Instructional Plan

Course: BSN 4 NCM 118

Level Objectives: Disease

Resources/Instructional References
Learning Objectives Content Outline Met Tim Methods of Evaluation
Materials
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Following a 20-minute teaching session, the client will be able to:
1. Describe Responses to Altered Ventilatory Functions
what is 1. Assessment American
premature Subjective Data
Journal of
birth  History
2. Define what Objective Data ✓ Whiteboard Nursing
1. Question and
is a  Physical assessment 10 ✓ Pictorial Flipchart
On Answer
premature  Diagnostic studies / procedures min ✓ Handout Verbalization
baby Non – invasive – Oximetry utes
3. Identify the Invasive
risks factors of ABG
preterm birth Pulomonary
4. State the risks Pressure
of having Pleural Fluid Analysis
premature Pulmonary Angiography
babies Ventilation Perfussion (V/Q) scan
(C) Capnography
2. Nursing Diagnosis
3. Planning for Health Restoration and
Maintenance
4. Alterations in Ventilations
 Acute and Chronic
Obstructive Pulmonary
 Disease
 Pulmonary Embolism
 Acute Respiratory Distress
Syndrome
 Acute Lung Injury
 Respiratory Failure
 Pnuemonia
 Community Acquired
 Ventilator Acquired
Respiratory Pandemics
Pulomonary Hypertensions
Pneumothorax
5. Implementation
 Medical / Surgical management
o Mobilization of Secretions
o Artificial Airway /
Management
o Administering Oxygen
Theraphy
o Mechanical Ventilation
o Thoracic Surgeries
o Lung Transplantation
 Pharmacologic Management
 Complementary and Alternative
Medicines
Nutritional and Diet Therapy
Fluid therapy
 Tube feedings
6. Client Education
7. Evaluation of the Outcome of Care
8. Reporting and Documentation of
Care

B. Responses to Altered Tissue Perfusion

1. Assessment
 Subjective Data
Nursing History/
 Objective Data
- Physical Assessment
- Diagnostic Assessmentt
Non- -invasive
 ECG
 Echocardiography
b. Invasive
 Cardiac Catheterization
 Central Venous Pressure {CVF}
 Pulmonary Artery pressure {PAP}
 lntra-arterial Blood Pressure
 Monitoring
 Left arterial Pressure Monitoring
2. Nursing Diagnosis
3. Planning
4. Alteration ire Perfusion
a. Acute lschemic Heart Disease
b. Heart Failure
c. Cardiogenic Shock
d. Coronary Arterial Disease
e. Hypertensive Crisis
f. Cardiomyopathy
g. Arrhythmias
5. lmplementation
 Medical/ Surgical
Management
 Recanalization
 Palliative Care for End-
StageHeart
 Failure
 Percutaneous
 TransluminalAngioplasty
Pacemakers
Cardioversion
Ablation
CABG
IABP
 Heart Transplantation
 Pharmacological Management
 Complimentary /Alternative
 Therapies
6. Patient Education

C. Responses to metabolic - Gastrointestinal

and Liver Alterations
1. Assessment
Subjective Data
- Nursing History

Objective Data
- Physical Assessment
- Diagnostic Assessment
a. Non-invasive
F Guaiac Test )
Hepatobilliary Scan CBG
b. lnvasive
 Blood Gucsse Monitoring
 F Esophago- gastroduodenoscopy
 (EGD)
 ) Endoscopic RetrogradeCholangio-
 pancreatography {ERCP}
 Percutaneous Transhepatic
 Cholagiography (PTCl
  Liver Biopsy
 Serum Blood Studies
2. Nursing Diagnosis
3. Planning
4. Metabolic – Gastrointestinal and liver
Alterations
 Acute 6l Bleeding
 Intra-abdominal Hypertension and
 Abdominal Compartment Syndromme
 Liver Failure
 Acute Pancreatitis
 Bariatric
 Diabetic Ketoacidodis
 Hyperglycemia
 Hyperosmolar Non – ketotic Acidosis
5. lmplementation
 Medical Surgical lManagenrent
 Volume Restoration
 Nasogastric suction tubes
 Esophagogastric Balloon Tamponade
 Tubes, Billroth L and 1"1
 Transjugular lntrahepatic
Portosystemic
 Shunt
 Liver Transplantation
 Reverse Hydration
 Reverse Ketoacidosis
 Electrolyte Replacement
 Rapid Hydration
 Pharmacologic Management
 Complimentary/ Alternative Therapy
6. Client Education
7. Evaluation of the Outcome of Care
8.Reporting and documentation of Care
D. Responses to Altered Elimination
1. Assessment
Subjective Data
-Nursing History
Objective Data
-Physical Assessment
Diagnostic Assessment
a. Non--lnvasive
Urinalysis
24-Urine Collection
Renal Ultrasound
B. lnvasive
 Serum Studies lntravenous
 Pyelography
2. Nursing Diagnosis
3. Planning
4. Elimination - Renal alterations
Renal Failure (Acute and Chronic)
5. lmplementation
 Medical Surgical Management
 Fluid Resuscitation
 Peritoneal Dialysis
 Hemodialysis
 Continuous Renal Replacement
 Therapy {CRRT}
 Pharmacological Management
 Diet and Nutrition Management
 Electrolytes Restrictions
 Fluid Restrictions
 High CHO Diet
 Complimentary / Alternative
Therapy
 Halamang Gamot"
6. Client Education
7. Evaluation of the Outcome of Care
8. Reporting Evaluation of Care
E. Responses to Altered Perception
1. Assessment
Subjective Data
Nursing History
Objective Data
Diagnostic Assessment
a. Brain Imaging Techniques
o CT
o MRI
o PET
o Ce
o Cerebral Angiography
o Cerebral Perfusion
o Intracranial Pressure
Monitoring
b. Pulse Wave Forms
c. Assessment of Cerebral Perfusion –
CPP
d. Assessment of Cerebral Oxygenation
Monitoring
e. Non – Invasive
Transcranial Doppler
Continuous EEG
Near Infrared Spectroscopy
Nuerological Assessment
a. Level of Consciousness
b. Cranial Nerve Testing
c. Cerebellar Testing
d. Sensory Assessment
 e. Motor Assessment
f. Reflexes
Nursing Diagnosis
Planning
 Neurologic Alterations
 Traumatic Alterations
 Acute Ischemic stroke
 Traumatic spinal Cord Injury
5.Implementation
Medical / Surgical Management
Bleeding Management
Evacuation of Blood Clots
Pharmacologic Management
Diet and Nutrition Management
Antioxidants
Phytochemical
Complimentary / Alternative Therapy
6. Client Education
7. Evaluation of the Outcome of Care
Reporting and Documentation of Care

F. Multisystem Problems
1. Shock
level 2. Systematic Inflamatory Responses
Syndrome( SIRS)
3. Multi Organ Dysfunctions Syndrome
( MODS)
 Assessment
 o Clinical Manifestations and effects
o Sequential Organ Failure
Assessment
o ( SOFA)
o Diagnostic studies
 Nursing Diagnosis
 Planning
 Implementation
 Collaboration Care
 Drug therapy
 Nursing Therapy
 Nursing Management
Evaluation

G. Emergency Nursing
1. Assessment
Triage
Fire –of emergency severity index
( ES )
Primary survey
Secondary survey
History
2. Plan / Implementation and Evaluation
Medical Emergencies
a. Airway Breathing , Circulation and
( ABC)
Foreign Body Obstruction
Inhalation injury
Anaphylaxis
Thoracic Emergency Trauma
 Cardiac Arrest
External Hemorrhage
b. Disability ( D)
Head Injury
Stroke
Environmental Emergency
a. Heat Related Emergencies
b. Submersion injuries
c. Stings and bites
d. Poisoning
e. Drowning and Near Drowning
f. Diving Lighting

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