Jp's Pharma Syllabus - Module 2

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    Mindanao State UniversityILIGAN INSTITUTE OF TECHNOLOGY

    COLLEGE OF NURSINGIligan City, 9200

    COURSE SYLLABUS: H8

    I. COURSE TITLE PHARMACOLOGY II. COURSE DESCRIPTION This course deals with pharmacodynamics, pharmacokinetics, clinical/therapeutic uses and toxicology of drugs. Emphasis is given on how

    a drug works to anticipate when giving a drug to a patient are of paramount importance since nursing responsibilities includeadministering drugs, assessing drug effects, intervening to make a drug more tolerable, and providing teaching about drugs and the drugregimen.

    III. COURSE CREDIT MODULE 1 - 1.5 unitsMODULE 2- 1.5 unitsTOTAL 3 units

    IV. CONTACT HOURS/ SEM MODULE 1- 27 lecture hoursMODULE 2- 27 lecture hoursTOTAL 54 hours

    V.

    PRE-REQUISITE Math 1, General Chemistry, Anatomy & Physiology, NCM 102VI. PLACEMENT 2nd year, SummerVII. TERMINAL COMPETENCIES At the end of the course and given relevant actual or simulated situations/conditions, the student will be able to:

    1. Apply concepts and principles of pharmacology to ensure safe and proper use of drugs2. Explain the actions, therapeutic uses, preparations, dosages, modes of administration of selected drugs and medicinal plants.3. State precautionary measures to be observed in the administration of selected drugs4. Discuss the role and responsibility of the nurse in pharmacology

    VIII. COURSE REQUIREMENT Must attend and pass quizzes, long exams, group activities, and assignments

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    MODULE 2: Drugs Acting on the Nervous System to Drugs Acting on the Genitourinary System

    IntermediateCompetencies

    Content TEACHINGMETHODOLOGIES/

    STRATEGIES

    InstructionalMaterials

    Number ofHours

    Evaluation TimeFram

    (weeClassroom RLE Lec RLE

    Given relevant questions,the students will be ableto:1. Identify the basic

    functions of thenervous system.

    2. Identify the importantdivisions of theperipheral nervoussystem

    3. Compare and contrastthe actions of

    sympathetic andparasympatheticdivisions of theautonomic nervoussystem

    4. Discuss theclassification andnaming of autonomicnervous system

    5. Describe the nursesrole management ofclients receiving drugs

    affecting theautonomic nervoussystem

    6. Explain the

    I. CONCEPT ON PERCEPTION AND COORDINATIONFUNCTIONAL HEALTH PATTERNS:Cognitive andPerceptual Patterns

    The Nervous System: Central Nervous System orCNS; Peripheral Nervous System or PNS

    Degenerative Diseases of the CNS

    IA. Drugs Acting on the ANS 1. Drugs Class:

    o Adrenergic agentso Adrenergic blocking agentso Cholinergic agentso Cholinergic blocking agents

    2. Mechanism of Actions3. Therapeutic Actions and Indications4. Pharmacokinetics5. Contraindications and Cautions6. Adverse Effects7. Drug-drug Interactions8. Nursing Process

    Clients receiving sympathomimetic therapy Clients receiving adrenergic blocking

    therapy Client receiving parasympathomimetic

    therapy Clients receiving anticholinegric therapy

    9. Patient Teaching Checklist

    Film ShowingLecture discussion

    Lecture-discussion

    Lecture -discussionCase study

    Reporting

    PowerPointpresentation

    PowerPointpresentation

    Workbook

    PowerPointpresentation

    1 hour

    3 hours

    1 hour

    30minutes

    Verbalfeedback

    Paper andpencil test

    Well writtennursingdiagnosiswith NCP

    EvaluationCriteria

    0.5

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    mechanism of drugaction, primary actionsand important adverseeffects

    IB. Drugs Acting on the CNS AND PNS1. Drugs Class:

    o Anxiolytic and Hypnotic Drugso States affected by Anxiolytic and

    Hypnotic Drugs: Anxiety; Sedation;and Hypnosis

    o Drug subclass:i. Benzodiazepines

    ii. Barbiturateso Antidepressant Drugs

    o Depression and biogenic aminetheory of depression

    o Drug subclass:i. Tricyclic Antidepressantsii. Monoamine Oxidase

    Inhibitorsiii. Selective Serotonin

    Reuptake Inhibitorso Psychotherapeutic Agents

    o Mental Disorders and theirClassification

    o Drug subclass:i. Antipsychotics/ Neuroleptic

    Drugsii. Antimanic Drugs

    iii. CNS Stimulantso Antiepileptic Agents

    o Nature of Epilepsyo Drug subclass

    i. Hydantoinsii. Barbiturates and

    Barbiturate-like Drugsiii. Benzodiazepinesiv. Succinimides

    Lecture-discussion PowerPointpresentation

    4 hours Paper andpencil test

    0.75

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    A. Antiparkinsonism Agentso Parkinsonismo Drug subclass

    i. Anticholinergicsii. Dopaminergics

    B. Muscle Relaxantso

    Nerves and Movementso Neuromuscular abnormalitieso Drug subclass

    i. Centrally Acting SkelatalMuscle Relaxants

    ii. Direct Acting SkeletalMuscle Antispasmodics

    o Narcotics and Anti-migraine drugo Pain perceptiono Migraine Headacheso Drug subclass

    i. Narcotic Agonistsii. Opiod Receptors

    iii. Narcotic Agonists-Antagonists

    iv. Narcotic Antagonistsv. Ergot Derivatives

    vi. Triptanso General and Local Anesthetics

    o Drug subclassi. Local Anesthesia-

    techniques ofadmnistration

    ii. General Anesthesia- typesand stages

    o Neuromuscular Blocking Agentso Neuromuscular Junctiono Drug subclass

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    i. NondepolarizingNeuromuscular JunctionBlockers

    ii. DepolarizingNeuromuscluar JunctionBlockers

    o Sites of action, onset, and duration2. Mechanism of Actions3. Therapeutic Actions and Indications4. Pharmacokinetics5. Contraindications and Cautions6. Adverse Effects7. Drug-drug Interactions8. Nursing Process

    Clients receiving Benzodiazepines Clients receiving Antidepressant Therapy Clients receiving Conventional

    Antipsychotic Drugs Clients receiving Levodopa Therapy Clients receiving Drugs for Muscle Spasm Clients receiving Opioid Therapy Clients receiving NSAID Therapy Clients receiving General Anesthesia

    9. Patient Teaching Checklist SSRIs Antipsychotic Neurologic Drugs Anti-epileptic Agents Levodopa Direct Acting Muscle Relaxant

    Anti-epileptic Agents Local Anesthetics

    Lecture-discussionCase Study

    Reporting

    Workbook

    PowerPointpresentation

    1 hour

    30minutes

    Well writtennursingdiagnosis andNCP

    Evaluationcriteria

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    Given relevant questions,the students will be ableto:1. Explain the

    pharmacotherapy ofthe following :

    a. Hypertensiveconditions

    b. Lipid disordersc. Heart failured. Angina

    pectorise. Myocardial

    infarctionf. Dysrythmiasg. Coagulation

    disordersh. Hematopoeitic

    disorders2. Describe the nurses

    role in thepharmacologicalmanagement of thoseconditions.

    3. Categorize drugs usedin the treatment ofcardiovasculardisorders based ontheir classification andmechanism of actions.

    4. Utilize nursing processto care for clientsreceiving drug therapyfor cardiovascular

    II. CONCEPT ON OXYGENATION PERFUSION FUNCTIONALHEALTH PATTERNS: Activity and Exercise Pattern

    The Cardiovascular System or CVS Diseases of the CVS The Respiratory System: Upper Respiratory Tract

    and the Lower Respiratory Tract

    Respiratory Pathology

    IIA. Drugs Acting on the CVS 1. Drugs Class:

    o Antihypertensive Drugso Renin-Angiotensin Systemo BP or Blood Pressure controlo Factors affecting BPo Drug subclass:

    i. ACE Inhinitorsii. Angiotensin II Receptor

    Blockersiii. Calcium Channel Blockersiv. Vasodilatorsv. Hypotensive Agents

    o Antiarrythmic Agentso Cadiac Conductiono Automaticity of the Hearto Cardiac Arrythmiaso Drug subclass:

    i. Sodium Channel Blockersor CLASS I

    ii. Beta AdrenergicAntagonists or CLASS II

    iii. Potassium ChannelBlockers or CLASS III

    iv. Calcium Channel Blocker orCLASS IV

    Film ShowingLecture discussion

    Lecture-discussion

    PowerPointpresentation

    PowerPointpresentation

    1 hour

    6 hours

    Verbalfeedback

    Paper andpencil test

    0.5

    1

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    disorders. o Antianginal Agentso Blood supply to myocardiumo Coronary Artery Diseaseo Drug subclass:

    i. Nitratesii. Beta-adrenergic Blockers

    iii. Calcium Channel Blockerso Cardiotonic Agents

    o Cardiac Muscle Functiono Congestive Heart Failureo Drug subclass:

    i. Vasodilatrosii. Diuretics

    iii. Beta-adrenergic Agentsiv. Cardiac Glycosidesv. Phosphodiesterase

    Inhibitorso Lipid Lowering Agents

    o Metabolism of Fatso Drug subclass:

    i. HMG-COA ReductaseInhibitors

    ii. Bile-acid Binding Agentsiii. Fibric Acid Agents

    o Drugs affecting Blood Coagulationso Blood Coagulationo Clot Resolution and Anticlottingo Drug subclass:

    i. Epoietin Alfaii. Colony-stimulating Factors

    iii. Platelet Enhancer- VitaminK, Protamine Sulfate,Lepirudin

    o Drugs used to treat Anemias

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    o Blood Componentso Erythropoiesiso Anemiao Drug subclass:

    i. Iron supplements2. Mechanism of Actions3. Therapeutic Actions and Indications4. Pharmacokinetics5. Contraindications and Cautions6. Adverse Effects7. Drug-drug Interactions8. Nursing Process

    Clients receiving diuretic therapy Clients receiving Calcium Channel Blocker

    Therapy Clients receiving ACE Inhibitor Therapy Clients receiving Vasodilator Therapy Clients receiving Antidysrhythmic Therapy Clients receiving Vasodilator Therapy Clients receiving Nitroglycerin Clients receiving Cardiac Glysocide Therapy Clients receiving HMG-COA Reductase

    Inhibitors Therapy Clients receiving Epoitein Alfa Clients receiving Ferrous Sulfate

    9. Patient Teaching Checklist ACE Inhibitors Anti-anginal Nitrates Digoxin HMG-COA Reductase Inhibitors Oral Anticoagulants Iron Preparations

    Lecture-discussionCase Study

    Reporting

    Workbook

    PowerPointpresentation

    2 hours

    1 hour

    Well writtennursingdiagnosis andNCP

    Evaluationcirteri

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    Given relevant questions,the students will be ableto:1. Explain the

    pharmacotherapy ofthe respiratorydisorders.

    2. Describe the nursesrole in thepharmacologicalmanagement of thoseconditions.

    3. Categorize drugs usedin the treatment ofrespiratory disordersbased on theirclassification andmechanism of actions.

    4. Utilize nursing processto care for clientsreceiving drug therapyfor respiratorydisorders.

    IIB. Drugs Acting on the Respiratory System 1. Drugs Class:

    o Bronchodilatorso Beta-Agonistso Methylxanthineso Anticholinegrics

    o Antitussiveso Expectorants

    2. Mechanism of Actions3. Therapeutic Actions and Indications4. Pharmacokinetics5. Contraindications and Cautions6. Adverse Effects7. Drug-drug Interactions

    8. Nursing Process Clients receiving Antihistamine Therapy Clients receiving Bronchodilator Therapy

    9. Patient Teaching Checklist Antihistamines

    Lecture-discussionFilm Showing

    Lecture-discussionCase Study

    Reporting

    PowerPointpresentation

    Workbook

    PowerPointpresentation

    1 hour

    1 hour

    15minutes

    Paper andpencil test

    Well writtennursingdiagnosis andNCP

    EvaluationCriteria

    0.75

    III. CONCEPT ON FLUIDS AND ELECTROLYTES FUNCTIONALHEALTH PATTERNS:Elimination Patterns

    The Renal System Renal Disorders

    IA. Drugs Acting on the Renal System 1. Drug Class:

    o Diuretics o Renal Absorption and Secretion o Fluid and Electrolyte Balance

    Film ShowingLecture discussion

    Lecture-discussion

    PowerPointpresentation

    PowerPointpresentation

    1 hour

    2 hours

    VerbalFeedback

    Paper andpencil test

    0.5

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    o Renal Failure o Drug subclass:

    i. Thiazides ii. Potassium-sparing

    Diuretics iii. Potassium-losing

    Diuretics iv. Osmotic Diuretics v. Carbonic Anhydrase

    Inhibitors o Urinary Tract Agentso Parenteral fluids and electrolytes

    o IVF: hypotonic, hypertonic,isotonic

    o Electrolytes: Sodium,Potassium, Chloride

    2. Mechanism of Actions3. Therapeutic Actions and Indications4. Pharmacokinetics5. Contraindications and Cautions6. Adverse Effects7. Drug-drug Interactions8. Nursing Process

    Clients receiving Diuretic Therapy

    9. Patient Teaching Checklist Diuretic Agents Urinary Tract Agents

    Lecture-discussionCase Study

    Reporting

    Workbook

    PowerPointpresentation

    15minutes

    30minutes

    Well writtennursingdiagnosis andNCP

    EvaluationCriteria

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    GRADING SYSTEM:Theory:

    Major Exam 40%Quizzes 30%Requirements 10%Oral recitation 10%

    Attitude and Attendance 10%TOTAL 100%

    RLE or Skills:

    Return Demonstration 50%Exam 20%Quizzes 20%Attitude and Attendance 10%TOTAL 100%

    REFERENCES:Karch, A. (2011). Focus on Nursing Pharmacology. 5 th edition. Lipincott Williams and Wilkins Inc.Kee, J., Hayes E, and McCuisition M.(2006). Pharmacology: A Nursing Approach. 4 th edition.Lehne, R. (2005). Pharmacology for Nursing Care. 5 th edition. Elsevier Inc.

    Instructor: Noted by: Approved by:

    JOHN PAUL BEN T. SILANG, RN, MAN PROF. GLORIA SHIELA E. COYOCA, RN, MAN PROF. CLOWE JONDONERO, RN, MAN, MSci.Ed. Clinical Instructor III Academic Coordinator College DeanMODULE 2

    Updated: January 2013