Ncm 103 Syllabus.1

8/9/2019 Ncm 103 Syllabus.1

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1

DONA REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATIONCOLLEGE OF NURSING

CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTEBALANCE, NUTRITION AND METABOLISM AND ENDOCRINE

Course Descr!"o#: This course deals with the principles and techniques of nursingcare management of sick clients across lifespan with emphasis onthe adult and the older person, population group in any setting withalterations/problems in oxygenation, fluid and electrolyte balance,nutrition and metabolism and endocrine function.

Course Co$e % NC !"#Course Cre$"% $ units lecture, % units &'(Co#"&c" Hours'se(% !#% hours lecture and #"% hours &'(Prere)us"e: NC !")P*&ce(e#": #rd year, !st semester Course O+ec"-es:

*t the end of the course, and gi+en actual clients with problems inoxygenation, fluid and electrolyte balance, nutrition and metabolism, andendocrine function, the student should ha+e:

!. used the nursing process in the care of indi+iduals, families in community andhospital settings.

assessed with client/s his/her/their condition/health status through inter+iew,physical examination, interpretation of laboratory findings

identified actual and atrisk nursing diagnosis planned appropriate nursing inter+entions with client/s and family for identified

nursing diagnosis

-mplementsed plan of care with client/s and family e+aluated the progress of his/her/their clients condition and outcomes of care). created a well organied and accurate documentation system0#. communicated with client/s and their family and the health team appropriately01. adopted bioethical concepts/ principles, core +alues and nursing standards in the care of clients0 and ,2. stimulated personal and professional growth of self and others.

LEARNING OBJECTIVE TOPIC DATE

AND

TIME

LECTU

RER

Given an adult

( young, middle, old,

old-old adult) with

responses to altered

Respiratory function,

the student will be

able to:

A Apply !nowledge

and normal anatomy

and physiology and

assessmenttechni"ues in caring

for clients

#. Responses to Altered Oxygent!on"

Resp!rtory Gs Ex#$nge" Trnsport"

Per%&s!on

#A Review: Anatomy and $hysiology of the

Respiratory %ystem

A &$$'R R'%$#RAR* RA+

- ose, $aranasal sinuses, $haryn,

tonsils, adenoids, .aryn, rachea

/ .0'R R'%$#RAR* RA+- .ungs, ediastinum, .obes- /ronchi and /ronchioles, Alveoli

2une

345

6-17

rs

Alfons

o


2/27

3


TIME

LECTURE

R

/ Assess the health

status of a client

1 +onduct a

health historyand functional

health status of

clients having

or at ris! for

alterations in

oygenation,

ventilation and

gas echange

3 $erform

systematic andcomprehensive

physical

assessment to

validate

assessed data

# / 8unctions of the Respiratory %ystem

- ygen ransport

- Respiration

- 9entilation

- Air $ressure 9ariances

- Airway Resistance

- +ompliance

- .ung 9olumes and +apacities

- $ulmonary i;usion and $erfusion

- 9entilation and $erfusion /alance and

#mbalance

- Gas 'change

#+ ursing $rocess:

A Assessment:

1 %ubing

- =emoptysis

- rthopnea- +yanosis

- Restlessness

- achypnea

- +onfusion

- %tridor

- asal and sinus complains

/ $ast =ealth, 8amily, and %ocial =istory

+ 8unctional =ealth $atterns

3 b


3/27

@


TIME

LECTURE

R

@ #nterprets

deviations from

normal ?ndings

in the physical

assessment,

diagnostic and

laboratory

eamination

&tili>e the

assessed data

in order to:

- $rioriti>e

nursing

diagnosis- iscuss the

pathophysiological responses

to altered

oygenation:

ventilation and

gas echange

- $lan the care of

clients utili>ing

evidence-based

nursing

research

/ iagnostic 'ams

b1 on-invasive

- $ulmonary 8unction est- $ulse imetry- 9entilation $erfusion %can- Radiologic %tudies: +hest B-rays- + %can, R#, $', $ulmonary- Angiography

b3 #nvasive

- 'ndoscopic 'ams: .aryngoscopy, /ronchoscopy, ediatinoscopy

- .ung /iopsy- horacentesis and $leural Cuid

Analysis- 8luoroscopic studies- .ung scans

b@ .aboratory ests

- %putum +ulture- ose and throat culture- A/GDs

- 8agerstrom est (%tandardi>eddegree of nicotine dependence)

- %mo!e analyser

/ AnalysisE ursing

iagnosis

1 #ne;ective airway clearance as

evidenced by shortness of breath,

dyspnea, orthopnea, retractions, nasal

Caring, altered chest ecursion

3 #ne;ective breathing patterns asevidenced by ine;ective cough,

diminished or abnormal breath sounds,

cyanosis, restlessness@ #mpaired gas echange as evidence by

cyanosis, abnormal respiratory rate,

rhythm, nasal Caring, tachycardia,

diaphoresis, confusion #mpaired spontaneous ventilation as

evidenced by dyspnea, use of

accessory muscles, tachycardia,

apprehensionF isturbed sleep pattern (sleep-rest)4 Aniety (%elf- $erception- %elf- +oncept)

+ $lanning:

1 $lanning for health promotion3 $lanning for health restoration and

maintenancea aintain airway patency: coughing

techni"ues, suctioningb Relieving apprehension and fear

c Reducing metabolic demandsd aintaining rest and activitye ecreasing the e;orts of breathingf aintaining nutrition and hydration

2une

345

17-

13

2une

3

6-13

rs

+adion

rs

+adion


4/27


TIME

LECTURER

- Achieve the

best clinical

outcomes

utili>ing ethico-

moral and legal

principles- $lan e;ective

care

g $reventing and controlling infectionh $lanning for oygen therapyi #ncentive spirometry


5/27

F

- +ardiac amponade

- %ubcutaneous 'mphysema

- $ulmonary 'mbolism

- $ulmonary =ypertension

LEARNING

OBJECTIVE

TOPIC DATE

TIME

LECTUR

ER

1 $erform

systematic

and

comprehensiv

e physical

assessment

to validate

assessed

data

A 8unctional =ealth $atterns/ $ast health, family and social history

3 b


6/27

4

3 #nterprets

deviations

from normal

?ndings in

the physical

assessment,

diagnosticand

laboratory

eamination

/ iagnostic ests and $rocedures1 on-invasive:

- '+G- &ltrasound- chest Bray- +ardiac %tress esting- 'ercise stress esting- $harmacological %tress esting- 'chocardiography- + scan- R#- Radio-nuclides studies

LEARNING

OBJECTIVE

TOPIC DATE

TIME

LECTUR

ER

&tili>e

the

assessed

data in

order to:

- $rioriti>e

nursing


pathophysiologi

cal responses

to altered

oygenation:

cardiac and

peripheraltissue

perfusionE

transport

F #nvasive %tudies:- +ardiac +atheteri>ation- Angiography- Aortography- +oronary Arteriography- Right =eart +atheteri>ation- 'lectrophysiologic esting- Arteriogram- 9enogram

- .ymphography- /one marrow aspiration- =emodynamic monitoring

5 +9$ 5 $ulmonary artery pressure 5 #ntraarterial /$ monitoring

4 .aboratory estsa +ardiomar!er analysis

- 'n>ymes and #soen>ymes %tudies: +$H-

/,- +-Reactive $rotein, roponin-#

b /lood +hemistry, =ematologyand coagulation studies

c /rain (/-type) atriuretic

$eptided +-reactive $roteine =omocysteinef '%R, A%-iterg orni"uet esth hroat +ulture

b AA.*%#%E &R%#G

#AG%#%:

1 ecreased +ardiac utput as

evidenced by increased=eart

rate, fatigue, %/, decreased

urine output,3 #mpaired mental processing,

decreasing .+@ Activity #ntolerance as evidenced

by wea!ness, fatigue, vital signs

changes 8atigue as evidenced by diIculty

completing usual daily activities,fre"uent desire to rest

F Ris! for peripheral neurovascular

dysfunction as evidenced by


7/27

changes in color, temperature,

sensation of etremities4 #mpaired tissue integrity

(utrional etabolic) #ne;ective /reathing $atterns6 8luid 9olume 'cessJ utrition, Altered, less than body

re"uirement17Growth and development, altered118amily $rocess, Altered13$ain1@Activity #ntolerance

LEARNING

OBJECTIVE

TOPIC DATE

TIME

LECTUR

ER

- $lan the care of

clients utili>ing

evidence-based

nursing research

- Achieve the

best clinical outcomes

utili>ing ethico-moral

and legal principles

- $lan e;ective

care

c $.A#G

1 $lanning for health promotion

a Ris! 8actor and ris! management

b $romotion of circulationc $revention of infection:

immuni>ationsd genetic counsellinge role of nutrition

3 $lanning for health aintenance and

restoration

a $lanning for basic life support, +$Rb $lanning for advanced life supportc $lanning for the client having cardiac

surgery

##+ + ='A.= $R/.'%

A ursing +are of +lients with

ysrhythmias and +onduction $roblems

1 ysrhythmias

a %#&% ' *%R=*=#A%- %inus /radycardia- %inus achycardia- %inus Arrhythmias

b AR#A. *%R=*=#A%- $remature atrial comple- Atrial 8lutter- Atrial 8ibrillation

c 2&+#A. *%R=*=#A%- $remature 2unctional +omple- onparoysmal 2unctional achycardia- Atrioventriculr odal Reentry

achycardia

d 9'R#+&.AR *%R=*=#A%- $remature 9entricular +omple- 9entricular achycardia- 9enticular 8ibrillation

2uly 16

6-13

rs e

Asis


8/27

6

- #dioventricularrhythym- 9entricular asystole

3 +&+# A/RA.##'%a 8irst-degree Atriventricular bloc!b %econd-degree Atriventricular

/loc!, ype # (0enc!e /ach)c %econd-degree Atriventricular

/loc!, ype ##d hird-degree Atriventricular /loc!

/ ursing +are of +lients with +oronary

9ascular iseasea +oronary Atherosclerosisb Angina $ectorisc Acute +oronary %yndrome and

yocardial #nfarction

2uly 3

6-13

rs

Alfonso

LEARNING

OBJECTIVE

TOPIC DATE

TIME

LECTUR

ER

+ ursing +are of +lients with %tructural,#nfectious and #nCammatory +ardiac

isordersa itral 9alve $rolapseb itral Regurgitationc itral %tenosisd Aortic Regurgitatione Aortic %tenosisf %eptal efectsg +ardiomyopathyh Rheumatic 'ndocarditisi #nfective 'ndocarditis


9/27

J


10/27

17

- +=8- Rheumatic 8ever- $ersistent $ulmonary =ypertension- Hawasa!i isease- 'ndocarditis- Arrythmias- =ypertension- yslipidemia- +ardiomyopathy

8 $ediatric =ematologic isorders

- =yperbilirubinemia- Anemias- $olycythemia- .eu!emia- $urpuras- #$, =enoch%chonlein

syndrome- =emophilias: 8actors 6,J,11

de?ciencies,- 9on 0illebrandDs disease- halassemias- #+

LEARNING

OBJECTIVE

TOPIC DATE

TIME

LECTUR

ER- #mplement

individuali>ed nursing

care:

1 %afely and

!nowledgeably

administers prescribed

medications and

treatmentsE alternative

complementary

medicine

3 Actively

participates in

planning and

coordinating culturally

sensitive

interdisciplinary care@ $rovide

appropriate client

education and health

maintenance and

community- based

care of clients

#$.''A#:

1 $harmacologic herapy

- +holesterol lowering drugs, statins, bile

acids- %e"uestrants, nicotinic acid, ?bric acid

derivatives- Antianginal: itroglycerine, beta

bloc!ers, calcium +hannel bloc!ers- Antiplatelet: ral and #9 drugs- Antidysrhythmic rugs- =eart 8ailure: A+' inhibitors,

Angiotensin ##Receptor bloc!ers, diuretics, positive

inotropic Agents, sympathomimetics,

digoin, phophodi'sterase inhibitors

- Anemia: #ron sources, /13 sources,

folic acid%ources

- Antihypertensive: alpha adrenergic

bloc!ers,- A+' inhibitors, beta adrenergic

bloc!ers, calcium +hannel bloc!ers,

centrally acting- Anticoagulants: =eparin, 0arfarin

3 +omplementary and Alternative

herapies

- 8ish il- mega @ 8atty acids


11/27

11

Given an adult


old-old adult) with


nutrition-metabolism ,

the student will be

able to:

- =awthorn- =erbs that may a;ect clotting- atural .ipid .owering agents- $hototherapy- 9'

@ utrition and iet herapy- A%= iet- $rit!in iet- rnish iet- .ow %alt, .ow 8at- Gavage 8eeding

/lood ransfusionF /one arrow ransplant4 %plenectomy

' +lient 'ducation

III. RE'PON'E' TO ALTERED NUTRITION(

METABOLI'M

###a Review of Anatomy and $hysiology of

the G# and Accessory rgans

1 Alimentary ract

a ral +avity or outh

- ongue, eeth, $alate and onsils- %alivary Glands, $haryn, 'sophagus- %tomach, %mall #ntestines, .arge

#ntestines- Rectum and Anal +anal

Aug

6-13

rs e

Asis

LEARNINGOBJECTIVE

TOPIC DATETIME

LECTURER

3 'ndoscopic procedures- +olonoscopy- 'R+$- 'G- %igmoidoscopy- %mall bowel enteroscopy- $roctoscopy- Anoscopy

ther procedures- Anorectalanometry- 'sophagealanometry- 'sophageal$hmanometry- Gastric anometry

F .aboratory %tudies1 /lood +hemistries: serum amylase,

lipase, proteins3 otal lymphocyte count@ -ylose absorption test 8ecal Analysis: ccult, ova and

parasites,F Kuantitative fecal fat studies, fecal

leu!ocytes,4 %tool electrolyte tests


12/27

13

&tili>e the

assessed data in

order to:

- $rioriti>e nursingdiagnosis

- iscuss the

pathophysiologi

cal responses to

altered

nutrition-

metabolism

- $lan the care of

clients utili>ing

evidence-based

nursing research- Achieve the best

clinical

outcomes

utili>ing ethico-

moral and legal


care

'foliativecytologic analysis6 Gastric analysis

b AnalysisE ursing iagnosis

1 8luid 9olume de?cit related to blood

loss from #n


13/27

1@

- +ancer of the 'sophagus

/ ursing +are of +lients with Gastric

and uodenal &lcer- Gastritis- $&

- orbid besity- Gastric +a- Gastric %urgery- uodenal &lcers

+ ursing +are of +lients with #ntestinal

and Rectal isorders- +onstipation- iarrhea- 8ecal #ncontinence- 8ood $oisoning- #rritable /owel %yndrome

- +onditions of alabsorption- Appendicits- iverticular isease- $eritonitis- ypes of #nCammatory /owel isease- %mall /owel bstruction- .arge /owel bstruction- +olorectal +a- $olyps of the +olon and Rectum

isorders caused by food, vitamin and

mineral de?ciencies:

- Hwashior!or- arasmus- #odine e?ciency

' alabsorption %yndrome

- +eliac %prue- .actase e?ciency- %hort /owel %yndrome

8 ursing +are of +lients with =epaticisorders

- 2aundice- $ortal =ypertension- Ascites- 'sophageal 9arices- =epatic 'ncephalopathy- And coma

Aug

15

6-11

Aug

15

11-1pm

Aug

1F5

6-1pm

r

Astilla

rs

+adion

r

Astilla

LEARNING

OBJECTIVE

TOPIC DATE

TIME

LECTUR

ER

- =ep A, /,+,,' 9irus- =ep G 9irus and G/ 9irus-+- oic =epatitis- rug- #nduced =epatitis

- $rimary .iver umors- .iver etastases- .iver ransplantation- .iver Abscess


14/27

1

- #mplement

individuali>ed

nursing care:

1 %afely and

!nowledgeably

administersprescribed

medications and

treatmentsE

alternative

complementary

medicine3 Actively

participates in

planning and

coordinating

culturallysensitive

interdisciplinary

care

G ursing +are of +lients with /iliary

isorders- +holecystitis- +holelithiasis- Gallbladder +a- /iliary Atresia- Acute $ancreatitis- +hronic $ancreatitis- $ancreatic +yst- +ancer of the $ancreas- umors of the =ead of the $ancreas- $ancreatic #slet umors- =yperinsulinism- &lcerogenicumors

= $ediatric isorders:

- ral oniliasis- +left .ipE $alate- racheoesophageal atresia- racheoesophageal ?stula- $ediatric isorders:- 'n>yme e?ciencies- $yloric %tenosis- G'R: Achalasia- =iatal =ernia- ecroti>ing enterocolitis- ec!elDs diverticulum- egacolon

- #mperforate anus- #nCammatory bowel diseases- #ntestinal bstruction- #ntestinal $arasitic #nfections

#$.''A#

1 $harmacologic herapeutics- Antiemetics- Anticoagulants- =ematinics- .aatives

- Antipruritic- 9itamin supplement- Antacids- Antihyperlipidemics- Antispasmodics- Antidiarrheal- Antisecretory agents- 9asopressin- ctreotide- 'pinephrine- $romotility- +holinergic

- Antibiotics for = $ylori- A-interferon and ribavirin- $ancreatic 'n>yme Replacement

Aug 36

6-1pm

rs

+adion

LEARNING

OBJECTIVE

TOPIC DATE

TIME

LECTUR

ER3 +omplementary and Alternative

herapies- Ginger- il! hisle (%ilymarin)

@ %urgical and %pecial $rocedures:a %urgical $rocedures:

- Gastrostomy- Gastrectomy


15/27

1F

@ $rovide

appropriate

client education

and health

maintenance

and community-

based care ofclients

Given an adult


old-old adult) with


'ndocrine function, the

student will be able to:

A Apply !nowledge

and normal anatomy

and physiology and

assessment

techni"ues in caring

for clients

- +olostomy- =emorrhoidectomy- Gastrointestinal bypass- #leostomy- =emicolectomy

b %pecial $rocedures- $arenteral =yperalimentation- 8eeding per G,


16/27

14

/ Assess the health

status of a client

1 +onduct a

health history and

functional health

status of clients having

or at ris! for

alterations in

endocrine function

3 $erform

systematic and

comprehensivephysical assessment to

validate assessed

data

- orepinephrineb Adrenal +orte- Glucocorticoids- ineralocorticoids- Androgens

F he $ancreasa /eta +ells - #nsulinb Alpha +ells L Glucagon

4 he estes and the variesa 8emale- 'strogen- $rogesteroneb ale- estosterone

he hymus Gland- hymosin

6 he $ineal Gland

a elatonin

+ ther =ormones

1 $rostaglandins

3 'rythropoietin

@ =uman +horionic Gonadotropin

(=+G)

#9b ursing $rocess

a Assessment

1 %ub


17/27

1

in the physical

assessment,

diagnostic and

laboratory

eamination

&tili>e the

assessed data in

order to:

- $rioriti>e nursing

diagnosis

- iscuss the

pathophysiological

responses to

altered nutrition -

metabolism

si>e, %hape, position, function by

scanning, &M, R#, + scan,

radionuclide imaging, testing

forAchilles tendon reCees, radioiodide

upta!e- est for adrenal structure and function:

.esions, diseases, +,- R#, adrenal venogram- And angiography- est of $ituitary structure and function:

%!ull B-ray, +, R#- etabolic 8unction %tudies- Abdominal &M, radiography, +

b #nvasive- Angiography- $ortal pressure measurement- /iopsy

- $aracentesis- 8ine needle aspiration biopsy

c .aboratory- Growth =ormoneE human hormone- %omatomedinN insulin li!e growth

factor- 0ater deprivation test- hyroid %timulating =ormone- hyroine ( )- riiodothyronine- hyroid antibodies

- $arathyroid ormone- +alcium- +ortisol- Aldosterone- A+=- A+= stimulation- A+= suppression- 1 !etosteroids- 8asting blood sugar- ral Glucose- olerance test- Glycosylated =emoglobin

b AnalysisE ursing iagnosis:

1 #mbalanced utrition less thanE more

than body Re"uirements as evidenced

by increased food #nta!e with weight

loss3 e?cient Cuid volume as evidenced by

dry mucus embrane, thirst and

decreased urine output@ =yperthermia as evidenced by body

temperature Ranging from @J-1degrees +elsius

17-1pm

LEARNING

OBJECTIVE

TOPIC DATE

TIME

LECTUR

ER

#mpaired %!in integrity as evidenced


18/27

16

- $lan the care of

clients utili>ing

evidence-basednursing research

- Achieve the best

clinical

outcomes

utili>ing ethico-

moral and legal

principles- - $lan

e;ective care

by dry,Rough, reddened and edematous s!in

F #ne;ective therapeutic regimen

management( health perception, health

management)4 isturbed body image ( self-

perception,%elf-concept)

c $lanning

1 $lanning for health restoration and

maintenance

MIDTERM E*AMINATION

#9+ + ='A.= $R/.'%

1 isorders of the thyroid glanda =yperthyroidism (thyrotoicosis)

- GraveDs isease

- oic odular Goiterb =ypothyroidism

- #odine de?ciency- =ashimotoDs thryroiditis- yedema coma- +ongenital hypothyroidism

3 isorders of the $arathyroids- =yperparathyroidism- =ypothyroidism- =ypocalcemia

@ isorders of the adrenal glands- =ypercortolism- AddisonDs disease- $heochromocytoma- +ongenital adrenogenital hyperplasia- +ushingDs syndrome

isorders of the $ituitary Gland- Anterior $ituitary isorders- Gigantism- Acromegaly- $osterior $ituitary gland

- %#A=- iabetes #nsipidus

F $ancreas- iabetes ellitus- =ypoglycemia- iabetic Hetoacidosis- =yperglycemic =yperosmolar

Aug

16-3@

%ept

6-13

%ept F6-13

rs e

Asis

rs eAsis


19/27

1J


TIME

LECTURE

R

- #mplementindividuali>ed nursing

care:

1 %afely and

!nowledgeably


medications and


complementary

medicine

3 Activelyparticipates in

planning and


sensitive

interdisciplinary care

@ $rovide

appropriate client

education and health

maintenance and

community- based

care of clients

Given an adult


old-old adult) with


&rinary elimination,

the student will be

able to:

A Apply !nowledge

and normal anatomy

and physiology and

assessment


for clients

- on!etotic %yndrome- acrovascular+omplicstions- icrovascular +omplications

- iabetic nephropathies- 8oot and leg problems

d #mplementation

1 $harmacologic therapeutics

- #odine sources- hyroid preparations- +ortisol replacement- #nsulin- ral =ypoglycemics


herapies

- Aloe vera- /ilberry- /ittermelon- 8enugree!- 8ish oils- Garlic- Ginseng- Gymnema

- =orse chestnut seed etract- arshmallow- il! thistle- opa- $ric!ly pear cactus- /urdoc! (may increase blood sugar)

@ %urgical procedures:- hryroidectomy- $atrathyroidectomy- &nilateral or bilateral adrenalectomy- (transphenoidal) hypophysectomy

- Amputation of diabetic patient- $ancreas transplant- #slet cell transplant

%pecial $rocedures:

- Adminitration of insulin- Adminstration of hormone

utrition and diet therapy

F $atient education

V. CARE O) CLIENT' +IT, RE'PON'E'

TO ALTERED URINAR- ELIMINATION

9a Review of Anatomy and $hysiology of the

&rinary %ystem

A %tructure and 8unction

1 Hidney

a Gross structure of the Hidney

b icroscopic structure of the !idney L

nephron

%ept115

6-11

%ept

115

11-1pm

rAstilla

rs

+adion


20/27

37


TIME

LECTURE

R

/ Assess the health

status of a client

1 +onduct a

health history and

functional health


or at ris! for

alterations in

oygenationN cardiac

and peripheral tissue

perfusionE transport

3 $erform

systematic and

comprehensive

physical assessment to

validate assessed

data

c /lood %upply d 8unctions e &rine $roduction- 8iltration- Reabsorption- %ecretion

f +omposition of &rineg Regulation of urine concentration and

volumeh =ormonal echanismsi ';ect of %ympathetic innervation


21/27

31


TIME

LECTURE

R

@ #nterprets

deviations from

normal ?ndings

in the physical

assessment,

diagnostic and

laboratory

eamination

&tili>e the

assessed data in order

to:



pathophysiological responses to

altered urinary

elimination

- $lan the care of

clients utili>ing

evidence-based


clinical

outcomes

utili>ing ethico-

moral and legal


care

3 iagnostics and .aboratory'aminations

a on-invasive- est for renal function- $rostate speci?c antigen- &rinalysis- +- R#, B-ray of H&/- &rine culuture- /&- +reatinine clearance test- /ladder ultrasonography

b #nvasive- #9$- Retrograde $yelography- +ystourethrogram- Renal %cans- +ystoscopy- Renal biopsy- Radioisotope scanning- uclear %cans- #ntraveous urography- Renal angiography

- 9oiding cystourethrography

b AnalysisE ursing iagnosis

1 #mpaired urinary elimination as

evidenced by , urgency, fre"uency,

hesitancy, dysuria, nocturia3 &rge urinary incontinence as

evidenced by fre"uency, urgency, loss

of urine before reaching toilet and

voiding in small and large amount@ &rinary retention as evidenced by

dribbling urine with increasedintraabdominal pressure, urinary

urgency, urinary fre"uency Acute $ainF #ne;ective health maintenance

c $lanning

1 $lanning for health promotion- $romoting urinary elimination- $reventing urinary infection- anaging ris! as renal calculi and

hypertension

3 $lanning for health maintenance andRestoration

- +atheters: &rethral, ephrostomy,

&reteral, %uprapubic- %ystem intermittent and intermittent

self- catheteri>ation, indwelling-

edwelling drainage system- &rulogic %urgery:

a ephrotomyb ephrectomy

c $yelotomyd &reterotomye +ystotomy, cystectomyf .ithotripsy


22/27

33

LEARNING

OBJECTIVE

TOPIC DATE

TIME

LECTUR

ER

- #mplement

individuali>ed

nursing care:

1 %afely and

!nowledgeably

administers

prescribed

medications and

treatmentsE

alternativecomplementary

medicine3 Actively

participates in

planning and

coordinating

culturally

sensitive

interdisciplinary

care@ $rovide

appropriateclient education

and health

maintenance

a 'tracorporeal renal surgeryb $ercutaneous nephrostomyc &rinary diversiond Renal transplante ialysis types

9+ + ='A.= $R/.'%

# ursing +are of +lients with &rinary

isorders

- .ower &rinary ract #nfections- &pper &rinary ract #nfections- &rinary #ncontinence- &rinary Retention- &rinary calculi- eurogenic /ladder- +ancer of the /ladder

## ursing +are of +lients with Renal

isorder

- ephrosclerosis- $rimary Glomerular disease- $olycystic disease

- Acute Renal 8ailure- +hronic Renal 8ailure- Hidney rauma

### isorders a;ecting $ediatric +lients

- 9esicoureteral reCu- 0ilmDstumor- Acute poststreptococcal- glomerulonephritis- $olycystic !idney- %ystemic .upus 'rythomatosus

d #mplementation

a $harmacologic therapeutics

- iuretics- edications for Gout- Antispasmodics- +holinergics- Analgesics- Alpha-/loc!ers


herapies

- /iofeedbac! for urinary incontinence- =alamangGamot

@ utrition and diet therapy

a $rotein-mineral-and 8luid odi?ed

iets

$atient education

%ept 13

6-13

rs

Alfonso


23/27

3@

and community-

based care of

clients

LEARNINGOBJECTIVE

TOPIC DATETIME

LECTURER

Given an adult


old-old adult) with


Cuids, electrolytes and

acid-base balance, the

student will be able to:

A Apply !nowledgeand normal anatomy

and physiology and

assessment


for clients

/ Assess the health

status of a client

1 +onduct a

health history and

functional health


or at ris! for

alterations in

oygenation,

ventilation and gas

echange

3 $erform

systematic and

comprehensive

physical assessment to

validate assessed

data

@ #nterprets

deviations from normal

?ndings in the physical

assessment, diagnostic

and laboratory

eamination

VI. CARE O) CLIENT' +IT, ALTERED

)LUID'" ELECTROL-TE' AND ACID(BA'E

BALANCE

9# a verview of ormal Cuid and

electrolytes /alance

9# b ursing $rocess

a Assessment

1 ursing =istorya %ub


24/27

3


TIME

LECTURE

R

&tili>e the

assessed data in

order to:


diagnosis

- iscuss thepathophysiologi

cal responses to

altered Cuid,

electrolytes and

acid-base

balance

- $lan the care of

clients utili>ing

evidence-based


clinical

outcomes

utili>ing ethico-

moral and legal


care

1 #mpaired ral ucous embrane3 Ris! for in


25/27

3F

b etabolic Acid-base #mbalance

- Acidosis

- Al!alosis


TIME

LECTURE

R

#mplement

individuali>ed nursing

care:

1 %afely and

!nowledgeably


medications and


complementary

medicine

3 Actively

participates in

planning and


sensitive

interdisciplinary care

@ $rovide

appropriate client

education and healthmaintenance and

community- based

care of clients

n completion of thischapter, the students

will be able to:

1 e?ne the @

phases of

perioperative

care3 escribe a

comprehensive

preoperative

assessment to

identify surgicalris! factors

@ #dentify health

factors that

a;ect patientDs

preoperatively #dentify legal

and ethical

considerations

related to

obtaining

informedconsent

F escribe the

preoperative

d #mplementation

1 $harmacologic therapeuticsa #9 Additives

- H+.- +a+l- g%

- =+@-b $lasma 'panders

- +olloids- etran- =eastarch

3 utrition and diet therapya 8ood sources

- %odium- $otassium- +alcium- $hosphate

- agnesium

@ $atient education

VII. NUR'ING CARE O) CLIENT'

UNDERGOING 'URGER-

# #ntroductory #nformation:

$erioperative ursing

A 8undamentals of heory and $ractice

a $erioperative 'ducationb 8oundations of $erioperative

+are %tandardsc .egal and 'thical #ssues

/ he $erioperative $atient +are eama he $erioperative $atient +are

eamb he %urgical 8irst Assistantc Administration of $erioperative

$atient +are %ervice+ he $atient as a &ni"ue #ndividual

a he $atient: he Reason for your

eistenceb $erioperative $ediatricsc $erioperative Geriatrics

he $erioperative 'nvironmenta $hysical 8acilitiesb Ambulatory %urgery +entersc +are of he $erioperative

'nvironmentd $otential %ources of #n


26/27

34

nursing

measures that

decrease the

ris! for infection

and other

postoperative

complications

d econtamination and

isinfectione %terili>ation


TIME

LECTURE

R

4 escribe

the immediate

preoperative

preparation of

the patient

evelop a

preoperative

teaching plan

designed to

promote the

patientDs

recovery from

anesthesia and

surgery, thus

preventingpostoperative

complications

8 %urgical #nstrumentation and

'"uipmenta %urgical #nstrumentationb %peciali>ed %urgical '"uipment

G $reoperative $atient +area $reoperative $reparation of the

$atientb iagnostic $rocedures

= $harmacology and Anesthesiaa %urgical Anesthesiab Anesthesia: echni"ues and

Agents# #ntraoperative $atient +are

a +oordinated Roles of the %crub

$erson and the +irculatorb $ositioning, $repping and draping

the $atientc $hysiologic aintenance and

onitoring of the $erioperative

$atient

2 %urgical %pecialtiesH %urgical %ite anagement

a =emostasis and 0ound +losureb 0ound =ealing

- 0ound dressing

- 8luids and nutrition- edications- $ost operative ischarge

instructions- Rest and activity- 'ating- %leeping- 0ound healing- /owel and urinary

elimination- /athing, showering- +lothing

- riving- /ending and lifting- edications- 8ollow up care-

. $erianesthesia and $ostprocedural

$atient +area $ostoperative $atient +areb $otential $erioperative

+omplications- %hoc!- =emorrhage

- $ulmonary embolism- eep vein thrombosis- &rinary retention- #ntestinal obstruction

ct @

6-13

ct J

6-13

ct 17

6-13

ct 14

6-13

ct 15

6-11

ct

15

11-1pm

ct 31-

3@

r

Astilla

rs

Alfonso

rs

Alfonso

r

Astilla

r

Astilla

rs

+adion


27/27

3

- =iccups- 0ound infection- ehiscence- 'visceration- $sychological disturbances

)INAL E*AMINATION

': A. 8 1@4 hrs ( 6 hours per wee! ecept those where 5 (F hours : 6am-1pm instead of6am-13nn) is indicated to complete the total number of hours P 1@4 hoursQ in 16 wee!s ) %+='&.': =&R%A*%: 6:77 A L 13:77 8R#A*%: 6:77 A - 13: 77

Re%eren#es

/. Br&nner nd '&ddrt$. Text0oo1 o% Med!#l('&rg!#l N&rs!ng 2 /3t$

ed!t!on. 45/34. Joy#e M. Bl#1 nd Jne ,o1nson ,61s. Med!#l('&rg!#l N&rs!ng( 7t$

Ed. 45583. L!pp!n#ott +!ll!9s : +!l1!ns. T$e L!pp!n#ott Mn&l o% N&rs!ng

Pr#t!#e 2/5t$ ed!t!on.;. Nett!n" 'ndr L!pp!n#ott Mn&l o% N&rs!ng Pr#t!#e" 7T, Ed. +!ll!9s

nd +!l1!nss Opert!ng Roo9 Te#$n!?&e" /4t$

Ed!t!on. 45/3@. P!ll!tter!" A. Mternl : C$!ld ,elt$ N&rs!ng Cre o% t$e C$!ld0er!ng :

C$!ldrer!ng )9!ly" @T, Ed. 45/5

Leel III Cl!n!#l Instrtors

Al%onso" Lo&rdel U." MAN" RN Ast!ll" Jere9ey" MAN" RN Cd!on" Dor!s '." MAN" RN De As!s" Re0e##" MAN" RN

PREPARED B- APPROVED B-

LOURADEL U. AL)ON'O" MAN" RN DR. 'OCORRO '.GA'CO" RN" DM,RMACADEMIC COORDINATOR DEAN" COLLEGE O)NUR'ING

Documents

Ncm 103 Syllabus.1