Resource Unit in Oxygenation

8/11/2019 Resource Unit in Oxygenation

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1

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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2

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


3/24


4/24

4



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


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



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


5/24

5



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)


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




on:

1. Review of

systems/ organs affected2. Pathophysiology

3. Symptomatology

4. NCP

5. Rehabilation

6. Review of


Brainstorming

Panel Discussion

Symposium


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


6/24

6



-

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


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




on:

1. Review ofsystems/ organs affected

2. Pathophysiology

3. Symptomatology

4. NCP

5. Rehabilation

6. Review of


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

-


7/24

7



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


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




on:

1. Review of

systems/ organs affected

2. Pathophysiology3. Symptomatology

4. NCP

5. Rehabilation

6. Review of


Brainstorming

Panel Discussion

Symposium

4h

Actual

nursing care of

hospitalized

patients with

disturbances in


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


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


8/24

8



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


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




on:

1. Review of



4. NCP

5. Rehabilation

6. Review of


Brainstorming

Panel Discussion

Symposium

Actual

nursing care of

hospitalized

patients with

disturbances in


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


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


9/24

9



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


Textbook of

Medical-Surgical

Nursing13th

edition. 2013


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




on:

1. Review of



4. NCP

5. Rehabilation

6. Review of


Brainstorming

Panel Discussion

Symposium

4h

Actual

nursing care of

hospitalized

patients with

disturbances in


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


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


10/24

10



-

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


Textbook of

Medical-Surgical

Nursing13th

edition. 2013


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




on:

1. Review of



4. NCP

5. Rehabilation

6. Review of


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


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


11/24

11



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


Textbook of

Medical-Surgical

Nursing13th

edition. 2013


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




on:

1. Review of



4. NCP

5. Rehabilation

6. Review of


Brainstorming

Panel Discussion

Symposium


simulation/ role

play on:

a.

PhysicalAssessment

b.

Admission

and

discharge

of patients

c.

Health

education

Actual

nursing care of

hospitalized

patients with

disturbances in


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


Performance of

nursing

procedures

needed at home

for patients with

disturbances in

oxygenation

Use of herbal

drugs

-

Bawang

-

Guava

-

Cocoa

-

Rosemary

-

Sili

-

Kalamansi

-

Sambong


12/24

12



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


Textbook of

Medical-Surgical

Nursing13th

edition. 2013


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


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


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


Performance of

nursing

procedures

needed at home

for patients with

disturbances in

oxygenation

Use of herbal

drugs

-

Bawang

-

Guava

-

Cocoa

-

Rosemary

-

Sili

-

sambong


13/24

13



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


Textbook of

Medical-Surgical

Nursing13th

edition. 2013


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




on:

1. Review of systems/

organs affected


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


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


Performance of

nursing

procedures

needed at home

for patients with

disturbances in

oxygenation

Use of herbal

drugs

-

Bawang

-

Guava

-

Cocoa

-

Rosemary

-

Sili

-

sambong


14/24

14



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


Textbook of

Medical-Surgical

Nursing13th

edition. 2013


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




on:


organs affected


4. NCP

5. Rehabilation


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


Performance of

nursing

procedures

needed at home

for patients with

disturbances in

oxygenation

Use of herbal

drugs

-

Bawang

-

Guava

-

Cocoa

-

Rosemary

-

Sili

-

sambong


15/24

15



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


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




on:


organs affected2. Pathophysiology

3. Symptomatology

4. NCP

5. Rehabilation


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


16/24

16



-

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


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




on:


organs affected2. Pathophysiology

3. Symptomatology

4. NCP

5. Rehabilation


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


nursing

Performance of

nursing

procedures

needed at home

for patients with

disturbances in

oxygenation

Use of herbal

drugs

-

Bawang

-

Guava

-

Cocoa

-

Rosemary

-

Sili

-

sambong


17/24

17



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


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




on:


organs affected


4. NCP

5. Rehabilation


based practices

Brainstorming

Panel Discussion

Symposium


simulation/ role

play on:

c.

PhysicalAssessment

d.

Admission

and

discharge of

patients

e.

Health

education

Actual

nursing care of

hospitalized

patients with

disturbances in


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


Performance of

nursing

procedures

needed at home

for patients with

disturbances in

oxygenation

Use of herbal

drugs

-

Bawang

-

Guava

-

Cocoa

-

Rosemary

-

Sili

-

sambong


18/24


19/24


20/24

20



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


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




on:


organs affected

2. Pathophysiology

3. Symptomatology

4. NCP

5. Rehabilation


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


nursing

Performance of

nursing

procedures

needed at home

for patients with

disturbances in

oxygenation

Use of herbal

drugs

-

Bawang

-

Guava

-

Cocoa

-

Rosemary

-

Sili

-

sambong


21/24

21



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


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




on:


organs affected

2. Pathophysiology

3. Symptomatology

4. NCP

5. Rehabilation


based practices

Brainstorming

Panel Discussion

Symposium


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


nursing

Performance of

nursing

procedures

needed at home

for patients with

disturbances in

oxygenation

Use of herbal

drugs

-

Bawang

-

Guava

-

Cocoa

-

Rosemary

-

Sili

-

sambong


22/24

22



-

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


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




on:


organs affected

2. Pathophysiology

3. Symptomatology

4. NCP

5. Rehabilation


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


23/24

23



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


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




on:


organs affected

2. Pathophysiology

3. Symptomatology

4. NCP

5. Rehabilation


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


24/24

24

Documents

Resource Unit in Oxygenation