ST.

ANTHONY’S COLLEGE
San Jose, Antique

OUTCOMES-BASED CURRICULUM PACING GUIDE

Program: BACHELOR OF SCIENCE IN NURSING

Department: NURSING
Area of Specialization:

Prepared by: Reviewed by: Approved by: Date of Effectivity:

1st Sem. AY 2018-2019
ROQUE B. CORDERO II, RN ARIS KENDELL BUNGABONG, RN, MAN ANA LINDA O. SANTOS, PhD
Instructor/Professor OIC Dean VP for Academic Affairs

Descriptive Title: CARE OF CLIENTS WITH PROBLEM IN OXYGENATION, FLUID AND ELECTROLYTES IMBALANCE,
Course Number: NCM 103
NUTRITION, METABOLISM AND ENDOCRINE

Course Credit/s: 8 units lecture; 6 unit RLE Lecture Hours/ Week: 144 lecture hours Laboratory Hours/ Week: 306 hours RLE

Pre-requisite/s: NCM 102

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. Related Learning
experience complement the lecture component and is designed to provide students with hands-on experience related to the care of clients with problem in oxygenation, fluid and
electrolytes, nutrition, metabolism and endocrine. Integrated in this course is the three core values spirituality, academic excellence and community service.

Learning Outcomes:
At the end of the course, the students will be able to:
Course Learning Outcomes Program Learning Outcomes
PO1 PO2 PO3 PO4 PO5 PO6 PO7 PO8 PO9 PO10 PO11 PO12 PO13 PO14
CLO 1. Apply appropriate nursing concepts and actions holistically and P
comprehensively
CLO 2. Perform safe, appropriate and holistic care to a given client, families, P
population group and community utilizing nursing process
CLO 3. Apply guidelines and principles of evidence based practice in the P
formulation of nursing care plan
CLO 4. Practice nursing in accordance with existing law, legal, ethical, and moral P
principles

1
 CLO 5. Communicate effectively with teachers, co-students and given client. P
CLO 6. Document client care accurately and comprehensively P
CLO 7. Collaborate effectively with classmates P
CLO 8. Practice needed nursing and leadership skills using approach system in the P
delivery of care of a given client
CLO 9. Engage in lifelong learning and nursing updates for own personal P
development and competence
CLO 10. Demonstrate responsible citizenship and pride of being a Filipino P
CLO 11. Apply techno-intelligent care system and process in giving care to client P
CLO 12. Uphold the nursing core values in providing care to client P
CLO 13.SPIRITUALITY: Speak, acts, and live with conscious yearning to extend p p p p p p P p P P p P P
love, and respect for others
CLO 14.ACADEMIC EXCELLENCE: Demonstrate skills and competence
required in their nursing task
CLO 15.COMMUNITY SERVIVE: Engage in voluntary service in their P
respective communities to which they belong as expression of application
of what was learned in the classroom
Legend: I –Introduced in the course P – Practiced in the Course D – Demonstrated in the Course

Time Intended Learning Learning Content Teaching Learning Assessment Learning Resources
Allotment Outcomes Activity
References Equipment’s

Week 1 Students acquire I. Course Orientation Question and answer Return discussion School Visions, -LCD
Lecture understanding about the 1. VMO mission, ILOs, projector
1hr course. 2. Programs LOs PLOs, CLOs -White board
3.Course LOs Outcome-Based and pen
4.Grading System -Laptop
Curriculum Pacing
5.Classroom Rules -Pointer
6.Rules on absences Guide of the course
7. Requirement
Student Handbook

Week 1 Students identify and The different risk factors among Lecture Discussion Pen and Paper Smeltzer S.C. Bare -LCD
Lecture present risk factors among clients that contribute to the tests B.G.(2014) Brunner projector
7 hrs. clients that contribute to development of problems in Recall of answers to and Suddarth's -White board
the development of oxygenation: questions raised Group activity/ Textbook of Medical and pen
and Surgical
problems in Oxygenation-  Current respiratory problems Nursiing 13th
2
 cardiovascular risk factors  History of respiratory disease Group activity/reporting presentation Edition. Lippincott -Laptop
(modifiable and non-  Lifestyle (smoking, Rubric Williams and -Pointer
modifiable) alcoholism, exercise patterns) Case analysis Wilkens.
 Presence of cough Case analysis
Ignatavicius, Donna,
CLO 1  Presence of Chest Pain rubric
and Workman, M.
 Lung Cancer Linda.(2013)
Students identify risk  Cardiovascular disease Medical Surgical
health factors and
 Stroke Nursing, A Patient-
formulate plan of care to
 Tuberculosis centered
address the health Collaborative Care.
 Obesity
conditions, needs, 7th Edition.
problems and issues based  Dietary assessment USA.Elsivier.
on priorities  Medication history

CLO 2

Case findings and class Reporting Rubric Smeltzer S.C. Bare -LCD
RLE (Skills presentation on factors B.G.(2014) Brunner projector
Laboratory) among clients that Paper-pencil test and Suddarth's -White board
16 hours Students identify and contribute to the Textbook of and pen
present risk factors among development of problems Oral questioning Medical and - Laptop
clients that contribute to in oxygenation observing Surgical Nursiing - Pointer
the development of respect of human dignity Case finding 13th Edition.
problems in Oxygenation- and ethico-legal presentation Lippincott Williams
cardiovascular risk factors consideration rubric and Wilkens.
(modifiable and non-  Current respiratory
modifiable) problems Ignatavicius,
 History of respiratory Donna, and
CLO 1 Workman, M.
disease
Linda. (2013)
 Lifestyle (smoking, Medical Surgical
Identify risk health factors
and formulate plan of care alcoholism, exercise Nursing, A Patient-
to address the health patterns) centered
conditions, needs,  Presence of cough Collaborative Care.
problems and issues based  Presence of Chest 7th Edition.
on priorities Pain USA.Elsivier.

3
 CLO 2
Students act with conscious
yearning to extend love,
and respect for others with
ethico-legal consideration
CLO 13, CLO 4
Week 2 Identify significant
Lecture subjective data from client
8 hours history and formulate
nursing diagnosis related to
problems in oxygenation
CLO 2.
Ensure a working
relationship with the given
client based on trust,
respect, decision-making
using appropriate
communication strategies
in gathering health history
 Lung Cancer
 Cardiovascular
disease
 Stroke
 Tuberculosis
 Obesity
 Dietary assessment
 Medication history
Class discussion
A. Chief complaints Lecture Discussion Pen and Paper Smeltzer S.C. Bare -LCD
B. Relevant information, to test B.G.(2014) Brunner projector
include eleven functional Conduct interview of and Suddarth’s -White board
health history of given Health history Textbook of Medical and pen
patterns and Surgical
client/classmate interview rubrics -Laptop
Nursing 13th Edition.
 Health perception Lippincott Williams
-Pointer
management pattern Case analysis: Case Analysis and Wilkens.
Nutritional/metabolic pattern  Health perception Rubric
 Elimination pattern management pattern Ignatavicius, Donna,
 Activity/exercise patterns Nutritional/metabolic Graded Recitation and Workman, M.
 Cognitive/perceptual pattern pattern Linda. (2013)
 Sleep rest pattern  Elimination pattern
Medical Surgical
Nursing, A Patient-
 Self-perception-self-concept  Activity/exercise
centered
pattern patterns Collaborative Care.
 Role relationship pattern
 Cognitive/perceptual 7th Edition.
 Sexuality-reproductive pattern USA.Elsivier
pattern
 Coping-stress tolerance
pattern  Sleep rest pattern
 Value-belief pattern  Self-perception-self-
concept pattern
 Role relationship Duty Bag
pattern
4
  Sexuality-reproductive Weighing
pattern scale
 Coping-stress Notebook
tolerance pattern ballpen
Tuning fork
 Value-belief pattern
Otoscope

Identify significant 1. Subjective data Formulation of

RLE (Skills subjective data from client gathering activity of a subjective cues
Laboratory) history and formulate given client rubric
16 hours nursing diagnosis related to
problems in oxygenation Nursing
2. Nursing assessment
assessment/docu
and documentation
CLO 2 mentation rubric
following Gordon’s
Students engage in eleven functional Paper-pencil test
community activity as patterns from a given
expression of application health case/partner
of what was learned in the classmate
classroom
 Health perception
CLO 15 management
pattern
Nutritional/metab
olic pattern
 Elimination
pattern
 Activity/exercise
patterns
 Cognitive/percept
ual pattern
 Sleep rest pattern

5

Week 3 Students identify results
Lecture and implications of
8 hours diagnostic/laboratory
examinations of clients
with reference to problems
in Oxygenation with the
use of different diagnostic
equipment.
CLO 2, CLO 11
Students provide evidences
as a bases of care in
clinical practice
 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
 Self-perception-
self-concept
pattern
 Role relationship
pattern
 Sexuality-
reproductive
pattern
 Coping-stress
tolerance pattern
 Value-belief
pattern
3. Community case
finding/assessment/int
erview using Gordon’s
eleven functional
patterns from a given
health case
Lecture Discussion about Pen and Paper Smeltzer S.C. Bare
different diagnostic test B.G.(2014) Brunner
procedures and nursing and Suddarth's
responsibilities for each Textbook of Medical
and Surgical
procedures Nursiing 13th
Case Analysis Edition. Lippincott
Video presentation of Rubric Williams and
different diagnostic Wilkens.
procedures
Ignatavicius,
Graded Recitation Donna, and
Recall of answers to Workman, M.
questions raised Linda.(2013)
Medical Surgical
6
  Vascular: Doppler Nursing, A
CLO 3 ultrasonography Patient- centered
 Blood: Pulse Oximetry Collaborative
 Invasive Pulmonary: Care. 7th Edition.
bronchoscopy, ABG, USA.Elsivier
3horacentesis, pulmonary
angiography
 Cardiac: CO determination,
cardiac catheterization, CVP,
hemodynamics monitoring,
enzyme levels, Serum,
Cholesterol
 Vascular: angiography
 Blood: CBC and bone marrow
biopsy
Demonstration and return Graded Return Duty Bag
RLE (Skills demonstration of nursing demo Weighing
Laboratory) role and responsibility in scale
16 hours the performance of the Performance Notebook
different diagnostic test rating scale ballpen
related to oxygenation Tuning fork
Paper pencil test Otoscope
Presentation of the
different significant
finding of each diagnostic
procedures

Week 4 Students determine the A. Alteration in gas exchange – Lecture Discussion Pen and Paper Smeltzer S.C. Bare LCD projector
Lecture Pathophysiologic ventilator dysfunction, test B.G.(2014) Brunner -White board
8 hours mechanisms in of the Case Analysis and and Suddarth's and pen
impaired perfusion
Alterations in oxygenation formulation of appropriate Case Analysis Textbook of Medical -Laptop
B. Alteration in cardiac and Surgical
nursing problem activity Rubric -Pointer
performance – heart rate Nursiing 13th
CLO 1 problems, impaired stroke Edition. Lippincott
Presentation and Graded Recitation
volume secondary to altered
discussion of different
7
 Students formulate from a
given client a plan of care
to address the health
condition, needs, problems
and issues based on the
priorities
CLO 2
Students provide evidences
as a bases of nursing
problem formulation and
care in clinical practice
CLO 3
RLE (Skills
Students apply concepts on
Laboratory) the principles of pathologic
16 hours mechanism in alteration in
oxygenation.
preload, afterload, myocardial nursing problem related to Williams and
contractility c. Alteration in alterations in oxygenation Wilkens.
vascular integrity – transport
Recall of answers to Ignatavicius, Donna,
network impairment and Workman, M.
C. Alteration in oxygen carrying questions raised
Linda.(2013)
capacity of the blood- Medical Surgical
decreased circulating Nursing, A Patient-
centered
erythrocytes (anemia),
Collaborative Care.
increased circulating
7th Edition.
erythrocytes (polycythemia) USA.Elsivier
D. Ineffective breathing pattern
E. Ineffective airway clearance
F. Impaired gas exchange
G. Inability to sustain
spontaneous ventilation e.
Dysfunctional 3entilatory
weaning response
H. Decreased cardiac output
(CO)
I. Altered tissue perfusion
systemic h. Impaired gas
exchange related to altered O2
carrying capacity of blood due
to decreased
erythrocytes/hemoglobin
J. Activity intolerance related to
malnutrition tissue hypoxia.
Nursing diagnosis Graded individual Notebook
formulation from a given Nursing ball pen
health scenario Diagnosis
formulation
8
 CLO 1
Week 5 Students identify principles A. For altered pulmonary function:
Lecture of various modalities of
8 Hours 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
CLO 2
Students practice
B. For cardiac function
documentation of nursing
care services rendered
CLO 6
 Airway patency
 Oxygen therapy
 Adequate ventilation
 Drug therapy
 Hydration
 Removal of secretion
 Prevention of infection
 Prevention of complications
 Prevention of psychosocial
problems Rehabilitation
 Hemodynamics monitoring
 O2 therapy
 Drug therapy Hydration
 Prevention of infection
 Prevention of complications
 Prevention of psychosocial
problems
 Rehabilitation
 Oxygen carrying capacity of
the blood
 Blood component
replacement
 O2 therapy
 Drug therapy
 Hydration
 Prevention of infection
Lecture discussion about Pen and paper test Smeltzer S.C. Bare LCD projector
principles of various B.G.(2014) Brunner -White board
modalities of management Graded Recitation and Suddarth's and pen
of clients with problems in Textbook of Medical -Laptop
oxygenation taking into
and Surgical -Pointer
Nursing 13th Edition.
consideration the Lippincott Williams
following levels of care: and Wilkens.
1. Health promotive
2. Disease preventive Ignatavicius, Donna,
3. Curative and restorative and Workman, M.
Linda.(2013)
Presentation of Nursing Medical Surgical
care plan focus on various Nursing, A Patient-
modalities of management centered
Collaborative Care.
of clients with problems in
7th Edition.
oxygenation taking into
USA.Elsivier
consideration the
following levels of care:
1. Health promotive
2. Disease preventive
3. Curative and restorative
Class reporting
Video presentation
9
  Prevention of complications

C. Pulmonary Bronchodilators
 Expectorants
 Antitussives
 Antihistamines

D. Cardiac
 Sympathomymetic agents
 Sympatholytic agents
 Anti-anginal agents
 Anti- arrhythmic agents
 Angiotensin converting
enzyme inhibitors
 Antilipemic agents
 Anticoagulant agents
 Thrombolytics
 Peripheral vascular agents

E. Blood
 Hematinics
 Vitamin supplements Case study related to
alteration in oxygenation

Nursing care formulation

RLE (Skills Students apply various of a given health problem Performance
Laboratory) modalities of management related to alteration in rating scale
16 Hours of clients with problems in oxygenation
oxygenation in hospital Case Study rubric
settings. Demonstration and return
demonstration of proper Performance
CLO 2 conduct in implementing Rating Scale
care
10
 Students will practice
adherence to established
norms of conduct based on
the Philippine Nursing law
and other legal, regulatory,
and institutional
requirements relevant to
safe nursing practice
Week 6 Students identify the
Lecture purposes, indications,
8 Hours nursing responsibilities for
the surgical and special
procedures in alterations in
oxygenation.
CLO 1, CLO 2
Role playing in care
implementation
1. Safe and comprehensive Lecture Discussion Pen and paper test Smeltzer S.C. Bare LCD projector
perioperative nursing care B.G.(2014) Brunner -White board
Demonstration and return Graded Recitation and Suddarth's and pen
1.1 Assessment and care during
demonstration of Textbook of Medical -Laptop
the perioperative period and Surgical
1. Assessment and Graded return -Pointer
1.2 Techniques in assisting the Nursiing 13th
surgical team during the care during the demonstration Edition. Lippincott
perioperative using procedure Williams and
operation
period checklist Wilkens.
1.3 Principles of safety, comfort
and privacy during the 2. Techniques in
assisting the Ignatavicius, Donna,
perioperative period and Workman, M.
1.4 Nursing responsibilities surgical team Linda.(2013)
during the perioperative during the Medical Surgical
period operation Nursing, A Patient-
3. Principles of centered
1.5 Preoperative – physical,
safety, comfort Collaborative Care.
psychological, spiritual 7th Edition.
preparation and privacy during
USA.Elsivier
1.6 Intraoperative – circulating the perioperative
nurse functions, scrub nurse period
functions 4. Nursing
1.7 Postoperative – airway, responsibilities
breathings, circulation during the
priorities. perioperative
1.8 Meeting the physical, period
psychological and spiritual 5. Preoperative –
needs of the client. physical,
11
2. Pulmonary psychological,
2.1 Surgical procedures – spiritual
tracheostomy, thoracostomy, preparation
lung resection, lobectomy, 6. Intraoperative –
pneumonectomy, circulating nurse
thoracoplasty, decortications functions, scrub
2.2 Special procedures – nurse functions
endotrcheal/tracheal 7. Postoperative –
suctioning and care, airway, breathings,
humidication, IPPB, circulation
ventilator assist priorities.
3. Cardiac 8. Blood component
3.1 Surgical procedures – transfusion
coronary artery bypass, 9. Reverse isolation
pacemaker insertion, valve technique
replacement, repair of
congenital abnormality,
insertion of ventricular assist
device, heart plansplant
3.2 Special procedures – laser
therapy, basic life support,
advance life support
4. Vascular
4.1 Surgical procedures –
endarterectomy,
aneurysmectomy, insertion
of intravascular stents
4.2 Special procedures –
application of antiembolic
stockings
5. Blood forming organs a.
Surgical procedures – bone
marrow aspiration, bone marrow
transplant
12
 6. Special procedures – blood
component transfusion, reverse
isolation

Actual Ward exposure

focusing on the nursing Duty Bag
RLE Students apply the responsibilities on Performance Complete duty
(Clinical purposes, indications, alterations in oxygenation rating scale Paraphernalia
Exposure) nursing responsibilities for with collaborative actions Notebook ball
16 Hours the surgical and special to other health team Case Study rubric pen
procedures in alterations in
oxygenation in a clinical Individual Case Study of Nursing care plan
settings. assigned patient rubric

CLO 1; Nursing plan of care Drug study rubric

formulation
Students apply Pre and Post test
management and Drug study formulation
leadership principle in
providing direction to
manage patients

CLO 8

PRELIMINARY EXAM

13
WEEK 7 Students apply Potential factors for exceeding renal Paper-pencil test Pen and paper test Smeltzer S.C. Bare LCD projector
Lecture pathophysiologic reserve capacity, dietary habits to B.G.(2014) Brunner -White board
8 Hours mechanisms of Fluid and include salt intake, hypertension, Case Analysis and Suddarth's and pen
electrolytes as well as infection, diabetes. Textbook of Medical -Laptop
and Surgical -Pointer
principles and techniques Lecture Discussion
Nursiing 13th
in physical assessment Edition. Lippincott
1.Inspection- signs of dehydration, Williams and
CLO 1 over hydration Wilkens.
2. Palpation- edema, ascites, neck
vein filling, hand vein filling, Case Analysis Ignatavicius, Donna,
neuromuscular irritability, Rubric and Workman, M.
characteristic of pulse Linda.(2013)
3. Percussion- abdomen for presence Medical Surgical
of air, fluid Nursing, A Patient-
4. Auscultation- rates centered
Collaborative Care.
7th Edition.
Graded Recitation USA.Elsivier

Diagnostic tests
A. Non-invasive:
a. electrolyte determination,
b. intake and output,
c. KUB-IVP and ultrasound
B. Invasive –
a. biopsy
b. Weight
c. Vital Signs
Graded Concept
Mapping
a. Volume impairment – fluid volume
deficit, fluid volume excess, third
space fluid shift
b. Osmotic imbalances –
hyponatremia, hypernatremia

14
 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

RLE Students apply Actual Ward exposure Performance

(Clinical pathophysiologic focusing on rating scale Duty Bag
Exposure) mechanisms of Fluid and pathophysiologic Weighing
16 hours electrolytes as well as mechanisms and Case Study rubric scale
principles and techniques principles and techniques Notebook
in physical assessment. in physical assessment of Nursing care plan ballpen
client with Fluid and rubric Tuning fork
CLO 1 Electrolyte imbalance. Otoscope
Drug study rubric
Formulate plan of care to
client with problem related Individual Case Study of Pre and Post test
to Fluid and electrolytes as assigned patient
well as principles and
techniques in physical Actual participation in
assessment client’s care

CLO 2; CLO 8 Drug study and reporting

Week 8 Students identify principles A. Risk for fluid volume deficit Lecture Discussion Pen and paper test Smeltzer S.C. Bare LCD projector
Lecture of various modalities of B. Fluid volume excess various modalities of B.G.(2014) Brunner -White board
8 Hours management of clients with C. Fluid volume deficit management of clients and Suddarth's and pen
problems in fluid and with problems in fluid and Textbook of Medical
15
electrolyte imbalances
taking into consideration
the following levels of
care:
a. Health promotive
b. Disease preventive
c. Curative and restorative
CLO 1; CLO 2
D. High risk for injury related to electrolyte imbalances Nursing care plan and Surgical -Laptop
electrolyte deficit/excess taking into consideration formulation Nursiing 13th -Pointer
E. High risk for injury related to the following levels of rubric Edition. Lippincott
care: Williams and
acid/base imbalance Wilkens.
F. Altered urinary elimination a. Health promotive Graded Recitation
G. Impaired integumentary integrity b. Disease preventive
Ignatavicius, Donna,
c. Curative and restorative and Workman, M.
Linda.(2013)
A. Fluid Volume Deficit Video presentation Medical Surgical
1. Determination and Nursing, A Patient-
management of cause of Nursing care plan centered
Hydration presentation Collaborative Care.
7th Edition.
2. Blood transfusion as needed USA.Elsivier
Recall of answers when
3. Drug therapy – electrolyte
question is raised
Supportive management
4. Prevention of infection
5. Prevention of complication
6. Prevention of psychosocial
problems
7. Rehabilitation
B. Fluid Volume Excess
1. Determination and
management of cause
2. Drug therapy – diuretics,
electrolytes
3. Dietary restriction – sodium
Supportive management
4. Prevention of infection
5. Prevention of complication
Prevention of psychosocial
problems
6. Rehabilitation
16
 C. Electrolyte Deficit –
hyponatremia, hypokalemia,
hypocalcemia,
hypomagnesemia,
hypophosphatemia

D. Determination and
management of cause
1. Drug therapy – electrolyte
replacement
2. Dietary management
3. Supportive management
4. Prevention of complication
5. Prevention of psychosocial
problems
6. Rehabilitation

E. Electrolyte Excess –
hyperkalemia,
hypercalcaemia,
hypermagnesemia,
hyperphosphatemia
Actual Ward exposure
RLE focusing on various Performance Smeltzer S.C. Bare Duty Bag
(Clinical Students apply/practice modalities of management rating scale B.G.(2014) Brunner with
and Suddarth's
Exposure) principles of various of clients with problems in complete
Textbook of Medical
16 hours modalities of management fluid and electrolyte Case Study rubric and Surgical duty
of clients with problems in imbalances taking into Nursiing 13th paraphernalia
fluid and electrolyte consideration the Nursing care plan Edition. Lippincott
imbalances taking into following levels of care: rubric Williams and Note book
consideration the following a. Health promotive Wilkens.
levels of care: b. Disease preventive Drug study rubric Pencils
a. Health promotive c. Curative and restorative Ignatavicius, Donna,
b. Disease preventive Pre and Post test and Workman, M.
c. Curative and restorative Linda.(2013)
17
 Individual patient Medical Surgical
CLO 2 assignment Nursing, A Patient-
centered
Assume patient Individual Case Study of Collaborative Care.
responsibility for lifelong assigned patient 7th Edition.
USA.Elsivier
learning

CLO 9 Formulation of Plan of

care

Drug study and reporting

Week 9 Students identify different
Lecture acid base imbalance
8 hours disorders and their various
nursing management.
CLO 1; CLO 2; CLO 8
e. Determination and management of Lecture Discussion of Pen and paper test Smeltzer S.C. Bare LCD projector
cause various nursing B.G.(2014) Brunner -White board
 Drug therapy – electrolyte management related to Graded Recitation and Suddarth's and pen
replacement alteration in fluid and Textbook of Medical -Laptop
 Dietary management electrolyte imbalance Class presentation and Surgical Nursiing -Pointer
 Supportive management rubric 13th Edition.
 Prevention of complication Video presentation Lippincott Williams
and Wilkens.
 Prevention of psychosocial
problems Group Nursing care plan
Ignatavicius,
 Rehabilitation presentation
Donna, and
Recall of answers when Workman, M.
e. Metabolic Alkalosis question is raised Linda.(2013)
 Base bicarbonate excess Medical Surgical
Determination and management Nursing, A
of cause Patient- centered
 Drug therapy Collaborative
 Dietary management Care. 7th Edition.
 Supportive management USA.Elsivier
 Prevention of complication

18
  Prevention of psychosocial
problems
 Rehabilitation

a. Metabolic Acidosis- base

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 Performance

acid excess rating scale
 Determination and management
of cause
 Drug therapy
 Dietary management
 Supportive management
Case Study rubric
19
  Prevention of complication
Prevention of psychosocial
problem
 Rehabilitation
RLE Students apply different Actual Ward exposure Performance Duty Bag
(Clinical acid based imbalance and focusing different care Rating Scale with
Exposure) their management in modalities of client with complete
16 hours clinical setting. Fluid and Electrolyte Case Study duty
imbalance. Rubric paraphernalia
CLO 2
Cultural and value need Nursing care plan Note book
Student customize nursing assessment rubric
intervention based on Pencils
Philippine culture and Individual Case Study of Drug study rubric
values assigned patient

CLO 10; CLO 14 Actual participation in

client’s care

Nursing care plan

formulation

Drug study and reporting

Week 10 Students verbalizes a. Fluid Lecture Discussion of Pen and paper test Smeltzer S.C. Bare LCD projector
Lecture understanding of the  Parenteral fluids pathophysiology, physical B.G.(2014) Brunner -White board
8 hours pathophysiology, perform  Hypotonic assessment and Graded Recitation and Suddarth's and pen
assessment and formulate formulation of nursing Textbook of Medical - Laptop
 Hypertonic
nursing plan of care of plan of care of patient and Surgical Nursiing - Pointer
 Isotonic 13th Edition.
patient with problems in with problems in
Nutrition and Metabolism, b. Electrolyte Nutrition and Metabolism, Lippincott Williams
and Wilkens.
renal disorder and  Sodium renal disorder and
gastrointestinal system  Potassium gastrointestinal system
Ignatavicius,
 Calcium Donna, and
CLO 1; CLO 2, CLO 14
 Magnesium Workman, M.
20
  Phosphate Linda.(2013)
Medical Surgical
c. Diuretics Nursing, A
 Potassium-sparing Patient- centered
 Potassium-losing Collaborative
 Osmotic diuretics Care. 7th Edition.
USA.Elsivier
d. Vitamin D supplements

Renal dysfunction
a. Major surgical procedures –
nephrectomy, nephrostomy,
cystectomy, uterostomy, renal
transplants, urinary diversion
b. Special procedures- peritoneal
dialysis, hemodialysis, bladder
training, cystoclysis/bladder
irrigation

Risk factors related to malnutrition,

obesity.

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-self-concept pattern
Role relationship pattern

21
Sexuality-reproductive pattern
Coping-stress tolerance pattern
Value-belief pattern

Gastrointestinal 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
• 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
22

RLE Students apply
(Clinical understanding of the
Exposure) pathophysiology, perform
16 hours assessment, formulate and
implement nursing plan of
care to patient with
problems in Nutrition and
Metabolism, renal disorder
and gastrointestinal system
CLO 1; CLO 2
Week 11 Students verbalize
Lecture understanding of
8 hours pathophysiology and
identify principles of
various modalities of
management of clients with
problems in Nutrition and
Metabolism taking into
consideration the following
levels of care:
1. Health promotive
2. Disease preventive
3. Curative and
restorative
d. Disturbances in elimination –
bowel obstruction, hemorrhoids,
diarrhea and constipation.
Actual Ward exposure Performance Duty Bag
taking care of patient with Rating Scale with
problems in Nutrition and complete
Metabolism, renal Case Study duty
disorder and Rubric paraphernalia
gastrointestinal system
Nursing care plan Note book
Individual Case Study of rubric
assigned patient Pencils
Drug study rubric
Actual participation in
client’s care
Nursing care plan
formulation
Drug study and reporting
a. Alteration in nutrition less than Case Analysis Pen and paper test Smeltzer S.C. Bare LCD projector
body requirement B.G.(2014) Brunner -White board
b. Alteration in nutrition more than Lecture discussion of Case Analysis and Suddarth's and pen
body requirement pathophysiology and Rubric Textbook of Medical -Laptop
c. Alteration in oral mucous principles of various and Surgical Nursiing -Pointer
membrane integrity modalities of management Graded Recitation 13th Edition.
d. Alteration in comfort: epigastria of clients with problems in Lippincott Williams
pain/abdominal pain Nutrition and Metabolism and Wilkens.
e. Fluid volume deficit taking into consideration
the following levels of Ignatavicius, Donna,
A. Disturbances in Ingestion care: and Workman, M.
Determination and management of 1. Health promotive Linda.(2013) Medical
cause 2. Disease preventive Surgical Nursing, A
Patient- centered
Drug therapy 3. Curative and restorative
Collaborative Care.
Dietary management
23
CLO 1 Supportive management Class reporting 7th Edition.
Prevention of complication USA.Elsivier.
Prevention of psychosocial problems Video presentation
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

E. Disturbances in hepatic, biliary

and pancreatic functions
24
 Determination and management of
cause
Drug therapy
Dietary management
Supportive management
Prevention of complication
Prevention of psychosocial problems
Rehabilitation

F.Medication:
Antiemetics
Anticoagulants
Hematinics agents
Laxatives and stool softeners
Ant- pruritus
Vitamin supplement
Antacids
Antihypelipidemics
Antispasmodics
Antidiarrheal

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 bath

RLE
25
(Clinical Students verbalize
Exposure) understanding of
16 hours pathophysiology and apply
principles of various
modalities of management
of clients with problems in
Nutrition and Metabolism
taking into consideration
the following levels of
care:
1. Health promotive
2. Disease preventive
3. Curative and
restorative
CLO 2, CLO 8
Coordinate the
task/functions of other
nursing personnel (nursing
attendant)
CLO 7
Week 12 Students verbalized
Lecture understanding of the
8 Hours pathophysiology, identify
risk factors among clients
that contribute to the
Actual Ward exposure Performance Duty Bag
focusing on patient with rating scale with
various modalities of complete
management of clients duty
with problems in Nutrition Case Study rubric paraphernalia
and Metabolism taking
into consideration the Performance Note book
following levels of care: Rating Scale
1. Health promotive Pencils
2. Disease preventive NCP rubric
3. Curative and
restorative Drug study rubric
Actual participation in
client’s care
Nursing care plan
formulation
Drug study and reporting
Case study of the assign
patient
Referral/ Document
findings to other health
team members (VS, I&O,
NVS)
MIDTERM EXAMINATION
Risk factors related to endocrine Lecture Discussion of the Pen and paper test Smeltzer S.C. Bare LCD projector
hypo or hyper functioning pathophysiology, identify B.G.(2014) Brunner -White board
risk factors among clients Graded Recitation and Suddarth's and pen
A. Chief complaints that contribute to the Textbook of Medical -Laptop
and Surgical -Pointer
development of problems, Nursiing 13th
26
 development of problems,
and identify various
modalities in the
management of patient
with problems in
Endocrine Function.
CLO 1; CLO 2
Students apply
RLE understanding of risk
(Clinical factors among clients that
Exposure) contribute to development
16 hours of problems in endocrine
function in the clinical area
CLO 2; CLO 8
B. Relevant information, to include and identify various Class reporting Edition. Lippincott
eleven functional patterns modalities in the rubric Williams and
Health perception management management of patient Wilkens.
pattern
Nutritional/metabolic pattern Class reporting Ignatavicius,
Elimination pattern Donna, and
Activity/exercise patterns Workman, M.
Cognitive/perceptual pattern Linda.(2013)
Sleep-rest pattern Medical Surgical
Self-perception-self-concept pattern Nursing, A
Role relationship pattern Patient- centered
Sexuality-reproductive pattern Collaborative
Coping-stress tolerance pattern Care. 7th Edition.
Value-belief pattern USA.Elsivier
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
Others – weight, delayed healing of
wounds.
Individual patient Duty Bag
assignment preferably with
patient with problems in Performance complete
endocrine function in the rating scale duty
clinical area paraphernalia
Case Study rubric
Individual Case Study of Note book
assigned patient Performance
Rating Scale Pencils
27

Week 13 Students identify results
Lecture and implications of
8 hours diagnostic/laboratory
examinations of clients
with reference to problems
in endocrine functioning.
. urinalysis (glycosuria, ketonuria)
RLE Students apply results and
(Clinical implications of
Exposure) diagnostic/laboratory
16 hours examinations of clients
with reference to problems
in endocrine functioning in
clinical setting.
Actual participation in
client’s care NCP rubric
Drug study rubric
Screening: glucose tolerance test A. Lecture Discussion Pen and paper test Smeltzer S.C. Bare Duty Bag
Non-invasive: e.g. GI x-ray, B.G.(2014) Brunner Weighing
ultrasound abdomen, Radio-iodine Class reporting Case reporting and Suddarth's scale
assay (RAI), protein bound iodine Rubric Textbook of Medical Notebook
(PBI), thyroid scan, free thyroxin Video presentation and Surgical Nursiing ballpen
level, basal metabolic rate (BMR), Graded Recitation 13th Edition. Tuning fork
thyroxine stimulating hormone (TSH) Lippincott Williams Otoscope
test, OGTT (Glucose tolerance test) and Wilkens.
B. Invasive: e.g. percutaneous Ignatavicius,
transhepatic cholangiogram, liver Donna, and
function test, serum thyroxine and Workman, M.
triiodothyronine test, iodine 131 Linda.(2013)
uptake, blood sugar tests (fasting Medical Surgical
blood sugar – FBS), random blood Nursing, A
sugar (RBS), glycosylated Patient- centered
hemoglobin (Hgb), two-hour post Collaborative
prandial blood glucose, endocrine Care. 7th Edition.
assay USA.Elsivier
Actual Ward exposure Performance
focusing different rating scale Duty Bag
diagnostic tests of client with
with endocrine Case Study rubric complete
duty
Individual Case Study of Performance paraphernalia
assigned patient Rating Scale
28

Week 14 Students discussed the
Lecture Pathophysiologic
8 hours mechanisms, perform
nursing assessment and
formulate plan of care of
patient with alterations in
endocrine functioning,
CLO 1; CLO 2; CLO 8
RLE Students apply concepts in
(Clinical caring for patient with
Exposure)
Note book
Nursing care plan NCP rubric
formulation Pencils
Drug study and reporting
Actual participation in
client’s care
Smeltzer S.C. Bare LCD projector
a. Hypo- and Hyperfunction of the Lecture Discussion Pen and paper test B.G.(2014) Brunner -White board
pituitary organ Pathophysiologic and Suddarth's and pen
b. Hypo- and Hyperfunction of the mechanisms, nursing Graded Recitation Textbook of Medical -Laptop
hypothalamus assessment and plan of and Surgical Nursiing -Pointer
c. Hypo- and Hyperfunction of the care of patient with Graded Concept 13th Edition.
thyroid organ alterations in endocrine Mapping Lippincott Williams
d. Hypo- and Hyperfunction of the functioning and Wilkens.
parathyroid organ
e. Hypo- and Hyperfunction of the Video presentation Ignatavicius,
adrenal organ Donna, and
f. Hypo- and Hyperfunction of the Concept mapping Workman, M.
gonads Linda.(2013)
g. Problems in glucose metabolism – Medical Surgical
hypoglycemia and hyperglycemia Nursing, A
(IDM, NIDDM) Patient- centered
Collaborative
a. Alterations in nutrition less than Care. 7th Edition.
body requirement USA.Elsivier
b. Fluid volume deficit
c. Activity intolerance
Actual Ward exposure in Performance Duty Bag
caring for patient with rating scale with
alteration in endocrine. complete
29
16 hours alteration in endocrine in the
clinical area
Week 15 Students enumerate
Lecture Pharmacologic actions,
8 hours therapeutic uses, side
effects, indications,
contraindications, and
nursing responsibilities in
administration of
medications to clients with
endocrine problems.
CLO 1
Case Study rubric duty
Individual patient paraphernalia
assignment NCP rubric
Note book
Individual Case Study of Drug study rubric
assigned patient Pencils
Actual participation in
client’s care
NCP formulation
Drug study and reporting
Smeltzer S.C. Bare LCD projector
Corticosteroids Lecture discussion about Pen and paper test B.G.(2014) Brunner -White board
Alpha-adrenergic blocking agents pharmacologic actions, and Suddarth's and pen
Beta-adrenergic blocking agents therapeutic uses, side Graded Recitation Textbook of Medical -Laptop
Tyrosine inhibitors effects, indications, and Surgical Nursiing -Pointer
th
Dopamine receptor antagonists contraindications, and Drug study rubric 13 Edition.
Glucocorticoids nursing responsibilities in Lippincott Williams
Parathyroid hormone agents administration of and Wilkens.
Thyroid hormone agents medications to clients
Insulin with endocrine problems. Ignatavicius,
Oral hypoglycemic agents Donna, and
Determination and management of Formulation and Workman, M.
cause presentation of drug study Linda.(2013)
Drug therapy - diuretics, electrolytes Medical Surgical
Dietary management. Nursing, A
Supportive management Patient- centered
Prevention of complication Collaborative
Prevention of psychosocial problems Care. 7th Edition.
Rehabilitation USA.Elsivier
Surgical procedures –
a. thyroidectomy,
parathyroidectomy
30

RLE Student discuss
(Clinical Pharmacologic actions,
Exposure) therapeutic uses, side
16 hours effects, indications,
contraindications, and
nursing responsibilities in
administration of
medications to clients with
endocrine problems.
CLO 1, CLO 2
Week 16 Students participate in pre
and post-operative care
with observance aseptic
technique before and
during surgical procedures.
b. Special procedures
c. monitoring of blood glucose
levels; maintenance of blood
glucose
d. diet, exercise, drugs
Actual Ward exposure Performance Duty Bag
focusing different rating scale with
pharmacologic care of complete
client with endocrine Drug study rubric duty
problems. paraphernalia
Individual Case Study of Note book
assigned patient
Pencils
Actual participation in
client’s care
Drug study and reporting
Smeltzer S.C. Bare LCD projector
A. Safe and comprehensive Lecture Discussion Pen and paper test B.G.(2014) Brunner -White board
perioperative nursing care. and Suddarth's and pen
Textbook of Medical -Laptop
1. Assessment and care during the Concept Mapping Graded Recitation and Surgical -Pointer
Nursiing 13th
perioperative period
Edition. Lippincott
31
 Demonstration and return Performance Williams and
CLO 2, CLO 8 2. Techniques in assisting the surgical demonstration of rating scale Wilkens.
team during the operation perioperative procedures
Ignatavicius,
3. Principle of safety, comfort and Donna, and
privacy during the perioperative Workman, M.
period Linda.(2013)
Medical Surgical
Nursing responsibilities during the Nursing, A
preoperative period Patient- centered
• Preoperative - Physical, Collaborative
psychological. Spiritual preparation Care. 7th Edition.
• Intra operative - Circulating USA.Elsivier
nurse functions, scrub nurse functions
• Postoperative- Airway,
breathing, circulation,, priorities

Actual Ward exposure in Case Study rubric

RLE Students apply concepts in the operating room and Duty Bag
16 hours and perform perioperative Post-anesthesia unit Performance with
skills in clinical settings. Rating Scale complete
Individual patient duty
CLO 2, CLO 8 assignment paraphernalia

Students documents all Individual Case Study of Note book

Operating room patient assigned patient
care perform Pencils
Actual participation in
CLO 6 client’s care OR
Instruments
NCP formulation

DO Operating room
documentation

32
Week 17 Students performs cultural, A. Meeting the physical, Lecture Discussion Pen and paper test Smeltzer S.C. Bare LCD projector
Lecture psychological, spiritual psychological and spiritual needs B.G.(2014) Brunner -White board
8 hours needs assessment and other of the client Discuss cultural, Graded Recitation and Suddarth's and pen
moral and ethical psychological and Textbook of Medical -Laptop
consideration to a given spiritual need assessment Cultural, and Surgical Nursiing -Pointer
B. Steps/pointers in decision 13th Edition.
client psychological and
making and prioritization with Lippincott Williams
Presentation and spiritual
client/s having problems in and Wilkens.
CLO 13, CLO 11 discussion of a discharge assessment rubric
oxygenation, fluid and plan
electrolyte balance. Metabolic Discharge plan Ignatavicius,
and endocrine function. rubric Donna, and
Workman, M.
C. Principles, concept and Linda.(2013)
application of bioethics in the Medical Surgical
care of clients Nursing, A
Patient- centered
Collaborative
D. Developing outcome criteria for
Care. 7th Edition.
clients with problems in USA.Elsivier
oxygenation, fluid and
electrolyte balance, metabolic
and endocrine function

E. Appropriate discharge plan

including health education

F. Accurate recording and

documentation

Students performs cultural,

RLE psychological, spiritual Actual ward exposure Performance Duty Bag
(Clinical needs assessment and other focusing cultural, rating scale with
exposure) moral and ethical psychological, spiritual complete
16 hours consideration to a given needs assessment and Case Study rubric duty
client other moral and ethical paraphernalia
33
 consideration to a given
CLO 13, CLO 11 client Note book

Individual Case Study of Pencils

assigned patient
Operating
Actual participation in room
client’s care instruments

Week 18 FINAL EXAMINATION

TOTAL: 144 hours
Lecture
306 hours RLE

34
Grading Components Grading System
Lecture Highest Grade ------- 95 (old) or 100 (new)
Class Standing ------------------------------60% Passing Grade ------- 75
Quizzes/Long Test ---------30% Failing Grade--------- 74 and below
Recitation -------------------10% Lowest Grade ------- 70
Assignments ----------------10%
Projects ---------------------10%
Computation of Course Grade
Periodic Examination ---------------------40% Prelim Grade + Midterm Grade + Final Grade = Average Grade (Course Grade)
Total ---------------------------------------- 100% 3

RLE
Class standing ------------------------ 70%
Quizzes ------------------------- 30
PRS ----------------------------- 30
Project ------------------------- 10
Periodic examination ---------------- 30%

Raw scores are transmuted, where 50% is equivalent to the passing grade of 75%
Rules on Attendances
1. An Excuse Letter duly signed by the Dean shall be required from a student who was absent before he or she is allowed to enter a class.
2. A student who incurs absences of more than twenty (20%) of the prescribed number of class hours during the school term shall fail and earn no credit for the course.
3. A student who has incurred absences of not more than twenty (20%) of the prescribed number of class hours shall be given warnings:
For a 3-unit course:(This will be changed according to the number of units of the course)
Absences in three (3) class meetings (4.5 hours) – First Warning – A Letter from the Dean is given to the student concerned.
Absences in five (5) class meetings (7.5 hours) - Second Warning – A Letter from the Dean is sent to the parent/guardian of the student concerned.
Absences in seven (7) class meetings (10.5 hours) – Last Warning – A Letter from the Dean is sent to the parent/guardian of the student concerned.
A student who has incurred absences beyond the last warning shall be deemed “Failed” in the course.

Rule on Tardiness
1. A student who comes to class fifteen (15) minutes late shall be marked absent, but will be allowed to stay in the class.
2. A student who is marked absent due tardiness shall not be given merit in any activity/quiz given during the class.

Rules on Periodic Examinations

35
A. Preliminary and Midterm Examinations
1. A student who has not taken either the Preliminary Examination or the Midterm Examination on the scheduled date shall be given two weeks after the regular schedule within which
to apply for and take the Special Examination. He or she shall accomplish a Special Examination Application Form before taking the Special Examination. However, if he or she fails to
take the said examination within the prescribed period of two weeks after the regular schedule, he or she is given a zero (0) mark which is non-transmutable.

B. Final Examination
1. A student who has not taken the Final Examination on the scheduled date shall be given a “grace period” of two (2) semesters or one academic year within which to comply. This
rule does not apply to students in their terminal curriculum year. If a student had not taken the Final Examination after the “grace period” of two semesters or one academic year had
lapsed, he or she will be given a failing mark.

36