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Course Syllabus Spring 2016 Course: Instructor: Office: Office Hours: NU 314, Advanced Pharmacology Mrs. Joy Edwards, MS, RN MK 312 Monday 12:00-12:50 p.m. and Friday 9:00-9:50 a.m. Catalog Description: This course builds upon basic pharmacological principles and expands knowledge of further drug classifications with an emphasis on pharmacokinetics, and pharmacodynamics of major drug classes and commonly prescribed prototype medications within each drug class including therapeutic uses, adverse reactions, precautions, and contraindications. Students are able to identify antidotes to drug toxicity or overdose. Students apply critical thinking skills to case studies focusing on pharmacological agents to treat pathological conditions. Purpose of the Course: The goal of the Nursing Department is to prepare distinctively Christian nurses who exemplify excellence. Achieving this level of excellence requires each student to maintain the highest personal standards of responsibility, integrity, and professionalism. The nursing faculty are committed to helping nursing students grow and develop into the excellent nurses the Lord has called them to be. The purpose of this course is to build upon the basic pharmacological foundation that the students have obtained in NU 214. Emphasis is placed on the pharmacokinetics of the various medication classes and the individualized effects on a cellular level. The effects of medications on the pathophysiology of various disease processes are also reviewed thoroughly. Case studies provide for critical thinking related to the use of medications in the clinical setting for the patient. Prerequisites: At least a “C” in or concurrent enrollment in NU 207. Texts: Pharmacology and the Nursing Process, 7th ed., Lilley, L., Rainforth Collins, S., and Snyder, J. Study Guide to Accompany Pharmacology and the Nursing Process, 7th ed., Lilley, L., Rainforth Collins, S., and Snyder, J. Davis’s Drug Guide for Nurses, 14th ed., Vallerand, A., Sanoski, C, with Deglin. Learning Outcomes—Upon completing this course, students will be able to: 1. Synthesize critical thinking and diagnostic reasoning skills for use of pharmacotherapeutics in the nursing process. 2. Identify common drugs and recall the mechanisms of actions, therapeutic effects, indications, adverse and toxic effects, cautions, contraindications, and drug interactions for various adrenergic agonists/antagonist drug profiles. Analyze pharmacokinetic characteristics such as therapeutic effects, clinical response and mechanisms of action of various medications used to treat physiological diseases.Implement appropriate nursing interventions for overdose of drugs and be able to recognize. Evaluation—Achievement of learning outcomes will be assessed using the following methods: A. Final Cumulative Exam 35% D. Case Study Project 15% B. Midterm/Exam II 25% E. Homework /Reading Assignments 2% C. Quizzes 18% Classroom participation is also weighed and considered when giving a final grade. The college grading scale will be applied to the course average to determine the course grade. 90–100% A 60–69% D 80–89% B 0–59% F 70–79% C Validation: Outcome 1. Quizzes, Tests, and Projects. Outcome 2. Quizzes, Tests, and Kaplan. Outcome 3. Quizzes and Tests. Outcome 4. Quizzes, Tests, . Attendance Policy: Students missing more than one week of scheduled classes will automatically lose one full letter grade; students missing more than two weeks receive an F for the course. Course Outline and Assignments: Week Lecture Reading /HW Assignments One Course Introduction/Principles Two Drug Antagonists/Antidotes Three Drugs affecting the SNS Read CH 18/?’s 1-9, 10 & 13-14 CH 18 Case Study Four Drugs affecting the SNS Read CH 19/?’s 1-8 & Case Study Five Drugs affecting the PNS Read CH 20/?’s 1-18 Six Drugs affecting the PNS Read CH 21/?’s 1-8 Seven Midterm Exam Eight Respiratory Drugs Read CH 36/?’s 1-12 Read CH 37/?’s 1-9 & Case Study Nine Thyroid Medications Read CH 31/Crossword & ?’s 1-8 Ten Antilipemic Agents Read Chapter 29/?’s 1-9 GI Drugs Read Chapter 50/?’s 1 – 17 Read Chapters 51 and 52; SG 51/?’S 1-8 Eleven Exam 2 Twelve Adrenal Agents Read CH 33/?’s 1-9 and Case Study Fluids and Electrolytes Read CH 27/?’s 1-9 Thirteen Antineoplastics Read CH 45/ ?’s 1-9 Read CH 46/?’s 1-9 Fourteen Dialysis & Medications Review CH 22-26, 28 Review Cardiac Drugs Review Antihypertensive/Diuretics Review Coagulation Agents FINAL EXAM Project Requirements: TBA Reading and Homework/Study Guide Assignments Reading assignments are to be completed before the lecture and are considered as part of your participation grade for this class. In order to appropriately participate in classroom discussion, reading with purpose should be completed. Expect quiz and test questions from reading assignments. Homework assignments are to be completed in the corresponding chapters of the Study Guide and are subject for collection on the dates listed. The Case Study Project 1. The student is to choose one case study from the scenarios provided on Canvas/Handout, and then complete the critical thinking questions utilizing a formal paper format. 2. This paper should be complete including a title page, pledge page, references, and a properly formatted reference page. 3. This project should be your own work and demonstrate an application of principles and knowledge regarding topics from Pharmacology and Advanced Pharmacology. 4. This project should reflect critical thinking which considers all aspects of the drugs and includes all pertinent information. 5. You are not to discuss your content with other students now or in the future. 6. Grading Criteria o Written paper: o Include your specific case study information word for word. o Type out and answer completely the critical thinking questions for the specific case study. o Include general information describing your patient’s highlighted disease process. o Discuss the Geriatric physiological changes and pharmacological nursing considerations. Include how each of the four pharmacokinetic processes are affected by aging. Address other pharmacological considerations that should be addressed with geriatric patients? o Describe each medication presented completely Brand and generic name Safe dosage Explain how the drug is used to treat the disease process Identify why the patient is on the specific medication, and discuss the purpose of the medication. List the side effects associated with the drug o Include a brief summary at the end of the case study. Mention what you will be monitoring as your patient is taking these medications. The conclusion should summarize what you discussed in the case study. o Scholarly writing All directions are followed Sentence structure is clear The paper is required length and uses appropriate font size and spacing References are cited throughout the paper accurately according to Chicago style as presented in Turabian’s Manual, 8th ed. o Demonstrates critical thinking o Grammar and spelling Appropriate punctuation is used There are no grammatical or spelling errors o Extras o Bibliography list At least 6 quality sources. Medical Surgical Nursing Source/Pathophysiology Book Pharmacology Source (At least 3 different texts) Includes Quality resources in addition to class texts May use class textbook but also use other sources Nursing Journal/ Periodical within last 7 years Article regarding specific drug therapy Title of article reflects pharmacology focus Must be relevant to receive credit o Additional points may be deducted for problem areas. Classroom Policies: Classroom Guidelines and Nursing Turabian Guidelines are available for download from Eaglesnest:Academic:Nursing Links under “Nursing Files.” These guidelines apply to this nursing course, unless specifically indicated by the course instructor. Plagiarism Statement: Plagiarism (presenting someone else’s writing or ideas as though they were your own) is cheating and will be dealt with as such by Pensacola Christian College. Bibliography: Adams, M. and Urban, C. Pharmacology: Connections to Nursing Practice. 2nd ed. (2013) Boston: Pearson. Deglin, J. and Vallerand, A. Davis’s Drug Guide for Nurses. 12th ed. (2011) Philadelphia.: F.A. Davis Company. Karch, A. Focus on Nursing Pharmacology. 4th ed. (2008) Philadelphia, PA: Lippincott Williams and Wilkens. Lehne, R. Pharmacology for Nursing Care. 7th ed. (2010) St. Louis, MO: Elsevier. Lilley, L., Harrington, S. and Snyder, J. Pharmacology and the Nursing Process. 6thed. (2011) St. Louis, MO: Mosby, Inc. McKenry, L., Tessier, E. and Hogan, M. Mosby’s Pharmacology in Nursing. 22nd ed. (2006) St. Louis, MO: Mosby, Inc. Moini, J. Focus on Pharmacology: Essentials for Health Professionals. 2nd ed. (2013) Boston: Pearson. Resources: Students are not required to watch the following videos, but are encouraged to view them in the college library. Expert Drug Therapy Video Series (Blanchard and Loeb, 2000) with the following titles: Arrhythmias Asthma, Emphysema and Chronic Bronchitis Cardiopulmonary Arrest Diabetes Mellitus Asthma, Emphysema and Chronic Bronchitis Heart Failure and Pulmonary Edema Hypertension Myocardial Infarction Infection