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.)
a.) P- pas
pass

 b.)
 b.) F- fai
failu
lure
re

c.)
c.) R- ref
refus
usal
al

d.) N.O.-
N.O.- no oppor
opportun
tunity
ity

Materials

1. Cubes

2. Chee
heese Cur
Curls

3. Chees
Cheesee Curl
Curlss and
and bott
bottle
less

4. Bell

5. Ball
 Child’s Profile
Name: Jasmin Joy Alavar 
Date of Birth: January 21, 2004
Date of Test: February 28, 2008

Computation:
(Year) (Month) (Day)
2008 02 28
2004 01 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 P The child was able to stand
seconds 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 P The child was able to give a
(cold, tired, hungry) logical answer for 3 out of 3
questions
Comprehensive 3 P The child was able to follow
 prepositions 3 directions correctly

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

Student Nurses:
-no difficulty in conducting the test
DRUG STUDY

Generic name: Carbocisteine

Brand name: Solmux
Classification: Mucolytic
Suggested Dose:
Adults—2 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