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Handout 1: Pharmacology P020D I. II. III. IV. V. Course objective #2: Describe the dynamic process between the giver and the receiver of medications, which promotes positive medication compliance. A. Dynamic: _________________________________________________ B. Key Characteristics 1. ________________________ 2. ________________________ 3. ________________________ 4. ________________________ skills 5. ________________________ skills Course objective #1: Identify limitations/deficits commonly seen in D.D. clients that prevent them from asking questions or reporting adverse effects regarding medications they receive. A. Limitations: 1. _______________________ 2. _______________________ 3. _______________________ B. The ___________________ must_____________________ & _____________________ for these limitations. C. Medication administrations is _______________________________ 1. _________________ to ______________________ Course Objective #3: Describe the importance of patient teaching with regard to prescribed medication regimen. A. Teaching/learning process 1. Teaching: ________________________ process 2. Learning: Acquiring new ____________________________ 3. Motivation: ___________________ B. 3 domains of learning 1. _____________________________: Intellectual activities 2. _____________________________: Attitudes & _____________________ 3. _____________________________: Physical skills Course objective #4: Describe the electrochemical processes of the central nervous system, which allow CNS drugs to cause their desired effects. Course Objective #12: Explain how chemicals and electrical impulses interact to make up the electrochemical properties of the nervous system. A. Nervous system consists of 1. ______________________ nervous system a. _________________ & _________________________ 2. ______________________ nervous system a. _________________ VI. VII. VIII. B. Function of the Nervous System 1. _____________________ & ___________________ the body 2. Method: by transmission of _________________________________ (_________________ - __________________ system) a. ______________ b. ______________ c. ______________ d. ______________ Small Group Questions A. What is the function of the nervous system and what type of energy drives it? B. What are key characteristics between the giver and receiver during effective medication administration? C. What type of procedure is medication administration? D. What are the 3 domains of learning and how can they be utilized in medication administration? Course Objective #9: Differentiate between afferent and efferent neuron. A. Basic Functional Unit: _____________________ 1. ___________________ neuron a. ____________________ b. Carries info from _____________ _______________ 2. ___________________ neuron a. ____________________ b. Carries info from _____________ _______________ B. Structure 1. ___________________ / Soma a. ______________________ b. Neurotransmitters ________________________ 2. __________________________ a. Carry impulses ________________ _____ the cell body 3. __________________________ a. Carry impulses _____________________ the cell body Course Objective #10: Describe the role played by neurotransmitters in nerve impulse transmission within the synapse. A. Neurons _______________________ to each other ____________________________ B. Synapse: ____________________________________________________________ 1. AKA: Synaptic junction; inter-neuron space C. Terminal end of an _________________ = ________________________ vesicle D. Nerve ___________________ reaches the vesicle release ______________________ (into ______________ junction) E. Nerve impulses must have a ________________________________ F. Synaptic event 1. ___________________________ message received IX. X. XI. 2. Vesicle ______________________ 3. ________________________ released into synapse 4. Neurotransmitter finds its _____________________ site on next neuron 5. Activation of receptor __________________________ in post-synaptic vessel 6. ______________________ of neurotransmitter(s): ________________ action! G. Synthesized in the ___________________________ H. Special Properties: ________________________ & ____________________________ Small group questions A. Describe the different “parts” of a neuron and what each of their functions are. B. What is a synapse? C. Describe the process of a nerve impulse as it passes through a synapse Course Objective #11: Describe the role played by monoamine oxidase in nerve impulse transmission within the synapse. A. MOA: _____________________________________________________ 1. _______________________ 2. Released into __________________________________ 3. Action: _______________________________________________________ 4. Result: ________________________________________ Course Objective #5: Differentiate between the following neurotransmitters: Acetylcholine; Norepinephrine; Dopamine; Serotonin; Gamma-aminobutyric acid; Glycine A. Serotonin:___________________ 1. _______________ 2. _______________ perception 3. _______________ 4. _______________ 5. Inhibits _________________ B. Dopamine: ___________________ 1. Subconscious ___________________________ 2. _________________ motor skills 3. _________________ responses C. Norepinepherine: _______________________ 1. Maintains ____________________________ 2. Overall ______________________________ 3. ______________________ D. Acetylcholine: _________________________ 1. Vital for ______________________________ E. Cholinergic: _____________________________ 1. __________________________ F. Gammaaminobutyric Acid (AKA _____________): _____________________ 1. Location: _____________________________ G. Glycine: _____________________________________ 1. Location: _____________________________ XII. XIII. H. Dopamine: _________________________________ 1. Location: ____________________________________ 2. *Dopamine & __________________________ are opposites and work together Course Objective #6: Identify psychiatric disorders that appear to be related to the body’s inability to regulate the availability of neurotransmitters. A. Imbalance ______________________________________ B. ___________ dopamine __________________________ C. ___________ serotonin __________________________ D. ___________ acetylcholine ________________________ E. ___________ Norepinephrine & Serotonin __________________________ F. ___________ norepinephrine & Dopamine __________________________ G. Drug addictions ____________________ H. Alcohol interacts with __________________ receptors Small group questions: A. Describe the role played by neurotransmitters in nerve impulse transmission within the synapse B. What is the function of Acetylcholine? C. What is the function of Norepinephrine? D. What is the function of Dopamine? E. What is the function of Serotonin? F. What is the function of Gamma-aminobutyric acid G. What is the function of Glycine? H. Alzheimer’s is associated with what neurotransmitter imbalance? I. Schizophrenia is associated with what neurotransmitter imbalance? J. Depression is associated with what neurotransmitter imbalance? K. General Anxiety disorder is associated with what neurotransmitter imbalance? L. ADHD is associated with what neurotransmitter imbalance? XIV. Course objective #7: Describe the ‘principle of opposition’ between the operation of the sympathetic and parasympathetic branches of the autonomic nervous system. Nervous System Nervous System Nervous System Nervous System Process: Nervous system Process: Function: Respond to changes is the _______________ Environment Effector site: Function: Respond to changes is the _______________ Environment Effector site: Sympathetic Nervous System Parasympathetic Nervous System Chemical Process: Function: Neurotransmitter: Chemical Process: Function: Neurotransmitter: AKA: AKA: Heart rate Vessels of the skeletal muscles Bronchi Lung secretions Salivary secretions Anal sphincter Bladder Urinary sphincter Pupil Eye accommodation Pancreas Liver Adrenal medulla XV. XVI. XVII. A. Adrenergic agent: _____________ that mimics _________________________________ B. Cholinergic agent: _____________ that mimics _________________________________ Course objective #8: Differentiate between an agonistic drug and an antagonistic drug. A. Agonist: bind with receptor _________________________ response B. Antagonist: bind with receptor _________________________ response Course objective #13: Describe the variable responses seen depending on the fit of drugs to receptor sites. A. Drug action: “_____________” cells B. Rx ______________________ receptor site Influences __________________ C. ________________________ natural body chemicals D. “Bind”: similar _____________________ E. The __________________ the fit __________________ the effect F. Types of antagonists 1. Competitive: _______________________ agonist (___ dose _____________) 2. Non-competitive: _______________________________ agonist: (___ dose _____________________________________) Small group questions A. Describe the divisions of the nervous system B. What are the sub-systems of the peripheral nervous system? C. Define agonist and antagonist. D. What is the function of MAO? E. What is the chemical process for the parasympathetic and sympathetic nervous system? F. What neurotransmitters are associated with the parasympathetic and sympathetic nervous systems?