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Transcript
TRINITY VOCATIONAL CENTER
VOCATIONAL NURSING PROGRAM
VN 102 - PHARMACOLOGY
SYLLABUS
TOTAL UNITS
4.5 Units
LECTURE:
4.5 hours per week (12 weeks)
PREREQUISITIES:
Concurrent enrollment in VN 101 and acceptance into the
Vocational nursing program.
DATES:
DAYS & TIMES:
WEEKS 1 to 6:
1:30-5:00PM (4.5 hrs/wk) Sundays
June 29 to August 3, 2014
WEEKS 7 to 12:
August 10 to September 14, 2014
INSTRUCTORS:
1:30-5:00PM (4.5 hrs/wk) Saturdays
Efren Villanueva, RN
[email protected]
WEBSITE:
http://groups.yahoo.com/group/VN102Pharmacology
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
VN 102: PHARMACOLOGY
o
4.5 Units
Catalog Description:
This course is offered to provide the student with basic pharmacological concepts essential to
nursing students to be able to function safely by understanding and applying the
pharmacological principles for practice, legal aspects, methods, and computational skills for
safe administration of medications, and effective management of drug therapy.
o
Student Learning Outcomes
By the end of the course, the student will be able to:
1. Successfully and timely complete ALL ATI ONLINE online assignments with a
minimum of 75%.
2. Perform basic dosage calculations with 100% accuracy, including calculations involving
parenteral medications.
3. Complete study guide and group activities for each assigned chapter on a weekly basis.
o
Course Objectives
At the end of the course, the vocational nursing student will be able to:
A. Describe principles of basic pharmacology.
B. Describe the foundation of pharmacology.
C. Discuss client education and health promotion related to medications.
D. Describe medication administration principles.
E. Describe different routes of medication administration.
F. Strengthen mathematical skills in drug & dosage calculations.
G. Apply the nursing process to pharmacology.
H. Describe drugs affecting the different systems of the body.
I. Utilize the knowledge of pharmacology in safe administration of medications among
various clients.
[Efren Villanueva]
Part Time [Batch 22]
Page 2
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
o
Methods of Presentation
A.
o
A.
In class
1.
Lecture
2.
Discussion
3.
Small group sessions
4.
Case studies
5.
Role play
6.
Audio/visual
7.
Computer assisted instruction
8.
Simulation in clinical laboratory
9.
Demonstration
B.
Online learning modules
C.
Written and Oral exercises
D.
Small group collaborative learning activities
Methods of Evaluation
Student participation – students are expected to participate in classroom discussions. A
Participation grading rubric is utilized in this course and will be counted towards
the final grade at the end of the course. Please refer to the Appendix section.
B.
Oral exercises – points may be earned towards a quiz grade during unannounced oral
exercises throughout the course. Students are expected to be prepared for these oral
exercises.
C.
Group activities and presentation – students will present case studies related to topics in
the syllabus. A group presentation rubric is utilized for grading and will be counted
as a quiz. Please refer to the Appendix section.
D.
Written exercises and case studies – students will complete individual and group written
exercises and case studies, which will be counted towards a quiz grade.
E.
Online/computer assignments must be completed by each due date in the syllabus, and
each will count towards a quiz grade.
F.
ATI PRACTICE ASSESSMENTS – Students are expected to complete the assigned
assessments by the assigned due dates on the syllabus.
[Efren Villanueva]
Part Time [Batch 22]
Page 3
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
G.
NO EXTENSIONS WILL BE GIVEN ONCE THE EXAM DUE DATES HAVE PASSED.
Any individual proven in the act of plagiarism will receive disciplinary action as
deemed necessary by the instructor and will NOT earn a score for the test.
H.
EVOLVE ONLINE
a. CHAPTER NCLEX QUESTIONS – Each chapter NCLEX questions will be
completed online and cumulatively submitted to the instructor on the last
lecture date prior to finals week. Students must ensure that their name and
all scores are visible. The cumulative score for all Evolve exams may be
counted towards extra credit.
I.
Objective type quizzes, online exams, unit exams, and a comprehensive final
examination based on all content discussed in the core of the course.
J.
Pretests or pop quizzes may be given periodically throughout course. No make-up will
be given for students who miss these quizzes and a score of ZERO will be
incurred.
K.
Make-up exam must be taken within one (1) week of the scheduled exam. It is the
students’ responsibility to make an appointment with the instructor to take a make-up
exam. Students jeopardize having TEN PERCENT (10%) DEDUCTED FROM THE
GRADE RECEIVED ON THE MAKE – UP EXAM.
L.
Theory Grades will be based on the administration of objective type quizzes,
presentations, group projects, class participation, unit exams, midterm, and final
examination and project. Quizzes & Unit Exams can be reviewed by student
immediately after the exam, but only on the date the exam was administered. The
instructor will be available to review the exam with those students interested in
discussing the rationale for the correct responses during non-class hours.
1. Midterm is a Comprehensive exam based on content discussed in the 1st ½ of
the course.
2. The Written Final Exam is Comprehensive based of all content discussed
during the eight- week module. The final examination will comprise of multiple
choice examination, skills competency testing, documentation testing and overall
participation.
3. The ATI Pharmacology Exam will comprise of ALL Pharmacology topics
[Efren Villanueva]
Part Time [Batch 22]
Page 4
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
4. Students must furnish the following equipment for each written exam.
Approximately 10 scantrons will be needed during the entire course.
o
100 question Scantron
o
#2 pencil
o
Blue or Black ink pen
o
Students must complete the following information on the scantron and
turn it in to the instructor before the exam. The instructor will distribute the
scantron along with the exam to the student at the beginning of the
examination.
o
Name:
Your Name
o
Subject:
VN 102
Test:
o
Date:
Today’s Date
Period or Hours 3 or 4 digit #
Quiz # or Unit Exam #
Grading System
ATI
Min 30 min
each
Dosage Calculations Lessons/Tutorials
Dosage Calculation Desired Over Have: Oral Medications Lesson
Dosage Calculation Desired Over Have: Injectable Medications Lesson
0.5%
0.5%
Min 30 min
each
Pharmacology Made Easy Lessons/Tutorials
Introduction to Pharmacology: Lesson
The Neurological System (Part 1) Lesson
The Neurological System (Part 2) Lesson
Pain and Inflammation Lesson
The Cardiovascular System Lesson
The Hematologic System Lesson
The Respiratory System Lesson
The Gastrointestinal System Lesson
The Endocrine System Lesson
The Reproductive and Genitourinary System Lesson
The Musculoskeletal System Lesson
The Immune System Lesson
Infection Lesson
[Efren Villanueva]
Part Time [Batch 22]
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
Page 5
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
Min 30 min
each
Pharmacology Made Easy Tests
Dosage Calculation Desired Over Have: Oral Medications Test
Dosage Calculation Desired Over Have: Injectable Medications Test
Introduction to Pharmacology Test
The Neurological System (Part 1) Test
The Neurological System (Part 2) Test
Pain and Inflammation Test
The Cardiovascular System Test
The Hematologic System Test
The Respiratory System Test
The Gastrointestinal System Test
The Endocrine System Test
The Reproductive and Genitourinary System Test
The Musculoskeletal System Test
The Immune System Test
Infection Test
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
Min 30 min
each
Learning System PN Tests
Pharmacology Final
1%
Min 30 min
each
Practice Exams
PN Pharmacology Online Practice A Test
PN Pharmacology Online Practice B Test
1.5%
1.5%
Proctored Exam
PN Pharmacology Online Test
Exams
1
2
3
4
5
6
7
8
3%
30%
Drugs Affecting The Neurological System
Drugs Affecting The Respiratory System
Drugs Affecting The Cardiovascular & Hematology System
Drugs Affecting The Gastrointestinal System Test
Drugs Affecting The Endocrine System Test
Drugs Affecting The Renal System
Drugs Affecting The Musculoskeletal System Test
Drugs Affecting The Immune System Test
[Efren Villanueva]
Part Time [Batch 22]
5%
5%
10%
5%
5%
5%
5%
5%
Page 6
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
9 Pharmacology Comprehensive Final Exam
GRADE TOTAL
25%
100%
Grading Scale
100 – 93
=A
92 – 84
=B
83 – 75
=C
74 – 65
=D
64 and below
=F
A GRADE OF 75 OR A LETTER GRADE OF C AND ABOVE IS
REQUIRED FOR SUCCESSFUL COMPLETION.
NOTE:
Makeup exams are given at the discretion of the instructor. NO MORE THAN 1
MAKEUP EXAM will be given for this course. Ten percent (10%) will be
deducted from the grade of each makeup exam.

Any student late for the exam may be admitted to the classroom and be
allowed the remaining time allotted to complete the examination.

Any assignment that is turned in within 24 hours after the due date will be considered
late, and will receive a 10% deduction. Assignments that are turned in 24 hours after
the due date WILL NOT BE ACCEPTED. This will lead to an unsatisfactory grade.
o
ATTENDANCE/ABSENCES
Students who miss 10% or more of their course hours may be suspended or dropped from the
program.
A.
Prompt, regular attendance is ESSENTIAL, both in the lecture and clinical
setting, if you are to receive the maximum benefit from the planned learning
experience.
B.
You are expected to attend and to be punctual for all scheduled lectures and
clinical experience.
C.
Students are responsible for all content missed due to absences and must make
arrangement to obtain information provided the day of their absence.
[Efren Villanueva]
Part Time [Batch 22]
Page 7
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
D.
Student’s who absences exceed the number of hours the class meets in one
week; may be dropped by the instructor.
E.
Students who arrive to after the theoretical component of the class has started
will not be permitted to enter the classroom until after the first break.
F.
There are no excused absences, however students anticipating being absent
from lecture and/or clinical should contact the instructor for the purpose of
discussing:
1.
attainment of objectives
2.
strengths and weaknesses
3.
reinforcement of lecture content
4.
remediation plan
5.
acceptable methods to make – up any content material and tutorial
assistance as needed.
It is the student’s responsibility to make arrangements with a peer to obtain any
NOTE:
handouts distributed during an absence.
o
Classroom conduct:
A.
Professional conduct is expected at all times.
B.
Only ENGLISH will be spoken inside the classroom.
C.
NO children are allowed in the classroom or skills lab at any time.
D.
Guests are not to be brought to the class at any time.
E.
No eating or drinking in classrooms.
F.
Pagers and cell phones must be on vibrate during class and turned off
during all examinations.
G.
All smart phones and cell phones must be turned in at the front of the class
before and during examinations. The entire class will incur a 1-point exam/quiz
deduction for each time any students’ phone vibrates, alarms, or rings during the
exam.
H.
Students will not be permitted to exit the classroom while taking an exam until
they are finished taking the exam. If you must leave for any reason you will not
be able to return to the exam that is in progress.
[Efren Villanueva]
Part Time [Batch 22]
Page 8
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
I.
Tape recorders may be used only with the expressed approval of the instructors.
J.
A student enrolled in the nursing program must practice within the ethical and
legal framework as set forth in the ANA Code of Ethnics, ANA Standards of
Nursing Practice, and the California Nurse Practice Act.
K.
Cheating will not be tolerated under any circumstances. If a student is noted to
have cheated in any fashion they will receive a “ZERO” for that assignment or
exam and risk the possibility of being dismissed from the course.
1. The following acts are considered as examples of cheating on an assignment:
a.
Pretending to submit work and then handing in the work when a second
copy is requested, to provide more time to complete the work.
b.
Submitting another student's work as your own.
c.
Copying another student's work and rewording it.
d.
Corrupting a copy of the work on file and asking for an extension to
undertake a re-write.
e.
Using an illness or other form of extenuating circumstance to enable an
extension to the deadline is provided.
2. Cheating is strongly tied to plagiarism. Under no circumstances will plagiarism
be tolerated.
3. The students may be instructed to empty their pockets and place their
belongings in the front of the classroom during examinations to prevent
cheating. Failure to comply may result to removal from the classroom during
the examination.
4. All bags and student belongings must be left in the hallway during
examinations. Purses or other valuables may be kept in the front of the
classroom.
5. Students may NOT borrow any calculators, pencils, pens, erasers, or
anything else during examinations.
L.
Students are responsible for maintaining high standards of nursing practice
within the scope of their knowledge and skills.
M.
Students must be opened to constructive criticism and used the suggestions for
improving nursing practice.
[Efren Villanueva]
Part Time [Batch 22]
Page 9
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
N.
Students must assume responsibility for maintaining a stable, congenial
atmosphere between students, faculty, and staff.
O.
Students must communicate truthfully in verbal and written form both in the
classroom and clinical setting.
P.
UNIFORM – students must abide by the uniform policies at all times. Students
who show up to class without a complete uniform will receive anywhere from a
verbal or written counseling to suspension (student may be sent home) due
to non-compliance with policies.
o
Disabled Students
If special accommodations are needed, the student must notify the instructor within 3 days after
the course has begins.
o
Tutorial Assistance
A.
B.
Students interested in tutorial should request this through the course instructor.
Tutorial assistance is available for all students with any member of the
instructional team by appointment only.
C.
Instructor’s office hours are posted on the cover of this syllabus. Students should
make an appointment during posted office hours or make arrangements with the
instructor for another time to review grades or discuss progress in the course.
D.
It is the students’ responsibility to seek tutorial assistance on an individual basis.
E.
The instructor may refer students for tutorial assistance as needed.
F.
Tutorial may be provided on an individual or group basis. This is the discretion of
the instructional team.
G.
It is the students’ responsibility to attend tutorial session as assigned by the
instructional team.
H.
Students seeking tutorial assistance may be provided additional handout to assist
them with theory or clinical experiences. Handouts will only be available during the
actual tutorial sessions; additional copies will not be distributed to the overall
students enrolled in the course.
[Efren Villanueva]
Part Time [Batch 22]
Page 10
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
NOTE:
HANDOUTS DISTRIBUTED DURING TUTORIAL MAY BE DIFFERENT THAN
DOCUMENTS DISTRIBUTED DURING CLASS SESSION AND WILL ONLY BE
AVAILABLE TO THOSE STUDENTS ATTENDING THE TUTORIAL
SESSIONS.
o
REQUIRED TEXTBOOKS
o
ATI pharmacology Book for Nursing
SUPPLEMENTAL TEXT(s)
o
Clayton, B. D., Cooper, S.E., & Stock, Y. N.. (2009). Student Learning Guide to
Accompany Basic Pharmacology for Nurses, 16th Ed., St. Louis, MO: Mosby.

Taber, C.W. (2001) Taber's Cyclopedic Medical Dictionary. 19th ed., Philadelphia,
F.A. Davis.

ANY DOSAGE CALCULATION BOOK

Deglin, Judith & April Vallerand. Davis’ Drug Guide for Nurses. 9th Ed. Philadelphia,
Pa. F.A. Davis, 2004.

Carpenito, Lynda. Nursing Diagnosis: Application of Clinical Practice. 10th Ed.
Philadelphia, PA: Lippincott, 2004
It is strongly recommended that you complete all ATI Tutorials by clicking on the “HOW
TO”icon on the ATI Home Page prior to using ATI.
[Efren Villanueva]
Part Time [Batch 22]
Page 11
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
After completing the How To ATI orientation materials, please enter the following product
ID codes under the Exams tab.
Product ID:
CDN003425317
DUE DATES ARE TENTATIVE, MAY STILL CHANGE
ATI
6/29/14
6/29/14
9/7/14
Pharmacology Made Easy Lessons/Tutorials
Introduction to Pharmacology: Lesson
The Neurological System (Part 1) Lesson
The Neurological System (Part 2) Lesson
Pain and Inflammation Lesson
The Cardiovascular System Lesson
The Hematologic System Lesson
The Respiratory System Lesson
The Gastrointestinal System Lesson
The Endocrine System Lesson
The Reproductive and Genitourinary System Lesson
The Musculoskeletal System Lesson
The Immune System Lesson
Infection Lesson
6/29/14
6/29/14
7/6/2014
7/13/14
7/13/14
7/13/14
7/27/14
8/10/14
8/10/14
8/17/14
Pharmacology Made Easy Tests
Dosage Calculation Desired Over Have: Oral Medications Test
Dosage Calculation Desired Over Have: Injectable Medications Test
Introduction to Pharmacology Test
The Neurological System (Part 1) Test
The Neurological System (Part 2) Test
Pain and Inflammation Test
The Cardiovascular System Test
The Hematologic System Test
The Respiratory System Test
The Gastrointestinal System Test
7/6/2014
7/13/14
7/13/14
7/13/14
7/27/14
8/10/14
8/10/14
8/17/14
8/24/14
8/31/14
Min 30 min
each
Dosage Calculations Lessons/Tutorials
Dosage Calculation Desired Over Have: Oral Medications Lesson
Dosage Calculation Desired Over Have: Injectable Medications Lesson
[Efren Villanueva]
Part Time [Batch 22]
0.5%
0.5%
Min 30 min
each
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
0.5%
Min 30 min
each
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
Page 12
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
8/24/14
8/31/14
9/7/14
The Endocrine System Test
The Reproductive and Genitourinary System Test
The Musculoskeletal System Test
The Immune System Test
Infection Test
9/13/14
Learning System PN Tests
Pharmacology Final
9/13/14
9/13/14
Practice Exams
PN Pharmacology Online Practice A Test
PN Pharmacology Online Practice B Test
9/14/14
Proctored Exam
PN Pharmacology Online Test
Exams
1
2
3
4
5
6
7
8
9/14/14
1%
1%
1%
1%
1%
Min 30 min
each
1%
Min 30 min
each
1.5%
1.5%
3%
30%
Drugs Affecting The Neurological System
Drugs Affecting The Respiratory System
Drugs Affecting The Cardiovascular & Hematology System
Drugs Affecting The Gastrointestinal System Test
Drugs Affecting The Endocrine System Test
Drugs Affecting The Renal System
Drugs Affecting The Musculoskeletal System Test
Drugs Affecting The Immune System Test
5%
5%
10%
5%
5%
5%
5%
5%
9 Pharmacology Comprehensive Final Exam
GRADE TOTAL
[Efren Villanueva]
Part Time [Batch 22]
Page 13
25%
100%
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
UNIT I:
TOPIC:
Foundations of Pharmacology
Definitions, Principles of Drug Action and Drug Interaction, Drug Action Across the Life Span
Theory Objectives
Mastery of content in this unit will enable the student
to:
1. Define pharmacology.
2. Describe the process used to name drugs.
3. Differentiate among the chemical, generic,
official and brand names of medicines.
4. Discuss official sources of drug standards.
5. Discuss and describe literature resources for
researching prescription and non-prescription
medications.
6. Describe literature resources for researching
drug interactions and drug compatibilities.
7. Describe the organization of the
nonprescription drug reference for Health
professionals.
8. Cite a literature resource for reviewing
information to be given to the patient
concerning prescribed medication.
9. Differentiate among Schedule I, II, III, IV and
V medications, and describe nursing
responsibilities associated with the
administration of each type.
10. List legislative acts controlling drug use and
abuse.
11. Differentiate between Schedule F and G and
describe the nursing responsibilities with
each.
12. Identify five basic principles of drug action.
13. Explain nursing assessments necessary to
evaluate potential problems associated with
the absorptions of medications.
14. Describe nursing interventions that can
enhance drug absorption.
VN 102 – EcVillan
Content Outline
I.
Definitions: Names, Standards and
Information Sources
A. Drug Names
B. Drug Standards and Information
C. Sources of Patient Information
D. Drug Legislation
II.
Principles of Drug Action and Drug
Interaction
A. Basic Principles
1. Absorption
2. Distribution
3. Metabolism
4. Excretion
5. Half-life
B. Drug Action
C. Variable Factors Influencing Drug
Action
D. Drug Interactions
III.
Drug Action Across the Life Span
A. Changing Drug Action Across the
the Life Span
1. Drug Absorption
2. Drug Distribution
3. Drug Metabolism
4. Drug Excretion
5. Nursing Implications when
Monitoring Drug Therapy
Assignments
WEEK 1
6/29/14
READ:
HANDOUT: Chapters 1-4
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 1 – Chapters 1-5
ASSIGNMENT:
ATI On line
 Tutorial Lesson
o Dosage Calculation Desired
Over Have: Oral Medications
Lesson
o Dosage Calculation Desired
Over Have: Injectable
Medications Lesson

ATI quiz1( Due one day before next
class meeting)
o Dosage Calculation Desired
Over Have: Oral Medications
Test
o Dosage Calculation Desired
Over Have: Injectable
Medications Test
14 of 47
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
15. Enumerate three categories of drug
administration and state the routes of
administration for each category.
16. Differentiate between general and selective
types of drug distribution mechanisms.
17. Name the process that inactivates drugs.
18. Describe and identify the significance of the
term half-life when used in relation to drug
therapy.
19. Compare and contrast the following terms
used in relationship to medications: desired
action, side effects, adverse effects, allergic
reactions, and idiosyncratic reactions.
20. Discuss factors that cause variations in
absorption, distribution, metabolism and
excretion of drugs.
21. State the mechanisms by which drug
interactions may occur.
22. Differentiate among the following terms used
in relationship to medications: additive effect,
synergistic effect, antagonistic effect,
displacement, interference, and
incompatibility.
23. Discuss the effects of age on drug action.
24. Discuss major factors associated with drug
absorption, distribution, metabolism and
excretion in the young and aged populations.
25. Discuss major factors associated with drug
absorption, distribution, metabolism and
excretion in men and women.
IV.
The Nursing Process and
Pharmacology
A. The Nursing Process
1. Assessment
2. Nursing Diagnosis
3. Planning
4. Nursing Intervention or
Implementation
5. Evaluating and Recording
Therapeutic and Expected
Outcomes
Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 1
 Chapter 2
 Chapter 3
 Chapter 4
B. Relating the Nursing Process to
Pharmacology
1. Assessment
2. Nursing Diagnosis
3. Planning
4. Nursing Intervention or
Implementation
5. Evaluating Therapeutic Outcomes
1. Identify the purpose for using the nursing
process methodology.
2. State the five steps in the nursing process and
describe these steps in terms of problem-solving
method used in nursing practice.
3. Describe the components of the assessment
process.
4. Describe current methods used to collect,
VN 102 – EcVillan
15 of 47
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
organize, and analyze information about the
health-care needs of patients and their
significant others.
5. Define nursing diagnosis and discuss the
wording used in formulating nursing diagnosis and
statements.
6. Define a collaborative problem.
7. Differentiate between nursing diagnosis and a
medical diagnosis.
8. Differentiate between problems that require
formulation of a nursing diagnosis and those
categorized as collaborative problems, which may
not require nursing diagnosis statements.
9. Identify the steps included in the planning of
nursing care.
10. Identify the purpose and use of a nursing care
plan.
11. Differentiate between nursing interventions
and therapeutic outcomes.
VN 102 – EcVillan
16 of 47
Trinity Vocational Center
Vocational Nursing Program
VN 102 – Pharmacology
UNIT I & II: Foundations of Pharmacology; Illustrated Atlas of Medication Administration and Math Review
TOPIC:
The Nursing Process and Pharmacology, Patient Education and Health Promotion, Review of Arithmetic, Principles of Medication
Administration
Theory Objectives
Mastery of content in this unit will enable the student
to:
1. Differentiate between the meanings of
cognitive, affective, and psychomotor learning.
2. Identify the main principles of learning that
must be applied during the teaching of patient,
family, or group.
3. Apply the principles of learning to the content
learned in pharmacology.
4. Describe essential elements of patient
education in relation to the prescribed
medications.
5. Describe the nurse's role in fostering patient
responsibility for maintaining well-being and
complying with the therapeutic regimen.
6. Identify the types of information that should
be discussed with the patient or significant
others to establish reasonable expectations for
the prescribed therapy.
7. Discuss specific techniques used in the
practice setting to document patient education
performed and degree of achievement attained.
8. Identify and write selected numerical values
using Roman numerals.
9. Demonstrate proficiency in calculating
mathematical problems using addition,
subtraction, multiplication and division of
fractions.
10. Demonstrate proficiency in calculating
mathematical problems using addition,
subtraction, multiplication and division of
decimals.
11. Convert decimals to fractions and fractions to
VN 102 – EcVillan
Content Outline
I.
Patient Education and Health
Promotion
A. The Three Domains of Learning
1. Cognitive
2. Affective Domain
3. Psychomotor Domain
B. Principles of Learning
1. Focus the Learning
2. Learning Styles
3. Organization Fosters Learning
4. Motivating the Individual to Learn
5. Readiness to Learn
6. Spacing the Content
7. Repetition Enhancing Learning
8. Education Level
9. Culture and Ethnic Diversity
10. Compliance
Assignments
WEEK 2
7/6/2014
READ:
HANDOUT: Chapters 5 - 7
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 1 – Chapters 1-5
Supplemental Resource:
 Student Learning Guide for Basic
Pharmacology for Nurses – Clayton and
Stock: Chapters 5 to 8
C. Patient Education Associated with
Medication Therapy
1. Health Teaching
2. Communication and Responsibility
3. Expectations of Therapy
4. Changes in Expectations
5. Changes in Therapy through
Cooperative Goal Setting At Discharge
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decimals.
12. Demonstrate proficiency in calculating
mathematical problems using percentages.
13. Convert percentages to fractions, percents to
decimals, decimal fractions to percents and
common fractions to percents.
14. Demonstrate proficiency in converting ratios
to percentages and vice-versa, simplifying
ratios and in the use of the proportion
methods for solving problems.
15. Memorize the basic equivalents of the
household, apothecary and metric systems.
16. Demonstrate proficiency in performing
conversion of medication problems using the
household apothecary and metric systems.
17. Use formulas to calculate the intravenous
fluid and medicine administration rates.
18. Demonstrates proficiency in performing
conversion between the centigrade and
fahrenheit systems of temperature measurement.
II.
Review of Arithmetic
A. Roman Numerals
B. Fraction
C. Decimal Fractions
D. Percent
E. Ratios
G. Weights and Measures
H. Calculation of Intravenous Fluid
And Medication Administration Rates
I. Fahrenheit and Centigrade
Temperatures
III.
Principles of Medication
Administration
A. Legal and Ethical Consideration
B. Patient Chart
C. Drug Distribution Systems
D. The Drug Order
E. The Six Rights of Drug
Administration
IV.
Percutaneous Administration
A. Administration of Topical
Medications to the Skin
B. Administration of Creams, Lotions,
And Ointments.
C. Patch Testing for Allergens
D. Administration of Nitroglycerin
Ointment
E. Administration of Transdermal Drug
Delivery Systems
F. Administration of Topical Powders
G. Administration of Medications
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UNIT II:
TOPIC:
Illustrated Atlas of Medication Administration and Math Review; Drugs Affecting the Central Nervous System
Principles of Medication Administration, Enteral Administration, Parenteral Administration, Drugs Affecting the CNS
Theory Objectives
Mastery of content in this unit will enable the student
to:
1. Research the Nurse Practice Act in the state where
practicing. Identify the limitations relating to
medication, administration and placed on licensed
practical nurses, registered nurses and nurse
clinicians.
2. Discuss the policies and procedures of the practice
setting to identify specific regulations concerning
medication administration by licensed practical
nurses, registered nurses and nurse clinicians.
3. Identify the basic categories of information
available in patient’s chart.
4. Analyze the patient charts at different practice
settings and identify the various formats used to
chart patient data.
5. List the information contained in a Kardex and
describe the purpose of this file.
6. List the advantages and disadvantages of the ward
stock system, computer-controlled dispensing
system, the individual prescription order system
and the unit dose system of drug distribution.
7. Describe the narcotic control system use at the
assigned clinical practice setting and compare it to
the requirements of the Controlled Substance Act,
1970.
8. Define each of the four categories of medication
orders used.
9. Describe the procedure used in the assigned
clinical setting for taking, recording, transcribing, and
verifying medication orders.
10. Identify specific precautions needed to ensure
VN 102 – EcVillan
Content Outline
I.
Enteral Administration
A. Administration of Oral Medications
B. Administration of Solid-Form Oral
Medications
C. Administration of Liquid-Form Oral
Medications
D. Administration of Medications by the
Nasogastric Tube
E. Administration of Enteral Feedings
F. Administration of Rectal
Suppositories
G. Administration of a Disposable
Enema
II.
Parenteral Administration
A. Equipments Used in Parenteral
Administration
B. Parenteral Dose Forms
C. Preparation of Parenteral Medications
D. Administration of Medication by the
Intradermal Route
E. Administration of Medication by the
Subcutaneous Route
F. Administration of Medication by the
Intramuscular Route
G. Administration of Medication by the
Intravenous Route
Assignments
WEEK 3
7/13/14
READ:
Handout: Chapter 8-10
READ: ATI PHARMACOLOGY FOR
NURSING 4.2:
- Unit 5: Medications Affecting the
Nervous System
Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 9
 Chapter 10
 Chapter 11
 Chapter 12
 Chapter 13
-
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the Right Drug is prepared for the patient.
11. Memorize and recite standard abbreviations
associated with the scheduling of medications.
12. Identify data found in the patient's chart that
must be analyzed to determine if the patient
has abnormal renal or hepatic function.
13. Describe specific safety precautions the nurse
should institute to ensure that correct
medication calculation are performed
14. Review the policies and procedures of the
practice setting to identify drugs whose doses
must be checked by two qualified persons.
15. Correctly define and identify oral dose forms of
medications
16. Identify common receptacles used to administer
oral medications.
17. Name the three parts of the syringe.
18. Describe general principles of administering
solid forms of medications and the different
techniques used with a medication card and with
a computer-controlled and unit dose distribution
system.
19. Compare techniques used to administer liquid
forms of oral medication utilizing medication
card and unit dose systems of distribution.
20. Identify the equipment needed, technique, and
precautions necessary to administer medications
via nasogastric tube.
21. Identify the person's basic metabolic
requirements and provide adequate nutritional
intake through the use of enteral nutrition
support.
22. Identify the equipment needed and technique
required to administer rectal suppositories.
23. Identify the equipment needed and technique
utilized to administer a disposable enema.
24. Identify the different routes of parenteral dose
forms
25. Identify the proper supplies and equipment to use
VN 102 – EcVillan
Drugs Affecting the Autonomic and Central
Nervous System
I. Drugs Affecting the Autonomic
Nervous System
A. The Central and Autonomic
Nervous Systems,
B. Autonomic Nervous System
To Mucous Membranes
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in
parenteral administration
26. Read correctly the calibrations of the minim and
cubic centimeters or milliliter scale.
27. Differentiate parenteral dose forms
28. Discuss proper technique of parenteral
administration IM, SQ, intradermal & intravenous
1. Discuss the different forms of topical
medications.
2. Describe the different techniques of topical
medications application.
3. Describe the different supplies in administering
medications.
4. Discuss the indications of topical medication.
5. Describe the procedure used and purpose of
performing patch testing.
6. Describe specific charting methods used with
allergy testing.
Mastery of content in this unit will enable the student
to:
1.
2.
3.
4.
5.
6.
Identify the names of nerve endings liberating
acetylcholine and those liberating norepinephrine.
Explain the action of drugs that inhibit the
actions of the cholinergic and adrenergic
fibers.
Identify two broad classes of drugs used to
stimulate the adrenergic nervous system.
Explain the neurotransmitters called
catecholamines.
Review the actions of adrenergic agents to
identify conditions that would be affected
favorably and unfavorably by these
medications.
Explain the rationale for use of adrenergicblocking agents for conditions that have
vasoconstriction as part of the disease
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pathophysiology.
Describe the benefits of using betaadrenergic-blocking agents for hypertension,
angina pectoris,cardiac arrhythmias, and
hyperthyroidism.
8.
Identify disease conditions that would
preclude the use of beta-adrenergic-blocking
agents.
9.
Describe the neurotransmitters responsible for
cholinergic activity.
10.
Describe the predictable side effects of
cholinergic agents.
11.
Describe the predictable side effects of
anticholinergic agents.
12. Describe the clinical uses of anticholinergic
agents.
7.
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UNIT III: Drugs Affecting the Autonomic and Central Nervous System
TOPIC:
Sedative-Hypnotics, Drugs Used for Parkinson's Disease, Anxiety Disorders & Mood Disorders
Theory Objectives
Mastery of content in this unit will enable the student
to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Differentiate between the terms sedative and
hypnotic, initial, intermittent, and terminal
insomnia; and between rebound sleep and
paradoxical excitement.
Identify alternations found in the sleep pattern
when hypnotics are discontinued.
Describe nursing interventions that can be
implemented as an alternative to administering a
sedative-hynotic.
Compare the effects of barbiturates and
benzodiazepines on the central nervous system.
Explain the major benefits of administering
benzodiazepines rather than barbiturates.
Identify laboratory tests that should be
monitored when benzodiazepines or
barbiturates are administered over an extended
period of time.
Develop a plan for patient education for a
patient receiving a hypnotic.
Prepare a list of signs and symptoms of
Parkinson's
disease and accurately define the vocabulary used
for the pharmacologic agents prescribed and the
disease state.
Describe the neurotransmitter that is found in
VN 102 – EcVillan
Content Outline
I. Sedative-Hypnotics
A. Sleep and Sleep Pattern
Disturbance
B. Sedative-Hypnotic Therapy
C. Drug Therapy for Sleep
Disturbance
II. Drugs Used for Parkinson's
Disease
A. Parkinson's Disease
B. Drug Therapy for Treatment of
Parkinson's Disease
III. Drugs Used for Anxiety Disorders
A. Anxiety Disorders
B. Drug Therapy for Anxiety
Disorders
IV. Drugs Used for Mood Disorders
A. Mood Disorders
B. Treatment of Mood Disorders
C. Drug Therapy for Mood Disorders
D. Drug Therapy for Depression
Assignments
WEEK 3
7/13/14
WEEK 4
7/20/14
READ:
HANDOUT: Chapter 11-18
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 4: Medications for Pain and
Inflammation
 Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 14
 Chapter 15
 Chapter 16
 Chapter 17
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excess and the neurotransmitter that is
deficient in people with parkinsonism.
10.
Describe reasonable expectations of
medications prescribed for treatment of
Parkinson's disease.
11.
Identify the period necessary for a therapeutic
response to be observable when drugs used to
treat parkinsonism are initiated.
12.
Describe the action of bromocriptine,
carbidopa,levodopa, and tolcapone on
neurotransmitters involved in Parkinson's
disease.
13.
Discuss the symptoms that can be attributed to
the cholinergic activity of pharmacologic
agents.
14.
Identify the specific symptoms that should
show improvement when anticholinergic
agents are administered to the patient with
Parkinson's disease.
15.
Develop a health teaching plan for an
individual being treated with levodopa.
1. Define terminology associated with anxiety states.
2. Describe the essential components of a baseline
assessment of a patient's mental status.
3. Identify the side effects of hydroxyzine therapy and
identify those effects requiring close monitoring
when used preoperatively.
4. Develop a teaching plan for patient education of
people taking anti-anxiety medications.
5. Describe signs and symptoms the patient will
display when a positive therapeutic outcome is
being seen for the treatment of a high anxiety state.
6. Discuss psychologic and physiologic drug
dependence.
1. Describe the essential components of a baseline
assessment of a patient with depression or bipolar
disorder.
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2. Discuss the mood swings associated with bipolar
disorder.
3. Compare drug therapy used during the treatment
of the manic phase and depressive phase of bipolar
disorder.
4. Discuss monitoring parameters used for persons
taking monamine oxidase inhibitors (MAOIs),
selective serotonin reuptake inhibitors (SSRIs), or
tricyclic antidepressants.
5. Prepare a teaching plan for an individual receiving
tricyclic antidepressants.
6. Differentiate between the physiologic and
psychologic therapeutic responses seen with
antidepressant therapy.
7. Identify the premedication assessments necessary
before administration of MAOIs, SSRIs, tricyclic
antidepressants, and antimanic agents.
8. Compare the mechanism of action of SSRIs to that
of other antidepressant agents.
9. Discuss the advantages of SSRIs over other
antidepressant agents.
10. Examine the drug monograph for SSRIs to
identify significant drug interaction.
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UNIT III & IV: Drugs Affecting the Autonomic and Central Nervous System, & the Cardiovascular System
TOPIC:
Drugs Used for Pyschosis, Seizure Disorders, Pain Management, & Used to Treat Hyperlipidemia
Theory Objectives
Mastery of content in this unit will enable the student
to:
1. Identify signs and symptoms of psychotic behavior.
2. Describe major indications for the use of
antipsychotic agents.
3. Identify common adverse effects observed with
antipsychotic medications.
4. Develop a teaching plan for a patient taking
haloperidol and one receiving clozapine.
1. Prepare a chart to be used as a study guide that
includes the following information:
 Name of seizure type
 Description of seizure
 Medications used to treat each type of seizure
 Nursing interventions and monitoring
parameters for seizures
2. Describe the effects of the hydantoins on patients
with diabetes and on people receiving oral
contraceptives, theophylline, folic acid, or antacids.
3. List precautions needed when administering
phenytoin or diazepam intravenously.
4. Explain the rationale for proper dental care for
people receiving hydantoin therapy.
5. Develop a teaching plan for patient education for
people diagnosed with a seizure disorder.
6. Cite the desired therapeutic outcomes for seizure
disorders.
7. Identify the mechanisms of action thought to
control seizure activity when anticonvulsants are
administered.
VN 102 – EcVillan
Content Outline
III. Drugs Used for Psychosis
Assignments
WEEK 4
7/20/14
A. Psychosis
B. Treatment of Psychosis
C. Drug Therapy for Psychosis
WEEK 5
7/27/14
IV. Drugs Used for Seizure Disorders
A. Seizure Disorders
B. Descriptions of Seizures
C. Anticonvulsant Therapy
D. Drug Therapy for Seizure
Disorders
V. Drug Used for Pain Management
A. Pain
B. Treatment of Pain
C. Drug Therapy for Pain
Management
II. Drugs used to treat
Dyslipidemias
READ:
HANDOUT: Chapter 19-20
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 6: Antilipemics
Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 18
 Chapter 19
 Chapter 20
 Chapter 22
A. Atherosclerosis
B. Treatment of Hyperlipidemia
C. Drug Therapy for
Hyperlipidemia
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8. Discuss the basic classification systems used for
epilepsy.
1. Differentiate among opiate agonists, opiate partial
agonists, and opiate antagonists.
2. Describe monitoring parameters necessary for
patients receiving opiate agonists.
3. Describe the side effects to expect when opiate
agonists are administered.
4. Compare the analgesic effectiveness of opiate
partial agonists when administered before or after
opiate agonists.
5. Explain when naloxone can be used effectively to
treat respiratory depression.
6. State the three pharmacologic effects of
salicylates.
7. Prepare a list of side effects to expect, side effects
to report, and drug interactions that are associated
with salicylates.
8. Explain why synthetic nonopiate analgesics are
not used for inflammatory disorders.
9. Prepare a patient education plan for a person being
discharged with a continuing prescription for an
analgesic.
10. Identify the active ingredients in commonly
prescribed analgesic combination products.
Identify products containing aspirin and compare
the analgesic properties of agents available in
different strengths.
Mastery of content in this unit will enable the student
to:
1. Identify the major types of lipoproteins.
2. Describe the primary treatment modalities for
lipid disorders.
3. State specific oral administration instructions
needed with antilipemic agents.
4. Identify the specific agents used to treat type II
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and IV forms of hyperlipidemia.
UNIT III & IV: Drugs Affecting the Autonomic and Central Nervous System, & the Cardiovascular System
TOPIC:
Drugs Used to treat Hypertension, Heart Failure, Arrhythmias, & Angina Pectoris
Theory Objectives
VN 102 – EcVillan
Content Outline
Assignments
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Mastery of content in this unit will enable the student
to:
1. Identify nine classes of drugs used to treat
hypertension.
2. Identify options and progression of treatment for
hypertension.
3. Develop objectives for patient education for
patients with hypertension.
4. Summarize the mechanism of action of each drug
class used to treat hypertension.
1. Identify the goals of treatment of heart failure.
2. Explain the process of digitalizing a patient,
including the initial dose, preparation, and
administration of the medication, as well as the
nursing assessments needed to monitor therapeutic
response and digitalis toxicity.
3. Describe safety precautions associated with the
preparation and administration of digitalis
glycosides.
4. State the primary actions of digitalis glycosides,
angiotensin-converting enzyme inhibitors, nitrates,
and calcium channel blockers on cardiac output.
5. Identify essential assessment data, nursing
interventions, and health teaching needed for a
patient with heart failure.
1. Describe the therapeutic response that should be
observable when an antiarrhythmic agent is
administered.
2. Identify baseline nursing assessments that should
be implemented during the treatment of
arrhythmias.
3. Enumerate the dose forms and precautions needed
in the preparation of intravenous (IV) lidocaine for
the treatment of arrhythmias.
VN 102 – EcVillan
I.
Drugs Used to Treat
Hypertension
A. Hypertension
B. Treatment of Hypertension
C. Drug Therapy for Hypertension
II.
WEEK 5
7/27/14
WEEK 6
8/3/14
Drugs Used to Treat Dysrhythmias
A. Arrhythmias
B. Treatment for Arrhythmias
C. Drug Therapy for Arrhythmias
III.
Drugs Used to Treat Angina
Pectoris
A. Angina Pectoris
B. Treatment for Angina Pectoris
C. Drug Therapy Angina Pectoris
IV.
Drugs Used to Treat Peripheral
Vascular Disease
A. Peripheral Vascular Disease
B. Treatment of Peripheral Vascular
Disease
C. Drug Therapy for Peripheral
Vascular Disease
READ:
Handout: Chapter 21-25
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 6: Medications Affecting the
Cardiovascular System
Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 23
 Chapter 24
 Chapter 25
 Chapter 26
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4. Discuss common side effects that may be observed
with the administration of amiodarone, bretylium
tosylate, disopyramide, lidocaine, flecainide,
mexiletine, phenytoin, procainamide, quindine,
and tocainide.
5. Identify intervention when combined with antirrhythmic therapy.
1. Describe the actions of nitrates, beta-adrenergic
blockers, and calcium channel blockers on the
myocardial tissue of the heart.
2. Identify assessment data needed to evaluate an
anginal attack.
3. Implement medication therapy health teaching
for an anginal patient in the clinical setting.
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UNIT IV & V:
Drugs Affecting the Cardiovascular & Respiratory System
TOPICS:
Drugs Used to Treat Peripheral Vascular Disease, Diuresis, Thromboembolic Disorders, & Upper Respiratory Diseases
Theory Objectives
Mastery of content in this unit will enable the student
to:
1. Describe the baseline assessments needed to
evaluate a patient with peripheral vascular
disease.
2. Identify specific measures the patient can use to
improve peripheral circulation and prevent
complications from peripheral vascular disease.
3. Identify the systemic effects to expect when
peripheral vasodilating agents are administered.
4. Explain why hypotension and tachycardia occur
frequently with the use of peripheral vasodilators.
5. Develop measurable objectives for patient
education for patients with peripheral vascular
disease.
6. Describe both pharmacologic and
nonpharmacologic goals of treatment for
peripheral
vascular disease.
1. Identify the effects of diuretics on blood pressure,
electrolytes, and diabetic or prediabetic patients.
2. Describe the signs and symptoms of electrolyte
imbalance and normal laboratory values of
potassium, sodium, and chloride.
3. Identify the action of diuretics.
4. Explain the rationale for administering diuretics
cautiously to older patients and people with
impaired renal function, cirrhosis of the liver,
or diabetes mellitus.
5. Describe the goal of administering diuretics to
treat hypertension, heart failure, or increased
intraocular pressure or before vascular surgery
VN 102 – EcVillan
Content Outline
Drugs Affecting the Cardiovascular
System
V.
Drugs Used to Treat
Thromboembolic Disorders
A. Thromboembolic Diseases
B. Treatment of Thromboembolic
Diseases
C. Drugs Therapy for
Thromboembolic Diseases
VI.
Drugs Used to Treat Heart Failure
A. Heart Failure
B. Treatment of Heart Failure
C. Drug Therapy for Heart Failure
VII. Drugs Used for Diuresis
Assignments
WEEK 7
8/10/14
READ:
Handout: Chapter 26- 28
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 7: Thrombolytic Medications
- Unit 8: Medications Affecting the
Respiratory System
Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 27
 Chapter 28
 Chapter 29
 Chapter 30
A. Diuretic Therapy
B. Drugs Therapy with Duiresis
Drugs Used to Treat Disorders of the Respiratory
System
II. Drugs Used to Treat Upper
Respiratory Disease
A. Upper Respiratory Tract
Anatomy and Physiology
B. Common Upper Respiratory
Diseases
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in the brain.
6. Discuss the side effects that can be anticipated
whenever a diuretic is administered.
7. Identify alterations in diet that may be prescribed
concurrently with loop, thiazide, or potassiumsparing diuretic therapy.
8. State the nursing assessments needed to monitor
therapeutic response or the development of side
effects to expect or report from diuretic therapy.
9. Develop objectives for patient education for
patients taking loop, thiazide, and potassiumsparing diuretics.
C. Treatment of Upper Respiratory
Diseases
D. Drug Therapy for Upper Airway
Disorders
1. State the primary purposes of anticoagulant
therapy.
2. Identify the site of action of warfarin, heparin, and
fibrinolytic medicine.
3. Identify the effects of anticoagulant therapy on
existing blood clots.
4. Describe conditions that place an individual at
risk for developing blood clots.
5. Identify specific nursing interventions that can
prevent clot formation.
6. Explain laboratory data used to establish dosing
of anticoagulant medications.
7. Describe specific monitoring procedures to detect
hemorrhage in the patient taking anticoagulants.
8. Describe procedures used to ensure that the
correct dose of an anticoagulant is prepared and
administered.
9. Explain the specific procedures and techniques
used to administer heparin subcutaneously, via
intermittent administration through a heparin
lock, and via intravenous infusion.
10. Identify the purpose, dosing determination, and
scheduling factors associated with the use of
protamine sulfate.
11. Identify the nursing assessments needed to monitor
therapeutic response and the development of side
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effects to expect or report from anticoagulant
therapy.
12. Develop objectives for patient education for
patients receiving anticoagulant therapy.
1. Explain the major actions (effects) of
sympathomimetic, antihistaminic, and
corticosteroid decongestants and cromolyn.
2. Define rhinitis medicamentosa, and describe
the patient education needed to prevent it.
3. Review the procedure for administration of
medications by nose drops, sprays, and inhalation.
4. Explain why all decongestant products should be
used cautiously in people with hypertension,
hyperthyroidism, diabetes mellitus, cardiac
disease, increased intraocular pressure, or
prostatic disease.
5. Describe the nursing assessments needed to
monitor therapeutic response and development of side
effects to expect or report from the use of
decongestant drug therapy.
6. Identify essential components involved in
planning patient education that will enhance
compliance with the treatment regimen.
expectorants, antitussives, and mucolytic agents.
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UNIT V, & VI:
TOPICS:
Drugs Affecting the Respiratory System, & Digestive System
Drugs Used to Treat Lower Respiratory Diseases; Oral Disorders, Gastroesophageal Reflux and Peptic Ulcer Disease, Nausea
and Vomiting
Theory Objectives
Mastery of content in this unit will enable the student
to:
1. Describe the mechanisms of action of
expectorants, antitussives, and mucolytic agents.
2. Review the procedures for administration of
medication by inhalation.
3. State the nursing assessments needed to monitor
therapeutic response and the development of
side effects to expect or report from expectorant,
antitussive, and mucolytic therapy.
4. State the nursing assessment needed to monitor
therapeutic response and the development of
side effects to expect or report from
sympathomimetic bronchodilator therapy.
5. State the nursing assessments needed to monitor
therapeutic response and the development of
of side effects to expect or report from anticholinergic bronchodilator therapy.
6. Discuss the side effects known to occur with the
use of xanthine derivatives, and correlate these
with the needed nursing assessments and
interventions.
7. State the nursing assessments needed to monitor
therapeutic response and the development of
side effects to expect or report from corticosteroid
inhalant therapy.
1. Identify the treatment alternatives and associated
nursing assessments to monitor response to drug
therapy for common mouth disorders.
2. Identify baseline data the nurse should collect on
a continuous basis for comparison and evaluation
VN 102 – EcVillan
Content Outline
I. Drugs Used to Treat Lower
Respiratory Disease
A. Lower Respiratory Tract
Anatomy and Physiology
B. Common Lower Respiratory
Diseases
C. Treatment of Lower Respiratory
Diseases
D. Drug Therapy for Lower
Respiratory Diseases
E. Respiratory Antiinflammatory
Agents.
II. Drugs Used to Treat Oral
Disorders
A. Mouth Disorders
B. Drug Therapy for Mouth
Disorders
Assignments
WEEK 8
8/17/14
READ:
Handout: Chapter 29-32
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 10: Medications Affecting the
Digestive System and Nutrition
Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 31
 Chapter 32
 Chapter 33
 Chapter 34
III. Drugs Used to Treat
Gastroesophageal Reflux and
Peptic Ulcer Disease
A. Physiology of the Stomach
B. Common Stomach Disorders
C. Treatment of Gastroesophageal
Reflux and Peptic Ulcer Disease
D. Drug Therapy for
Gastroesophageal Reflux and
Peptic Ulcer Disease
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of drug effectiveness.
3. Identify important nursing assessments and
interventions associated with the drug therapy
and treatment of diseases of the mouth.
1. Identify common stomach disorders that require
drug therapy.
2. Identify factors that prevent breakdown of the
body’s normal defense barriers resulting in
ulcer formation.
3. Describe the drug classifications and actions used
to treat stomach disorders.
4. Develop health teaching for an individual with
stomach disorders that incorporates pharmacologic
and nonpharmacologic treatment.
IV. Drugs Used to Treat Nausea and
Vomiting
A. Nausea and Vomiting
B. Common Causes of Nausea and
Vomiting
C. Drug Therapy for Selected
Causes of Nausea and Vomiting
Mastery of content in this unit will enable the student
to:
1. Compare the purposes of using antiemetic
products.
2. State the therapeutic classes of antiemetics.
3. Discuss scheduling of antiemetics for maximum
benefit.
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UNIT VI & VII:
TOPICS:
Drugs Affecting the Digestive & Endocrine System
Drugs Used to Treat Constipation and Diarrhea; Drugs Used to Treat Diabetes Mellitus
Theory Objectives
Mastery of content in this unit will enable the student
to:
1. Identify the indications for use, method of action,
and onset of action for contact or stimulant
laxatives, saline laxatives, lubricant or emollient
laxatives, bulk-forming laxatives, and fecal
softeners.
2. Describe medical conditions in which laxatives
should not be used.
3. Discuss the differences between locally acting and
systemically acting antidiarrheal agents.
4. Identify electrolytes that should be monitored
whenever prolonged or severe diarrhea is present.
5. Describe nursing assessments needed to evaluate
the patient’s state of hydration when suffering
from either constipation or dehydration.
6. Identify conditions that generally respond
favorably
to antidiarrheal agents.
7. Review medications studied to date and prepare
a list of those that may cause diarrhea.
1. Discuss the action and use of insulin as opposed
to oral hypoglycemic and antihyperglycemic
agents to control diabetes mellitus.
2. Identify the major nursing considerations
associated
with the management of the patient with diabetes.
3. Differentiate between the signs, symptoms, and
management of hypoglycemia and heperglycemia.
4. Discuss the contributing factors, nursing
assessments, and nursing interventions needed
for patients exhibiting complications associated
VN 102 – EcVillan
Content Outline
Drugs Affecting the Digestive System
I. Drugs Used to Treat Constipation
and Diarrhea
A. Constipation
B. Diarrhea
C. Drug Therapy for Constipation
Diarrhea
Drugs Affecting the Endocrine System
I. Drugs Used to Treat Diabetes
Mellitus
A. Diabetes Mellitus
B. Treatment of Diabetes Mellitus
C. Drug Therapy for Diabetes
Mellitus
II. Drugs Used to Treat Thyroid
Disease
Assignments
WEEK 9
8/24/14
READ:
Handout: Chapter 33-37
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 10: Medications Affecting the
Digestive System and Nutrition
- Unit 11: Medications Affecting the
Endocrine System
Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 35
 Chapter 36
 Chapter 37
 Chapter 38
 Chapter 39
A. Thyroid Gland
B. Thyroid Diseases
C. Treatment for Thyroid Disease
D. Drug Therapy for Thyroid
Disease
III. Corticosteroids
A. Corticosteroids
B. Drug Therapy with
Corticosteroids
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with diabetes mellitus.
5. Develop a health teaching plan for persons taking
any type of insulin or oral hypoglycemic agent.
1. Identify the two classes of drugs used to treat
thyroid disease.
2. State the drug of choice for hypothyroidism.
3. Explain the effects of hyperthyroidism on dosages
of warfarin and digitalis glycosides on persons
taking oral hypoglycemic agents.
4. Describe the actions of antithyroid medications on
the formation and release of the hormones
produced by the thyroid gland.
5. State the three types of treatment for
hyperthyroidism.
6. Explain the nutritional requirements and activity
restrictions needed for an individual with
hyperthyroidism.
7. Identify the types of conditions that responds
favorably to the use of radioactive iodine-131.
8. Describe the action of propylthiouracil on the
synthesis of T3 and T4.
IV. Gonadal Hormones
A. The Gonads and Gonadal
Hormones
B. Drug Therapy with Gonadal
Hormones
Mastery of content in this unit will enable the student
to:
1. Discuss the normal actions of
mineralocorticosoids
and glucocortisoids in the body.
2. Cite the disease states caused by hypersecretion or
hyposecretion of the adrenal gland.
3. Identify the baseline assessments needed for a
patient receiving corticosteroids.
4. Prepare a list of the clinical use of
mineralcorticoids and glucocorticoids.
5. Discuss the potential side effects associated with
the use of corticosteroids, and give example of
specific patient education needed for the patient
who will be taking these agents.
6. Develop measurable objectives for patient
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education for persons taking corticosteroids.
1. Describe the body changes that can be anticipated
with the administration of androgens, estrogens,
or progesterone.
2. State the uses of estrogens and progestins.
3. Compare the side effects seen with the use of
estrogen hormones with those seen with a
combination of estrogen and progesterone.
4. Differentiate between the side effects to expect
and those requiring consultation with the
physician with the administration of estrogen
or progesterone.
5. Identify the rationale for administering androgens
to women who have certain types of breast
cancer.
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UNIT VIII & IX:
Drugs Affecting the Reproductive System & Other Body System
TOPICS:
Drugs Used in Obstetrics, Men’s and Women’s Health; Drugs Used to Treat Disorders of the Urinary System; Drugs Used to Treat
Glaucoma and Other Eye Disorders; Drugs Used to Treat Neoplasms & Muscular System
Theory Objectives
Mastery of content in this unit will enable the student
to:
1. Describe the purpose of administering
glucocorticoids to certain women in preterm labor.
2. Define the actions, primary uses, nursing
assessments and monitoring parameters for uterine
stimulants, uterine relaxants, clomiphene citrate,
magnesium sulfate, and immune globulin.
3. Compare effects of uterine stimulants and uterine
relaxants on the pregnant woman’s uterus.
4. Describe specific nursing concerns and appropriate
nursing actions when uterine stimulants are
administered for induction of labor, augmentation
of labor, and postpartum atony and hemorrhage.
5. Describe the effects of adrenergic agents on beta-1
and beta-2 receptors, then identify the relationship
of these actions to the side effects to report when
adrenergic agents are used to inhibit preterm
labor.
6. Describe specific assessments needed before and
during the use of ritodrine, terbutaline, or
magnesium sulfate.
7. Identify emergency supplies that should be
available in the immediate vicinity during
magnesium sulfate therapy.
8. Identify the action, specific dosage, administration
precautions, and proper timing of the
administration of Rho (D) immune globulin and
rubella vaccine in relation to pregnancy.
9. Summarize the immediate nursing care needs of
the newborn infant following delivery.
VN 102 – EcVillan
Content Outline
I. Drugs Used in Obstetrics
A. Obstetrics
B. Drug Therapy with Pregnancy
I. Drugs Used in Men’s and
Women’s Health
A. Vaginitis
B. Drug Therapy with
Leukorrhea and Genital
Infections
C. Drug Therapy for
Contraception
D. Drug Therapy for Benign
Prostatic Hyperplasia
E. Drug Therapy for Erectile
Dysfunction
Drugs Affecting Other Body System
Assignments
WEEK 10
8/31/2014
READ:
Handout: Chapter 38-40
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 12: Medications Affecting
Reproduction
Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 40
 Chapter 41
 Chapter 42
 Chapter 43
 Chapter 44
 Chapter 45
I. Drugs Used to Treat Disorders
of the Urinary System
A. Urinary Tract Infections
B. Drug Therapy for Urinary
Tract Infections
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1. Cite the generic and brand names of products used
to treat candida albicans, trichomonas vaginalis,
and gardnerella vaginalis.
2. Review specific techniques for administering
vaginal medications.
3. Develop a plan for teaching self-care to women
and men with sexually transmitted diseases.
Include personal hygiene measures, medication
administration, methods of pain relief, and
prevention of spread of infection or reinfection.
4. Compare the active ingredients in the two types of
oral contraceptive agents.
5. Differentiate between the actions and the benefits
of the combination pill and the minipill.
6. Describe the major adverse effects and contraindications to the use of oral contraceptive agents.
7. Develop specific patient education plans to be
used to teach a patient to initiate oral contraceptive
therapy with the combination pill and the minipill.
8. Describe pharmacological treatments of benign
prostatic hyperplasia.
9. Describe the pharmacological treatment of erectile
dysfunction.
1. Explain the major action and effects of drug use
to
II. Drugs Used to Treat Glaucoma
and Other Eye Disorders.
A. Anatomy and Physiology of the
Eye
B. Glaucoma
C. Drug Therapy for Glaucoma
D. Drug Used to Lower Intraocular
Pressure
E. Other Ophthalmic Agents
III. Drugs Affecting Neoplasms
A. Cancer and the use of
Antineoplastic Agents
B. Drug Therapy for Cancer
IV. Drugs Used to Treat the
Muscular System
A. Muscle Relaxants and
Neuromuscular Blocking
Agents
B. Drug Therapy of the Muscular
System
treat disorders of the urinary tract.
2. Identify the baseline data the nurse should collect
on a continuous basis for comparison and
evaluation of drug effectiveness.
3. Identify important nursing assessments and
interventions associated with the drug therapy and
treatment of diseases of the urinary system.
4. Identify essential components involved in the
planning patient education that will enhance
compliance with the treatment regimen.
5. Prepare chart of antimicrobial agents used to
treat urinary tract infections. Give the drug
names, the organisms treated, and special
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considerations (such as the need for acidic
urine, changes in urine color; and effect on
urine tests).
6. Develop a health teaching plan for an individual
who has repeated urinary tract infections.
1. Describe the normal flow of aqueous humor in the
eye.
2. Identify the changes in normal flow of aqueous
humor caused by open-angle and closed-angle
glaucoma.
3. Explain baseline data that should be gathered
when an eye disorder exists.
4. Review the correct procedure for instilling eye
drops or eye ointments.
5. Develop teaching plans for a person with an eye
infection and a person receiving glaucoma
medication.
1. Cite the goals of chemotherapy.
2. Explain the normal cycle for cell replication and
describe the effects of cell cycle-specific and
cell cycle-nonspecific drugs within this process.
3. Describe the rationale for giving chemotherapeutic
drugs on a precise time schedule.
4. State which types of chemotherapeutic agents are
cell cycle-specific and those that are cell cyclenonspecific.
5. Describe the role of immunomodulators and
chemoprotective agents in treating cancer.
6. Describe the nursing assessments and
interventions
needed for persons experiencing adverse effects
from chemotherapy.
7. Develop patient education objectives for a patient
receiving chemotherapy.
1. Describe the nursing assessments needed to
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monitor therapeutic response and the development of
side effects to expect and report from skeletal
muscle relaxant therapy.
2. Develop a health teaching plan for patients with
skeletal muscle relaxant therapy.
3. Describe the effect of centrally acting skeletal
muscle relaxants on the central nervous system
and the safety precautions required during use.
4. Describe essential components of patient
assessment used for patients receiving
neuromuscular blocking agents.
5. Describe where information on the use of these
agents is found in the patient’s chart.
6. Describe the equipment that should be available
in the immediate patient care area when
neuromuscular blocking agents are to be
administered.
7. Describe the physiologic effects of neuromuscular
blocking agents.
8. List four uses of neuromuscular blocking agents.
9. Identify the effect of neuromuscular blocking
agents on consciousness, memory, and the pain
threshold.
10. Describe disease conditions that may affect the
patient’s ability to tolerate the use of
neuromuscular blocking agents.
11. Discuss the steps required to treat respiratory
depression.
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UNIT IX:
TOPICS:
Drugs Affecting Other Body System
Drugs Affecting Neoplasms, Drugs Used to Treat the Muscular System; Antimicrobial Agents; Nutrition; Herbal Therapy;
Miscellaneous Agents
Theory Objectives
Mastery of content in this unit will enable the student
to:
1. Identify significant data in a patient history that
could alert the medical team that a patient is
more likely to experience an allergic reaction.
2. Identify baseline data the nurse should collect on
a continuous basis for comparison and evaluation
of antimicrobial drug effectiveness.
3. Describe basic principles of patient care that can
be implemented to enhance an individual’s
therapeutic response during an infection.
4. Identify criteria used to select an effective
antimicrobial agent.
5. Differentiate between gram-negative and grampositive microorganisms and between anaerobic
and aerobic properties of microorganisms.
6. Explain the major action and effects of drugs
used to treat infectious diseases.
7. Describe the nursing assessments and
interventions for the common side effects associated
with antimicrobial agents: allergic reactions; direct
tissue damage (nephrotoxicity, ototoxicity, or
hepatotoxicity); secondary infection; and other
considerations such as photosensitivity, peripheral
neuropathy, and neuromuscular blockage.
8. Review parenteral administration techniques and
the procedure for vaginal insertion of drugs.
9. Develop a plan for implementing patient education
for patients receiving aminoglycosides,
tetracyclines, antitubercular agents, antifungal
agents, and antiviral agents.
VN 102 – EcVillan
Content Outline
III. Antimicrobial Agents
A. Antimicrobial Agents
B. Drug Therapy for Infectious
Disease
C. Drug Therapy for Urinary
Tract Infections
IV. Nutrition
A. Principles of Nutrition
B. Malnutrition
C. Therapy for Malnutrition
V. Herbal Therapy
A. Herbal Medicine and Rational
Therapy
B. Herbal Therapy
VI. Miscellaneous Agents
A. Miscellaneous Agents
Assignments
WEEK 11
9/7/2014
READ:
READ:
Handout: Chapter 42-44
ATI PHARMACOLOGY FOR NURSING
4.2:
- Unit 2: Medications Used to Treat
Infection
Supplemental Resource:
Basic Pharmacology for Nurses
Clayton and Stock & Evolve NCLEX
Questions:
 Chapter 45
 Chapter 46
 Chapter 47
 Chapter 48
 Chapter 49
Week 12 – 9/14/2014
FINAL EXAMINATION
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1. Differentiate between information found in the
dietary reference intake tables and the
recommended dietary allowance table.
2. Identify the function of macronutrients in the
body.
3. State the name of the formula used to estimate
basal energy expenditures for males and females.
4. Differentiate between fat soluble and watersoluble
vitamins.
5. Describe the five functions of minerals in the
body.
6. Describe nutritional assessments essential before
administration of tube feedings and parenteral
nutrition.
7. Describe physical changes associated with a
malnourished state.
8. Identify common laboratory and diagnostic tests
used to monitor a patient’s nutritional status.
9. Discuss nursing assessments and interventions
required during the administration of enteral
nutrition.
10. Discuss home care needs of a patient being
discharged on any form of enteral or parenteral
nutrition.
11. Discuss therapy for malnutrition.
12. Discuss the Common nutritional supplements:
vitamins, mineral, and water.
1. Summarize the primary actions, uses, and
interactions of the herbal products cited.
2. Describe the possible impact of the use of
herbal products on cultural/ethnic beliefs.
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PHARMACOLOGY REVIEW TOOL
Body
System
Example:
Reproduct
ive
Drug Class
Estrogens
VN 102 – EcVillan
DrugNames
(Generic/Trade)
Estradiol, Estrone,
Estriol
Conjugated
estrogens
(Premarin)
estradiol
transdermal
(Estraderm)
Indication (what is
it used for?)
· Atrophic vaginitis
· Hypogonadism
· Oral contraception
(given with a
progestin)
· Uterine bleeding
· Palliative treatment
of advanced breast
and prostate cancer
· Osteoporosis and
prophylaxis
Action (how
does it work in
the body?)
COMMON
Side effects
· development and
maintenance of
the female
reproductive
system
· replaces
hormone
estrogen
· Thrombolytic events—
most serious
· Nausea—most common
· Hypertension,
thrombophlebitis, edema
· Vomiting, diarrhea,
constipation, abdominal
pain
ADVERSE
effects
(report to MD)
Drug
Interactions
Nursing Implications
(Caution/Don’t
give with these
food/drug)
·
· Take the smallest dose
needed
· Give IM doses deep in
large muscle masses,
and rotate sites
· Give oral doses with
meals to reduce GI
problems
· Teach patient about
correct selfadministration and what
to do if a dose is missed
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PHARMACOLOGY REVIEW TOOL
Body
System
Drug Class
VN 102 – EcVillan
DrugNames
(Generic/Trade)
Indication (what is
it used for?)
Action (how
does it work in
the body?)
COMMON
Side effects
ADVERSE
effects
(report to MD)
Drug
Interactions
Nursing Implications
(Caution/Don’t
give with these
food/drug)
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Appendix- Pharmacology Generic/Trade Names of 50 Key Drugs in Medicine
1
. Alprazolam XANAX
2. Amitriptyline ELAVIL
3. Amoxicillin/clavulanate potassium AUGMENTIN
4. Betamethasone CELESTONE
5. Bumetanide BUMEX
6. Bupropion WELLBUTRIN
7. Calcitriol ROCALTROL
8. Ceforanide PRECEF
9. Ceftazidime FORTAZ
10. Cephalexin KEFLEX
11. Ciprofloxacin CIPRO
12. Clonazepam KLONOPIN
13. Cyclobenzaprine FLEXERIL
14. Diazepam VALIUM
15. Dopamine INTROPIN
16. Enalapril VASOTEC
17. Eythromycin E-MYCIN
18. Famotidine PEPCID
19. Fluconazole DiFLUCON
20. Fluoxetine PROZAC
21. Furosemide LASIX
22. Gentamicin GARAMYCIN
23. Haloperidol HALDOL
24. Hydroxyprogesterone caproate DELALUTIN
25. Ibuprofen MOTRIN
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26. Ipratropium bromide ATROVENT
27. Ketorolac TORADOL
28. Lidocaine XYLOCAINE
29. Lorazepam ATIVAN
30. Meperidine DEMEROL
31. Methicillin STAPHCILLIN
32. Metoprolol LOPRESSOR
33. Miconazole MONISTAT
34. Nystatin MYCOSTATIN
35. Omeprazole PRILOSEC
36. Oxybutynin DITROPAN
37. Oxymetholone ANADROL
38. Pergolide PERMAX
39. Phenytoin DILANTIN
40. Prazepam CENTRAX
41. Prednisone DELTASONE
42. Procaine NOVOCAIN
43. Promethazine PHENERGAN
44. Propoxyphene DARVON
45. Pseudoephedrine SUDAFED
46. Silver sulfadiazine SILVADENE
47. Temazepam RESTORIL
48. Tolnaftate TINACTIN
49. Vancomycin VANCOCIN
50. Warfarin COUMADIN
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