syllabus for NCM 112

1. ALIGNMENT MATRIX WITH CONTENT
PROGRAM OUTCOMES COURSE OUTCOMES LEARNING OUTCOMES CONTENT
Applyknowledge of physical,social,natural
and healthsciences,andhumanitiesinthe
practice of nursing.
Applyknowledge of physical,social,natural
and healthsciences,andhumanitiesinthe
nursingcare of at-riskandsick adultclients
withproblemsinoxygenation,fluidand
electrolytes,infectious,inflammatoryand
immunologicresponse,cellularaberrations,
acute and chronic.
Integrate relevantprinciples of social,
physical,natural andhealthscience and
humanitiesinagivenhealthandnursing
situationsbasedonepidemiologicprofile.
Applyappropriate nursingconceptsand
actionsholisticallyandcomprehensively.
Conceptsin the Care ofAt Risk and Sick
Adult Clients
A. HealthCare Situations
Global
National
Local
B. ChronicIllness
C. Cultural andHealthEthnicdisparities
and culturallycompetentcare
D. Perioperative NursingCare
1. Pre-operative Care
2. Intra-operativeCare
3. Post-operative Care
Provide safe,appropriate,andholisticcare to
individuals,families,populationgroups,and
communityutilizingthe nursingprocess.
Provide safe,appropriate,andholistic
nursingcare to at riskand sickadultclients
withproblemsinoxygenation,fluidand
electrolytes,infectious,inflammatoryand
immunologicresponse,cellularaberrations,
acute and chronic utilizingthe nursing
process.
Assesswiththe atrisk andsick adultclients
one’shealthstatus/competence.
NursingCare of At Risk and Sick Adult
Clientswithalterations/problemsin
oxygenation,fluid,electrolytesandacid-
base balance,infectious,inflammatoryand
immunologicresponse,cellularaberrations,
acute and chronic.
A. Assessment
Subjective Data
a. History
Objective Data
a. Physical assessment
b. Diagnosticstudies/procedures
B. Analysis/NursingDiagnosis
C. Planning

2. Formulate withthe clientaplanof care to
addressthe needs/problems,andbasedon
priorities.
Implementsafe andqualityinterventions
withthe clienttoaddressthe identified
needs/problems.
Provide healtheducationusingselected
planningmodels tosickadultclient.
Evaluate withthe clientthe health
status/competence and/orexpected
outcomesof nurse-clientworking
relationship.
Institute appropriate corrective actionsto
preventorminimize harmarisingfrom
adverse effects.
1. PlanningforHealthPromotion
2. PlanningforHealthRestoration
and Maintenance
D. Implementationof Care of Clients
1. IndependentNursingCare
PhysiologicCare
Psychosocial Care
Spiritual Care
2. InterdependentCare
Pharmacological
Therapeutics
ComplementaryandAlternative
Therapies
Nutritional andDietTherapy
Surgical Intervention
RadiationTherapy
Chemotherapy
ImmunologicTherapy
E. ClientEducation
F. Evaluationof the Outcomesof Care

3. Documentto include reportingup-to-date
clientcare accuratelyand comprehensively.
Documentto include reportingup-to-date
clientcare accuratelyand comprehensivelyin
the care of at-riskandsickadult clients.
Documentclient’sresponses/nursingcare
servicesrenderedandprocesses/outcomes
of the nurse-clientworkingrelationship.
Ensure completeness,integrity,safety,
accessibilityandsecurityof information.
Adhere toprotocol and principlesof
confidentialityin safekeepingandreleasingof
recordsand otherinformation.
Discussthe pathophysiologicresponsesto
alterations/problemsinoxygenation,fluid,
electrolytesandacid-base balance,
infectious,inflammatoryandimmunologic
response,cellularaberrations, acute and
chronic.
G. ReportingandDocumentationof
Care
Responsesto Alterations/Problemsandits
PathophysiologicBasis inOxygenation,
Fluid,Electrolytesand Acid-Base Balance,
Infectious,Inflammatoryand Immunologic
Response,CellularAberrations,Acute and
Chronic
1. Oxygenation Problems
Oxygenation-Ventilation
- NursingCare of Clientswith
Upper AirwayDisorders
- NursingCare of Clientswith
VentilationDisorders
- NursingCare of ClientswithGas
Exchange Disorders
Oxygenation-Transport
- HematologicDisorders
- Anemia
Oxygenation-Perfusion
- Hypertension
- CoronaryArteryDisease (CAD)
and Acute CoronarySyndrome
(ACS)
- VascularDisorders

4. 2. Fluids,Electrolytes,andAcid-Base
Imbalances
FluidImbalance
Electrolyte Imbalances
Acid-Base Imbalances
Urinary EliminationDisorders
- Urinary Tract Disorders
- NeurogenicDisorders
- KidneyDisorders
3. InfectiousandInflammatory
Disorders
InfectiousDisordersof Adults
- Pneumonia,Tuberculosis
- Ebola
- MERS CoV
- H1N1
- COVID-19
- Hepatitis
- Guillain-Barre Syndrome
- Sexually-transmittedDiseases
(STDs)
InflammatoryDisorders(All body
systems)
- Gastrointestinal System
a. InflammatoryBowel Disease
– Crohn’sandUlcerative
Colitis,Appendicitis,
Peritonitis
b. Pancreatitis
c. Cholecystitis
- Urinary System
a. Cystitis
b. Urolithiasis(Stones)
- Reproductive

5. a. PelvicInflammatoryDisease
b. BenignProstaticHypertrophy
- Skin
a. SystemicLupus
Erythematosus
4. ImmunologicDisorders
Multiple Sclerosis
Type 1 DM
Ulcerative Colitis
Acute Glomerulonephritis
Allergy(Hypersensitivity)
LupusErythematous
RheumatoidArthritis
TransplantRejection
Practice beginningmanagementand
leadershipskillsinthe deliveryof clientcare
usinga systemsapproach.
Communicate effectivelyinspeaking,writing,
and presentingusingculturallyappropriate
language.
Practice beginningmanagementand
leadershipskillsinthe care of at-riskand sick
adultclient.
Communicate effectivelyinspeaking,writing,
and presentingusingculturallyappropriate
language inthe care of at-riskand sickadult
clients.
Manage resources(human,physical,time)
efficientlyandeffectively.
Maintaina positive practice environment.
5. CellularAberrations
Breast
Lung
Colon/Rectum
Liver
Cervix,Uterine
Prostate
Leukemia
Thyroid
Stomach
Ovary
(2015 Phil.CancerSocietyFactsand
Estimates)
Applyguidelinesandprinciplesof evidence-
basedpractice inthe deliveryof care.
Applyguidelinesandprinciplesof evidence-
basedpractice inthe deliveryof care for at-
riskand sickadultclientswith
alterations/problemsinoxygenation,fluid,
electrolytesandacid-base,infectious,
inflammatoryandimmunologicresponse,
cellularaberrations,acute andchronic.
Provide appropriate evidence-basednursing
care derivedfromavarietyof theories,care
standards,researchandclientpreferences.
Evidence Based Practicesfor the Care of
ClientswithAlterations/Problemsin:
Oxygenation,Fluid,ElectrolytesandAcid-
Base, Infectionand Inflammation,
ImmunologicResponse,Cellular
Aberrations,Acute and Chronic.

6. A. Importance of evidence-based
practice
B. Clinical questioningusingPICOT
format
C. Appraisal of collectedevidences
D. Integrationof evidencestocare of
clients
E. Evaluationof outcomesof evidence-
basednursing
F. Documentation
Practice nursinginaccordance withexisting
laws,legal,ethical andmoral principlesand
standards.
Practice nursinginaccordance withexisting
laws,legal, ethical andmoral principlesand
standardfor at riskand sickadult clients.
Adhere toethico-legal considerationswhen
providingsafe,quality,andprofessional
nursingcare.
Applyethical reasoninganddecision-making
processto addresssituations of ethical
distressandmoral dilemma.
Adhere toestablishednormsof conduct
basedon the PhilippineNursingLawand
otherlegal,regulatoryandinstitutional
requirementsrelevanttosafe nursing
practice.
Protectclientrightsbasedon“Patient’sBill of
Rightsand Obligations”.
Implementstrategies/policiesrelatedto
informedconsentasitappliesinmultiple
contexts.
RelevantLegal, Moral and Ethical Standards
of Care.
Patient’sBill of Rights
Non-disclosure andotherHIV-related
laws
Perioperative-relatedlaws
Advance Directives,LivingWill
R.A.4921 – Scope of Cancer
DetectionandDiagnosticCenterof
Dr. Jose ReyesMemorial Hospital
Ethical PrinciplesonBeneficence,
Non-Maleficence,Autonomyand
Justice
Scope of NursingPractice basedon
R.A.9173

7. Work effectivelyincollaborationwithinter-,
intra- and multi-disciplinaryandmulti-
cultural teams.
Work effectivelyincollaborationwithinter-,
intra- and multi-disciplinaryandmulti-
cultural teamsinthe care of at riskand sick
adultclients.
Ensure intra-agency,inter-agency,
multidisciplinaryandsectoral collaborationin
the deliveryof healthcare.
Implementstrategies/approachesto
enhance/supportthe capabilityof the client
and care providerstoparticipate indecision
makingbythe inter-professional team.
Maintaina harmoniousandcollegial
relationshipamongmembersof the health
teamfor effective,efficientandsafe client
care.
Coordinate the tasks/functionsof other
nursingpersonnel (midwife andutility
worker).
Collaborate withothermembersof the
healthteaminthe implementationof
programsand services.
Applyprinciplesof partnershipand
collaborationtoimprove deliveryof health
services.
A. Inter-ProfessionalCare Maps
B. CollaborativeCare of Clients
1. Oxygenationproblems
2. Fluid,ElectrolyteandAcid-Base
Imbalances
3. InfectiousandInflammatory
Disorders
4. ImmunologicDisorders
5. CellularAberration
Engage in lifelonglearningwithapassionto
keepcurrentwithnational andglobal
developmentsingeneral, andnursingand
healthdevelopmentsinparticular.
Engage in lifelonglearningwithapassionto
keepcurrentwithnational andglobal
developmentsingeneral,andnursingand
healthdevelopmentsinparticular.
Engage in advocacyactivitiestoinfluence
healthandsocial care service policiesand
access to services.
Engage in advocacyactivitiestodeal with
healthrelatedconcernsandadoptspolicies
that fosterthe growthand developmentof
the nursingprofession.
C. HealthAdvocacyPrograms
1. Tobacco-free programs
2. HealthyLifestyle
3. Non-CommunicableDisease
Programs

8. Model professionalbehavior. D. ProfessionalDecorum
Demonstrate responsible citizenshipand
pride of beinga Filipino.
Demonstrate responsible citizenshipand
pride of beinga Filipino.
Exemplifylove forcountryinservice of the
Filipinos.
Customize nursinginterventionsbasedon
Philippine culture andvalues.
FilipinoCulture ValuesandPracticesin
Relationtothe Care of At-RiskandsickAdult
ClientswithAlterations/Problemsin
Oxygenation,Fluid,ElectrolytesandAcid-
Base,Infectious,Inflammatoryand
ImmunologicResponse,CellularAberrations,
Acute and Chronic.
Applytechno-intelligentcare systemsand
processesinhealthcare delivery.
Applytechno-intelligentcare systemsand
processesinhealthcare deliveryof care of at
riskand sickadultclientswith
alterations/problemsinoxygenation,fluid,
electrolytesandacid-base,infectious,
inflammatoryandimmunologicresponse,
cellularaberrations,acute andchronic.
Use of appropriate technologytoperform
safe and efficientnursingactivities.
Implementsystemof informaticstosupport
the deliveryof healthcare.
On-line Databases/Journal ArticlesRelated
AssessmentandProvisionof Care forCare of
At-RiskandSickAdultClientswith
Alterations/ProblemsinOxygenation,Fluid,
ElectrolytesandAcid-Base,Infectious,
InflammatoryandImmunologicResponse,
CellularAberrations,Acute andChronic.
Adoptthe nursingcore valuesinthe practice
of the profession.
Adoptthe nursingcore valuesinthe delivery
of care toat riskand sickadultclients.
Demonstrate caringas the core of nursing,
love of God, love of countryand love of
people.
Demonstrate professionalism,integrityand
excellence.
Projectthe positive professionalimage of a
Filipinonurse.
Rolesandresponsibilitiesof anurse inadult
healthcare.

9. LEARNING PLAN
LEARNING OUTCOMES CONTENT LEARNING STRATEGIES
(CLASSROOM)
EVALUATION
Apply knowledge of normal anatomy and
physiology.
Concept review on anatomy, physiology and functions of the respiratory
system, cardiovascular system, urinary system, integumentary system,
lymphatic system
Readingsynthesis
Videoclip presentation
Lecture discussion
Objective type
Short-answerquestions
Multiple choice
Assesswiththe atrisk andsick adultclients
one’shealthstatus/competence.
I. The individual client with problems in oxygenation, fluid &
electrolyte balance, infectious, inflammatory and immunologic
response, cellular aberrations, acute and chronic:
A. Risk factors among clients that contribute to the
development of problems in the following:
1. Oxygenation – cardiovascular risk factors
(modifiable and nonmodifiable)
2. Fluid and electrolyte – potential factors for
exceeding renal reserve capacity, dietary
habits to include salt intake, hypertension,
infection, diabetes
3. Inflammatory and immunologic reactions
4. Cellular aberrations, acute and chronic –
heredity, age, gender, poverty, stress, diet,
occupation, infection, tobacco use, alcohol
use, recreational drug use, obesity, sun
exposure
B. Identifies significant subjective data from the client history
related to problems in oxygenation, fluid electrolyte,
infectious, inflammatory and immunologic response,
cellular aberrations, acute and chronic.
1. Chief complaints
2. Relevant information, to include eleven
functional patterns
 Health Perception management
pattern
 Nutritional/metabolic pattern
 Elimination pattern
 Activity/exercise patterns
 Cognitive/perceptual pattern
Data Setsfrom HistoryTaking
ReadingSynthesis
Lecture Discussion

10.  Sleep-rest pattern
 Self perception –self concept pattern
 Role relationship pattern
 Sexuality-reproductive pattern
 Coping-stress tolerance pattern
 Value-belief pattern
C. Principles and techniques of physical examination in
newborn, children, adults, deviations from normal:
1. Oxygenation
 Inspection – gas exchange; perfusion
 Palpation – gas exchange ; perfusion
 Percussion – gas exchange
 Auscultation – gas exchange – heart
sound, breath sound, deviations ; fluid
transport
2. Fluid and electrolyte balance
 Inspection – signs of dehydration, over-
hydration,
 Palpation – edema, ascites, neck vein
filling, hand vein filling, neuromuscular
irritability, characteristic of pulse
 Percussion – abdomen for presence of
air, fluid
 Auscultation – rates
3. Inflammation and immunologic reactions
 Inspection – color, lesions, masses
 Palpation - turgor, tenderness, masses,
body temperature
4. Cellular aberration, acute and chronic
 Health history
 Physical assessment
D. Results and implications of diagnostic/laboratory
examinations of clients with reference to problems in:
1. Oxygenation
a. Screening procedure – peak flow
meter
b. Diagnostic procedures
 Non-invasive:
Readingsynthesis
Audiovisual presentation
Assessmentexercises
Worksheets
Lecture-discussion on
selected diagnostic
procedures with emphasis on
indications, preparation,
nursing responsibilities.
Accomplish worksheets for
diagnostic studies.

11.  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,
 Vascular: doppler
ultrasonography
 Blood: pulse oximeter .
 Invasive:
 Pulmonary: bronchoscopy,
ABG, thoracentesis,
pulmonary angiography
 Cardiac: CO determination,
cardiac catheterization,
CVP, hemodynamics
monitoring, enzyme levels,
Serum, Cholesterol,
 Vascular: angiography,
 Blood: CBC, bone marrow
biopsy
2. Fluid and Electrolyte Balance:
 Diagnostic tests
 Non-invasive: electrolyte
determination, intake and
output, KUB-IVP, Ultrasound
 Invasive – biopsy,
 Weight, VS
3. Inflammatory and immunologic response
 Diagnostic tests
 Non-invasive: urinalysis,
culture and sensitivity tests,
x-ray
 Invasive: CBC,
antistreptolysin titer, biopsy,
blood Chemistry, CSF,
Gram Staining, ELISA,

12. Western Blot, tests for
emerging infections (e.g.
SARS)
4. Cellular aberrations, acute and chronic
 Diagnostic tests
 Screening and early detection
E. Nursing Diagnoses taxonomy pertinent to problems/
alteration in:
1. Oxygenation
a. Ineffective breathing pattern
b. Ineffective airway clearance
c. Impaired gas exchange
d. Inability to sustain spontaneous ventilation
e. Dysfunctional ventilatory weaning
response
f. Decreased cardiac output (CO)
g. Altered tissue perfusion systemic
h. Impaired gas exchange related to altered
O2 carrying capacity of blood due to
decreased erythrocytes/haemoglobin
i. Activity intolerance related to malnutrition,
tissue hypoxia,
2. Fluid and Electrolyte Imbalance
a. Risk for fluid volume deficit
b. Fluid volume deficit
c. Fluid volume excess
d. High risk for injury related to electrolyte
deficit/excess
e. High risk for injury related to acid/base
imbalance
f. Altered urinary elimination
g. Impaired integumentary integrity
3. Infectious, inflammatory and immunologic
Response
a. Impaired skin integrity
b. Activity intolerance
c. Potential for infection

13. d. Disturbances in self-concept
e. Ineffective family coping
f. Social isolation
4. Cellular aberrations, acute and chronic
a. Risk for infection as evidenced by tissue
trauma or impaired immune response
b. Ineffective health maintenance as
evidenced by lack of preventive care or
health screening
c. Ineffective protection as evidenced by
impaired immunity related to cancer
therapy or HIV disease
d. Risk for trauma as evidenced by high-risk
personal behaviors
Discussthe pathophysiologicresponsesto
alterations/problemsinoxygenation,fluid,
electrolytesandacid-base balance,
infectious,inflammatoryandimmunologic
response,cellularaberrations,acute and
chronic.
F. Pathophysiologic Mechanisms:
1. Alterations in oxygenation
 Alteration in gas exchange – ventilatory
dysfunction, impaired diffusion, impaired
perfusion
 Alteration in cardiac performance – heart
rate problems, impaired stroke volume
secondary to altered preload afterload,
myocardial contractility
 Alteration in vascular integrity – transport
network impairment
 Alteration in oxygen carrying capacity of
the blood – decreased circulating
erythrocytes (anemia) , increased
circulating erythrocytes(polycythemia)
2. Fluid electrolyte imbalances
a. Volume impairment – fluid volume deficit,
fluid volume excess, third space fluid shift
b. Osmotic imbalances – hyponatremia,
hypernatremia
c. Ionic concentration problems – hypo- and
hyperkalemia; hypo- and hypercalcemia;
hypo and hyperchloremia; hypo- and
ConceptMap
Lecture Discussion
Audiovisual Presentation
Short AnswerQuestions
Multiple Choice
ActivityWorksheets

14. hypermagnesemia; hypo- and
hyperphosphatemia
d. Acid and base imbalances – metabolic
acidosis and alkalosis; respiratory acidosis
and alkalosis
e. Urinary elimination disorders – urinary tract
disorders; neurogenic disorders; kidney
disorders
3. Infectious and inflammatory disorders and
immunologic reactions
a. Infectious disorders of adults – pneumonia,
tuberculosis, ebola, MERS-Cov, H1N1,
Hepatitis, Guillain-Barre Syndrome, STDs
b. Inflammatory Disorders
c. Bacterial conditions
d. Bullous diseases
e. Infestation and parasitic diseases
f. Vaccine-preventable infectious diseases
g. Others – AIDS, STDs, COVID-19
5. Immunologic reactions
a. Hypersensitivity reactions
b. Immunodeficiency
c. Autoimmune disorders – MS, RA, GBS,
SLE, AGN, Transplant Rejection,
Ulcerative Colitis
6. Cellular Aberrations – Normal Cell Growth, The
Cell Cycle (Breast, Lung, Colon/Rectum, Liver,
Cervix, Uterine, Prostate, Leukemia, Thyroid,
Stomach, Ovary)
Formulate withthe clientaplanof care to
addressthe needs/problems,andbasedon
priorities.
G. Principles of Various Modalities of Management
1. Health Promotive
2. Disease Preventive
3. Curative and Restorative
Lecture Discussion ActivityWorksheets
Short AnswerQuestions
Case Study

15. Implementsafe andqualityinterventions
withthe clienttoaddressthe identified
needs/problems.
H. Principles of Management
1. For Altered Pulmonary Function
 Airway patency
 Oxygen therapy
 Adequate ventilation
 Drug therapy
 Hydration
 Removal of secretion
 Prevention of infection
 Prevention of complications
 Prevention of psychosocial problems
 Rehabilitation
2. For Cardiac Function
 Hemodynamics monitoring
 O2 therapy
 Drug therapy
 Hydration
 Prevention of infection
 Prevention of complications
 Prevention of psychosocial problems
 Rehabilitation
3. Oxygen Carrying Capacity of the Blood
 Blood component replacement
 O2 therapy
 Drug therapy
 Hydration
 Prevention of infection
 Prevention of complications
 Prevention of psychosocial problems
 Rehabilitation
4. Fluid Volume Deficit
 Determination and management of cause
 Hydration
 Blood transfusion as needed
 Drug therapy – electrolyte
 Supportive management
 Prevention of infection
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
ReadingSynthesis
Audiovisual Presentation
Lecture Discussion
Case Study
Quiz
ActivityWorksheets

16. 5. Fluid Volume Excess
 Determination and management of cause
 Drug therapy – diuretics, electrolytes
 Dietary restriction – sodium
 Supportive management
 Prevention of infection
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
6. Electrolyte Deficit – hyponatremia,
hypokalemia, hypocalcemia,
hypomagnesemia, hypophosphatemia
 Determination and management of cause
 Drug therapy – electrolyte replacement
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
7. Electrolyte Excess- hypernatremia,
hyperkalemia, hypercalcemia,
hypermagnesemia, hyperphosphatemia
 Determination and management of cause
 Drug therapy – electrolyte replacement
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
8. Metabolic Alkalosis – Base bicarbonate excess
 Determination and management of cause
 Drug therapy -
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
9. Metabolic Acidosis – Base bicarbonate deficit
 Determination and management of cause
 Drug therapy – electrolyte replacement

17.  Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
10. Respiratory Alkalosis – Carbonic acid deficit
 Determination and management of cause
 Drug therapy – electrolyte replacement
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
11. Respiratory Acidosis – Carbonic acid excess
 Determination and management of cause
 Drug therapy – electrolyte replacement
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation Rehabilitation
12. For Altered Inflammatory and Immunologic
Reaction
 Determination and management of cause
 Drug therapy
 Prevention of infection
 Supportive management
 Prevention of complications
 Rehabilitation
13. Cellular aberrations, acute and chronic
 Determination and management of cause
 Drug therapy
 Nutrition and diet therapy – ACS Dietary
Guidelines to Prevent Cancer
 Complementary therapies – Botanical
agents, nutritional supplements, dietary
regimens, mind-body modalities, energy

18. healing, spiritual approaches,
miscellaneous therapies
I. Pharmacologic actions, therapeutic use, side effects,
indications, contraindication, and nursing responsibilities:
1. Pulmonary – Bronchodilators, Expectorants,
Antitussives, Antihistamines
2. Cardiac - Sympathomymetic agents, Sympatholytic
agents, Anti-anginal agents, Anti-arrhythmic
agents, Angiotensin converting enzyme inhibitors,
Antilipemic agents, Anticoagulant agents,
Thrombolytics, Peripheral vascular agents
3. Blood – Hematinics, Vitamin supplements
4. Fluid - Parenteral fluids – hypotonic, hypertonic,
isotonic solutions
5. Electrolyte – Sodium, Potassium, Calcium,
Magnesium, Phosphate
6. Diuretics - Potassium-sparing, Potassium-losing,
Osmotic diuretics
7. Antibiotics
8. Antifungal agents
9. Keratolytic agents
10. Anticholinergic agents
11. Adrenergic agents
12. Antihistamines
13. Anti-inflammatory agents
14. Corticosteroids
15. Immunologic agents
16. Vaccines
17. Anti-neoplastic drugs
J. Purpose, indications, nursing responsibilities for the
following surgical and special procedures
a. Surgical procedures – debridement, incision and
drainage, excision, etc.
b. Special procedures - universal precaution, reverse
isolation, medical asepsis/surgical asepsis
K. Safe and comprehensive perioperative nursing care
1. Assessment and care during the perioperative
period
ReadingSynthesis
Lecture Discussion
Case Study
Lecture Discussion
TapedDemonstration
Lecture Discussion
Simulation
Short AnswerQuestions
Drug Studies
ActivityWorksheets
Case Studies
SimulationExam
ReturnDemonstration
Case Studies

19. 2. Techniques in assisting the surgical team during
the operation
3. Principles of safety, comfort and privacy during the
perioperative period
4. Nursing responsibilities during the perioperative
period
Short AnswerQuestions
ActivityWorksheet
Applyethical reasoninganddecision-making
processto addresssituationsof ethical
distressandmoral dilemma.
L. Principles, concept and application of bioethics in the care
of clients
ReadingSynthesis
Online Debate
ActivityWorksheet
Case Studies
Essay
Evaluate withthe clientthe health
status/competence and/orexpected
outcomesof nurse-clientworking
relationship.
M. Developing outcome criteria for clients with problems in
oxygenation, fluids and electrolytes, inflammatory and
immunologic reaction
Lecture Discussion
Group Discussion
Case Studies
NCP
ActivityWorksheet
Provide healtheducationusingselected
planningmodelstosickadultclient.
N. Appropriate discharge plan including health education ReadingSynthesis
Group Discussion
SimulationActivity
ActivityWorksheet
Documentclient’sresponses/nursingcare
servicesrenderedandprocesses/outcomes
of the nurse-clientworkingrelationship.
Ensure completeness,integrity,safety,
accessibilityandsecurityof information.
Adhere toprotocol and principlesof
confidentialityinsafekeepingandreleasingof
recordsand otherinformation.
O. Accurate recording and documentation Group Discussion
SimulationActivity
ActivityWorksheet