Resource Unit in Oxygenation
Transcript of Resource Unit in Oxygenation
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8/11/2019 Resource Unit in Oxygenation
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DOA REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATIONCOLLEGE OF NURSING
RESOURCE UNIT IN OXYGENATION
COURSE NAME: NCM 103 CARE OF CLIENTS ACROS THE LIFESPAN WITH PROBLEMS IN OXYGENATIONCOURSE DESCRIPTION: This course deals with the principles and techniques of nursing care management of sick clients across the lifespan in any setting with alterations/ problems in
oxygenation.COURSE CREDIT: 5 units Lecture, 3 units RLECONTACT HRS/SEM: 24 hours lecture, 72 hours RLEPREREQUISITES: NCM102PLACEMENT: Third year, First SemesterTERMINAL COMPETENCY:
Given an actual client, population group with problems in oxygenation, the student should be able to:
1.
Utilize the nursing process in the care of individuals, families in selected settings:
a.
Assess clients with recognition through interview, physical examination, interpretation of laboratory problems;
b.
Identify actual and potential nursing diagnoses;
c.
Plans appropriate nursing interventions with clients and clients families with problems in oxygenation;
d.
Implements plan of care with clients and fmily;e.
Evaluates progress of his/her clients condition and outcomes of care
2.
Apply nursing theories in the management of care of the client with disturbances in oxygenation.
3.
Live the core values cherished by the profession such as love of God, caring as the core of nursing, love of people and love of country.
4.
Ensure a well-organized and accurate documentation system (oral and written).
5.
Relate well with client and his family and collaborates with health team members.
6.
Observe bioethical concepts, principles and the eleven key areas of responsibility in the care of clients.
7.
Assume responsibilities for personal and professional growth.
8.
Demonstrate leadership and management skills in the care of clients with problems in oxygenation.
9.
Utilize research findings to improve the health care delivery system.
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INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
Given an adult (
young, middle, old,
old-old adult) with
responses to
altered Respiratory
function, the
student will be able
to:
A. Apply knowledge
and normal
anatomy and
physiology and
assessment
techniques in
caring for clients.
Responses to AlteredOxygenation, Respiratory Gas
Exchange, Transport,Perfusion
-
I.A. Review: Anatomy and
Physiology of the Respiratory
System
UPPER RESPIRATORY
TRACT
-
Nose, Paranasal sinuses,
Pharynx, tonsils,adenoids,
Larynx, Trachea
LOWER RESPIRATORY
TRACT
-
Lungs, Mediastinum, Lobes
-
Bronchi and Bronchioles,
Alveoli
B. Functions of the
Respiratory System
-
Oxygen Transport
-
Respiration
-
Ventilation
-
Air Pressure Variances
-
Airway Resistance
-
Compliance
-
Lung Volumes and
Capacities
-
Pulmonary Diffusion and
Perfusion
-
Ventilation and Perfusion
Balance and Imbalance
-
Gas Exchange
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M.Black and Jane
Hokanson
Hawks. Medical-
Surgical
Nursing- 8th Ed.
2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual ofNursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing
Practice, 8TH
Ed. Williams and
Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written reon
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis on:
1.
Review of systems/
organs affected
2.
Pathophysiology
3.
Symptomatology4.
NCP
5.
Rehabilation
6.
Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
4h Review/demonstration/
simulation/ role
play on:
a.
PhysicalAssessment
b.
Admission
and
discharge of
patients
c.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenationutilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functionalHealth
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Alagau
-
Guava
-
Carrots
-
Rosemary
-
Gumamela
-
Kalamansi
-
Lagundi
-
Luya
-
Sambong
72h
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INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
3. Interpretsdeviations from
normal findings inthe physical
assessment,
diagnostic and
laboratory
examination
4. Identify the
indications/
purposes,
contraindications,
side effects,
complications and
nursing
responsibilities
before, during and
after the procedure
3. Assessment of the Lower
Respiratory Structures and
Breathing
-
Thoracic Inspection
-
Chest Configuration
-
Breathing Patterns andRespiratory Rates
-
Thoracic Palpation
-
Respiratory Excursion
-
Tactile Fremitus
-
Thoracic Percussion
-
Diaphragmatic excursion
-
Thoracic Auscultation
-
Breath Sounds
B. Diagnostic Exams
b.1. Non-invasive
-
Pulmonary Function Test-
Pulse Oximetry
-
Ventilation Perfusion Scan
-
Radiologic Studies: Chest X-
rays
-
CT Scan, MRI, PET, Pulmonary
-
Angiography
b.2. Invasive
-
Endoscopic Exams:
Laryngoscopy,
-
Bronchoscopy,
Mediatinoscopy
-
Lung Biopsy
-
Thoracentesis and Pleural
fluid Analysis
-
Fluoroscopic studies
-
Lung scans
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Black
and Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
LippincottManual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissisatisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review ofsystems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:
- Thoracic
Inspection
- Chest
Configuration
- Breathing
Patterns and
Respiratory Rates
- Thoracic
Palpation
- Respiratory
Excursion- Tactile Fremitus
- Thoracic
Percussion
- Diaphragmatic
excursion
- Thoracic
Auscultation
- Breath Sounds
assessment
Discussion of
clinical
significance of
diagnosticexamination
ordered for a
particular
patient
Assists in any
medical-
surgical and
diagnostic
procedures
Actual
administration
of drugs
utilizing the 10
rights and
principles
Recording
and reporting
of care
rendered and
patientsresponse to
care
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INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
5.
Utilize the
assessed data in
order to:
a.
Prioritize
nursing diagnosis
b.
Discuss the
pathophysiologic
al responses toaltered
oxygenation:
ventilation and
gas exchange
b.3. Laboratory Tests
-
Sputum Culture
-
Nose and throat culture
-
ABGs
-
Fagerstrom Test
(Standardized degree of
nicotine dependence)-
Smoke analyser
B. Analysis/ Nursing
Diagnosis
1.
Ineffective airway clearance
as evidenced by shortness of
breath, dyspnea, orthopnea,
retractions, nasal flaring,
altered chest excursion
2.
Ineffective breathing
patterns as evidenced byineffective cough, diminished
or abnormal breath sounds,
cyanosis, restlessness
3.
Impaired gas exchange as
evidence by cyanosis,
abnormal respiratory rate,
rhythm, nasal flaring,
tachycardia, diaphoresis,
confusion
4.
Impaired spontaneous
ventilation as evidenced by
dyspnea, use of accessory
muscles, tachycardia,
apprehension
5.
Disturbed sleep pattern
(sleep-rest)
6.
Anxiety (Self- Perception-
Self- Concept)
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Black
and Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual ofNursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfactowritten re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices
Brainstorming
Panel Discussion
Symposium
4h Review/demonstration/
simulation/ role
play on:
- Pulmonary
Function Test
- Pulse Oximetry
- Ventilation
Perfusion Scan
- Radiologic
Studies: Chest X-
rays
- CT Scan, MRI,
PET, Pulmonary
- Angiography
- EndoscopicExams:
Laryngoscopy,
- Bronchoscopy,
Mediatinoscopy
- Lung Biopsy
- Thoracentesis
and Pleural fluid
Analysis
- Fluoroscopic
studies
- Lung scans
- Sputum Culture
- Nose and throat
culture
- ABGs
Health
education to
individual
clients/ groups
of clients andsignificant
others
Making
nursing case
study/nursing
rounds/bedside
conference
Organize
ward class
Participation
in research
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INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
-
Plan the care of
clients utilizing
evidence-based
nursing research
C. Planning:
1.
Planning for health
promotion
2.
Planning for health
restoration and maintenance
a.
Maintain airway patency:
coughing techniques,
suctioning
b.
Relieving apprehension and
fear
c.
Reducing metabolic
demands
d.
Maintaining rest and activity
e.
Decreasing the efforts of
breathing
f.
f. Maintaining nutrition andhydration
g.
Preventing and controlling
infection
h.
Planning for oxygen therapy
i.
Incentive spirometry
j.
Aerosol therapy
k.
Postural drainage
l.
Ventilation therapy
m.
Artificial airways
n.
Chest drainage
o.
Chest surgery
p.
Lobectomy
q.
Pneumonectomy
r.
Segmental Resection
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Black
and Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
LippincottManual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissisatisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review ofsystems/ organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:a. Oxygen
administration
Blood transfusion
b. Tracheostomy
c. Incentive
spirometry
d. Aerosol
therapy
e. Postural
drainage
f. Ventilation
therapyg. Artificial
airways
h. Chest
drainage
i. suctioning
-
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INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
Given an actual
patient with upper
respiratory
problems, chest
and lower
respiratory tract
disorders, Chronic
PulmonaryDiseases and
Pediatric
respiratory
problems, the
student will be
able to:
1. Explain the
various respiratory
problems and
explicate all the
precipitatingfactors and risk
factors that
may lead to the
development of
these diseases
/disorders.
2. Enumerate the
pathognomonic
manifestations of
each disease and
explain the
reason why they
develop.
I.D. COMMON HEALTHPROBLEMS
A. Nursing Care of Clients
with Upper Respiratory
Problems
-
Rhinitis
-
Viral Rhinitis-
Rhinosinusitis
-
Pharyngitis
-
Tonsillitis and adenoiditis
-
Peritonsillar abscess
-
Laryngitis
-
Laryngitis
-
Epistaxis
-
Nasal Obstruction
-
Fractures of the nose
-
Laryngeal Obstruction
-
Cancer of the larynx
B. Nursing Care of Clients
with Chest and Lower
Respiratory Tract Disorders
-
Pneumonia
-
Aspiration
-
Severe Acute Respiratory
Syndrome
-
Pulmonary Tuberculosis
-
Lung Abscess
-
Pleurisy
-
Pleural Effusion
-
Empyema
-
Pulmonary Edema
-
Acute Respiratory Failure
-
Acute Respiratory Distress
Syndrome
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Blackand Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written reon
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices
Brainstorming
Panel Discussion
Symposium
4h
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenationutilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functionalHealth
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Alagau
-
Guava
-
Carrots
-
Rosemary
-
Gumamela
-
Kalamansi
-
Lagundi
-
Luya
-
Sambong
-
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INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
3. Discuss thepsychopathophysiologic
process of these
diseases from causes to
manifestations and its
complications
-
Pulmonary Arterial
Hypertension
-
Pulmonary Heart Disease (
CorPulmonale)
-
Cardiac Tamponade
-
Subcutaneous Emphysema
-
Pulmonary Embolism
-
Pulmonary Hypertension-
Pulmonary Edema
-
Occupational Lung Disease
-
Asbestosis
-
Silicosis
-
Coal Workers
Pneumoconiosis
-
Hypersensitivity
Pneumonitis
-
Sarcoidosis
-
Lung Cancer
-
Tumors of the Mediastinum
-
Trauma of the Chest or
Lungs
-
Thoracic Injury: Rib
-
Fracture, flail chest,
-
Pulmonary
-
Contusion, Blunt
-
Trauma, Penetrating
-
trauma: Gunshot
-
and stab wounds
-
Inhalational Injury:
-
smoke inhalation
-
near drowning
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M.Black and Jane
Hokanson
Hawks. Medical-
Surgical
Nursing- 8th Ed.
2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing
Practice, 8TH
Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices
Brainstorming
Panel Discussion
Symposium
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenationutilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functionalHealth
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Alagau
-
Guava
-
Carrots
-
Rosemary
-
Gumamela
-
Kalamansi
-
Lagundi
-
Luya
-
Sambong
-
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9
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
4. Apply thenursing process in
the formulation of
nursing care plans
for the
prevention,
curative andrehabilitation of
clients with
altered
respiratory
function
C. Nursing Care of Clients
with Chronic Pulmonary Disease
a.
Chronic Obstructive
Pulmonary Disease
b.
Emphysema
c.
Bronchitis
d.
Bronchiectasise.
Asthma
f.
Status Asthmaticus
g.
Cystic Fibrosis
D. Nursing Care of Pediatric
Clients with Respiratory
Disorders
a. Upper Respiratory Tract
-
Common Colds
-
Allergic Rhinitis/ Chronic
Rhinitis
-
Sinusitis
-
Pharyngitis
-
Tonsilitis
-
Epistaxis
-
Aspiration
-
Laryngitis
-
Croup
-
Choanal atresia
b. Lower Respiratory Tract
-
Asthma, Status Asthmaticus
-
Pneumonia
-
PTB/ Primary Complex
-
Cystic Fibrosis
-
Bronchitis/ Bronchiolitis
-
Atelectasis
-
Pneumothorax
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Blackand Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices
Brainstorming
Panel Discussion
Symposium
4h
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenationutilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functionalHealth
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Alagau
-
Guava
-
Carrots
-
Rosemary
-
Gumamela
-
Kalamansi
-
Lagundi
-
Luya
-
Sambong
-
8/11/2019 Resource Unit in Oxygenation
10/24
10
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
-
Implement
individualized
nursing care:
1. Safely and
knowledgeably
administers
prescribed
medications and
treatments/
alternative
complementary
medicine
2. Actively
participates in
planning and
coordinating
culturally sensitive
interdisciplinary
care
3. Provide
appropriate client
education and
health maintenance
and community-
based care of
clients.
-
evaluated the
progress of
his/her/their
clients condition
andoutcomes of
care
c. Others
-Otitis Media
-
RDS/ SIDS
I.E. IMPLEMENTATION
1. Pharmacological
Therapeutics-
Antitussives
-
Decongestants and
Antihistamines
-
Antitubecular
-
Broad Spectrum Antibiotics
-
Adrenergic Stimulants
-
Methylxanthines
Anticholinergics
-
Corticosterioids
-
Mast Cells Stabilizers
-
Lekotriene Modifiers
-
Surfactant Adminitration
-
Expectorants
2. Complimetary and Alternative
Therapy
-
Echinacea
-
Golden Seal
-
Zinc
3. Nutrition and Diet Therapy
-
Tube Feedings
-
Fluid Therapy per Orem, IV
-
High Protein, High Calorie
4. Client Education
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Blackand Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:
d.
PhysicalAssessment
e.
Admission
and
discharge of
patients
f.
Health
education
Assists in any
medical-
surgical and
diagnostic
procedures
Actual
administration
of drugs
utilizing the 10
rights and
principles
Recording
and reporting
of care
rendered and
patientsresponse to
care
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Alagau
-
Guava
-
Carrots
-
Rosemary
-
Gumamela
-
Kalamansi
-
Lagundi
-
Luya
-
Sambong
-
8/11/2019 Resource Unit in Oxygenation
11/24
11
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
Given an adult (
young, middle,
old, old-old adult)
with responses to
altered
Oxygenation:
Cardiac and
Peripheral TissuePerfusion/
Transport, the
student will be
able to:
A. Apply
knowledge and
normal anatomy
and physiology
and assessment
techniques in
caring for clients.
B. Assess the
health status of a
client
1. Conduct a
health history and
functional health
status of clients
having or at risk
for alterations in
II. RESPONSES TO ALTEREDOXYGENATION, CARDIAC ANDTISSUE PERIPHERALPERFUSION/ TRANSPORT
II.a Review: Anatomy and
Physiology of the
Cardiovascular and Hemato-Lympathic System
1. Anatomy of the Heart
-
Heart Chambers, Heart
Valves, Coronary Arteries
2. Functions of the Heart
-
Cardiac Electrophysiology
-
Cardiac Action Potential
-
Cardiac Cycle
-
Cardiac output
II. b. Nursing Process
a. Assessment
1. Subjective Data:
A. Nursing History:
a. Common symptoms
-
Chest Pain
-
Shortness of breath
-
Peripheral edema
-
Palpitations
-
Fatigue
-
Dizziness
-
Syncope
-
Changes in levels of
consciousness
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Blackand Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of
systems/ organs affected
2. Pathophysiology3. Symptomatology
4. NCP
5. Rehabilation
6. Review of
evidence-based practices
Brainstorming
Panel Discussion
Symposium
4h Review/demonstration/
simulation/ role
play on:
a.
PhysicalAssessment
b.
Admission
and
discharge
of patients
c.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenationutilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functionalHealth
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
Kalamansi
-
Sambong
-
8/11/2019 Resource Unit in Oxygenation
12/24
12
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
oxygenation;
cardiac and
peripheral
tissueperfusion/
transport
2. Performsystematic and
comprehensive
physical
assessment to
validate assessed
data.
B. Functional Health Patterns
C. Past health, family and social
history
2. Objective Data
a. Physical Assessment
-
General Appearance
-
Inspection of the skin-
Blood Pressure
-
Pulse Pressure
-
Postural Blood Pressure
Changes
-
Arterial Pulses
-
Jugular Venous Pulses
-
Heart Inspection and
Palpation
-
Heart Auscultation
-
Inspection of the extremities
-
Assessment of other systems
a. Lungs
b. Abdomen
2.a. Problems of Oxygenation:
Perfusion
-
Fatigue, fluid retention,
dyspnea
-
Irrregular heartbeat, pain
-
tenderness in the calf or legs
-
syncope, leg pain
-
Altered neurologic function
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Blackand Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Review/
demonstration/
simulation/ role
play on:
g.
PhysicalAssessment
h.
Admission
and
discharge of
patients
i.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenationutilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functionalHealth
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
-
8/11/2019 Resource Unit in Oxygenation
13/24
13
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
2. b. Problems in Oxygenation
Transport:
-
Skin: flushing, jaundice,
cyanosis, excoriations,
pruritus, leg ulcers,
-
angiomas, telangiectasis,
nevus purpura
-
petechiae, ecchymosis,hematomas,
-
chondroma, plasmacytoma
-
Eyes: Icteresia, Conjunctival
pallor, blurred Vision, diplopia,
visual fields cut
-
Nose: Epistaxis
-
Mouth: Gingival and mucosal
membrane
Changes
-
Lymph Nodes: Adenopathies
-
Heart and Chest: tachycardia,
palpitations,
-
Altered BP, sternal
tenderness, low
-
Oxygen saturation
-
Abdomen: Hepato-
splenomegaly
-
Nervous System: Paresthesia,
Headache,
-
Nuchal Rigidity
-
Musculoskeletal system: bone
pain, joint
-
Swelling and arthralgia
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Blackand Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:
j.
PhysicalAssessment
k.
Admission
and
discharge of
patients
l.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenationutilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functionalHealth
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
-
8/11/2019 Resource Unit in Oxygenation
14/24
14
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
3. Interpretsdeviations from
normal findings in
the physical
assessment,
diagnostic and
laboratory
examination
4. Identify the
indications/
purposes ,
contraindications,
side effects,
complications and
nursing
responsibilities
before, during and
after the
procedure.
B. Diagnostic Tests and
Procedures
1. Non-invasive:
-
ECG
-
Ultrasound
-
chest Xray
-
Cardiac Stress Testing
-
Exercise stress Testing-
Pharmacological Stress Testing
-
Echocardiography
-
CT scan
-
MRI
-
Radio-nuclides studies
4. Invasive Studies:
-
Cardiac Catheterization
-
Angiography
-
Aortography
-
Coronary Arteriography
-
Right Heart Catheterization
-
Electrophysiologic Testing
-
Arteriogram
-
Venogram
-
Lymphography
-
Bone marrow aspiration
-
Hemodynamic monitoring
* CVP
* Pulmonary artery pressure
* Intraarterial BP monitoring
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Blackand Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:
m.
PhysicalAssessment
n.
Admission
and
discharge of
patients
o.
Health
education
Discussion of
clinical
significance of
diagnostic
examination
ordered for aparticular
patient
Assists in any
medical-
surgical and
diagnostic
procedures
Actual
administration
of drugsutilizing the 10
rights and
principles
Recording
and reporting
of care
rendered and
patients
response to
care
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
-
8/11/2019 Resource Unit in Oxygenation
15/24
15
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
5. Utilize the
assessed data in
order to:
-
Prioritize nursing
diagnosis
-
Discuss the
pathophysiological
responses to
altered
oxygenation:
cardiac and
peripheral tissue
perfusion/
transport
5. Laboratory Tests
a. Cardiomarker analysis
-
Enzymes and Isoenzymes
Studies: CPK-MB,
-
C-Reactive Protein, Troponin-I
b. Blood Chemistry,
Hematology and coagulationstudies
c. Brain (B-type)
Natriuretic Peptide
d. C-reactive Protein
e. Homocysteine
f. ESR, ASO-Titer
g. Torniquet Test
h. Throat Culture
b. ANALYSIS/ NURSING
DIAGNOSIS:
1.
Decreased Cardiac Output as
evidenced by increasedHeart
rate, fatigue, SOB, decreased
urine output,
2.
Impaired mental processing,
decreasing LOC
3.
Activity Intolerance as
evidenced by weakness,
fatigue, vital signs changes
4.
Fatigue as evidenced by
difficulty completing usual
daily activities, frequent desire
to rest5.
Risk for peripheral
neurovascular dysfunction as
evidenced by changes in color,
temperature, sensation of
extremities
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Black
and Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:
p.
Physical
Assessment
q.
Admission
and
discharge of
patients
r.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances inoxygenation
utilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care
Emphasis onrehabilitative
nursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbaldrugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
-
8/11/2019 Resource Unit in Oxygenation
16/24
16
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
-
Plan the care of
clients utilizing
evidence-based
nursing research
-
Achieve the best
clinical outcomes
utilizing ethico-
moral and legal
principles
-
Plan effective
care.
6.Impaired tissue integrity
(Nutrional Metabolic)
7.
Ineffective Breathing
Patterns
8.
Fluid Volume Excess
9.
Nutrition, Altered, less than
body requirement
10.
Growth and development,
altered
11.
Family Process, Altered
12.
Pain
13.
Activity Intolerance
c. PLANNING
1. Planning for health promotion
a.
Risk Factor and risk
management
b.
Promotion of circulation
c.
Prevention of infection:
immunizations
d.
genetic counselling
e.
role of nutrition
2. Planning for health
Maintenance and restoration
a.
Planning for basic life
support, CPR
b.
Planning for advanced life
support
c.
Planning for the client having
cardiac surgery
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Black
and Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:
a.
basic life
support, CPR
b.
advanced life
support
Actual
nursing care of
hospitalized
patients with
disturbances inoxygenation
utilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care
Emphasis onrehabilitative
nursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
-
8/11/2019 Resource Unit in Oxygenation
17/24
17
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
Given an actual
patient with
Dysrhythmias and
Conduction
Problems, Coronary
Vascular Diseases,
Structural,
Infectious and
Inflammatory
Cardiac Disorders,
Complications from
Heart Diseases, the
student will be able
to:
1. Explain what are
the various cardiac
problems and
Explicate all the
precipitating factors
and risk factors that
may lead to the
development of
these diseases
/disorders.
II.C. COMMON HEALTH
PROBLEMS
A. Nursing Care of Clients
with Dysrhythmias and
Conduction Problems
1. Dysrhythmias
a. SINUS NODE DYSRHYTHMIAS
-
Sinus Bradycardia
-
Sinus Tachycardia
-
Sinus Arrhythmias
b. ATRIAL DYSRHYTHMIAS
-
Premature atrial complex
-
Atrial Flutter
-
Atrial Fibrillation
c. JUNCTIONAL DYSRHYTHMIAS
-
Premature Junctional Complex
-
Nonparoxysmal Junctional
Tachycardia
-
Atrioventriculr Nodal Reentry
Tachycardia
d. VENTRICULAR DYSRHYTHMIAS
-
Premature Ventricular
Complex
-
Ventricular Tachycardia
-
Venticular Fibrillation
-
Idioventricularrhythym
-
Ventricular asystole
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Black
and Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
on
compreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
4h Review/demonstration/
simulation/ role
play on:
c.
PhysicalAssessment
d.
Admission
and
discharge of
patients
e.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenationutilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitativenursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
-
8/11/2019 Resource Unit in Oxygenation
18/24
-
8/11/2019 Resource Unit in Oxygenation
19/24
-
8/11/2019 Resource Unit in Oxygenation
20/24
20
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
2. Enumerate the
pathognomonic
manifestations of each
disease and explain the
reason why they
develop.
3. Discuss the
psychopathophysiologic
process of these
diseases from causes to
manifestations and its
complications
4. Apply the nursing
process in the
formulation of nursing
care plans for theprevention,
curative and
rehabilitation of
clients with altered
vascular and
hematologic function
F. Nursing Care of Clients with
Hypertension
a. Hypertension
b. Hypertensive Crises
G. Nursing Care of Clients
with Hematologic Disorders
a.
Hypoproliferativeanemias
b.
Hemolyticanemias
c.
Polycythemia Vera
d.
Secondary Polycythemia
e.
Neutropenia
f.
Lymphopenia
g.
Acute Myeloid Leukemia
h.
Chronic Myeloid Leukemia
i.
Hodgkin Lymphoma
j.
Non-hodgkin Lymphoma
k.
Primary Thrombocythemia
l.
Secondary Thrombocytosis
m.
Thrombocytopenian.
Idiopathic
Thrombocytopenic Purpura
o.
Platelet Defects
p.
Thalassemias
q.
Hemophilias
r.
Von Willebrands Disease
s.
Vitamin K Deficiency
t.
Thrombotic Disorders
u.
Hyperhomocysteinemia
v.
Antithrombin Deficiency
w.
Protein C Deficiency
x.
Protein S Deficiencyy.
Activated Protein C
Resistance and Factor V
Leiden Mutation
z.
Acquired Thrombophilia
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-
Surgical Nursing
13th edition.
2013
2. Joyce M.
Black and Jane
Hokanson
Hawks.
Medical-
Surgical
Nursing- 8th Ed.
2009
3. Lippincott
Williams &
Wilkins. The
LippincottManual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing
Practice, 8TH
Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
oncompreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:
l.
Physical
Assessment
m.
Admission
and
discharge of
patients
n.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up
care
Emphasis onrehabilitative
nursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
-
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21
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
H. Pediatric Cardiovascular
Disorders
A. Defects with increased
pulmonary blood flow
-
VSD, ASD, PDA
B. Defects with Obstruction to
blood flow
-
PS, AS, COA
C. Defects with mixed blood
flow
-
Transposition of great vessels
-
TruncusArteriosus
D. Defects with decreased
pulmonary blood flow
-
Tricuspid atresia
-
TOF
E. Acquired Heart Disease-
CHF
-
Rheumatic Fever
-
Persistent Pulmonary
Hypertension
-
Kawasaki Disease
-
Endocarditis
-
Arrythmias
-
Hypertension
-
Dyslipidemia
-
Cardiomyopathy
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-
Surgical Nursing
13th edition.
2013
2. Joyce M.
Black and Jane
Hokanson
Hawks.
Medical-
Surgical
Nursing- 8th Ed.
2009
3. Lippincott
Williams &
Wilkins. The
LippincottManual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing
Practice, 8TH
Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
oncompreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
4h Review/demonstration/
simulation/ role
play on:
o.
Physical
Assessment
p.
Admission
and
discharge of
patients
q.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up
care
Emphasis onrehabilitative
nursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
-
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INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
-
Implement
individualized
nursing care:
1. Safely and
knowledgeablyadministers
prescribed
medications and
treatments/
alternative
complementary
medicine
F. Pediatric Hematologic
Disorders
-
Hyperbilirubinemia
-
Anemias
-
Polycythemia
-
Leukemia
-
Purpuras- ITP,
HenochSchonlein syndrome
-
Hemophilias: Factors 8,9,11
deficiencies,
-
Von Willebrands disease
-
Thalassemias
-
DIC
D. IMPLEMENTATION:
a. Pharmacologic Therapy
-
Cholesterol lowering drugs,
statins, bile acids
-
Sequestrants, nicotinic acid,
fibric acid derivatives-
Antianginal: Nitroglycerine,
beta blockers, calciumChannel
blockers
-
Antiplatelet: Oral and IV drugs
-
Antidysrhythmic Drugs
-
Heart Failure: ACE inhibitors,
Angiotensin II
-
Receptor blockers, diuretics,
positive inotropic Agents,
sympathomimetics, digoxin,
phophodi
-
Esterase inhibitors
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Black
and Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
oncompreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:
r.
Physical
Assessment
s.
Admission
and
discharge of
patients
t.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitative
nursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
72h
-
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23
INTERMEDIATECOMPETENCIES
CONTENT TEACHING-LEARNING ACTIVITIES REFERENCES EVALUA
2. Actively
participates in
planning and
coordinating
culturally sensitive
interdisciplinary
care
3. Provide
appropriate client
education and
health maintenance
and community-
based care of
clients.
4. Efficiently and
effectively utilize
available resources
in the care of clients
to achieveoutcomes
5. Evaluate
effectiveness of
nursing care,
revising the nursing
care plan as needed
to promote,
maintain or restore
functional health
status of clients
6. Maintain
confidentiality and
protect clients
privacy
-
Anemia: Iron sources, B12
sources, folic acid
-
Sources
-
Antihypertensive: alpha
adrenergic blockers,
-
ACE inhibitors, beta
adrenergic blockers, calcium
Channel blockers, centrally
acting
-
Anticoagulants: Heparin,
Warfarin
b. Complementary and
Alternative Therapies
-
Fish Oil- Omega 3 Fatty acids
-
Hawthorn
-
Herbs that may affect
clotting
-
Natural Lipid Lowering
agents
-
Phototherapy-
DVET
c. Nutrition and Diet Therapy
-
DASH Diet
-
Pritkin Diet
-
Ornish Diet
-
Low Salt, Low Fat
-
Gavage Feeding
d. Blood Transfusion
e. Bone Marrow Transplant
f. Splenectomy
E. Client Education
CLASSROOM TF RELATED LEARNING EXPERIENCE 1. Brunner andSuddarth.
Textbook of
Medical-Surgical
Nursing13th
edition. 2013
2. Joyce M. Black
and Jane
Hokanson
Hawks. Medical-
Surgical Nursing-
8th Ed. 2009
3. Lippincott
Williams &
Wilkins. The
Lippincott
Manual of
Nursing Practice
10th edition.
4. Nettina,
Sandra:
Lippincott
Manual of
Nursing Practice,
8TH Ed. Williams
and Wilkins
Indicator
Paper &
Test
Multiple
Essay
Performa
Rating Sc
on Ret de
Checklist
evaluate
studies
Submissi
satisfacto
written re
oncompreh
history, N
pharmac
sheet
SKILLS LAB HOSPITAL COMMUNITY TF
Lecture or discussion on
contents with emphasis
on:
1. Review of systems/
organs affected
2. Pathophysiology
3. Symptomatology
4. NCP
5. Rehabilation
6. Review of evidence-
based practices
Brainstorming
Panel Discussion
Symposium
Review/
demonstration/
simulation/ role
play on:
u.
Physical
Assessment
v.
Admission
and
discharge of
patients
w.
Health
education
Actual
nursing care of
hospitalized
patients with
disturbances in
oxygenation
utilizing the
nursing
process
Written
comprehensive
nursing audit
of present,
past and family
history utilizing
Gordons
functional
Health
Patterns
Home visit of
selected patients
for follow up care
Emphasis on
rehabilitative
nursing
Performance of
nursing
procedures
needed at home
for patients with
disturbances in
oxygenation
Use of herbal
drugs
-
Bawang
-
Guava
-
Cocoa
-
Rosemary
-
Sili
-
sambong
-
8/11/2019 Resource Unit in Oxygenation
24/24
24