CENTRO ESCOLAR UNIVERSITY

School of Nursing
Manila*Malaolos*Makati
SYLLABUS
CARE OF CLIENTS WITH PROBLEMS IN THE OXYGENATION,
FLUID & ELECTROLYTE BALANCE, METABOLISM AND
ENDOCRINE

Course Title

NCM 103

UNIT: 8 LEC; 6 LAB

Course Number

Unit(s)

HOURS: 144
LEC; 306 LAB
Hour(s)/ Week

COURSE DESCRIPTION: The course deals with the principles and techniques of nursing care management of sick clients across the life span with emphasis on adult and the

older person, population group in any setting with alterations/problems in oxygenation, fluid and electrolyte balance, metabolism and endocrine function.
ENTRY OF COMPETENCIES: NCM 102
TERMINAL COMPETENCIES: At the end of the course, given actual clients with problems in electrolyte balance, nutrition and metabolism, and endocrine function, the

student will be able to provide safe and quality nursing care to various clients through the utilization of the nursing process and the observation of the nursing standards in the
care of clients
Intermediate
Competencies

At the end of this unit the student

will be able to:
1. Relate the principles of
internal constancy,
homeostasis, stress, and
adaptation to the concept
of steady state
2. Describe the models of
stress
3. Identify measures that are
useful in reducing stress

Course Content

PRELIM
Unit I. Introductory Concepts
Homeostasis- Stress and Adaptation
1. Definitions
1.1 Stress and Stressors
1.2 Homeostasis and Adaptation
2. Models of Stress
2.1 Stimulus Based Model
2.2 Response Based Model
2.3 Transaction Based Model
3. Physiological Adaptation

Course Plan
Suggested Teaching
Methodology /
Strategy

LectureDiscussion
Demonstration of
various stress
management

Time
Allotment

12 hrs

Related Learning
Experiences

Time
Allotment

Assesses patient
experiencing stress in
the
clinical/community
setting
- Demonstrates the
various stress
management

Skills 17
hrs

Materials
Needed

Evaluative
Measures

Surgical
Ward 20
hrs

A/A
Recitation
Oral
Requirement
Quizzes
UE

OR- 40 hrs

Periodical
Exam
1

4.

Formulate nursing care

plan for patient under
stressful situation

3.1 Pathway
4. Psychological Adaptation
Anxiety
4.1.1 Level of Anxiety
5. Stress Management
5.1 Promoting Healthy Lifestyle
5.2 Enhancing Coping Strategies
5. 3 Teaching Relaxation
Techniques
5.4 Educating About Stress
Management
5.5 Enhancing Social Support

At the end of the unit the

Unit II. Concept of Pain
student will be able to:
1. Neurophysiological transmission
1. Discuss pathophysiological of pain
process of pain
2. Pain theories
2. Identifies appropriate pain
3. Types of Pain
assessment tool for a given age4. Effects of Pain
group
5. Nursing Care of Client
3. State relevant priority
Experiencing pain
nursing diagnosis with a
5.1 Assessment
given set of clues
5.1.1 Characteristics of Pain
4. Utilize
5.1.2 Instruments of
appropriatepharmacologic/
Assessing pain
non- pharmacologic
interventions
to reduce clients pain
At the end of the unit the student
will be able to:
1. Discuss the general
consideration in the care

Role Playing
Case
Pres/Eval8 hrs

Lecture
-Discussion
Presentation of
nonpharmacologic
pain management

16 hrs

Assesses patient
experiencing pain in
the clinical setting
- Demonstrates the
various nonpharmacologic
pain
management

Unit III. Care of Patients Requiring

Surgery
1. General Consideration
1.1 Conditions Requiring
2

of patients requiring
Surgery
surgery
1.2 Categories for Surgical
2. Utilize the nursing process
Procedure as to
in the care of client for
1.2.1 Purpose
surgery
1.2.2 Degree of risk to the
3. List priority nursing diagpatient
nosis for a client requiring
1.2.3 Urgency
surgery during the pre-op,
1.2.4 Effects of surgery
intra-op and post-op phase
on the person
4. Utilize appropriate
1.2.5 Factors in the
interventions for a
estimation of
Surgical client during
surgical risk
pre-op, intra-op and
2.The Surgical Experience
post-op
2.1 Pre-operative Nursing Care
2.2 Assessment of Health Factors that
Affects Patients Preoperatively
2.3 Preparations before Surgery
2.4 Preoperative Nursing Intervention
2.5 Intra-operative Nursing Care
2.6 The Surgical Team
2.7 Principles of Surgical Asepsis
2.8 Sedation and Anesthesia
2.9 Potential Intraoperative
Complications
2.10Post-operative Nursing Care
2.11Phases of Postanesthesia
2.12 Nursing Management in
the PACU
2.13 Nursing Management
after surgery
At the end of the unit the student
Unit IV. Death and Dying
will be able to:
1. Definitions
1. Discuss the concept of death
2. Stages of grief
and dying
3. Stages of dying
2. Utilize the nursing process
4. Dimensions of dying
in the care of dying
5. Factors affecting the survivors

LectureDiscussion

16 hrs

Film Showing
Video Conference

Demo-return demo of
basic OR procedures
like scrubbing,
gloving, gowning,
maintaining aseptic
technique and others
Clinical exposure on
surgical wards and
Operating room and
RR to experience the
phases of :
Pre-operative
Intra-operative
Post-operative
-Performs functions
of both scrub and
circulating nurse

Lecture
Discussion

4 hrs

Demo-Return Demo
( Post-Mortem

Film Showing

patient and significant

others

At the end of the unit the student

will be able to:
1. Assess a client
with problems
in hematological
disorders
2. Identify the nursing implications of the various
procedures used for
diagnostic evaluation
3. Discuss the common health
problems related to
hematological disorders
4. Describe the nursing
management of patient
with hematological
disorders
5. Use the nursing
process as a framework for
care of patient with
hematological disorders

At the end of the unit the student

will be able to:
1. Assess a client with
problems in cardiovascular
disorders
2. Identify the nursing impli-

response
Characteristics of griever that
require psychiatric care
7. Assessment
8. Interventions
MIDTERM
Unit V. Hematological Disorders
Lecture
1. Assessment
Discussion
Health History
Physical Examination
Case Scenarios
Diagnostic Evaluation
2. Nursing Implication
Nursing Diagnosis
Video
Planning, Implementation and Evaluation
Conferencing
3. Common Disorders
Anemia
Nursing Care
3.1 Hypoproliferative
Plan Presenta3.2 Iron Deficiency Anemia
tion
3.3 Aplastic Anemia
3.4 Megaloblastic Anemias (Folic Acid
Concept
and Vit B12 Deficiency
Mapping
3.5 Hemolytic Anemia
3.6 Sickle Cell Anemia
3.7 Thalassemia
3.8 Polythemias
3.9 Leukopenia and Neutropenia
3.9.1 Bleeding disorders
3.9.2 Thrombocytopenia
3.9.2.1 ITP
3.9.2.2 Hemophilia
Unit VI. Cardiovascular Disorders
1. Assessment
1.1 Health History
1.2 Physical Examination
1.3 Diagnostic Evaluation
2. Nursing Implication
6.

12 hrs

Demo and return

demo of the various
procedures related to
Oxygenation
concepts ( Blood
transfusions, CVP,
oxygen
administration,
suctioning,
tracheostomy care,
others)

102 hours

Clini-cal
kit bag
Supplies/
Materials
for
retdem

A/A
Recitation
Oral
Reqt
Quizzes
UE
Periodical
Exam

Tools/
Forms
Clinical Exposure
Community Exposure
Case Presentation

24 hrs

cations of the various

procedures used for
diagnostic evaluation
3. Discuss the
common health
problems related to
cardiovascular disorders
4. Describe the
nursing management
of patient with
cardiovascular disorders
5. Use the nursing
process as a framework
for care of patient with
cardiovascular disorders

2.1 Nursing Diagnosis

2.2 Planning, Implementation,
and Evaluation
2.3 Medical/Pharmacologic
Surgical Management
3. Common Disorders
3.1 Congenital Heart Disease
3.1.1 Acyanotic
Heart Disease
3.1.2 Cyanotic Heart
Disease
3.1.3 Rheumatic
Fever
3.3 Coronary Vascular Disease
3.3.1 Atherosclerosis
3.3.2 Angina
Pectoris
3.3.3 Myocardial
infraction
3.3.4 Complications
( Heart Failure)
3.4. Structural, Infectious and
Inflammatory
3.4.1 Acquired Valvular
Disease
3.4.1.1 Mitral Valve
Prolapse
3.4.1.2 Mitral
Regurgitation
3.4.1.3 Mitral Stenosis
3.4.1.4. Aortic
Regurgitation
3.4.1.5 Aortic Stenosis
3.4.2 Infectious
3.4.2.1 Endocarditis
5

3.4.2.2 Myocarditis
3.4.2.3 Pericarditis
3.5 Vascular Disorders and
Peripheral Circulation
3.5.1 Arterial Disorders
3.5.1.1Peripheral arterial
occlusive disease
3.5.1.2 Buergers disease
3.5.1.3Aortic aneursym
3.5.1.4Raynauds
disease
3.5.2 Venous Disorders
3.5.2.1 Deep Vein
Thrombosis
3.5.2.2 Varicose Vein
3.6 Hypertension
At the end of the unit the student Unit VII. Respiratory Disorders
will be able to:
1. Assessment
1. Assess a client
1.1 Health History
2. with problems in respira1.2 Physical Examination
tory disorders
1.3 Diagnostic Evaluation
3. Identify the nursing impli2. Nursing Implication
cations of the various
2.1 Nursing Diagnosis
procedures used for
2.2 Planning, Implementation,
diagnostic evaluation
and Evaluation
4. Discuss the common health
2.3 Medical/Pharmacologic and
problems related to respiSurgical Management
ratory disorders
3. Common Disorders
5. Describe the nursing
3.1 Upper Respiratory Tract
management of patient
Disorders
With respiratory disorders
3.1.1 Upper Airway
6. Use the nursing process as
Infections
a framework for care of
3.1.1.1 Rhinitis
patient with respiratory
3.1.1.2 Sinusitis
disorders
3.1.1.3 Pharyngitis

12 hrs

3.1.1.4 Tonsilitis and

Adenoiditis
3.1.1.5 Peritonsillar
Abscess
3.1.1.6 Laryngitis
3.2 Chest and Lower
Respiratory Tract
Disorders
3.2.1 Atelectasis
3.2.2 Pleural Conditions
3.2.3 Acute Respiratory
Failure
3.2.4 Acute Respiratory
Distress Syndrome
3.3 Chronic Obstructive
Pulmonary Disease
( Chronic Bronchitis and
Emphysema
Bronchiectasis
Asthma
3.4 Common Pediatric Disorders
3.4.1 Hyaline Membrane
Disease
3.5.1 Cystic Fibrosis
At the end of the unit the student FINALS
will be able to:
UNIT VIII. Disturbances in Fluid and
1. Assess a client
Electrolytes Balance
with alterations
1. Assessment
in fluid and
1.1 Nursing History
electrolytes
1.2 Physical Assessment
2. Identify the nursing impli1.3 Diagnostic Assessment
cations of the various
2. Nursing Implications
procedures used for
2.1 Nursing Diagnosis
diagnostic evaluation
2.2 Planning, Implementation,
3. Discuss the common health
and Evaluation

Lecture
Discussion
Case Scenarios
Film Showing
Video
Conferencing
Nursing Care

20 hrs

Demo-Return
demonstration of
various procedures
related to fluid and
electrolyte
( catheterization,
bladder and catheter
irrigations, peritoneal
dialysis)

102 hours

Clini-cal
kit bag
Supplies/
Materials
for
retdem

A/A
Recitation
Oral
Reqt
Quizzes
UE
Periodical
Exam
7

problems related to alte2.3 Medical/Pharmacologic

ration in fluid and
Surgical Management
electrolytes
3. Common Disorders
4. Describe the
3.1 Fluid Volume Imbalances
nursing management
Electrolyte Imbalances
of patient with alteration in
(Na, K, Mg, Ca)
fluid and electrolyte
3.2 Acid-Base Imbalances
5. Use the nursing process as a3.3 Urinary Disorders
framework for care of
3.3.1 Infections of the Urinary
patient with alteration in
Tract
fluid and balance
3.3.2 Primary Glomerular
Diseases
-Glomerulonphritis
-Nephrotic Syndrome
3.3.3 Renal Failure
-Acute Renal Failure
-ESRD
3.3.4 Urolithiasis
3.4 Burns
3.4.1 Classification
3.4.2 Local and Systemic response
to Burns
3.4.3 Management

Plan
Presentation

Clinical Exposure

Tools/
Forms

Community Exposure
Concept Mapping
Case Presentation
Exercises on
Acid base
Balance
Computation and
of BSA burned

At the end of the unit the student UNIT IX: Disturbances in Metabolism and
will be able to:
Endocrine
Lecture
1. Assess a client with prob1. Assessment
Discussion
lems in metabolic and
1.1 Nursing History
endocrine disorders
1.2 Physical Assessment
Case Scenarios
2. Identify the nursing impli1.3 Diagnostic Assessment
cations of the various
2. Nursing Implications
Film Showing
procedures used for
2.1 Nursing Diagnosis
Video
diagnostic evaluation
2.2 Planning, Implementation,
Conferencing
3. Discuss the common health
and Evaluation
problems related to meta2.3 Medical/Pharmacologic
Nursing Care
bolic and endocrine
Surgical Management
Plan Presentation

28 hrs

Demo-Return
demonstration of
various procedures
related to metabolism
and endocrine( NGT
feeding, lavage,
colostomy care and
irrigation, blood
glucose monitoring,
and others)

102 hours

Clini-cal
kit bag
Supplies/
Materials
for
retdem

A/A
Recitation
Oral
Reqt
Quizzes
UE
Periodical
Exam

Tools/
8

disorders
4. Describe the nursing management of patient with
metabolic and endocrine
disorders
5. Use the nursing process as a
framework for care of
patient with metabolic and
endocrine disorders

3. Common Disorders
3.1 Digestive and
Concept
Gastrointestinal
Mapping
3.1.1 Esophageal Disorders
3.1.1.1 Achalasia
3.1.1.2 Hiatal Hernia
3.1.1.3 Gastroesophageal
Reflux Disease
3.1.2 Gastric and Duodenal
Disorders
3.1.3 Intestinal and Rectal
Disorders
3.1.3.1 Acute Inflammatory Intestinal
3.1.3.1.1.Appendicitis
3.1.3.1.2 Diverticular
Disease
3.1.3.1.3 Peritonitis
3.1.3.2 Inflammatory Bowel
Disease
3.1.3.2.1 Regional
Enteritis
3.1.3.2.2 Ulcerative
Colitis
3.1.3.3 Intestinal Obstruction
3.1.3.4 Diseases of the
Anorectum
3.1.3.4.1 Hemorrhoids
3.1.3.5 Common Pediatric
Disorders
3.1.3.5.1 Clept Lip and
palate
3.1.3.5.2 Esophageal
atresia
3.1.3.5.3 Hirschprungs
disease

Clinical Exposure

Forms

Community Exposure
Case Presentation
Culminating activity
at the end of the
semester:
Oral revalida
Grand Return
Demonstration

3.1.3.5.4.Imperforate
anus
3.1.3.5.5 Intussusception
3.2 Hepatic Disorders
3.2.1 Liver Cirrhosis
3.3 Biliary Disorders
3.3.1 Cholecystitis
3.3.2 Cholelithisis
3.3.3 Pancreatitis
3.4 Endocrine Disorders
3.4.1 Pituitary disorders
3.4.2. Thyroid disorders
3.4.3. Parathyroid disorders
3.4.4 Adrenal disorders
3.4.5 Glucose Metabolism
( Diabetes Mellitus)
References:
A. Books
Black, J. and Hawks, J., Medical-Surgical Nursing, 2008, 8th edition, Saunders,
Gould, B, Pathophysiology for the Health Professions, 3rd edition, Elsevier, Singapore, 2007
Lemone, S. and Burke, K., .Medical-Surgical Nursing, 4th edition, Pearson Int., 2007
Lewis, S., et al., Medical-Surgical Nursing, 7th edition, Elsevier, Singapore, 2011
Linton, A., Medical-Surgical Nursing, 4th edition, Saunders, 2007
Madara B., Pomarico-Denino, V., Pathophysiology, 2nd edition, Jones and Bartlett Publishers, Inc. ,2008
Nettina, S., The Lippincott Manual of Nursing Practice, 9th edition, Lippincott , 2009
Phillips, N., Berry and Kohns Operating Room Technique, 12th edition, Mosby, Inc., 2012
Porth, Carol Mattson, et al., Pathophysiology, Concepts of Altered Health States, 3rd edition, North American Ed., Lippincott, 2010
Smeltzer, S.,, et al., Textbook of Medical-Surgical Nursing, 11th edition, Lippincott, 2008
Timby, B., and Smith, N., Medical-Surgical Nursing, 9th edition, Lippincott, 2007
B. Journal Articles
AORN Journal, Recommended Practices for sterile Technique p. 14-26, Lynne Kennedy,Volume 98,Issue 1, July 2013
10

Operating Room Nurses association of the Philippines, Newsletter, December 2012

International Association for the Study of Pain, copyright 2013
MedlinePlus, nih gov.
Journal od Cardiovascular Disease Research, Volume 4, Issue 2, Pages 77-162 (June 2013)
C. Electronic References

http://www.nlm.nih.gov/medlineplus/surgeryvideos.html
http://surgery.about.com/od/proceduresaz/u/ProcedurePath.--9i.htm
http://www.ehow.com/list_6105333_responsibilities-circulating-scrub-nurse.html
http://www.nursingtimes.net/care-of-the-postoperative-patient/200004.article
http://www.partnersagainstpain.com/pain-management/videos.aspx
Lazarus' Theory of Coping, http://www.youtube.com/watch?v=Ir7cqVKUjN8
Prepared by:

(Sgd) MRS. JOYLYN L. MEJILLA

(Sgd) MR. SONNY S. PURA
(Sgd) MRS. RAQUEL CRISTOBAL
(Sgd) MRS. MA. ARMELA A. PAMILOZA

Date:

Approved by:

APRIL 15, 2013

DR. TERESITA I. BARCELO

Dean

Date

APRIL 15, 2013

11