Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
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 17 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 VN 102 – EcVillan 18 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 - 19 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 20 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 VN 102 – EcVillan 21 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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. VN 102 – EcVillan 22 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 23 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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. VN 102 – EcVillan 24 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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. VN 102 – EcVillan 25 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 26 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 VN 102 – EcVillan 27 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 28 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 29 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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. VN 102 – EcVillan 30 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 31 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 VN 102 – EcVillan 32 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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. VN 102 – EcVillan 33 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 34 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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. VN 102 – EcVillan 35 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 36 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 VN 102 – EcVillan 37 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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. VN 102 – EcVillan 38 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 39 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 VN 102 – EcVillan 40 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 VN 102 – EcVillan 41 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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. VN 102 – EcVillan 42 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 43 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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. VN 102 – EcVillan 44 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 45 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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) 46 of 47 Trinity Vocational Center Vocational Nursing Program VN 102 – Pharmacology 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 VN 102 – EcVillan 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 47 of 47