METRO MANILA DEVELOPMENTAL SCREENING TEST MMDST- is a screening test, not and IQ test -sought to establish baseline information

on the developmental characteristics of Filipino children -determines what babies and children can do at certain ages Sectors involved: -first the personal social (the ability to socialize) -fine-motor adaptive (the ability to use his hands to pick up objects and draw) - language (the ability to hear and to follow directions) and lastly the gross motor (the ability to jump, walk and sit). Objectives -To screen it the developmental milestone of the child is appropriately developed for his/her age. -To know the capability of the child at his/her age -To know how the personal-social, fine motor adaptive, language and gross motor develops. Ratings: a.) P- pass b.) F- failure c.) R- refusal d.) N.O.- no opportunity Materials 1. Cubes 2. Cheese Curls 3. Cheese Curls and bottles 4. Bell 5. Ball

Childs Profile Name: Jasmin Joy Alavar Date of Birth: January 21, 2004 Date of Test: February 28, 2008

Computation: (Year) 2008 2004 (Month) 02 01 (Day) 28 21

__________________________ 04 01 07

Age: 4 years, 1 month and 7 days Mother: Alicia Alavar Father: Silverio Alavar FINE MOTOR ADAPTIVE Draws 3 parts R The child refused in drawing a picture of boy or a girl with only 3 parts Picks Longer line P The child was able to pick the longer line having 3 out of 3 trials GROSS MOTOR Balance on one foot in ten seconds P The child was able to stand on either foot in 10 seconds for 3 trials Hops in 1 foot P The child was able to hop in 1 foot in a place without holding to anything Walk heel to toe P The child was able to walk

heel to toe in straight line for more than 4 steps placing toe 1 inch or less in back of her heel having 2 out of 3 trials.

LANGUAGE Opposite Analogies P The child gave appropriate opposite word having 3 out of 3 analogies Comprehensive (cold, tired, hungry) P The child was able to give a logical answer for 3 out of 3 questions Comprehensive 3 prepositions Recommendation Student nurses: -nurses must be prepared -nurses must be well equipped with knowledge School -fair in going to Tibungco should be part of tuition fee -scheduled time should be strictly follow Family -gain knowledge for child development Community -improve cleanliness in community -inform about things regarding child development Conclusion The child: - was not able to pass all screen test - was behaved, cooperative - overcome shyness, felt comfortable - developmental milestone was partially achieve P The child was able to follow 3 directions correctly

Student Nurses: -no difficulty in conducting the test

DRUG STUDY Generic name: Carbocisteine Brand name: Solmux Classification: Mucolytic Suggested Dose: Adults2 caps or15 ml 5% syrup With improvement---- 10 ml 5% syrup 3 times a day Children between 2 to 5 years old 2.5 -5 ml 2.5% syrup Children from 5 to 12 years old 10 ml 25% syrup 4 times a day

Mode of Action - acts by altering the structure of mucus - decrease mucus viscosity - facilitates mucus removal by ciliary action or expectorant Indications -disease of respiratory system - inflammatory diseases of middle ear and sinusal nose Contraindications -Hypersensitivity -Ulcerated stomach -kidney problems -acute lometulonefrit -anesthetic -pregnancy

-breastfeeding Drug interactions -drug-drug interactions such as -cephalosporins -oral hypoglycemics -anti-fungals -metronidazole

Side effects -Nausea -vomiting -pain in epigastria -diarrhea -jeluden-kisherne bleeding -allergic reactions( skin rashes, swelling angioneuroticeski kwinke)

Adverse effects -digestive intolerance -gastric discomfort -nausea -diarrhea -skin rash due to presence of methyl hydroxybenzeate

Nursing Responsibilities -used cautiously in patient with peptic ulceration history -diabetic patient take consideration to quantity of sucrose in the product

Recommendation -help each member in doing correctly the activities -the group should act as a whole

-student nurse should be ready and active to avoid mistakes -fellow students next year should continue the study for better improvement -each member and community should participate and contribute something

Conclusion -poverty is still widespread -family coping index is on average level -IDB- helpful in finding appropriate family background information

Acknowledgement Thank you to: -D3 group -Alavar family -Fortuno family -Asis family -conductor/ driver -parents -Tibungco community -God

References: http://en.wikipedia.org/wiki/Carbocisteine http://medguides.medicines.org.uk/document.aspx?name=Carbocisteine http://carbocisteine.livejournal.com/profile http://en.wikipedia.org/wiki/Cleaning http://en.wikipedia.org/wiki/Public_health