Western Mindanao State University

Zamboanga City
College of Nursing
S.Y. 2020-2021

RELATED LEARNING EXPERIENCE

ROTATION 4 INFECTIOUS WARD

Submitted to:

Prof. Josephine Piedad

Clinical Instructor

Submitted by:

Mojica, Noah Kent

BSN 4D

✅ Western Mindanao State University

College of Nursing

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 Zamboanga City

Alternative Learning System

Related Learning Experience
Infectious Ward

Instructions:
Answer the provided questions comprehensively following the subsequent format.
A. Use the Times Roman Font Style
B. Utilize at least three (3) or more references
C. References should be 2015 and latest
D. Output should be submitted as posted in the Google Class Assignment in PDF Format
E. Use the templates in pages 5 – 8 as guides in accomplishing your output
F. You will be graded according to the Rubric in page 10

Case Scenario:
A 21-year-old man presented to the ER Department with fever for one day. On arrival, the patient's BP was 109/50mmHg,
pulse rate was 115 and oral temperature was 38.1°C. He was fully conscious and clinically stable. The patient also
complained of headache, vomiting for three times and severe dizziness. No rash was noted by him. He was a construction
site worker and he had travelled to China a few days before his illness.

Physical examination showed that there were generalised maculo-papular rash and a patch of purpura on the dorsum of
the right hand. Suboccipital lymph node was negative. There was no neck rigidity. Chest, cardiac and abdominal
examination did not reveal any abnormality.

General Examination

Vital signs
1.) Blood Pressure : 109/50mmhg.
2.) Heart Rate : 115 bpm
3.) Respiratory Rate : 28 b/min
4.) Temperature : 38.1°C
5.) Height : 168cm
6.) Weight : 68 kg.

History:
He had no remarkable personal or familial past medical history, and was not taking any regular medication.

Laboratory Investigations: showed white cell count of 29.1 with neutrophilia; raised CSF protein of 5.45 g/L and
decreased CSF glucose of 0.1 mmol/L. CSF was turbid with predominating polymorphs. Gram Stain was negative but
culture grew Neisseria meningitidis, which was sensitive to cefotaxime, ceftriaxone, chloramphenicol, ciprofloxacin,
penicillin and rifampicin. Blood culture grew the same pathogen.

Based on the physical exam, history and laboratory findings the patient is diagnosed with Meningococcemia. The patient
was subsequently transferred to ICU for treatment with the following orders:
1. Ceftriaxone (1 gram intravenously every 12 hourly).
2. Penicillin G (1 gram intravenously every 12 hourly).
3. IVF of NaCl 0.9% 1L at 125ml./hr
4. Insert Foley Catheter F-16, obtain sample for urinalysis.
5. Monitor intake and output qshift.
6. O2 inhalation 5L/min via nasal cannula

The patient became hemodynamically unstable (systolic blood pressure of 80 mm Hg and heart rate of 140/min) so
hydrocortisone 100 mg thrice daily was administered which was subsequently tapered off with complete resolution of
septicemia and skin lesions.
Your Tasks:

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 1. Determine the need for the required laboratory and diagnostic examinations
 Give the indications for the abnormal result/values
2. Illustrate the organ involved and label accordingly.
3. Discuss the normal function of the organ involved.
4. Explain the pathophysiology based on the diagnosis.
A. Create the pathologic pathway of the pathogenesis ( the development of the disease and the chain of
events leading to the illness) contributing to the patient’s illness condition.
B. Synthesize the life-threatening pathway as a consequence of the patient’s refusal / non-compliance with
treatment
 Example:

A. Pathogenesis of Meningococcemia

Neisseria meningitidis

Mucosal colonization

Local Invasion

Bacteremia

Sepsis Focal Infection Resolved

CNS
Joint Chronic
Sepsis syndrome
bone
Septic shock heart

Reference/s:

Kleijn, E. D. de, Hazelzet, J., Kornelisse, R., & Groot, R. de. (1998, January 1). Pathophysiology of
meningococcal sepsis in children: Semantic scholar. undefined. Retrieved October 5, 2021, from
https://www.semanticscholar.org/paper/Pathophysiology-of-meningococcal-sepsis-in-children-Kleijn-
Hazelzet/a378c0badca2456d82136cd0075089e3f738aeb6.

B. Life-Threatening Pathway (Patient’s refusal / non-compliance with treatment)

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  Signs & Symptoms of Over 48 hours
 Without Intervention

Sepsis

Tissue around Brain and Spinal cord become infected

COMPLICATIONS

Bacteremia Migraine Bacteremia Death

headach

The severity of complications generally increases

with the severity of the original infection, Symptoms
may include:
 partial or total hearing loss
 memory and concentration problems

 balance and coordination problems

 temporary or permanent learning difficulties

 partial or total vision loss

 sleep disorders, such as insomnia

 speech problems

 epilepsy

 gangrene

 amputation of fingers, toes, or limb

Reference/s:

Kiefer, D. (2018, February 27). Meningitis: Complications and long-term risks. Healthline. Retrieved October
5, 2021, from https://www.healthline.com/health/meningitis-awareness/complications-and-
risks#Complications.

5. Explain the Surgical Procedure done to your patient.

6. Enumerate the instruments that will be used during surgery. (Use the internet as a source of reference). Classify
them according to their category and indicate their functions (following the template below)
7. Formulate an IMMEDIATE post-operative Nursing Care Plan of a patient who underwent gastroduodenostomy
based on the NANDA approved Nursing Diagnosis.
 Give at least two (2)
 PRIORITIZE the problems and cite your reference/s
8. Develop a Drug Study based on your patient’s medications to include Intravenous Fluid infusions

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Study of illness condition:

ASSESSMENT ANATOMY PHYSIOLOGY PATHOPHYSIOLOGY ANALYSIS

First thing if the patient has a present 1. Meningococcemia is a viral

1. Signs & Symptoms manifested by Brain Brain Function: Neisseria meningitidis it is already the infection, having a simple signs and
the patient start of the disease, then the bacteria
symptoms cannot really detect that
a. Fever The brain is a complex organ that will live for a while in your mucous
b. Headache controls thought, memory, emotion, more specific in your spinal fluid, then it is the said disease, it should really
c. Vomiting touch, motor skills, vision, breathing, the next thing is that the invasion to be done by a collection of spinal
d. Diziness temperature, hunger and every process other part will occur such as your brain, fluid and examine/culture it to be
e. maculo-papular rash that regulates our body. Together, the then the Bacteremia will occur, which is able to find the presence of the
present brain and spinal cord that extends from the is the presence of viable bacteria in bacteria and confirm the said
2. Lab values it make up the central nervous system, the circulating blood. Then in this part disease.
a. showed white cell count of or CNS. there will be 3 types you can fall under,
2. The raised CSF protein means that
29.1 with neutrophilia the best one is to be cured or if the
b. raised CSF protein of 5.45 Spinal Cord Spinal Cord Function: illness is resolve, the second one is it there is bleeding presence in the
g/L can fall in to infections that can affect patient’s body thus we can confirm
c. decreased CSF glucose of The spinal cord is a complex you body such as your joints, CNS, that there is a foreign substance or
0.1 mmol/L organization of nerve cells responsible bone and heart and it can be chronic, bacteria in the patient’s body, while
3. Diagnostic Procedures for movement and sensation. It carries and lastly it will lead to sepsis and until the decreased CSF glucose means
a. physical exam, history and signals between the brain and the rest of you’ll experience sepsis shock. that there is a CNS infection and
laboratory findings the body.
another reason why glucose
decrease and believes that it’s
associated with bacterial meningitis
was that it is need for glucose as
fuel by infiltrating immune cells in
response to infection.
3. The significance of the abnormal
result to the patient is that we can
confirm that there is a bacterial
infection happening to the patient
thus we can proceed to culturing the
spinal fluid to really determine that
it is meningococcemia.

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SIC reference/s:

Centers for Disease Control and Prevention. (2017, June 7). Signs and symptoms of meningococcal disease. Centers for Disease Control and Prevention. Retrieved October 6, 2021, from
https://www.cdc.gov/meningococcal/about/symptoms.html.

Brain anatomy and how the brain works. Johns Hopkins Medicine. (n.d.). Retrieved October 6, 2021, from https://www.hopkinsmedicine.org/health/conditions-and-diseases/anatomy-of-the-
brain.

MediLexicon International. (n.d.). Spinal cord: Anatomy, functions, and injuries. Medical News Today. Retrieved October 6, 2021, from https://www.medicalnewstoday.com/articles/326984.

Centers for Disease Control and Prevention. (2019, May 31). Meningococcal disease diagnosis and treatment. Centers for Disease Control and Prevention. Retrieved October 6, 2021, from
https://www.cdc.gov/meningococcal/about/diagnosis-treatment.html.

CSF total protein. Mount Sinai Health System. (n.d.). Retrieved October 6, 2021, from https://www.mountsinai.org/health-library/tests/csf-total-protein.

Jurado, R. (1990, January 1). Cerebrospinal fluid. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Retrieved October 6, 2021, from
https://www.ncbi.nlm.nih.gov/books/NBK398/.

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Nursing care plan:

ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION

OBJECTIVE OF
INTERVENTION RATIONALE
CARE
At the end of 8 hours of  Assess the patient’s  A history of aseptic  Assessing the patient’s After of 8 hours of
Subjective Cues: Hyperthermia as may be nursing intervention, vital signs closely. viral meningitis vital signs regularly. nursing intervention, the
 “mainit po ang aking related to infection and the patient will be able usually begins with patient is maintained
katawan pati parang as evidenced by Body to regain and maintain an onset of fever up hydrated and
nanghihina po ako temperature above the body temperature to 104°F. As temperature is already
sir” normal range. within a normal range. hyperthermia within the normal range.
 High body progresses, HR and
temperature BP increase also.
 Looking nauseous
 Assess for signs of  Elevated body  Manage to assess for
dehydration such as temperature signs of the said
dry mouth, sunken increases the complications and
eyes, sunken metabolic rate, manage to maintain
fontanelle, low hence increases the patient’s fluid in the
concentrated urine insensible fluid loss. body
Objective Cues: output.
 Fever (38.1°C)
 Headache  Gradually decrease  Shivering can  Reduced the
 Vomiting temperature. happen from rapid temperature of the room
 Diziness reduction of accordingly to the
temperature which patient’s preference.
can result to
rebound effect and
increase the
temperature instead
lower the
temperature.

 Maintain adequate  Prevents  Managed to give or

fluid intake as dehydration; Avoid maintain patients’ fluid
tolerated. fluid overload intake.
because of the risk
of cerebral edema.

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  Antibiotics are given
 Administer to treat the  Antibiotics was given
antibiotics as underlying causes of throughout the
indicated. inflammation and intervention
thus prevent the
occurrence of
seizure activity.

 Antipyretics
 Administer decrease fever and  Antipyretics was also
antipyretics as lessen brain oxygen given throughout the
indicated. demand as fever whole intervention.
increases cerebral
metabolic demand.

Reference/s:

Mwewa, S. N. U. (2020, December 5). 7 meningitis nursing care plans. Nurseslabs. Retrieved October 5, 2021, from https://nurseslabs.com/meningitis-nursing-care-plans/6/.

Nursing care plan:

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ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION
OBJECTIVE OF
INTERVENTION RATIONALE
CARE
Acute pain as evidenced At the end of 4 hours of  Assess for headache  When the meninges  Managed to dim the After of 4 hours of
Subjective Cues: by headache nursing intervention, and photophobia. of the brain become room so that the patient nursing intervention, the
“masakit po ulo ko sir, the patient will express infected, it can lead won’t be irritated by the patient was able to
nahihilo ako at may feelings of comfort and to inflammation that bright lights. express feeling of
parang tumutusok” relief of pain. triggers severe comfort and relief of
headaches; pain especially the
Meningitis also headache the patient is
causes feeling earlier
hypersensitivity to
bright lights.

 Assess for Kernig’s  These are used to  Was able to assess for
sign (pain and assess for any sign of Kernig’s sign and
resistance on meningeal irritation. manage to perform the
Objective Cues: passive knee task successfully.
 Fever (38.1°C) extension with hips
 Headache fully flexed) and
 Vomiting Brudzinski’s sign
 Diziness (hips flex on
bending the head
forward).

 Assist ROM  Prevent joint  Manage to assist for

exercises. stiffness and neck ROM exercise and done
pain. it well.

 Administer  Antibiotic and

antibiotic and corticosteroid  Administer of antibiotics
corticosteroid as therapy are used to and corticosteroid was
prescribed. reduce the done during the whole
inflammation and intervention.
therefore decrease
pain.
 Control  Environmental  Manage to control the
environment to changes such as environment for the

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 encourage rest. increased noise and patient to rest.
glaring light cause
sensory overload
that promotes
cerebral irritation
leading to
convulsions.

 Administer  NSAIDs are given to  NSAID’s was given to

analgesics such as relieve pain. the patient during the
acetaminophen or intervention
NSAIDs as
prescribed.
Reference/s:

Mwewa, S. N. U. (2020, December 5). 7 meningitis nursing care plans. Nurseslabs. Retrieved October 5, 2021, from https://nurseslabs.com/meningitis-nursing-care-plans/3/.

Drug study: Penicillin G potassium

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GENERIC NAME: Penicillin G potassium
BRAND NAME: Crystapen
DRUG ILLUSTRATION:
CLASSIFICATIONPharmacotherapeutic:
Penicilline
Clinical: Antibiotic
DOSAGE/FREQUENCY/ROUTE:
1 gram IV q12h
study: Oxygen 150
MECHANISM OF ACTION:
Inhibits bacterial cell wall synthesis by binding
to one or more of the penicillinbinding proteins
of bacteria. Therapeutic Effect: Bactericidal
INDICATION:
Treatment of infections of respiratory tract,
skin/skin structure, otitis media, necrotizing
ulcerative gingivitis; prophylaxis for rheumatic
fever, dental procedures
CONTRAINDICATION:
Hypersensitivity to any penicillin. Cautions:
Severe renal impairment, history of allergies
(particularly cephalosporins), history of
seizures, asthma.
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SIDE EFFECTS/ADVERSE REACTION
SIDE EFFECTS:
Occasional: Lethargy, fever, dizziness, rash,
electrolyte imbalance, diarrhea,
thrombophlebitis.
Rare: Seizures, interstitial nephritis.
ADVERSE REACTION
CNS: Confusion, dizziness, dysphasia,
hallucinations, headache, lethargy, sciatic nerve
irritation, seizures
CV: Labile blood pressure, palpitations
EENT: Black “hairy” tongue, oral candidiasis,
stomatitis, taste perversion
GI: Abdominal pain, diarrhea, elevated liver
function test results (transient), indigestion,
nausea, pseudomembranous colitis
GU: Interstitial nephritis (acute), vaginal
candidiasis
MS: Muscle twitching
SKIN: Rash Other: Electrolyte imbalances;
injectionsite necrosis, pain, or redness
NURSING RESPONSIBILITY
 medication administration
 Obtain body tissue and fluid samples
for culture and sensitivity tests as
ordered before giving first dose. Expect
to begin drug therapy before test results
are known.
 Reconstitute vials of penicillin for
injection with sterile water for injection,
D5W, or sodium chloride for injection.
 Administer penicillin at least 1 hour
before other antibiotics.
 Instruct patient to report previous
allergies to penicillins and to notify
prescriber immediately about adverse
reactions, including fever.
Drug
 GENERIC NAME: Oxygen 150 MECHANISM OF ACTION:
Oxygen therapy increases the arterial pressure of
oxygen and is effective in improving gas
exchange and oxygen delivery to tissues,
provided that there are functional alveolar units
BRAND NAME: Mc Bride INDICATION:
Oxygen therapy tries to achieve hyperoxia to
reduce the extent of hypoxia-induced tissue
damage and malfunction.
DRUG ILLUSTRATION:
CLASSIFICATION: CONTRAINDICATION:
Medical Gas Contraindicated in all patients with unfavorable
ventilation response to oxygen treatment. In case
of non-effective O2 treatment, mechanical
ventilation must be turned to as well as in all
DOSAGE/FREQUENCY/ROUTE:
cases with patients in respiratory coma.
5L/min via nasal cannula
Drug Study: hydrocortisone
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SIDE EFFECTS/ADVERSE REACTION NURSING RESPONSIBILITY
SIDE EFFECTS
 Dry or bloody nose
 Tiredness
 Morning headaches
 Observe 14 rights of medication
administration
 Explain to the client the dangers of lighting
matches or smoking cigarettes, cigars, or
pipers
 Be sure that warning signs (OXYGEN: NO
SMOKING) are posted on the client’s door
and above client’s bed
 Do not use oil on oxygen equipment (oil can
ignite if exposed to oxygen)
 With all oxygen delivery systems, the
oxygen is turned on before the mask is
applied to the client
 Make sure tubing is patent at all times and
that the equipment is working properly
 Watch for respiratory depression or distress
 Gradually decrease it in stages, and monitor
the client’s arterial blood gases or oxygen
saturation level
 Never use oxygen in hyperventilating patient
 Wear gloves any time you might come into
GENERIC NAME: hydrocortisone MECHANISM OF ACTION:
Inhibits accumulation of inflammatory cells at inflammation sites,
phagocytosis, lysosomal enzyme release, synthesis and/or release
of mediators of inflammation. Reverses increased capillary
SIDE EFFECTS/ADVERSE REACTION NURSING RESPONSIBILITY
permeability.
Therapeutic Effect: Prevents/suppresses cell-mediated immune
reactions. Decreases/prevents tissue response to inflammatory
process
BRAND NAME: Caldecort INDICATION: SIDE EFFECTS  Observe 14 rights of
Otic solutions are indicated for infections of the external auditory Frequent: Insomnia, heartburn, anxiety, abdominal medication administration
canal caused by susceptible organisms and with inflammation. distention, diaphoresis, acne, mood swings, increased  Give daily dose of
Hydrocortisone tablets are indicated for certain endocrine, appetite, facial flushing, delayed wound healing, increased hydrocortisone in morning to
DRUG ILLUSTRATION: rheumatic, collagen, allergic, ophthalmic, respiratory, susceptibility to infection, diarrhea or constipation.
mimic normal peak in
hematologic, neoplastic, edematous, gastrointestinal, and other Occasional: Headache, edema, change in skin color,
conditions. A hydrocortisone enema is indicated for ulcerative frequent urination. adrenocortical secretion of
colitis, a topical ointment with antibiotics is indicated for Topical: Pruritus, redness, irritation. corticosteroids.
corticosteroid responsive dermatoses with infections, and a topical Rare: Tachycardia, allergic reaction (rash, hives),  Shake foam container
cream with acyclovir is indicated to treat cold sores. Oral granules psychological changes, hallucinations, depression. Topical: vigorously for 5 to 10 seconds
of hydrocortisone are used as a replacement therapy for Allergic contact dermatitis, purpura. before each use. Gently
Adrenocortical Insufficiency (AI) in children under 17 years of Systemic: Absorption more likely with use of occlusive
withdraw applicator plunger
age. dressings or extensive application in young children.
past the fillline on the
CLASSIFICATION: CONTRAINDICATION: ADVERSE REACTION applicator barrel while
Medical Gas Hypersensitivity to hydrocortisone. Fungal, tuberculosis, viral skin Long-term therapy: Hypocalcemia, hypokalemia, muscle container is upright on a level
lesions; serious infections, IM administration in idiopathic wasting (esp. arms, legs), osteoporosis, spontaneous surface.
thrombocytopenia purpura. fractures, amenorrhea, cataracts, glaucoma, peptic ulcer,  Monitor weight, blood
DOSAGE/FREQUENCY/ROUTE: HF. pressure, and electrolyte
Abrupt withdrawal after long-term therapy: Nausea,
fever, headache, sudden severe joint pain, rebound levels regularly during
inflammation, fatigue, weakness, lethargy, dizziness, therapy
5L/min via nasal cannula
orthostatic hypotension  Inform patient that he may
bruise easily.
 Limit caffeine; avoid alcohol.

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 GENERIC NAME: Sodium
Chloride
BRAND NAME: SalineX
DRUG ILLUSTRATION:
CLASSIFICATION:
PHARMACOTHERAPEUTIC: Salt.
CLINICAL: Electrolyte, isotonic
volume expander, ophthalmic adjunct,
bronchodilator
DOSAGE/FREQUENCY/ROUTE:
5L/min via nasal cannula
Drug Study: Sodium Chloride
Drug Study: Ceftriaxone
MECHANISM OF ACTION:
Sodium is a major cation of extracellular fluid.
Therapeutic Effect: Controls water distribution, fluid and electrolyte
SIDE EFFECTS/ADVERSE REACTION NURSING RESPONSIBILITY
balance, osmotic pressure of body fluids; maintains acid-base
balance.
INDICATION: SIDE EFFECT  Observe 14 rights of medication
Indicated for parenteral replenishment of fluid and sodium chloride Frequent: Facial flushing. administration
as required by the clinical condition of the patient. Occasional: Fever; irritation, phlebitis, extravasation at  Monitor electrolyte levels
injection site.
 Monitor fluid balance (I&O,
daily weight, lung sounds,
ADVERSE REACTIONS edema), IV site for
CV: aggravation of heart failure, thrombophlebitis, edema extravasation. Monitor serum
when given too rapidly or in excess. electrolytes, acid-base balance,
Metabolic: hypernatremia, aggravation of existing metabolic B/P. Hypernatremia associated
acidosis with excessive infusion.
with edema, weight gain,
Respiratory: pulmonary edema.
Skin: local tenderness, tissue necrosis at injection site. elevated B/P; hyponatremia
Other: abscess associated with muscle cramps,
CONTRAINDICATION: nausea, vomiting, dry mucous
Contraindicated in patients with conditions in which sodium and membranes
chloride administration is detrimental. 
Sodium chloride 3% and 5% injections contraindicated in patients
with increased, normal, or only slightly decreased electrolyte levels.
Use cautiously in elderly or postoperative patients and in patients
with preeclampsia, heart failure, circulatory insufficiency, renal
dysfunction, or hypoproteinemia.
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 GENERIC NAME: Ceftriaxone
BRAND NAME: Rocephin
DRUG ILLUSTRATION:
CLASSIFICATION:
PHARMACOTHERAPEUTIC:
Third-generation cephalosporin.
CLINICAL: Antibiotic
DOSAGE/FREQUENCY/ROUTE:
1 gram IV q12h
Drug study reference/s:
MECHANISM OF ACTION:
Binds to bacterial cell membranes, inhibits cell wall synthesis.
Therapeutic Effect: Bactericidal
SIDE EFFECTS/ADVERSE REACTION NURSING RESPONSIBILITY
INDICATION: SIDE EFFECTS  Assess oral cavity for white
To treat infections of the lower respiratory tract, skin, soft tissue, Frequent: Discomfort with IM administration, oral patches on mucous membranes,
urinary tract, bones, and joints; sinusitis; intra-abdominal infections; candidiasis (thrush), mild diarrhea, mild abdominal cramping, tongue (thrush).
and septicemia caused by anaerobes, gram-negative organisms, and vaginal candidiasis.
gram-positive organisms Occasional: Nausea, serum sickness–like reaction (fever,  Monitor daily pattern of bowel
joint pain; usually occurs after second course of therapy and activity, stool consistency. Mild
resolves after drug is discontinued). GI effects may be tolerable
Rare: Allergic reaction (rash, pruritus, urticaria), (increasing severity may
thrombophlebitis (pain, redness, swelling at injection site) indicate onset of antibiotic-
associated colitis).
ADVERSE REACTION
 Monitor I&O, renal function
GI: pseudomembranous colitis, diarrhea
Hematologic: eosinophilia, thrombocytosis, leukopenia. tests for nephrotoxicity, CBC.
Skin: pain, induration, tenderness at injection site, rash.  Be alert for superinfection:
CONTRAINDICATION: Other: hypersensitivity reactions, serum sickness, fever, vomiting, diarrhea,
anaphylaxis. anal/genital pruritus, oral
mucosal changes (ulceration,
 Documented hypersensitivity; hyperbilirubinemic neonates,
pain, erythema)
particularly those who are premature; neonates under 28 days
if they receive calcium-containing intravenous (IV) products.
 Intravenous administration of ceftriaxone solutions
containing lidocaine.
 Lidocaine contraindications if lidocaine solution used as
solvent with ceftriaxone for intramuscular injection.
 Concomitant calcium-ceftriaxone administration:
Page 15 of 18
RxList. (2021, March 22). Penicillin G potassium (penicillin G potassium): Uses, dosage, side effects, interactions, warning. RxList. Retrieved October 6, 2021, from
https://www.rxlist.com/penicillin-g-potassium-drug.htm.

Oxygen. Uses, Interactions, Mechanism of Action | DrugBank Online. (n.d.). Retrieved October 6, 2021, from https://go.drugbank.com/drugs/DB09140.

RxList. (2021, August 17). Hydrocortisone: Generic, uses, side effects, dosages, interactions, warnings. RxList. Retrieved October 6, 2021, from
https://www.rxlist.com/consumer_hydrocortisone/drugs-condition.htm.

RxList. (2020, August 12). Normal saline (sodium chloride injection): Uses, dosage, side effects, interactions, warning. RxList. Retrieved October 6, 2021, from https://www.rxlist.com/normal-
saline-drug.htm.

RxList. (2021, August 9). Ceftriaxone: Generic, uses, side effects, dosages, Interactions & Warnings. RxList. Retrieved October 6, 2021, from
https://www.rxlist.com/consumer_ceftriaxone_rocephin/drugs-condition.htm.

CATEGORY 4 3 2 1
Follows and Follows Follows Demonstrate

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 Exceeds
some but not s little
expectations instructio
all comprehensi
noted in ns
instructions on
instructions
I. STUDY OF ILLNESS CONDITION (total score = 40 points)
1. Assessment
 Differentiates between subjective and
objective cues
 Analyzes laboratory examinations
2. Anatomy
 Indicates and labels the affected organ
 Cites reference/s & Paraphrases
3. Physiology
 Discusses the normal functions of the organ
involved
 Cites reference/s & Paraphrases
4. Pathophysiology
 Explains the pathophysiology based on the
diagnosis
 Develops the pathologic pathway of the
patient’s current illness
 Synthesizes the life-threatening pathway as
a consequence of the patient’s refusal / non-
compliance with treatment
 Cites reference/s & Paraphrases
1. Analysis
 Correlates signs & symptoms to the illness
condition
 Relates laboratory / diagnostic exams to the
illness condition
II. SURGICAL PROCEDURE & INSTRUMENTS (total score = 20 points)
1. Operation Performed
 Discusses the surgical procedure done
 Cites reference/s & Paraphrases
2. Instruments and Accessories Used
 Lists the instruments used during the
procedure
 Categorizes the instruments
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  Explains the functions per category & cites
references
III. NURSING CARE PLAN (total score = 36 points)
1. Nursing Care Plan (2)
 Utilizes the Nursing Process
 Assessment
 Diagnosis
 Planning
 Objective of Care
 Interventions
 Rationale
 Implementation
 Evaluation
 Cites reference/s
IV. DRUG STUDY (total score = 12 points)
2. Drug Study
 Comprehensive drug information and cites
references
 Nursing Responsibilities
 Indication / contraindication
TOTAL POINTS
FINAL RATING

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