NCM 103 SAMPLE SYLLABUS

1. Course Name : CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM AND ENDOCRINE
Course Code : NCM 103
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.
Course Credit : 8 units lecture; 6 units RLE (1 unit skills lab, 5 units Clinical)
Contact Hours/ Semester : 144 lecture hours; 306 RLE hours
Pre-requisite : NCM 102
Placement : 3rd year, 1st semester
Course Objectives : At the end of the course and given relevant actual clients with problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism,
and endocrine
function, the student should be able to:
1. Utilize the nursing process in the care of individuals, families in community and hospital settings.
 Assess with client/s his/her/their condition/health status through interview, physical examination, interpretation of laboratory
findings.
 Identify actual and at-risk nursing diagnosis
 Plan appropriate nursing interventions with client/s and family for identified nursing diagnosis
 Implement plan of care with client/s and family.
 Evaluate the progress of his/her/their client’s condition and outcomes of care.
2. Ensure a well organized and accurate documentation system;
3. Relate with client/s and their family and the health team appropriately;
4. Observe bioethical concepts/principles, core values and nursing standards in the care of clients; and,
5. Promote personal and professional growth of self and others.
OBJECTIVES INTERMEDIATE
COMPETENCIES
COURSE CONTENT TEACHING-LEARNING
ACTIVITIES
VALUES
INTEGRATION
TIME
FRAME
EVALUATION
At the end of the lecture
discussion,the students
will beable to:
1. Utilizethe nursing
process in the careof
individuals,families
with problems in
oxygenation in
community and
hospital settings;
1.Identify risk factors among
clients thatcontribute to the
development of problems in
Oxygenation- cardiovascular
risk factors (modifiableand
non-modifiable).
The different risk factors amongclients that
contribute to the development of problems in
oxygenation:
 Current respiratory problems
 History of respiratory disease
 Lifestyle (smoking, alcoholism,exercise
patterns)
 Presence of cough
 Presence of Chest Pain
 Lung Cancer
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2.5 hours
After the discussion, the
students will be able to
identify the modifiableand
non-modifiablerisk factors
that contribute to the
development of problems
in oxygenation.

2. 2. Ensure a well
organized and
accurate
documentation
system;
3. Relate with client/s
and their family and
the health team
appropriately;
4. Observe bioethical
concepts/principles,
core values and
nursingstandards in
the careof clients;
and,
5. Promote personal
and professional
growth of self and
others.
 Cardiovascular disease
 Stroke
 Tuberculosis
 Obesity
 Dietary assessment
 Medication history
2. Identify significant
subjectivedata from client
history related to problems
in oxygenation.
a. Chief complaints
b. Relevant information,to includeeleven
functional patterns
 Health perception management pattern
 Nutritional/metabolic pattern
 Elimination pattern
 Activity/exercisepatterns
 Cognitive/perceptual pattern
 Sleep-rest pattern
 Self-perception-self-concept pattern
 Role relationship pattern
 Sexuality-reproductivepattern
 Coping-stress tolerancepattern
 Value-belief pattern
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Postl test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2 hours The students should be
able to identify significant
subjective data from
client’s history by
enumerating the possible
chief complaints and
recording relevant
information guided by the
eleven functional patterns.
3. Enumerate the principles
and techniques of physical
examination in assessing
the oxygenation status in
newborn, children, adults.
a. Inspection- gas exchange, perfusion
b. Palpation- gas exchange,perfusion
c. Percussion- gas exchange
d. Auscultation- gas exchange- heart sound,breath
sounds,deviations,fluid transport
 Demonstration
 Return
Demonstration
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
3 hours The students will be ableto
perform the proper
techniques in physical
examination and apply the
principles in correctly
assessing the newborn,
children, and adult’s
oxygen status by
comparing any deviations
from normal findings.
4. Identify results and
implications of
diagnostic/laboratory
examinations of clients
with reference to
problems in Oxygenation.
 Screening procedure- peak flowmeter
 Diagnostic Procedures
 Non-invasive:
 Pulmonary:e.g. sputum microscopy,chest x-
ray,pulmonary function tests, smoke analyzer
 Fagerstrom test – standardized degree of
nicotinedependence
 Cardiac:ultrasound,ECG,2-D echo, stress test
 Vascular:Doppler ultrasonography
 Blood: pulseoximeter
 Invasive:
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2.5 hours Given actual laboratory
results of a patient, the
student should be able to
identify deviations from
normal findings.

3.  Pulmonary:bronchoscopy,ABG, 3horacentesis,
pulmonary angiography
 Cardiac:CO determination, cardiac
catheterization, CVP, hemodynamics
monitoring, enzyme levels,Serum, Cholesterol
 Vascular:angiography
 Blood: CBC and bone marrow biopsy
5. Determine the Patho-
physiologicmechanisms of
the Alterations in
oxygenation
a. Alteration in gas exchange – ventilator
dysfunction,impaired perfusion
b. Alteration in cardiacperformance – heart rate
problems, impaired strokevolume secondary
to altered preload, afterload, myocardial
contractility
c. Alteration in vascular integrity –transport
network impairment
d. Alteration in oxygen carryingcapacity of the
blood- decreased circulatingerythrocytes
(anemia), increased circulatingerythrocytes
(polycythemia)
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
16 hours The students should be
able to determine the
patho-physiologic
mechanisms in the
different oxygenation
problems.
6. Enumerate Nursing
diagnoses taxonomy
pertinent to
problems/alteration in
Oxygenation.
a. Ineffective breathingpattern
b. Ineffective airway clearance
c. Impaired gas exchange
d. Inability to sustain spontaneous
ventilation
e. Dysfunctional 3entilatory weaning
response
f. Decreased cardiac output(CO)
g. Altered tissueperfusion systemic
h. Impaired gas exchange related to
altered O2 carryingcapacity of blood
due to decreased
erythrocytes/hemoglobin
i. Activity intolerancerelated to
malnutrition tissuehypoxia
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2 hours The students should be
able to identify possible
nursing diagnoses
taxonomy pertinent to the
derived assessmentdata to
pertinent problems in
oxygenation.
7. Identify principles of various
modalities of management
of clients with problems in
oxygenation takinginto
consideration thefollowing
levels of care:
1. Health promotive
2. Disease
preventive
a. For altered pulmonary function:
 Airway patency
 Oxygen therapy
 Adequate ventilation
 Drug therapy
 Hydration
 Removal of secretion
 Prevention of infection
 Prevention of complications
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
4 hours  The students should be
ableto apply the various
principles in the
management of clients
with problems in
oxygenation in the
actual clinical nursing
practice.
 The students should be

4. 3. Curativeand
restorative
 Prevention of psychosocial problems
 Rehabilitation
b. For cardiac function
 Hemodynamics monitoring
 O2 therapy
 Drug therapy
 Hydration
 Prevention of infection
 Prevention of complications
 Prevention of psychosocial problems
 Rehabilitation
c. Oxygen carryingcapacity of the blood
 Blood component replacement
 O2 therapy
 Drug therapy
 Hydration
 Prevention of infection
 Prevention of complications
able to provide the
patients/clients with the
proper teachings on
health promotion,
disease prevention and
curative and health
restoration.
8. Enumerate
Pharmacologic actions,
therapeutic uses,side
effects, indications,
contraindications,and
nursingresponsibilities in
administeringmedications
clients with oxygenation
problems.
a. Pulmonary
 Bronchodilators
 Expectorants
 Antitussives
 Antihistamines
b. Cardiac
 Sympathomymetic agents
 Sympatholytic agents
 Anti-anginal agents
 Anti- arrhythmic agents
 Angiotensin convertingenzyme inhibitors
 Antilipemic agents
 Anticoagulantagents
 Thrombolytics
 Peripheral vascularagents
c. Blood
 Hematinics
 Vitamin supplements
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2 hours The students should be
able to enumerate the
different pulmonary,
cardiac,blood medications,
with their corresponding
pharmacologic actions,
therapeutic uses, side
effects, indications and
contraindications and
nursing responsibilities in
the different medications
of clients with oxygenation
problems.
9. List the purposes,
indications,nursing
responsibilitiesfor the
surgical and special
procedures in alterations in
1. Safe and comprehensive perioperativenursing
care
1.1 Assessment and care duringthe
perioperativeperiod
1.2 Techniques in assistingthe surgical team
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2 hours The students will be ableto
list the different surgical
and special procedures for
clients with oxygenation
problems and identify the

5. oxygenation. duringthe operation
1.3 Principles of safety, comfort and privacy
duringthe perioperativeperiod
1.4 Nursingresponsibilities duringthe
perioperativeperiod
 Preoperative – physical,
psychological,spiritual preparation
 Intraoperative– circulatingnurse
functions,scrub nursefunctions
 Postoperative – airway,breathings,
circulation priorities. Meeting the
physical,psychological and spiritual
needs of the cliet.
2. Pulmonary
a. Surgical procedures –tracheostomy,
thoracostomy, lungresection, lobectomy,
pneumonectomy, thoracoplasty,
decortications
b. Special procedures – endotrcheal/tracheal
suctioningand care,humidication,IPPB,
ventilator assist
3. Cardiac
a. Surgical procedures –coronary aretery bypass,
pacemaker insertion,valvereplacement,
repair of congenital abnormality,insertion of
ventricular assistdevice,heart plansplant
b. Special procedures – laser therapy, basic life
support, advancelifesupport
3.1 Vascular
a. Surgical procedures –endarterectomy,
aneurysmectomy, insertion of intravascular
stents
b. Special procedures – application of
antiembolic stockings
3.2 Blood forming organs
a. Surgical procedures –bone marrow
aspiration,bonemarrow transplant
b. Special procedures – blood component
transfusion,reverseisolation
 Post test nursing responsibilities in
each procedure.
At the end of the lecture
discussion,the students
will beable to:
1. Utilizethe nursing
10. Identify risk factors
among clients that
contribute to the
development of problems in
 Potential factors for exceeding renal reserve
capacity,dietary habits to includesaltintake,
hypertension, infection,diabetes.
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Assertiveness
 Cooperation
 Participation
 Sensitivity
1.5 hours After the discussion,the
students will beable to
identify the modifiableand
non-modifiablerisk factors

6. process in the careof
individuals,families
with problems in
Fluids and electrolyte
imbalances in
community and
hospital settings.
2. Ensure a well
organized and
accurate
documentation
system;
3. Relate with client/s
and their family and
the health team
appropriately;
4. Observe bioethical
concepts/principles,
core values and
nursingstandards in
the careof clients;
and,
5. Promote personal and
professional growth of
self and others.
Fluid and Electrolytes.  Lecture Discussion
 Post test
that contribute to the
development of problems
in fluid and electrolyte
imbalances.
11. Enumerate the
principlesand techniques of
physical examination in
newborn, children,adults,
deviations fromnormal.
 Inspection- signs of dehydration,overhydration
 Palpation- edema, ascites,neck vein filling,hand
vein filling,neuromuscular irritability,
characteristic of pulse
 Percussion- abdomen for presence of air,fluid
 Auscultation- rates
 Demonstration
 Return
Demonstration
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2 hours The students will be ableto
perform the proper
techniques in physical
examination and apply the
principles in correctly
assessing the newborn,
children, and adult’s fluids
and electrolyte balance
status by comparing any
deviations from normal
findings.
12. Identify results and
implications of
diagnostic/laboratory
examinations of clients
with reference to
problems in
a. Diagnostic tests
 Non-invasive:electrolyte determination, intake
and output, KUB-IVP and ultrasound
 Invasive–biopsy
b. Weight
c. Vital Signs
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
1.5 hours Given actual laboratory
results of a patient, the
student should be able to
identify deviations from
normal findings.
13. Determine the Patho-
physiologicMechanisms of
Fluid and electrolyte
imbalances.
a. Volume impairment – fluid volume deficit,fluid
volume excess, third spacefluid shift
b. Osmotic imbalances –hyponatremia,
hypernatremia
c. Ionic concentration problems – hypo- and
hyperkalemia;hypo and hyperchloremia;hypo-
and hypermagnesemia; hypo- and
hyperphosphatemia
d. Acid and baseimbalances –metabolic acidosis
and alkalosis;respiratory acidosisand alkalosis
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
12 hours The students should be
able to determine the
patho-physiologic
mechanisms in the
different fluid and
electrolyte imbalances.
14. Enumerate Nursing
diagnoses taxonomy
pertinent to
problems/alteration in
Fluid and electrolyte
imbalance.
a. Risk for fluid volume deficit
b. Fluid volume excess
c. Fluid volume deficit
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
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2 hours The students should be
able to identify possible
nursing diagnoses
taxonomy pertinent to the
derived assessmentdata to
pertinent problems in fluid
and electrolyte imbalances.
15.Identify principles of various a. Fluid Volume Deficit  Pre-tests  Assertiveness 12 hours  The students should be

7. modalities of management
of clients with problems in
fluid and electrolyte
imbalances takinginto
consideration thefollowing
levels of care:
a. Health promotive
b. Diseasepreventive
c. Curativeand
restorative
 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
b. 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
c. 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
d. Electrolyte Excess – hyperkalemia,
7ypercalcaemia,hypermagnesemia,
hyperphosphatemia
 Determination and management of
cause
 Drug therapy – electrolyte replacement
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Cooperation
 Participation
 Sensitivity
ableto apply the various
principles in the
management of clients
with problems in fluid
and electrolyte
imbalance in the actual
clinical nursing practice.
 The students should be
able to provide the
patients/clients with the
proper teachings on
health promotion,
disease prevention and
curative and health
restoration.

8. e. Metabolic Alkalosis –Basebicarbonateexces
 Determination and management of
cause
 Drug therapy
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
a. Metabolic Acidosis- base
bicarbonatedeficit
 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 acid excess
 Determination and management of
cause
 Drug therapy
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
16. Enumerate
Pharmacologic actions,
therapeutic uses,sideeffects,
indications,contraindications,
a. Fluid
 Parenteral fluids
 Hypotonic
 Hypertonic
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2.5 hours The students should be
able to enumerate the
different medications in
managingclients with fluid

9. and nursingresponsibilities in
administeringmedications
clients in fluid and electrolyte
imbalances.
 Isotonic
b. Electrolyte
 Sodium
 Potassium
 Calcium
 Magnesium
 Phosphate
c. diuretics
 Potassium-sparing
 Potasium-losing
 Osmotic diuretics
d. Vitamin D supplements
 Lecture Discussion
 Post test
and electrolyte imbalances,
with their corresponding
pharmacologic actions,
therapeutic uses, side
effects, indications and
contraindications and
nursing responsibilities in
the different medications.
17. List the purposes,
indications,nursing
responsibilitiesfor the
surgical and special
procedures in alterations in
fluid and electrolyte
imbalances.
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
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2.5 hours The students will be ableto
list the different surgical
and special procedures for
clients with fluid and
electrolyte imbalance and
identify the nursing
responsibilities in each
procedure.
At the end of the lecture
discussion,the students
will beable to:
1. Utilizethe nursing
process in the careof
individuals,families
with problems in
nutrition and
metabolismin
community and
hospital settings.
2. Ensure a well
organized and
accurate
documentation
system;
3. Relate with client/s
and their family and
the health team
appropriately;
4. Observe bioethical
concepts/principles,
core values and
18. Identify risk factors
among clients that
contribute to the
development of problems
in Nutrition and
Metabolism.
 Risk factors related to malnutrition,obesity.  Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
1 hour After the discussion,the
students will beable to
identify the modifiableand
non-modifiablerisk factors
that contribute to the
development of problems
in nutrition and
metabolism.
19.Identify significant
subjectivedata from client
history related to problems
in nutrition and
metabolism.
a. Chief complaints
b. Relevant information,to includeeleven
functional patterns
 Health perception management pattern
 Nutritional/metabolic pattern
 Elimination pattern
 Activity/exercisepatterns
 Cognitive/perceptual pattern
 Sleep-rest pattern
 Self-perception-self-concept pattern
 Role relationship pattern
 Sexuality-reproductivepattern
 Coping-stress tolerancepattern
 Value-belief pattern
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2 hours The students should be
ableto identify significant
subjectivedata from
client’s history by
enumerating the possible
chief complaints and
recordingrelevant
information guided by the
eleven functional patterns

10. nursingstandards in
the careof clients;
and,
5. Promote personal and
professional growth of
self and others.
20. Enumerate the
principlesand techniques of
physical examination in
newborn, children,adults,
deviations fromnormal.
3.3 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
 Demonstration
 Return
Demonstration
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
1.5 hours The students will be ableto
perform the proper
techniques in physical
examination and apply the
principles in correctly
assessing the newborn,
children, and adult’s
nutritional and metabolic
status by comparing any
deviations from normal
findings.
21. Identify results and
implications of
diagnostic/laboratory
examinations of clients
with reference to
problems in Nutrition and
Metabolism.
a. Non-invasive:ultrasound of the abdomen, stool
culture
b. Invasive:to include:bariumswallow,
esophagoscopy,biopsy,cytology examination,
gastric secretion analysis,endoscopy
(gastroscopy,duodenoscopy),
proctosigmoidoscopy and rectal examination
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
1.5 hours Given actual laboratory
results of a patient, the
student should be ableto
identify deviations from
normal findings.
22. Determine the Patho-
physiologicmechanisms of
the Alterations in Nutrition
and Metabolism.
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 syndromeand inflammatory
bowel conditions
d. Disturbances in elimination –bowel obstruction,
hemorrhoids,diarrhea and constipation.
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
12 hours The students should be
able to determine the
patho-physiologic
mechanisms in the
different nutritional and
metabolic problems.
23. Enumerate Nursing
diagnoses taxonomy
pertinent to
problems/alteration in
Nutrition and Metabolism.
a. Alteration in nutrition less than body requirement
b. Alteration in nutrition more than body
requirement
c. Alteration in oral mucous membrane integrity
d. Alteration in comfort: epigastric pain/abdominal
pain
e. Fluid volume deficit
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
1.5 hours The students should be
able to identify possible
nursing diagnoses
taxonomy pertinent to the
derived assessmentdata to
pertinent problems in
nutrition and metabolism.
24.Identify principles of various
modalities of management
of clients with problems in
Nutrition and Metabolism
takinginto consideration
the followinglevels of care:
4. Health promotive
5. Disease
A. Disturbances in ingestion
 Determination and management of
cause
 Drug therapy
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
12 hours  The students should be
ableto apply the various
principles in the
management of clients
with problems in
nutrition and
metabolismin the actual
clinical nursing practice.

11. preventive
6. Curativeand
restorative
 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
 Determination and management of
cause
 Drug therapy
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
 The students should be
able to provide the
patients/clients with the
proper teachings on
health promotion,
disease prevention and
curative and health
restoration.
25. Enumerate
Pharmacologic actions,
therapeutic uses,side
effects, indications,
 Antiemetics
 Anticoagulants
 Hematinics agents
 Laxatives and stool softeners
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2 hours The students should be
able to enumerate the
different pulmonary,
cardiac,blood medications,

12. contraindications,and
nursingresponsibilities in
administeringmedications
clients with Nutrition and
Metabolismproblems.
 Antipruritus
 Vitamin supplement
 Antacids
 Antihyperlipidemics
 Antispasmodics
 Antidiarrheal
 Lecture Discussion
 Post test
with their corresponding
pharmacologic actions,
therapeutic uses, side
effects, indications and
contraindications and
nursing responsibilities in
the different medications
of clients with nutrition
and metabolism disorders.
26. List the purposes,
indications,nursing
responsibilitiesfor the
surgical and special
procedures in alterations in
Nutrition and Metabolism.
a. 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 planningfor common GT
and endocrine problems; administering
medications via NGT, J tube, G tube; hot sitzbath
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2.5 hours The students will be ableto
list the different surgical
and special procedures for
clients with nutrition and
metabolism problems and
identify the nursing
responsibilities in each
procedure.
At the end of the lecture
discussion,the students
will beable to:
1. Utilizethe nursing
process in the careof
individuals,families
with problems in
endocrine functioning
in community and
hospital settings.
2. Ensure a well
organized and
accurate
documentation
system;
3. Relate with client/s
and their family and
the health team
appropriately;
4. Observe bioethical
concepts/principles,
core values and
nursingstandards in
the careof clients;
and,
27. Identify risk factors
among clients that
contribute to the
development of problems
in Endocrine Function.
 Risk factors related to endocrine hypo or hyper-
functioning.
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
1.5 hours After the discussion,the
students will beable to
identify the modifiableand
non-modifiablerisk factors
that contribute to the
development of problems
in endocrine functioning.
28.Identify significant
subjectivedata from client
history related to problems
in endocrine functioning.
A. Chief complaints
B. Relevant information,to includeeleven
functional patterns
 Health perception management pattern
 Nutritional/metabolic pattern
 Elimination pattern
 Activity/exercisepatterns
 Cognitive/perceptual pattern
 Sleep-rest pattern
 Self-perception-self-concept pattern
 Role relationship pattern
 Sexuality-reproductivepattern
 Coping-stress tolerancepattern
 Value-belief pattern
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2 hours The students should be
ableto identify significant
subjectivedata from
client’s history by
enumerating the possible
chief complaints and
recordingrelevant
information guided by the
eleven functional patterns
29. Enumerate the
principlesand
techniques of physical
 Inspection- color,texture of skin,mucous
membrane, growth patterns, obesity
 Auscultation – bruit,heart sounds,breath
 Demonstration
 Return
Demonstration
 Assertiveness
 Cooperation
 Participation
1.5 hours The students will be ableto
perform the proper
techniques in physical

13. 5. Promote personal
and professional
growth of self and
others.
examination in
newborn, children,
adults,deviations
from normal in the
endocrine system.
sounds
 Palpation- organ-thyroid enlargement, masses,
edema
 Percussion- fluid,edema
 Others – weight, delayed healingof wounds
 Lecture Discussion
 Post test
 Sensitivity examination and apply the
principles in correctly
assessing the newborn,
children, and adult’s
endocrine functioning by
comparing any deviations
from normal findings.
30. Identify results and
implications of
diagnostic/laboratory
examinations of clients
with reference to
problems in endocrine
functioning.
a. Screening: glucosetolerancetest
 Non-invasive:e.g. GI x-ray,ultrasound
abdomen, Radio-iodineassay (RAI),protein
bound iodine(PBI), thyroid scan,free thyroxin
level, basal metabolic rate(BMR), thyroxine
stimulatinghormone (TSH) test, OGTT (Glucose
tolerance test) urinalysis(glycosuria,ketonuria)
 Invasive:e.g. percutaneous transhepatic
cholangiogram,liver function test, serum
thyroxine and triiodothyroninetest, iodine131
uptake, blood sugar tests (fastingblood sugar –
FBS), random blood sugar (RBS), glycosylated
hemoglobin (Hgb), two-hour postprandial
blood glucose,endocrine assay.
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2.5 hours Given actual laboratory
results of a patient, the
student should be ableto
identify deviations from
normal findings.
31. Determine the Patho-
physiologicmechanisms of
the Alterations in
endocrine functioning.
a. Hypo- and Hyperfunction of the pituitary organ
b. Hypo- and Hyperfunction of the hypothalamus
c. Hypo- and Hyperfunction of the thyroid organ
d. Hypo- and Hyperfunction of the parathyroid
organ
e. Hypo- and Hyperfunction of the adrenal organ
f. Hypo- and Hyperfunction of the gonads
g. Problems in glucosemetabolism – hypoglycemia
and hyperglycemia (IDM, NIDDM)
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
10 hours The students should be
able to determine the
patho-physiologic
mechanisms in the
different endocrine
problems.
32. Enumerate Nursing
diagnoses taxonomy
pertinent to
problems/alteration in
endocrine functioning.
a. Alterations in nutrition less than body
requirement
b. Fluid volume deficit
c. Activity intolerance
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
1.5 hours The students should be
able to identify possible
nursing diagnoses
taxonomy pertinent to the
derived assessmentdata to
pertinent problems in
endocrine functioning.
33. Enumerate
Pharmacologic actions,
therapeutic uses,side
effects, indications,
contraindications,and
nursingresponsibilities in
 Corticosteroids
 Alpha-adrenergic blockingagents
 Beta-adrenergic blockingagents
 Tyrosineinhibitors
 Dopamine receptor antagonists
 Glucocorticoids
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2.5 hours  The students should be
ableto apply the various
principles in the
management of clients
with problems in
endocrine functioning in

14. administeringmedications
clients with endocrine
problems.
 Parathyroid hormone agents
 Thyroid hormone agents
 Insulin
 Oral hypoglycemic agents
the actual clinical
nursing practice.
 The students should be
able to provide the
patients/clients with the
proper teachings on
health promotion,
disease prevention and
curative and health
restoration.
34.Identify principles of various
modalities of management
of clients with problems in
endocrine functioning
takinginto consideration
the followinglevels of care:
a. Health promotive
b. Diseasepreventive
c. Curativeand
restorative
 Determination and management of cause
 Drug therapy - diuretics,electrolytes
 Dietary management
 Supportive management
 Prevention of complication
 Prevention of psychosocial problems
 Rehabilitation
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
12 hours The students should be
able to enumerate the
different pulmonary,
cardiac,blood medications,
with their corresponding
pharmacologic actions,
therapeutic uses, side
effects, indications and
contraindications and
nursing responsibilities in
the different medications
of clients with endocrine
problems.
35. List the purposes,
indications,nursing
responsibilitiesfor the
surgical and special
procedures in alterations in
endocrine functioning.
a. Surgical procedures –thyroidectomy,
parathyroidectomy
b. Special procedures – monitoringof
blood glucoselevels;maintenance of
blood glucose– diet, exercise, drugs
 Pre-tests
 CaseAnalysis
 Small Group
Learning
 Lecture Discussion
 Post test
 Assertiveness
 Cooperation
 Participation
 Sensitivity
2.5 hours The students will be ableto
list the different surgical
and special procedures for
clients with endocrine
problems and identify the
nursing responsibilities in
each procedure.
References:
1. LippincottWilliams & Wilkins. The LippincottManual of NursingPractice –7th edition.2001.
2. Marieb,ElaineN. Essentials of Human Anatomy and Physiology – 8th edition. Pearson Education South Asia PTE. LTD. 2006
3. Brunner and Suddarth. Textbook of Medical-Surgical Nursing –12th edition. 2010