NUR 1140 Nursing Pharmacology Instructor Name: Course Section: Jose Robert K. Gaticales NUR 1140 Office Hours: Friday 11-12 and 3-4 Credit Hours: 3 Prerequisites Corequisites: BSC 1085, BSC 2080L, Mat 1033, SLS 1110 Nur 1022 Campus Phone: Other Telephone: Email Address: Theory Hours: Lab Hours: N/A 702 567-1920 jgaticales@cci.edu 3 per week. Friday 8am- 11am* RM 104/106 Grades and understanding course content are dependent upon consistent study and attendance. Students are expected to designate an average of 108+ hours for out-of-class study and assignments for this course. *Friday November 23 is a holiday, pharmacology lecture for this date will be on Friday November 30 th and replace SSP from 12-3. Last Date Reviewed: 9/17/2012 Course Description: This course is designed to provide nursing students with the knowledge of biological factors influencing drug actions; predictable effects of medications on a physiological problem; modifiers of the predictable effects; commonalities and variations between the actions of medications employed for comparable therapeutic effects; adverse effects of medications that can and do commonly occur and application of the nursing process in drug therapy. Objectives: Upon successful completion of this course, the student will be able to: A. Nursing Process 1. Discuss drug classifications, indications of use, desired effects, potential adverse reactions and appropriate nursing interventions with selected medications. 2. Identify how the nurse uses the nursing process and the knowledge of pharmacological management when working with clients and families of different cultures and ages. 3. Use the nursing process in the assessment, calculation, implementation and evaluation of medication administration. B. Critical Thinking 1. Utilize concepts of basic sciences in relation to pharmacokinetics when planning client care. 2. Recognize the mechanisms of drug action and interaction including the pharmaceutical, pharmacokinetic and pharmacodynamic processes in medication administration. 1
3. Discuss the interactions that can occur between commonly used over the counter and herbal therapies with prescribed medications. 4. Solve medication calculation problems correctly. C. Communication 1. Discuss the importance of communicating safe medication calculation and administration. 2. Explain the importance of correct, concise documentation related to medication orders and administration. D. Health Promotion 1. Define the role of pharmacology in health promotion and disease management. 2. Explain the interactions that can occur between lifestyle, diet and nutrition in pharmacological management. E. Professional Role 1. Explain how culture affects a client s response to and compliance with drug therapy. 2. Discuss the impact of legislation and regulation on drug therapy and nursing. 3. Describe the role of the nurse in client and family education as related to drug therapy. 4. Exhibit actions and interactions congruent with the ANA Nursing Code of Ethics. 5. Describe how the nurse exhibits the knowledge, skills and attitude in the utilization of the Quality and Safety Education for Nurses (QSEN) and National Client Safety Goals. Policies: Refer to the Nursing Student Handbook Texts: Adam s Math and Drug Calculations on Line for Nursing and Health Professionals Ignatavicius, D. & Workman, L. (2010). Medical-Surgical Virtual Clinical Excursions: Pacific View Regional Hospital. St. Louis: Saunders-Elsevier Lilley, L.L., Collins, S.R., Harrington, S. & Snyder, J. (2011). Pharmacology and the Nursing Process (6 th ed). St. Louis, MO: Mosby, INC. 2
Required Software: Included with texts and Evolve Reach Exams Instructional Methods: This course combines lecture, case studies, group exercises, discussion and problem solving. APA Style Papers that you write in your program of study must follow the guidelines set by the American Psychological Association (APA) 6 th edition. (Includes: 1 inch margins, title page, references page, correct in-text citations, correct reference page citations.) Course Evaluation and Grading Grading Scale Letter Point A score of Interpretation Grade Scale 76% or greater A 92-100 Superior must be Above average; B 84-91 achieved good on the C 76-83 Average; standard final D 68-75 Below standard examinatio 67 or F Failing n and below overall course grade in order to progress in the program. Hesi practice exams for dosage calculation and pharmacology must be completed by January 9 th and you must obtain of score of greater than 84% to get credit. Grade Categories Weight Content Exams (4) 40% Math quizzes 5% Professionalism 5% Case Studies: 9% Renin-angiotensinaldosterone project Sympatheticparasympathetic project VCE reducing medication errors HESI practice quizzes and exams version A and B HESI comprehensive Dosage Calculation Exam Final Comprehensive Exam 3% 3% 1% 4% 10% 20% Total: 100% 3
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NOTE: Grade rounding is not allowed when calculating final course grades. The grade earned is the grade that will be recorded. Professionalism: the content graded in Professionalism is attendance, being on time, proper uniform, homework completed and turned in the beginning of class, proper communication, participation in class etc. Evaluation of Student s Progress: Any student who scores below 76% on their final examination will receive one opportunity to retake the exam. The course lead instructor will provide the date of the retake examination, and the retake must be completed before the end of the Quarter. The maximum score for the retake examination will be 76%. Attendance for Class: Students are expected to attend all designated class meetings. It is highly advised for all students to attend the Student Success Program until the first exam is given then any student not achieving at least 84% should continue to attend. Refer to the Student Handbook for the policies. Academic Dishonesty within the Nursing Department: Everest College Nursing Department expects every student to engage in all scholastic pursuits in a manner that is beyond reproach. Students are required to maintain complete honesty and integrity in the classroom and/or laboratory. Any student found guilty of dishonesty in scholastic work is subject to disciplinary action. A. Academic dishonesty includes, but is not limited to, cheating on scholastic work, plagiarism and collusion. B. Cheating on scholastic work includes: Copying from another student s test paper or other scholastic work. Using, during a test, materials or equipment not authorized by the person administering the test. Collaborating, without authority, with another student during an examination or in the preparation of scholastic work. Knowingly using, buying, selling, stealing, transporting or soliciting, in whole or in part, the contents of an un-administered test. Soliciting, bribing or coercing an instructor or student grader to alter the score or grade achieved on a test or other scholastic work. Substituting for another student, or permitting another student to substitute for one-self, to take a test or prepare other academic work or laboratory assignments/experiments. Soliciting, bribing or coercing another person to obtain an un-administered test/examination or information about an un-administered test/examination. Using thoughts, words, or expressions of other s works, including web-based information, as one s own (plagiarism). All student conduct will support academic honesty. Any student who violates any of the criteria under A or B above will receive an F or zero grade for that specific occurrence. Academic Dishonesty constitutes unprofessional conduct and lack of good professional character. Any student participating in any form of academic dishonesty will be scheduled to see the Campus Nursing Director and may be dismissed from the 5
program. The department goal is that each student completes his or her own work in order to master the skills needed to deliver safe, competent nursing care. This syllabus is a representation of the course content, organization and evaluation processes. The Campus Nursing Director and faculty teaching this course reserve the right to reasonably alter the sequences of activities, evaluation and assignment dates. Every effort will be made to inform class members in advance of such changes. Students are responsible for following the syllabus and any changes instituted by the faculty. Date of Last Review: March 12, 2012 6
Course Outline and Assignments WEEK ONE October 19, 2012 Instructional Objectives In Class-Learning Out of Class Total Hours Assessment 1. State the five phases of the Nursing Process and to be able to relate those processes to drug therapy 2. State the Six Rights associated with safe medication administration 3. Define common terms used in pharmacology 4. Understand the concepts of Pharmaceutics, pharmacokinetics and pharmacodynamics and their application in drug therapy and the nursing process 5. Discuss the relevance of the four aspects of pharmacokinetics to professional nursing practice as related to drug therapy for a variety of patients and in a variety of health care settings 6. Discuss the impact of patients age and the associated related changes on the pharmacokinetic aspects of drug therapy and drug responses. 7. Apply the nursing process to drug therapy and lifespan considerations 8. Discuss the various cultural, genetic and racial or ethnic factors that may influence and individual s response to medication 9. Discuss the important components of drug legislation at the state and federal levels. 10. Provide examples of how drug legislation impacts drug therapy and the nursing process 11. State the categories of controlled substances 12. State the process involved in the development of new drugs. 13. Relate how culture legal and ethical consideration in drug therapy would affect the nursing process. 14. Basic understanding of Gene therapy and pharmacogenetics 15. Discuss the importance of various vitamins and minerals and the different disease states when there are imbalances in levels. Overview of Handbooks, Syllabi and Course Lecture and Group activities for: The nursing process and drug therapy Pharmacologic principles Life span considerations with drug therapy Cultural, legal and ethical considerations with drug therapy Gene therapy and Pharmcogenetics Vitamins and Minerals Nutritional supplements Med-Math: Calculating Kilocalories for TPN feedings and starting critical care calculations Reading: Lilley s Chapter 1 5 and chapters 53-54 Adams Math On Line Review through Module III section 1 Homework: Lilley s Study guide the Pharmacology and the Nursing Process (this will not be graded but will help you understand the material) Chapters 1-5 Reading 3 hours Study Guides 2 hours Homework: 1hours Med-Math on-line: 2 hour Study for Exam 1 hours Case study as homework. Critical thinking questions and case study activities done in class Content will be on Exam 1on week 3 7
16. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration of vitamins and minerals 17. Discuss the nursing process as it relates to the nursing care of patients receiving vitamins and minerals 18. Describe the pathophysiologic processes and/or disease states that may lead to nutritional deficiencies. 19. Discuss enteral and parenteral nutritional supplements 20. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration of various enteral and parenteral supplemental feedings. 21. Discuss the nursing process as it relates to the nursing care of patients receiving enteral or parenteral feedings 22. Calculate kilocalories in TPN solutions based on the components of the TPN. (A1, A2, A3. B1, B2, C1, C2, C3, D1, D2, E1, E2, E3, E4, E5)* Reflects the following course objectives 8
Instructional Objectives WEEK TWO October 26, 2012 In Class Topic and Learning Out of Class Total Hours Assessment 1. Describe how to prevent and respond to medication errors. 2. State the most commonly encountered medication errors. 3. Discuss the impact of culture and age on the occurrence of medication errors 4. Identify potential physical and emotional consequences of medication errors. 5. Identify agencies concerned with prevention of and response to medication errors. 6. Discuss the importance of patient education in the safe and efficient administration of drugs 7. Summarize the various teaching and learning principles related patient education and drug therapy across the life span that are applicable in any health care setting. 8. Discuss the differences between prescription drugs, over the counter drugs, herbals and dietary supplements and how they are legislated 9. Discuss substance abuse and the drugs or chemicals most frequently abused. 10. Contrast the signs and symptoms of the most commonly abused drugs/chemicals 11. Describe drug and alcohol abuse syndrome, sign and symptoms, withdrawal symptoms and treatment regimens 12. Utilize the nursing process in the development of a plan of care in an individual with drug or alcohol abuse 13. State the different ways to administer drugs. 14. Discuss the mechanisms of action, therapeutic effects, interactions of various topical dermatologic drugs 15. Discuss the nursing process as it relates to the nursing care of patients receiving topical dermatologic drugs Lecture and Group activities for: Preventing and responding to Medication Errors Patient education and Drug therapy Over the counter drugs and herbal and dietary supplements Substance abuse Different ways to administer drugs Dermatologic Drugs Med-Maths: Critical Care Calculations Reading: Lilley s Chapters 6 10 and chapter 56. Adam s Math and Drug Calculations on Line: Module 3 Section 1Con t Homework: Lilley s Study Guide: Chapters related to the chapters in the text for the week Reading 3 hours Homework: hours Study Guides: 3 hours Study for Exam 1 -- 2 hours Med-Math on-line: 1 hour Case studies and Critical thinking activities Exam 1 on week 3 9
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Instructional Objectives WEEK THREE November 1,2012 In Class Topic and Learning Out of Class Total Hours Assessment. 1. Define and contrast the signs, symptoms and management of acute and chronic pain. 2. Describe pharmacological and nonpharmacological approaches for the management of acute and chronic pain. 3. Discuss the uses of different classes of medication to manage acute and chronic pain including the phamacodynamics and pharmacokinetics of these drugs 4. Describe the standards of pain management as defined by the World Health Organization and the Joint Commission 5. Describe the function of the central nervous system and the effects of central nervous system depressants and stimulants 6. Discuss sleep disorders and the different classes of medications used to assist with sleep 7. Contrast the pharmacokinetics and dynamics of the different classes of Central Nervous system depressants and muscle relaxants 8. Discuss the nursing process as it relates to the nursing care of patients receiving any central nervous system depressant and/or muscle relaxant 9. Contrast the pharmacokinetics and dynamics of the different classes of Central Nervous system stimulants 10. Discuss the nursing process as it relates to the nursing care of patients receiving Central Nervous System Stimulants 11. Discuss the rationale for the use of the various classes of antiepileptic drugs administered for management of the different forms of epilepsy 12. Contrast the pharmacokinetics and dynamics of the different classes of antiepileptic drugs 13. Discuss the nursing process as it relates to the nursing care of patients receiving antiepileptic drugs 14. Discuss the impact of acetylcholine and dopamine on Exam I on chapters 1-10, 53, 54, 56 and the Med-math covered in the first two weeks. Lecture and Group activities for: Analgesics Central Nervous System Depressants and muscle relaxants Central Nervous System Stimulants Antiepileptic Drugs Antiparkinsonian Drugs Psychotherapeutic Drugs Med-Math: Pediatric Calculations Reading: Lilley s Chapter 11, and 13 17 Adam s Math and Drug Calculation On Line: Module 3 Section 2 Homework: Case Study: 1. Neurological disorder Lilley s Study Guide: Chapters related to the chapters in the text for the week Reading 4 hours Case studies: 2 hours Study Guide Assignments 1 hour Study for Exam 1 5 hours Med-Math on-line: 1 hour Exam II Case Studies Critical Thinking Questions 11
the brain 15. Contrast the pharmacokinetics and dynamics of the different classes of antiparkinsonian drugs 16. Discuss the nursing process as it relates to the nursing care of patients receiving antiparkinsonian drugs 17. Contrast the pharmacokinetics and dynamics of the different classes of Psychotherapeutic drugs 18. Discuss the nursing process as it relates to the nursing care of patients receiving psychotherapeutic drugs (A1, A2, A3. B1, B2, C1, C2, C3, D1, D2, E1, E2, E3, E4, E5)* * Reflects course objectives 12
Instructional Objectives WEEK FOUR November 9, 2012 In Class Topic and Learning Out of Class Total Hours Assessment 1. Describe the differences between general and local anesthesia 2. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the general and local anesthetics 3. Discuss the nursing process as it relates to the nursing care of patients before, during and after anesthesia 4. Describe the functions of the sympathetic nervous system and the specific effects of adrenergic stimulation, adrenergic blocking and blocking of cholinergic receptors. 5. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the adrenergic agonist and sympathomimetic drugs 6. Discuss the nursing process as it relates to the nursing care of patients taking adrenergic agonists and adrenergic antagonists 7. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the various alpha antagonists, beta nonselective blockers and the beta1 and beta2-blockers 8. Discuss the functions of the autonomic nervous system and the impact of the parasympathetic division 9. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the various cholinergic agonist, antagonist and parasympathomimetics 10. Discuss the nursing process as it relates to the nursing care of patients taking cholinergic agonists and antagonist. (A1, A2, A3. B1, B2, C1, C2, C3, D1, D2, E1, E2,E3, E4, E5)* * Reflects course objectives Lecture and Group activities for: General and local Anesthetics Adrenergic Drugs Adrenergic-blocking drugs Cholinergic Drugs Cholinergic-blocking drugs Med-Math: Pediatric Calculations Quiz on sympathetic and parasympathetic system Reading: Lilley s Chapters 12, 18 21 Adam s Math and Drug Calculations on Line: Module 3 Section 2 Homework: Sympathetic- Parasympathetic Paper (see rubric) It will be due week 2 and there will be a quiz as part of the grade. Lilley s Study Guide: Chapters related to the chapters in the text for the week Reading 3 hours Case Studies: Study Guide Assignments 2 hours Study for quiz 2 1 hour Med-Math on-line: 1 hour Write paper: 5 hour Content will be on Exam 2 On-line quiz Case Studies Paper and quiz 13
Instructional Objectives WEEK FIVE November 16, 2012 In Class Topic and Learning Out of Class Total Hours Assessment 1. Differentiate between the terms inotropic, chronotropic and dromotropic 2. Discuss the electrical and normal function of the heart. 3. Discuss the pathophysiology of heart failure and myocardial ischemia 4. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the drugs used to treat heart failure 5. Identify significant drug-drug, drug-laboratory test and drugfood interactions associated with digoxin and other heart failure drugs. 6. Discuss the nursing process as it relates to the nursing care of patients with heart failure. 7. Discuss the disorders of cardiac electrotrophysiology and consequences to the patient 8. Define the terms dysrhythmia and arrhythmia 9. Contrast the pharmacokinetics and dynamics of the different classes of antidyrhythmic drugs 10. Discuss the nursing process as it relates to the nursing care of patients receiving antidysrhythmics 11. Contrast the pharmacokinetics and dynamics of the different classes of antianginal drugs 12. Discuss the nursing process as it relates to the nursing care of patients on antianginal drugs. 13. Discuss the anatomy and physiology of the autonomic nervous system, including the events that take place within the sympathetic and parasympathetic divisions and the way they relate to long term and short term control of blood pressure 14. Define hypertension and compare primary and secondary hypertension and their related manifestations 15. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the different antihypertensive drugs. 16. Discuss the rationale for the nonpharmacologic management of hypertension Exam 2: week 3 & 4 including med math covered Lecture and Group activities for: Heart Failure Antidysrhythmic drugs Antianginal Drugs Antihypertensive Drugs Diuretic Drugs Med-Math: L&D calculations Reading: Lilley s Chapters: 22 26 Adam s Math and Drug Calculations On Line : Module 3 section 4 Homework: Case Studies: Cardiovascular Disorders Hand out Lilley s Study Guide: Chapters related to the chapters in the text for the week Reading 3 hours Case study assignments 2 hours Study Guide Assignments 2 hours Review for exam: 5 hour Med-Math on-line: 1 hour Case Studies Content will be on Exam 3 14
17. Discuss the nursing process as it relates to the nursing care of patients for patient receiving antihypertensive drugs 18. Describe normal anatomy and physiology of the renal system 19. Discuss the impact of the renal system on blood pressure regulation. 20. Describe how diuretics work in the kidneys and how they lower blood pressure 21. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the different classes of diuretics. 22. Discuss the nursing process as it relates to the nursing care of patients receiving diuretics (A1, A2, A3. B1, B2, C1, C2, C3, D1, D2, E3, E4, E5)* * Reflects course objectives 15
Instructional Objectives WEEK SIX November 30, 2012 8-11 In Class Topic and Learning Out of Class Total Hours Assessment 1.Review the function of fluid volume and compartments within the body as well as the role each of the major electrolytes plays in homeostasis 2. Identify the normal serum electrolyte values 3. Discuss the various fluid and electrolyte disorders that commonly occur in the body 4. Discuss the mechanisms of action, therapeutic effects, interactions of the various fluid and electrolyte solutions 5. compare the various solutions used to expand and /or decrease a patient s fluid volume and electrolytes with regard to how they work, why they are used, and specific antidotes available to counter any toxic effects. 6. Discuss the nursing process as it relates to the nursing care of patients receiving fluid and electrolyte solutions. 7. Discuss the mechanisms of action, indications, adverse effects, cautions, drug interactions, dosages, routes of administration for various anticoagulants, antiplatelets, antifibrinolytics and thrombolytics 8. Identify any available antidotes for the coagulation modifiers. 9.compare the laboratory tests used in conjunction with treatment with the various coagulation modifiers and their implications for therapeutic use of these drugs and monitoring for adverse reactions 10. Discuss the nursing process as it relates to the nursing care of patients receiving coagulation modifier drugs. 11. Explain the pathology of primary and secondary hyperlipidemia 12. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the different antilipemic drugs. 13. Discuss the nursing process as it relates to the nursing care of patients receiving antilipidemic drugs. 14. Describe the normal function of the anterior and posterior lobes of the pituitary gland and the impact of the pituitary gland on the human body Lecture and Group activities for: Fluids and Electrolytes Coagulation Modifier Drugs Antilipemic Drugs Pituitary Drugs Thyroid and Antithyroid Drugs Anemia Drugs Med-Math: L&D calculations Math quiz Quiz on Renin-angiotensinaldosterone system Reading: Lilley s Chapters: 27-31 and chapter 55 Adam s Math and Drug Calculations On Line: Module 3 Section 4 Homework: Case Studies: The Patient with a Potassium Imbalance Renin-angiotensin-aldosteronesystem Paper. Lilley s Study Guide: Chapters related to the chapters in the text for the week Reading 2.5 hours Case study assignments 2 hours Study Guide Assignments 2 hours Math calculation: 1 hr Paper: 5 hours Case Studies Content will be on Exam 3 Paper and quiz 16
15. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for various pituitary drugs 16. Discuss the nursing process as it relates to the nursing care of patients receiving pituitary drugs 17 Describe the normal anatomy and physiology of the thyroid gland 18 Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for various drugs to treat hypo and hyper thyroidism 19. Discuss the nursing process as it relates to the nursing care of patients receiving hypothyroid and hyperthyroid medications. 20. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration of various drugs to treat anemia 21. Discuss the nursing process as it relates to the nursing care of patients receiving anemia drugs (A1, A2, A3. B1, B2, C1, C2, C3, D1, D2, E3, E4, E5)* * Reflects course objectives 17
Instructional Objectives WEEK SEVEN November 30, 2012 12pm 3pm In Class Topic and Learning Out of Class Total Hours Assessment 1. Discuss the anatomy and physiology and function of the adrenal glands 2. Compare the hormones secreted by the adrenal cortex to that of the adrenal medulla 3. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for glucocorticoids, mineralocorticoids and antiadrenal drugs 4. Discuss the nursing process as it relates to the nursing care of patients receiving adrenal drugs 5. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for women s health drugs and men health drugs 6. Discuss the nursing process as it relates to the nursing care of patients receiving female health drugs and male health drugs. 7. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for antihistamines, decongestants, antitussives and expectorants 8. Discuss the nursing process as it relates to the nursing care of patients receiving antihistamines, decongestants, antitussives and expectorants 9. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for bronchodilators and respiratory drugs 10. Discuss the nursing process as it relates to the nursing care of patients receiving respiratory drugs 11. Discuss the anatomy and physiology of the eye and ear 12. Discuss the mechanisms of action, therapeutic effects, interactions of various ophthalmic and otic drugs 13. Discuss the nursing process as it relates to the nursing Lecture and Group activities for: Adrenal Drugs Women s health drugs Men s Health drugs Antihistamines, decongestants, antitussives and expectorants Bronchodilators and other Respiratory drugs Reading: Lilley s Chapters: 32-37 & chapter 57-58 Adam s Math and Drug Calculations on Line: Module 3 Section 3 Homework: Lilley s Study Guide: Chapters related to the chapters in the text for the week Reading 2.5 Hours Case Studies: hours Study Guide Assignments 3 hours Study for Exam 3 1 hour Content will be on Exam 3 Case Studies 18
care of patients receiving ophthalmic and otic medications 19
Instructional Objectives WEEK EIGHT December 7, 2012 In Class Topic and Learning Out of Class Total Hours Assessment 1. Explain how antibiotics work and rid the body of infection. 2. Discuss the pros and cons of antibiotic use with the attention to overuse and abuse 3. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the different categories of antibiotics 4. Discuss the nursing process as it relates to the nursing care of patients receiving the different categories of antibiotics 5. Discuss superinfection it s etiology and prevention 6. Describe the effects of viruses on the body and how the immune system responds 7. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the various antiviral drugs 8. Discuss the nursing process as it relates to the nursing care of patients receiving antiviral drugs 9. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for various antitubercular drugs 10. Discuss the nursing process as it relates to the nursing care of patients receiving antitubercular drugs 11. Discuss the physiology and pathophysiology of the GI system 12. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for various acid controlling drugs 13. Discuss the nursing process as it relates to the nursing care of patients receiving acid controlling drugs 14. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for various bowel disorder drugs 15. Discuss the nursing process as it relates to the nursing care Exam 3: covers week 5 & 6 & 7 plus math up to this week Lecture and Group activities for: Antibiotics Antiviral Drugs Antitubercular Drugs Acid Controlling Drugs Bowel Disorder Drugs Med-Math: oncology calculations Reading: Lilley s Chapters 38-41 and 50-52 Adams Math and Drug Calculations on Line: Module 3 Section 3 Homework: Case Studies: 1. The patient with an Esophageal Problem 2. The older adult patient with tuberculosis Lilley s Study Guide: Chapters related to the chapters in the text for the week Reading 3 Hours Study Guide Assignments 3 hours Case Studies 3 Hours Study for Exam 3 5 hours Content on exam 4 Case studies Teaching plan 20
of patients receiving bowel disorder drugs 16. Discuss the pathophysiology of nausea and vomiting 17. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for antiemetic and anti-nausea drugs 18. Discuss the nursing process as it relates to the nursing care of patients receiving antiemetic and antinausea drugs (A1, A2, A3. B1, B2, C1, C2, C3, D1, D2, E3, E4, E5)* * Reflects course objectives 21
Instructional Objectives WEEK NINE December 14, 2012 In Class Topic and Learning Out of Class Total Hours Assessment 1. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the various antifungal drugs 2. Discuss the nursing process as it relates to the nursing care of patients receiving antifungal drugs 3. Discuss the infectious process associated with malaria, other protozoal infections and helminth infections 4. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the antimalarial, antiprotozoal and anthelmintic drugs 5. Discuss the nursing process as it relates to the nursing care of patients receiving antimalarial, antiprotozoal and anthelmintic drugs 6. Discuss the inflammatory response and the part it plays in the generation of pain 7. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for antiinflammtory and antigout drugs 8. Discuss the nursing process as it relates to the nursing care of patients receiving anti-inflammatory and antigout drugs 9. Discuss the role of immunosuppressive therapy in organ transplantation and in the treatment of autoimmune diseases 10. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for the most commonly used immunosuppressants 11. Discuss the nursing process as it relates to the nursing care of patients receiving immunosuppressant drugs. 12. Discuss the importance of immunity as it relates to the various immunizing drugs and their use in patients of all ages 13. Discuss the mechanisms of action, therapeutic effects, Antifungal Drugs Antimalarial, Antiprotozoal and Antihelmintic Drugs Anti-inflammatory and Anti-gout drugs Immunosuppressant Drugs Immunizing Drugs and Biochemical Terrorism Math quiz Reading: Lilley s Chapters: 42-46 Homework Lilley s Study Guide: Chapters related to the chapters in the text for the week Reading 2.5 Hours Study Guide Assignments 3 hours Case Study: Study for Exam 4 3 hours Med-Math on-line: 1 hour Case Study Exam 4 Math quiz 22
interactions, dosages, routes of administration for various toxoids and vaccines 14. Discuss the nursing process as it relates to the nursing care of patients receiving immunizing drugs across the life span. (A1, A2, A3. B1, B2, C1, C2, C3, D1, D2, E3, E4, E5)* * Reflects course objectives 23
Instructional Objectives WEEK TEN December 21, 2012 In Class Topic and Learning Out of Class Total Hours Assessment 1. Discuss the role of antineoplastic therapy in the treatment of cancer 2. Contrast the cell cycle of normal cells and malignant cells with regard to growth, function and response of the cell to chemotherapeutic drugs and other treatment modalities. 3. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for various antineoplastic drugs and cell cycle-nonspecific drugs 4. Discuss the nursing process as it relates to the nursing care of patients receiving various antineoplastic drug and cell cycle-nonspecific drugs 5. Compare the two major classes of biologic responsemodifying drugs: hematopoietic and immunomodulating drugs 6. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for biologic response-modifying and antirheumatoid drugs 7. Discuss the nursing process as it relates to the nursing care of patients receiving biologic response-modifying and antirheumatoid drugs. 8. Contrast type 1 and 2 diabetes mellitus with regards to onset, signs and symptoms, incidence, etiology and pharmacological an non-pharmacological treatment 9. Discuss the factors that influence blood glucose levels. 10. Discuss the mechanisms of action, therapeutic effects, interactions, dosages, routes of administration for diabetic agents 11. Compare the signs and symptoms of hypo and hyper glycemia 12. Discuss the nursing process as it relates to the nursing care of patients receiving diabetic agents Exam 4: Week 8 & 9 plus math Antineoplastic Drugs Biologic Response Modifying and antirheumatoid drugs Antidiabetic drugs Med-math: Review of all math Reading: Lilley s Chapters: 32 &47 52 Adam s Math and Drug Calculation on Line: all modules Homework: Case Studies: 1. Case Study 77: Endocrine disorders Lilley s Study Guide: Chapters related to the chapters in the text for the week Reading 2.5 Hours Case studies: 3 hours Study Guide Assignments 1 hours Med-Math on-line: 1 hour Study for exam 4 Content will be on final exam Case studies (A1, A2, A3. B1, B2, C1, C2, C3, D1, D2, E3, E4, E5) 24
Instructional Objectives WEEK ELEVEN January 4, 2013 In Class Topic and Learning Out of Class Total Hours Assessment Final Comprehensive Exam Study for Final Exam 6-8 Hours Final Exam Math and drug quiz WEEK TWELVE January 11, 2013 Instructional Objectives In Class Topic and Learning Out of Class Total Hours Assessment Drug calculation HESI Study for HESI 8 hours Math and Dosage Calculation HESI 25
EVEREST COLLEGE SCHOOL OF NURSING ACKNOWLEDGEMENT OF RECEIPT OF NUR 1140 Nursing Pharmacology SYLLABUS I have received the NUR 1140 Nursing Pharmacology syllabus which includes the grading policy, weekly readings, assignments, quiz, test schedule, etc. The grading policy was reviewed and I was given the opportunity to ask questions regarding the grading policy, and other items in the syllabus. My signature below acknowledges that I understand the syllabus, expected requirements, and the Student Success Program (SSP) Policy. Student Name (Print) Date Student Signature This form will be maintained in the student s file throughout the nursing program. 26