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, 1
st
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 clients 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
TI
ME
FR
AM
E
EVALUATION
At the end of the
lecture discussion, the
students will be able
to:
1. Utilize the nursing
process in the care of
individuals, families
with problems in
oxygenation in
community and
hospital settings;

1. Identify risk factors
among
clients that contribute
to the
development of
problems in
Oxygenation-
cardiovascular risk
factors (modifiable
and non-modifiable).

The different risk
factors among
clients 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
Cardiovascul
ar disease
Stroke
Tuberculosis
Dietary
Pre-tests
Case
Analysis
Small
Group

Learning
Lecture
Discussion
Post test
Assertiveness
Cooperation
Participation
Sensitivity
2.5
ho
urs
After the
discussion, the
students will be
able to identify
the modifiable
and non-
modifiable risk
factors that
contribute to the
development of
problems in
oxygenation.
assessment
Medication
history
2. Ensure a well-
organized and
accurate
documentation
system
2. Identify significant
subjective data from
client
history related to
problems
in oxygenation
a. Chief complaints
b. Relevant
information, to
include eleven
functional patterns
Health
perception
managemen
t pattern
Nutritional/
metabolic
pattern
Elimination
pattern
Activity/exe
rcise
patterns
Cognitive/p
erceptual
pattern
Sleep-rest
pattern
Self-
perception-
self-concept
pattern
Role
relationship
pattern
Sexuality-
reproductiv
Pre-tests
Case
Analysis
Small
Group
Learning
Lecture
Discussion
Post test
Assertiveness
Cooperation
Participation
Sensitivity
2
ho
urs
The students
should be
able to identify
significant
subjective data
from
clients history by
enumerating the
possible
chief complaints
and
recording
relevant
information
guided by the
eleven functional
patterns.
e pattern
Coping-
stress
tolerance
pattern
Value-belief
pattern
3. Relate with client/s
and their family and
the health team
appropriately;
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
Demonstr
ation
Return
Demonstration
Lecture
Discussion
Post test
Assertiveness
Cooperation
Participation
Sensitivity
3
ho
urs
The students will
be able to
perform the
proper
techniques in
physical
examination and
apply the
principles in
correctly
assessing the
newborn,
children, and
adults
oxygen status by
comparing any
deviations
from normal
findings
4. Observe bioethical
concepts/principles,
core values and
nursing standards in
the care of clients;
and,
4. Identify results and
implications of
diagnostic/laboratory
examinations of
clients with reference
to problems in
Oxygenation.
Screening
procedure-
peak flow
meter
Diagnostic
Procedures
Non-
invasive
Pre-tests
Case
Analysis
Small
Group
Learning
Lecture
Discussion
Assertiveness
Cooperation
Participation
Sensitivity
2.5
ho
urs
Given actual
laboratory
results of a
patient, the
student should
be able to
identify
deviations from
Pulmonary
e.g. sputum
microscopy,
chest x-ray,
pulmonary
function
tests, smoke
analyzer
Fagerstrom
test-
standardize
d degree of
nicotine
dependence
Cardiac:
ultrasound,
ECG, 2-D
echo, stress
test
Vascular:
Doppler
ultrasonogr
aphy
Blood: pulse
oximeter
Invasive
Pulmonary:
bronchosco
py, ABG,
3horacentes
is,
pulmonary
angiography
Cardiac: CO
Post test normal findings.
determinati
on, cardiac
catheterizati
on, CVP,
hemodynam
ics
monitoring,
enzyme
levels,
Serum,
Cholesterol
Vascular:
angiography
Blood: CBC
and bone
marrow
biopsy
5. Promote personal
and professional
growth of self and
others.
Determine the
Pathophysiologic
mechanisms of the
alterations in oxygen
a. Alteration in gas
exchange
ventilator
dysfunction,
impaired perfusion
b. Alteration in
cardiac performance
heart rate
problems, impaired
stroke volume
secondary
to altered preload,
afterload,
myocardial
contractility
c. Alteration in
vascular integrity
Pre-tests
Case
Analysis
Small
Group
Learning
Lecture
Discussion
Post test
Assertiveness
Cooperation
Participation
Sensitivity
16
ho
urs
The students
should be
able to
determine the
pathophysiologic
mechanisms in
the different
oxygenation
problems.
transport
network impairment
d. Alteration in
oxygen carrying
capacity of the
blood- decreased
circulating
erythrocytes
(anemia), increased
circulating
erythrocytes
(polycythemia)
6. 6. Enumerate Nursing
diagnoses taxonomy
pertinent to
problems/alteration in
Oxygenation.
a. Ineffective
breathing pattern
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 tissue
perfusion systemic
h. Impaired gas
exchange related to
altered O2 carrying
capacity of blood
due to decreased
erythrocytes/hemog
Pre-tests
Case
Analysis
Small
Group
Learning
Lecture
Discussion
Post test
Assertiveness
Cooperation
Participation
Sensitivity
2
ho
urs
The students
should be
able to identify
possible
nursing
diagnoses
taxonomy
pertinent to the
derived
assessment data
to pertinent
problems in
oxygenation.
lobin
i. Activity
intolerance related
to
malnutrition tissue
hypoxia
7. Identify principles
of various
modalities of
management
of clients with
problems in
oxygenation taking
into consideration the
following levels of
care:
1. Health promotion
2. Disease preventive
3. Curative and
restorative
For altered
pulmonary function:
Airway
patency
Oxygen
therapy
Adequate

Drug
therapy
Hydration
Removal of
secretion
Prevention
of infection
Prevention
of
complicatio
ns
Prevention
of
psychosocial
problems
Rehabilitati
on
b. For
cardiac
function

should be
able to apply the
various
principles in the
management of
clients with
problems in
oxygenation in
the
actual clinical
nursing
practice.
should be
able to provide
the
patients/clients
with the
proper teachings
on
health
promotion,
disease
prevention and
curative and
health
restoration.
Hemodyna
mics
monitoring
O2 therapy
Drug
therapy
Hydration
Prevention
of infection
Prevention
of
complicatio
ns
Prevention
of
psychosocial
problems
Rehabilitati
on
c. Oxygen
carrying
capacity of
the blood
Blood
component
replacemen
t
O2 therapy
Drug
therapy
Hydration
Prevention
of infection
Prevention
of
complicatio
ns
Enumerate
Pharmacologic
actions,
therapeutic uses, side
effects, indications,
contraindications, and
nursing
responsibilities in
administering
medications
clients with
oxygenation
problems.
a. Pulmonary
Bronchodila
tors
Expectorant
s
Antitussives
Antihistami
nes
b. Cardiac
Sympathom
ymetic
agents
Sympatholyt
ic agents
Anti-anginal
agents
Anti-
arrhythmic
agents
Angiotensin
converting
enzyme
inhibitors
Antilipemic
agents
Anticoagula
nt agents
Thrombolyti
cs
vascular agents
Pre-tests
Case
Analysis
Small
Group
Learning
Lecture
Discussio
n
Post test
Assertiveness
Cooperation
Participation
Sensitivity
2
ho
urs
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
c. Blood

supplements