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May 12, 2016 Angelina College Health Careers Division RSPT 2317 Respiratory Care Pharmacology General Syllabus I. BASIC COURSE INFORMATION: A. Course Description: RSPT 2317. Respiratory Care Pharmacology Three Credit hours. A study of drugs that affect the cardiopulmonary systems. Emphasis on classification, route of administration, dosages/calculations, physiological interactions. Forty-eight classroom hours. Learning Outcomes: Explain the mode of action, clinical indications, dosages, hazards, and side effects of pulmonary and cardiovascular drugs; calculate drug dosages; and select drugs for optimal therapeutic benefits. B. Intended Audience: First-Year Students already enrolled in the Respiratory Care Program. C. Instructor: Becky Renfrow-Freeze, MS, RRT, CPFT, CHT Office Location: HCII 222A Office Hours: 8:00 – 11:00 am Monday & Wednesday. Call Daphne Shepherd for appointment if not during these hours Phone: 936-633-5419 E-mail Address: [email protected] II. INTENDED STUDENT OUTCOMES: A. Core Objectives Required for this Course 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making 6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities B. Course Learning Outcomes for all Sections 1. To define key terms related to pharmacologic principles. 2. To understand the metric system and drug dosage calculations. 3. To learn the various routes of drug administration, indications and hazards. 4. To introduce the student to the various cardiopulmonary diseases and the role the drugs play in their treatment. 5. To learn general management techniques of various cardiopulmonary diseases. C. Course Objectives as determined by the instructor – III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES: A. Assessments for the Core Objectives: 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making 6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities B. Assessments for Course Learning Outcomes CORE COMPETENCIES: SCANS – (Secretary’s Commission on Academic Necessary Skills) Students are expected to demonstrate basic competency in academic and workforce skills. The following are competencies with evaluation are included in RSPT 1461. SCAN Skills Assessments Foundation Skills Written Assignments Follow oral and written instructions Decision making & problem solving Mathematical Calculations Oral Presentations Required Readings Critical Thinking Case Studies Demonstrated Competency in Clinical Workplace Competencies Computer Assisted Instruction Acquires and Evaluates Information Applies technology Written Care Plans Demonstrated Competency in Clinical IV. INSTRUCTIONAL PROCEDURES: The methods of instruction used in this course includes but not limited to the following: Lecture, lab, discussion, performance, audiovisual, computer assisted instruction and critical-thinking patient case studies. V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks and Recommended Readings, Materials and Equipment Wilkins,Stoller,Kacmarek,(2013) Egan’s Fundamentals of Respiratory Care (10th ED), Mosby. as reference. Colbert, B. & Kennedy, B. (2012) Integrated Cardiopulmonary Pharmacology (3rd ED), Prentice Hall, as reference. The student will need a basic calculator (NO CELL phones) for simple mathematical calculations. Cell phones must be turned off. There is to be no texting in class. The cell phone is not to be used as a calculator. See cell phone usage policy. Attendance will be taken and affect the course grade. (See handbook) A medical dictionary would be helpful but not required. B. Course Policies – This course conforms to the policies of Angelina College as stated in the Angelina College Handbook. 1. Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so. Angelina College admits students without regard to race, color, creed, sex, national origin, age, religion, or disability. Inquiries concerning sex equity, disability or age should be directed to Mr. Steve Hudman, Title IX coordinator at 936-633-5293, Angelina College Student Center, Room 205, email [email protected]. 2. Attendance – Attendance is required as per Angelina College Policy and will be recorded every day. Any student with three (3) consecutive absences of four (4) cumulative absences may be dropped from the class. Records will be turned in to the academic dean at the end of the semester. Do not assume that non-attendance in class will always result in an instructor drop. You must officially drop a class or risk receiving an F. This is official Angelina College Policy. 3. Additional Policies Established by the Instructor: All exams and written assignments become the property of the Angelina College Respiratory Care Program. VI. COURSE OUTLINE: Description of the Course Activities including due dates, schedules, and deadlines. Assignments – Class meets Monday - Wednesday 1:00 PM – 4:00 PM Unit One June 1 June 20 June 22 June 27 June 29 July 6 Syllabus Review, Unit One lecture begins The Basics (Drug Information, Terms, Abbreviations) Chapter 1 – General Pharmacologic Principles (28 pages), Chapter 32 Egan’s will start Chapter 3 – Autonomic Nervous System (20 pages); Egan’s 708------Chapter 4 – Medicated Aerosol Treatments (16 pages) Exam 1 - Chapter 5 – Bronchodilators (26 pages); Egan’s 710-716 Chapter 6 – Mucokinetics and Surfactants (19 pages); Egan’s 716-719 Chapter 7 – Anti-Inflammatory and Antiasthmatic Agents (21 pages); Egan’s 719-724 Chapter 8 –Anti-Infective Agents (19 pages); Egan’s 724-7728 Exam #2 – First Oral Presentation of Drug Chapter 9 – Cardiac Agents (22 pages) Chapter 10 – Blood Pressure and Antithrombotic Agents (23 pages) Chapter 11 - Neuromuscular, Sedative, Anesthetic, and Analgesic Agents(23 pgs) Chapter 15 – Medications for Advanced Cardiovascular Life Support; Egan’s 810-814 Exam #3 Second Orals of Drugs & Review for Finals July 7 Final June 6 June 8 June 13 June 15 Unit 1 The Basics After completion of this unit, the student will be able to: 1. 2. 3. 4. 5. Define key terms related to pharmacological principles Utilize drug-reference sources of information Discuss advantages and disadvantages of different routes of administration Describe the processes of drug absorption, distribution, metabolism, and elimination Explain differences in pharmacokinetics, pharmacodynamics, and adverse effects of drugs in pediatric, geriatric, pregnant, and breast-feeding patients. 6. Discuss factors that may alter a patient’s response to a drug. 7. Discuss principles of drug poisonings, adverse drug reactions, and interactions 8. Discuss responsibilities in drug administration 9. Describe the divisions of the central and peripheral nervous systems 10. Define key terms relative to pharmacology of the autonomic nervous system 11. Describe the anatomy, neurotransmitters, and receptors of the autonomic nervous system. 12. State four classifications of autonomic nervous system drugs on the basis of how and where 13. Relate the pharmacology of the autonomic nervous system to the "specific chapters" and drug classifications. 14. Define key terms related to aerosol therapy. 15. Describe the main goals of aerosol therapy. 16. State the advantages and disadvantages of the inhalation route of administration. 17. Describe the factors that affect aerosol deposition. 18. List advantages and limitations for using a metered dose inhaler (MDI), small volume nebulizer (SVN), and dry powder inhaler (DPI) 19. Describe the proper technique for using an MDI, SVN, and DPI Unit 2 The Specific Drug Classifications After completion of this unit, the student 1. Define key terms relative to bronchodilator pharmacotherapy. 2. Describe the neurological control of bronchial smooth muscle, including the sympathetic and parasympathetic nerves, their chemical mediators, and how bronchodilation is achieved. 3. Differentiate bronchospasm and bronchoconstriction. 4. Describe three pharmacologic methods for bronchodilation (sympathomimetic, anticholinergic and xanthine) and the mode of action of each. 5. State the indications, contraindications, adverse reactions, onset of action and dosage range for each bronchodilator. 6. Recommend appropriate bronchodilator therapy for various patient situations, including drug, dosage, frequency and route of delivery. 7. Describe appropriate techniques for monitoring the patient's response to bronchodilator therapy. 8. Define key terms related to mucokinetic and surfactant agents. 9. Describe the production, function, and clearance of mucus in the healthy lung. 10. State the indications for bland aerosols and mucolytic agents. 11. Compare and contrast the mechanisms of action of bland aerosol and mucolytic agents. 12. Describe how surface tension relates to oxygenation and work of breathing. 13. Describe the role of surfactant in the lungs and surfactant replacement agents. 14. Describe the mechanisms of action of expectorants and antitussive agents. 15. Describe the inflammatory process as it relates to airway disease. 16. List the chemical mediators involved in allergic reactions. 17. Discuss physiology of corticosteroids 18. Understand the differentiation between Gram-positive and Gram-negative bacteria. 19. Define key terms related to cardiac and renal agents. 20. Relate cardiovascular physiology to pharmacological treatments. 21. Define key terms related to blood pressure and thrombosis. 22. Relate cardiovascular physiology to pharmacological treatments. 23. Understand the variables that affect blood pressure. 24. Describe the clinical applications of neuromuscular blocking drugs. 25. Discuss the mechanisms of action of medications that are hypnotic, sedative, or anxiolytic and their importance in cardiorespiratory practice. 26. List and describe the function of oxygen delivery devices. 27. Describe the effects of oxygen, helium, carbon dioxide, and nitric oxide therapy. 28. List the hazards of oxygen, helium, carbon dioxide, and nitric oxide therapy. Unit 3 Putting it All Together in Management for Various Pulmonary Diseases After completion of this unit, the student will be able to: 1. Explain the pathophysiology of chronic obstructive pulmonary disease (COPD) 2. Distinguish among the various forms of COPD. 3. Develop a pharmacologic regimen for asthma, chronic bronchitis, and emphysema. 4. Develop a monitoring and educational plan for asthma, chronic bronchitis, and emphysema. 5. Discuss pathogens associated with and diagnosis of: community-acquired pneumonia; hospitalacquired pneumonia; pharyngitis; croup; epiglottitis; tuberculosis; bronchitis; bronchiolitis. 6. Describe goals of pharmacotherapy and monitoring parameters for: community-acquired pneumonia; hospital-acquired pneumonia; pharyngitis; croup; epiglottitis; tuberculosis; bronchitis; bronchiolitis. 7. Ask and find the answers to questions necessary to develop a therapeutic plan for an individual with a respiratory infectious disease. 8. Discuss controversies in pharmacological treatment of respiratory infectious disease. VII. EVALUATION AND GRADING: A. Grading Criteria – 1. Lecture: Assignments/Quizes Unit Examinations Final Examination 35% 30% 20% 2. Oral Case Study (Two) 15% 3. Laboratory: Performance Evaluation (as needed). B. VIII. Determination of Grade – The alphabetic grading for this course is as follows: A = 92 - 100 B = 83 - 91 C = 75 - 82 D = 70 - 74 F = 69 & below SYLLABUS MODIFICATION: The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made. NOTICE Safety Data Sheet (SDS) Book A Safety Data Sheet is a document that contains information on the chemical make-up, use, storage, handling, emergency procedures and potential health effects related to a hazardous material. The SDS contains much more information about the material than the label on the container. SDS’s are prepared and written by the manufacturer of the material. The SDS sheets are accessible at all times & are kept in the following location(s): Health Careers II: A. B. C. D. Radiography Lab: Room Sonography Lab: Room Respiratory Lab: Room Pharmacy Lab: Room Plan & Procedures Book (Includes the following) These reference items are accessible at all times & are kept in the following location(s): Health Careers II: In the main office 1. Plans Universal Waste Plan Hazardous Waste Plan Chemical Waste Plan Exposure Control Plan 2. Procedures Battery Disposal Lamp Disposal Pesticide Disposal Mercury Containing Equipment Disposal Paint & Paint Related Waste Disposal Electronic Waste Disposal Medical Waste Disposal Chemical Waste Disposal Spill Cleanup