Republic of the Philippines

TARLAC STATE UNIVERSITY

COLLEGE OF SCIENCE
DEPARTMENT OF NURSING
Lucinda Campus, Brgy. Ungot, Tarlac City Philippines
[Link].: (045) 493-1865 Fax: (045) 982-0110 website: [Link]
Awarded Level 3-Phase II Status by the Accrediting Agency of Chartered Colleges and Universities in the Philippines Inc (AACCUP)

V ISION
Tarlac State University is envisioned to be a premier university in Asia and the Pacific.

MISSION
Tarlac State University commits to promote and sustain the offering of quality and programs in higher and advanced education
ensuring equitable access to education for people empowerment, professional development, and global competitiveness.
Towards this end, TSU shall:
1. Provide high quality instruction trough qualified, competent and adequately trained faculty members and support staff.
2. Be a premier research institution by enhancing research undertakings in the fields of technology and sciences and strengthening
collaboration with local and international institutions.
3. Be a champion in community development by strengthening partnership with public and private organizations and individuals.

G OAL
The goal of the college is on the development of the whole person in the service of man for the greater glory of God, through creating a quality educational
experience and environment that promotes values, professio nal competence, leadership and social responsibility.
O B JECTIVES
To prepare graduates for the practice of nursing in various settings by providing the broadest basic education, skills and competencies for future leadership
positions in nursing.

To develop among the students the spirit of compassionate caring, quality of service, social insight, and commitment in health care of the nation.

To continue to strengthen and facilitate health research initiatives and maintain active outreach programs with the community through coordi nation and
collaboration of undertakings.

NCM 112 - Communicable Disease

“Nino Estadio”
A 29-year-old male, Nino Estadio, presented with a chief complaint of Fever (38.5 °C),
Productive cough and dyspnea which seems to worsen over the week. Nino is a known HIV
patient for 3 years with a CD4 lymphocyte count of 583. His doctor prescribed him Zidovudine.
He was at first compliant to this medication, but eventually stopped taking it after 2 years when
he and his boyfriend broke up. He also stopped returning to his doctor for follow-up. From a
weight of 72 kgs, it went down to 58 kgs over a year.
He claims to be a smoker (1/2 pack a day) 4 years ago and an occasional drinker
(approximately 2 times a month) 4 years ago when he still not diagnose with HIV. He claims to
have only 1 sexual partner and has no previous STD’s. She has no known allergies to drugs
and foods. Nino thinks he got HIV when he had his tattoo at a local tattoo shop.
Nino lives at a 2-story house which he owns. They buy their drinking water at a
registered and trusted water refilling station near their house. He lives with his mother, Mika, 52
years old, apparently well, and healthy, his father Romeo, 50 years old, who is a known
asthmatic patient with Seretide puff taken 2 puffs 2 times a day and his younger sister Nina, 18
years old, a nursing student, apparently well and healthy. His mother cooks their food and do
some house chores while Nina helps her after school. His father cleans the house and sees to it

This case was made for the online virtual duty of the students handled by the writer and is a work of fiction. Names , c harac t ers ,
businesses, places, events, locales, and incidents are either product of my imagi nati on o r us ed as a fi c ti ti ous man ner. An y
resemblance to actual persons, living or dead or actual events is purely coincidental. The case in this article is n ot i ntend ed as a
substitute for medical advice of physicians or nurses. The reader should regularly consult a physician in matters relating to h is /her
health particularly with respect to any symptoms that may require diagnosis and medical attention.

tuazondn@[Link]/dntuazon@[Link] Page 1 of 3
that there are no cockroach, mosquitoes, and other pest. He also takes care of their plants in
the garden.

Family History
Mother Father

Grandmother Grandfather Grandmother Grandfather

Diabetic Apparently well and Apparently well and Apparently well and
healthy healthy healthy
Hypertensive
Alive at 70 years old Alive at 80 years old Died in Mindanao as
Non-compliant to
a soldier
medications
Died at the age of 70
due to complications
of diabetes

Nino works as a manager in a call center agency. He acts as the breadwinner in the
family because of the pandemic. He pays for the food and city services of the family. During his
free time, he plays volleyball with his friend. His mother claims he completed his vaccine and
immunizations when he was young. He was hospitalized 20 years ago and underwent surgery
for appendectomy.
3 days ago, Nino started to develop a productive cough characterized as yellowish in
color. The nest day, He claims to feel hot however he did not check his temperature. He also
feels weak and tired when going down the house. The next day, He checked his temperature
and recorded it at 38.5 °C, he complaints of difficulty in breathing. Symptoms seem to worsen
which prompted them to bring Nino to the hospital.
Physical Examination done by the nurse. He was pale, diaphoretic and in acute
respiratory distress. Temperature: 39 °C, HR: 112 BPM, RR: 30 CPM, BP: 110/70 mmHg. Oral
thrush was present. Examination of the lungs disclosed poor inspiratory effort and bibasilar
crackles 2/3 of the way up the posterior lung field. He had a tachycardia but no murmurs. His
abdomen was non-tender, and there was no enlargement of the liver or spleen. Neurologic
examination was normal.
Doctor ordered some test and advised for admission.
Doctor’s order:

• Please admit patient under the service of Dr. Dematakot

• Diagnostics:
o CBC, ESR, Stool exam, Chest x-ray, sputum GS/CS, Gene Xpert
• Therapeutics:

This case was made for the online virtual duty of the students handled by the writer and is a work of fiction. Names , c harac t ers ,
businesses, places, events, locales, and incidents are either product of my imagi nati on o r us ed as a fi c ti ti ous man ner. An y
resemblance to actual persons, living or dead or actual events is purely coincidental. The case in this article is n ot i ntend ed as a
substitute for medical advice of physicians or nurses. The reader should regularly consult a physician in matters relating to h is /her
health particularly with respect to any symptoms that may require diagnosis and medical attention.

tuazondn@[Link]/dntuazon@[Link] Page 2 of 3
 o Start venoclysis of PNSS 1L to run at 30 gtts/minute.
o Give Cefuroxime 750mg (IV Bolus) in 10 cc of sterile water after negative skin
test every 8 hours.
o Give multivitamins 1 capsule a day at bedtime.
o Monitor Vital signs Q4.
• To consider HIV vs AIDS
• Inform Dr. Dematakot regarding the patient.

Chest Xray result shows tuberculosis.

Sputum Gene Xpert confirms TB bacteria was seen.

Hgb : 12.0
WBC : 2,900
Segs: 66 Lymphs: 15 Monos : 18
Platelets : 203k/mm3
Na : 133 meq/L
K: 3.3 meq/L
Cl : 107 meq/L
CO2 : 14 meq/L
Creatinine : 2.3 mg/dl

CD4 count: 189 mm/c3

Additional doctors orders were made to continue antiviral drug that was previously given. And,
TB drugs were started.

RLE CLINICAL REQUIREMENTS:

• Note: Analyze the scenario, identif y the disease/s being describe and the current situation of the
patient.
• Discuss the identif ied disease/s brief ly.
• In each scenario create
▪ Daily PA -------- (As a group)
▪ (1) SOAPIE Charting ------ (Per student)
▪ (1) NCP ------ (Per Student)
▪ (1) Drug Study ------ (Per Student)
▪ Patient Education (contents: Lif estyle, Activity/ Exercise, Diet, Follow – up check,
Psychological or Emotional or Spiritual Aspect of teaching needs) ------ (Per student)
▪ Case analysis ------ (1 Group)

This case was made for the online virtual duty of the students handled by the writer and is a work of fiction. Names , c harac t ers ,
businesses, places, events, locales, and incidents are either product of my imagi nati on o r us ed as a fi c ti ti ous man ner. An y
resemblance to actual persons, living or dead or actual events is purely coincidental. The case in this article is n ot i ntend ed as a
substitute for medical advice of physicians or nurses. The reader should regularly consult a physician in matters relating to h is /her
health particularly with respect to any symptoms that may require diagnosis and medical attention.

tuazondn@[Link]/dntuazon@[Link] Page 3 of 3