEARNING
OBJECTIVE

TOPIC
2.
-

Endoscopic procedures
Colonoscopy
ERCP
EGD
Sigmoidoscopy
Small bowel enteroscopy
Proctoscopy
Anoscopy

4.
-

Other procedures
AnorectalManometry
EsophagealManometry
EsophagealPhmanometry
Gastric Manometry

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

DATE
TIME

LECTUR
ER

12
7. Exfoliativecytologic analysis
8. Gastric analysis
4. Utilize the
assessed data in
order to:
-

Prioritize nursing
diagnosis
Discuss the
pathophysiologi
cal responses to
altered
nutritionmetabolism

Plan the care of

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

b. Analysis/ Nursing Diagnosis

1. Fluid Volume deficit related to blood
loss from Injury, other complications
related to surgery and Impaired gastric
tissue function, vomiting and
Interstitial fluid shift, diarrhea, loss of
fluid and Electrolytes, impaired fluid
intake, vomiting and Diarrhea, from
intestinal obstruction
2. Altered Nutrition: less than body
requirements
Related to esophageal injury,
dysphagia,
disease Process , treatment, nausea,
vomiting, diarrhea, malignancy and
treatment, GI
symptomatology, fluid and electrolyte
loss
3. Risk for infection related to GI
infections
4. Skin integrity, impaired, risk for related
to
Frequent contact with diarrheal stools
C. Planning

Aug 8

Mr.
Astilla

8-12

A. Planning for health maintenance,

restoration
a.
enema, fecal impaction removal
b.
NGT, TPN
c.
Liver transplant
III. C. COMMON HEALTH PROBLEMS
A. Nursing Care of Clients with Oral and
Esophageal Disorders
- Dental Plaques and Carries
- Dentoalveolar Abscess or Periapical
Abscess
- Malocclusion
- Temporomandibular Disorders
- Jaw disorders Requiring Surgical
Management
- Parotitis
- Sialadenitis

LEARNING
OBJECTIVE

TOPIC
-

Salivary Calculus
Neoplasms
Achalasia
Diffuse Esophageal Spasm
Hiatal Hernia
Diverticulum
Perforation
Foreign Bodies
Chemical Burns
GERD
BarettsEsophagus
Benign Tumors of the esophagus

DATE
TIME

LECTUR
ER

13
-

Cancer of the Esophagus

B. Nursing Care of Clients with Gastric

and Duodenal Ulcer
- Gastritis
- PUD
- Morbid Obesity
- Gastric Ca
- Gastric Surgery
- Duodenal Ulcers
C. Nursing Care of Clients with Intestinal
and Rectal Disorders
- Constipation
- Diarrhea
- Fecal Incontinence
- Food Poisoning
- Irritable Bowel Syndrome
- Conditions of Malabsorption
- Appendicits
- Diverticular Disease
- Peritonitis
- Types of Inflammatory Bowel Disease
- Small Bowel Obstruction
- Large Bowel Obstruction
- Colorectal Ca
- Polyps of the Colon and Rectum

Aug
14*

Mr.
Astilla

8-11

D. Disorders caused by food, vitamin and

mineral deficiencies:
-

Kwashiorkor
Marasmus
Iodine Deficiency

Aug
14*

Mrs.
Cadion

11-1pm

E. Malabsorption Syndrome
-

Celiac Sprue
Lactase Deficiency
Short Bowel Syndrome

F. Nursing Care of Clients with Hepatic

Disorders
-

LEARNING
OBJECTIVE

Jaundice
Portal Hypertension
Ascites
Esophageal Varices
Hepatic Encephalopathy
And coma

TOPIC

Hep A, B,C,D,E Virus

Hep G Virus and GB Virus-C
Toxic Hepatitis
Drug- Induced Hepatitis
Primary Liver Tumors
Liver Metastases
Liver Transplantation
Liver Abscess

Aug
15*

Mr.
Astilla

8-1pm

DATE
TIME

LECTUR
ER

14
G. Nursing Care of Clients with Biliary
Disorders
- Cholecystitis
- Cholelithiasis
- Gallbladder Ca
- Biliary Atresia
- Acute Pancreatitis
- Chronic Pancreatitis
- Pancreatic Cyst
- Cancer of the Pancreas
- Tumors of the Head of the Pancreas
- Pancreatic Islet Tumors
- Hyperinsulinism
- UlcerogenicTumors
H. Pediatric Disorders:
-

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
LEARNING
OBJECTIVE

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

Aug 28

Mrs.
Cadion

8-1pm

D. IMPLEMENTATION
1. Pharmacologic Therapeutics
- Antiemetics
- Anticoagulants
- Hematinics
- Laxatives
- Antipruritic
- 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
2. Complementary and Alternative
Therapies
- Ginger
- Milk Thisle (Silymarin)
3. Surgical and Special Procedures:
a. Surgical Procedures:
- Gastrostomy
- Gastrectomy

DATE
TIME

LECTUR
ER

15
- Colostomy
- Hemorrhoidectomy
- Gastrointestinal bypass
- Ileostomy
- Hemicolectomy
b. Special Procedures
- Parenteral Hyperalimentation
- Feeding per NGT, jejunostomy
- Gastrostomy tubes
- Hot sitz bath
3. Provide
appropriate
client education
and health
maintenance
and communitybased care of
clients.
Given an adult
( young, middle, old,
old-old adult) with
responses to altered
Endocrine function, the
student will be able to:
A. Apply knowledge
and normal anatomy
and physiology and
assessment
techniques in caring
for clients

4. Nutrition and Diet Therapy

- Regular Diets
- Special Diets: High Fiber, gluten
free
- Low Protein, High Calorie
5. Client Education
IV. RESPONSES TO ALTERED ENDOCRINE
FUNCTION

Aug 29
*

IV.a. Review on the Anatomy and Physiology

of the Endocrine System

8-10

Mrs. De
Asis

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
a. Hormones of the Anterior
Pituitary
- Growth Hormone ( GH)
- Thyroid Stimulating Hormone (TSH)
- Adrenocoticotropic Hormone
(ACTH)
Hormone (ICHSH)
Prolactin
Melanocyte- Stimulating
Hormone
(MSH)
b. Hormones of the Posterior
Pituitary
Antidiuretic Hormone (ADH)
Oxytocin
3. The Thyroid Gland
a.
Triidothyronine (T3)
b.
Thyroxine (T4)
c.
Calcitonin
2.
Parathyroid Gland
a.
Parathyroid Hormone (PTH)

LEARNING
OBJECTIVE

TOPIC
4. The Adrenal Gland
a. Adrenal Medulla
- Epinephrine or Adrenalin

DATE
TIME

LECTUR
ER

16
b.
-

Norepinephrine
Adrenal Cortex
Glucocorticoids
Mineralocorticoids
Androgens

5. The Pancreas
a. Beta Cells - Insulin
b. Alpha Cells Glucagon
6.
a.
b.
-

The Testes and the Ovaries

Female
Estrogen
Progesterone
Male
Testosterone

7. The Thymus Gland

- Thymosin
8. The Pineal Gland
a. Melatonin
C. Other Hormones
1. Prostaglandins
2. Erythropoietin
3. Human Chorionic Gonadotropin
(HCG)
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
endocrine function
2.
Perform
systematic and
comprehensive
physical assessment to
validate assessed
data.

IV.b. Nursing Process

a. Assessment

1. Subjective Data
a. Nursing History
Pain
Infection/ Inflammation
GI Manifestation
Skin Changes
Thirst
Perfusion Problems: bleeding, bruising,
Vital signs changes
Sensory and mental changes
Visual changes
Urinary/ reproductive changes

b. Functional Health Patterns

2. Objective Data
a. Physical Assessment
- Inspection: color, texture and
temperature of the skin and mucus
membrane, growth pattern, trembling
- Auscultation: bruit, tachycardia
- Palpation: organ thyroid enlargement
- Percussion: fluid, edema
- Severe weight loss

LEARNING
OBJECTIVE
3. Interprets
deviations from
normal findings

TOPIC

b. Diagnostic/ Laboratory Examinations

a. Non-invasive
- Test of Thyroid structure and function:

DATE
TIME

LECTUR
ER

Aug
29*

Mrs.
Cadion

17
in the physical
assessment,
diagnostic and
laboratory
examination

size, Shape, position, function by

scanning, UTZ, MRI, CT scan,
radionuclide imaging, testing
forAchilles tendon reflexes, radioiodide
uptake
Test for adrenal structure and function:
Lesions, diseases, CT,
MRI, adrenal venogram
And angiography
Test of Pituitary structure and function:
Skull X-ray, CT, MRI
Metabolic Function Studies
Abdominal UTZ, radiography, CT

b.
-

Invasive
Angiography
Portal pressure measurement
Biopsy
Paracentesis
Fine needle aspiration biopsy

10-1pm

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
- ACTH stimulation
- ACTH suppression
- 17 ketosteroids
- Fasting blood sugar
- Oral Glucose
- Tolerance test
- Glycosylated Hemoglobin
4. Utilize the
assessed data in
order to:
- Prioritize nursing
diagnosis
- Discuss the
pathophysiological
responses to
altered nutrition metabolism

LEARNING
OBJECTIVE

b. Analysis/ Nursing Diagnosis:

1. Imbalanced Nutrition less than/ more
than body Requirements as evidenced
by increased food Intake with weight
loss
2. Deficient fluid volume as evidenced by
dry mucus Membrane, thirst and
decreased urine output
3. Hyperthermia as evidenced by body
temperature Ranging from 39-41
degrees Celsius

TOPIC

4. Impaired Skin integrity as evidenced

DATE
TIME

LECTUR
ER

18

Plan the care of

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

by dry,
Rough, reddened and edematous skin
5. Ineffective therapeutic regimen
management
( health perception, health
management)
6. Disturbed body image ( selfperception,
Self-concept)
c. Planning
1. Planning for health restoration and
maintenance

Aug.
18-23
Sept 4

MIDTERM EXAMINATION

Mrs. De
Asis

8-12

IV.C. COMMON HEALTH PROBLEMS

1. Disorders of the thyroid gland
a. Hyperthyroidism (thyrotoxicosis)
- Graves Disease
- Toxic Nodular Goiter
b. Hypothyroidism
- Iodine deficiency
- Hashimotos thryroiditis
- Myxedema coma
- Congenital hypothyroidism
2.
-

Disorders of the Parathyroids

Hyperparathyroidism
Hypothyroidism
Hypocalcemia

3.
-

Disorders of the adrenal glands

Hypercortolism
Addisons disease
Pheochromocytoma
Congenital adrenogenital hyperplasia
Cushings syndrome

4.
-

Disorders of the Pituitary Gland

Anterior Pituitary Disorders
Gigantism
Acromegaly
Posterior Pituitary gland
SIADH
Diabetes Insipidus

5.
-

Pancreas
Diabetes Mellitus
Hypoglycemia
Diabetic Ketoacidosis
Hyperglycemic Hyperosmolar

Sept 5
8-12

Mrs. De
Asis

19
LEARNING OBJECTIVE

TOPIC

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

Given an adult
( young, middle, old,
old-old adult) with
responses to altered
Urinary elimination,
the student will be
able to:
A. Apply knowledge
and normal anatomy
and physiology and
assessment
techniques in caring
for clients

Nonketotic Syndrome
MacrovascularComplicstions
Microvascular Complications
Diabetic nephropathies
Foot and leg problems

d. Implementation
1.

DATE
TIME

LECTURE
R

Sept
11*
8-11

Mr.
Astilla

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
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

Special Procedures:
- Adminitration of insulin
- Adminstration of hormone
4. Nutrition and diet therapy
5. Patient education
V. CARE OF CLIENTS WITH RESPONSES
TO ALTERED URINARY ELIMINATION
V.a. Review of Anatomy and Physiology of the
Urinary System
A.
Structure and Function
1.
Kidney
a.
Gross structure of the Kidney
b.
Microscopic structure of the kidney
nephron

Sept
11*
11-1pm

Mrs.
Cadion

20
LEARNING OBJECTIVE

TOPIC

f.
g.

B. Assess the health

status of a client
1.
Conduct a
health history and
functional health
status of clients having
or at risk for
alterations in
oxygenation; cardiac
and peripheral tissue
perfusion/ transport
2.
Perform
systematic and
comprehensive
physical assessment to
validate assessed
data.

h.
i.
j.
k.
1.
2.
3.

c. Blood Supply
d. Functions
e. Urine Production
Filtration
Reabsorption
Secretion
Composition of Urine
Regulation of urine concentration and
volume
Hormonal Mechanisms
Effect of Sympathetic innervation
on Kidney function
Urine Movement
Ureters
Urinary Bladder
Urethra

V.b Nursing Process

a. Assessment
I. Nursing History
1.
a.
-

Subjective Data
General manifestations:
Fatigue
Headache
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

2. Objective Data
a. Physical assessment
-

Inspection: Masses, bulges,

inflammations,
Ulcerations, nodules, lesions,
discharges,
Indurated areas
Auscutation : Bowel sound, cardiac and
respiratory status: lung sounds, cardiac
arrhythmias, evidence of congestive
heart failure
Palpation: Tenderness or resistance,
inflammation, tenderness, masses,
hydrocele, varicocele,
lymohadepathies
Further inspection for vascularity,
atrophic vaginitis, bulges for hernias,
skin color changes

DATE
TIME

LECTURE
R

21

LEARNING OBJECTIVE

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

TOPIC

2. 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
b.
-

4.
Utilize the
assessed data in order
to:
-

Prioritize nursing
diagnosis
Discuss the
pathophysiologi
cal responses to
altered urinary
elimination

Plan the care of

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

Invasive
IVP
Retrograde Pyelography
Cystourethrogram
Renal Scans
Cystoscopy
Renal biopsy
Radioisotope scanning
Nuclear Scans
Intraveous urography
Renal angiography
Voiding cystourethrography

b. Analysis/ Nursing Diagnosis

1. Impaired urinary elimination as
evidenced by , urgency, frequency,
hesitancy, dysuria, nocturia
2. Urge urinary incontinence as
evidenced by frequency, urgency, loss
of urine before reaching toilet and
voiding in small and large amount
3. Urinary retention as evidenced by
dribbling urine with increased
intraabdominal pressure, urinary
urgency, urinary frequency
4. Acute Pain
5. Ineffective health maintenance
c. Planning
1. Planning for health promotion
- Promoting urinary elimination
- Preventing urinary infection
- Managing risk as renal calculi and
hypertension
2. Planning for health maintenance and
Restoration
-

Catheters: Urethral, Nephrostomy,

Ureteral, Suprapubic
System intermittent and intermittent
self- catheterization, indwellingexdwelling drainage system
Urulogic Surgery:
a.
Nephrotomy
b.
Nephrectomy
c.
Pyelotomy
d.
Ureterotomy
e.
Cystotomy, cystectomy
f.
Lithotripsy

DATE
TIME

LECTURE
R

22

LEARNING
OBJECTIVE

TOPIC
a.
b.
c.
d.
e.

Extracorporeal renal surgery

Percutaneous nephrostomy
Urinary diversion
Renal transplant
Dialysis types

V.C. COMMON HEALTH PROBLEMS

I.
Nursing Care of Clients with Urinary
Disorders
- Lower Urinary Tract Infections
- Upper Urinary Tract Infections
- Urinary Incontinence
- Urinary Retention
- Urinary calculi
- Neurogenic Bladder
- Cancer of the Bladder
II.
Nursing Care of Clients with Renal
Disorder
- Nephrosclerosis
- Primary Glomerular disease
- Polycystic disease
- Acute Renal Failure
- Chronic Renal Failure
- Kidney Trauma
III.
-

Implement
individualized
nursing care:

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

Disorders affecting Pediatric Clients

Vesicoureteral reflux
Wilmstumor
Acute poststreptococcal
glomerulonephritis
Polycystic kidney
Systemic Lupus Erythomatosus
d. Implementation

a.
-

Pharmacologic therapeutics
Diuretics
Medications for Gout
Antispasmodics
Cholinergics
Analgesics
Alpha-Blockers

2. Complementary and Alternative

Therapies
- Biofeedback for urinary incontinence
- HalamangGamot
3. Nutrition and diet therapy
a.
Protein-mineral-and Fluid Modified
Diets
4. Patient education

DATE
TIME

LECTUR
ER

Sept 12
8-12

Mrs.
Alfonso

23
and communitybased care of
clients.

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:

VI. CARE OF CLIENTS WITH ALTERED

FLUIDS, ELECTROLYTES AND ACID-BASE
BALANCE

Sept
18*

Mrs. De
Asis

A. Apply knowledge
and normal anatomy
and physiology and
assessment
techniques in caring
for clients
B. Assess the health
status of a client
1.
Conduct a
health history and
functional health
status of clients having
or at risk for
alterations in
oxygenation,
ventilation and gas
exchange.
2.
Perform
systematic and
comprehensive
physical assessment to
validate assessed
data.

8-11am
VI. a. Overview of Normal fluid and
electrolytes Balance
VI. b. Nursing Process
a. Assessment
1. Nursing History
a. Subjective Data
1.
-

ECF Volume Deficits

Loss of body weight
Changes in I & O
Changes in Vital signs
Other manifestations:
- Dryness of the mouth
And mucous membrane
- Tenting of the skin
- Changes in Urine output and
mentation
- muscle weakness
- change in consistency of the stool;
cerebral changes

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

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

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

Sept
18*
11-1pm

Mrs.
Cadion

24

LEARNING OBJECTIVE

4. Utilize the
assessed data in
order to:
-

Prioritize nursing
diagnosis
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.

TOPIC

1.
2.
3.
4.
5.
6.

DATE
TIME

LECTURE
R

Sept
25*
8-1pm

Mrs. De
Asis

Impaired Oral Mucous Membrane

Risk for injury
Risk for activity intolerance
Risk for decreased cardiac output
Risk for impaired skin integrity
Imbalance nutrition: Less than body
requirements related to insufficient
intake of foods rich in potassium

C. Planning
1. Planning for health promotion
- Preventing fluid and electrolyte loss
- Planning for client hydration
- Reducing risk for injury
2. Planning for health maintenance and
Restoration
- Fluid and electrolyte management-oral
and intravenous fluid and electrolyte
replacement

VI. C. COMMMON HEALTH PROBLEMS

AND CARE OF CLIENTS WITH FLUID AND
ELECTROLYTE IMBALANCE
1.
2.

Fluid Imbalance
Fluid Volume Deficit
Fluid Volume Excess
Electrolyte Imbalance
a. Sodium Imbalance
- Hypernatremia
- Hyponatremia
b. Potassium
- Hypokalemia
- Hyperkalemia
c. Calcium
- HYpocalcemia
- Hypercalcemia
d. Phosphate
- Hypophosphatemia
- Hyperphosphatemia
e. Magnesium
- Hypomagnesemia
- Hypermagnesemia

2. Acid-Base Imbalance
a. Respiratory Acid-base Imbalance
- Acidosis
- Alkalosis

25
b.
Metabolic Acid-base Imbalance
- Acidosis
- Alkalosis

LEARNING OBJECTIVE

TOPIC

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

d. Implementation
1.
a.
b.
-

Pharmacologic therapeutics
IV Additives
KCL
CaCl
MgSO4
HCO3Plasma Expanders
Colloids
Dextran
Hexastarch

2.
a.
-

Nutrition and diet therapy

Food sources
Sodium
Potassium
Calcium
Phosphate
Magnesium

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

LECTURE
R

Sept
26*
8-10

Mrs.
Cadion

Sept
26*
10-1pm

Mrs.
Alfonso

3. Patient education
VII. NURSING CARE OF CLIENTS
UNDERGOING SURGERY
I.

On completion of this
chapter, the students
will be able to:

DATE
TIME

Introductory Information:
Perioperative Nursing

A. Fundamentals of Theory and Practice

a. Perioperative Education
b. Foundations of Perioperative
Care Standards
c. Legal and Ethical Issues
B. The Perioperative Patient Care Team
a. The Perioperative Patient Care
Team
b. The Surgical First Assistant
c. Administration of Perioperative
Patient Care Service
C. The Patient as a Unique Individual
a. The Patient: The Reason for your
existence
b. Perioperative Pediatrics
c. Perioperative Geriatrics
D. The Perioperative Environment
a. Physical Facilities
b. Ambulatory Surgery Centers
c. Care of The Perioperative
Environment
d. Potential Sources of Injury to
the Caregiver and the Patient
E. Surgical Asepsis and Sterile Technique
a. Microbiologic Considerations
b. Principles of Asepsis and Sterile
Technique
c. Attire, Surgical Scrub, Gowning
and Gloving

Oct 2
8-12

Mrs.
Alfonso

26
nursing
measures that
decrease the
risk for infection
and other
postoperative
complications

LEARNING OBJECTIVE

6.
Describe
the immediate
preoperative
preparation of
the patient
7.
Develop a
preoperative
teaching plan
designed to
promote the
patients
recovery from
anesthesia and
surgery, thus
preventing
postoperative
complications

d. Decontamination and
Disinfection
e. Sterilization

TOPIC

F. Surgical Instrumentation and

Equipment
a. Surgical Instrumentation
b. Specialized Surgical Equipment
G. Preoperative Patient Care
a. Preoperative Preparation of the
Patient
b. Diagnostic Procedures
H. Pharmacology and Anesthesia
a. Surgical Anesthesia
b. Anesthesia: Techniques and
Agents
I. Intraoperative Patient Care
a. Coordinated Roles of the Scrub
Person and the Circulator
b. Positioning, Prepping and draping
the Patient
c. Physiologic Maintenance and
Monitoring of the Perioperative
Patient
J. Surgical Specialties
K. Surgical Site Management
a. Hemostasis and Wound Closure
b. Wound Healing
- Wound dressing
- Fluids and nutrition
- Medications
- Post operative Discharge
instructions
- Rest and activity
- Eating
- Sleeping
- Wound healing
- Bowel and urinary
elimination
- Bathing, showering
- Clothing
- Driving
- Bending and lifting
- Medications
- Follow up care
L. Perianesthesia and Postprocedural
Patient Care
a. Postoperative Patient Care
b. Potential Perioperative
Complications
- Shock
- Hemorrhage
- Pulmonary embolism
- Deep vein thrombosis
- Urinary retention
- Intestinal obstruction

DATE
TIME

LECTURE
R

Oct. 3
8-12

Mr.
Astilla

Oct. 9
8-12
Oct. 10
8-12

Mrs.
Alfonso
Mrs.
Alfonso

Oct. 16
8-12
Mr.
Astilla

Oct 17*
8-11

Mr.
Astilla
Oct.
17*
11-1pm

Oct 2123

Mrs.
Cadion

27
-

Hiccups
Wound infection
Dehiscence
Evisceration
Psychological disturbances
FINAL EXAMINATION

NOTE: TOTAL OF 136 hrs ( 8 hours per week except those where * (5 hours : 8am-1pm instead of
8am-12nn) is indicated to complete the total number of hours [ 136 hours] in 18 weeks. )
SCHEDULE:
THURSDAYS: 8:00 AM 12:00 NN
FRIDAYS:
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

Level III Clinical Instructors:

Alfonso, Louradel U., MAN, RN
Astilla, Jeremey, MAN, RN
Cadion, Doris S., MAN, RN
De Asis, Rebecca, MAN, RN

PREPARED BY:
LOURADEL U. ALFONSO, MAN, RN
GASCO, RN, DMHRM
ACADEMIC COORDINATOR
NURSING

APPROVED BY:
DR. SOCORRO S.
DEAN, COLLEGE OF