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Grossmont Health Occupations Center

VocationalNursing Program

Pharmacology

Class 63

GROSSMONT HEALTH OCCUPATIONS CENTERPHARMACOLOGY FOR VOCATIONAL NURSES

COURSE DESCRIPTIONThe Pharmacology for Vocational Nurses course allows the student to develop a broad understanding of the nurse’s role in medication administration and the uses of medications to treat and prevent illnesses. Drug actions, interactions, side effects, therapeutic monitoring, and adverse reactions are discussed and related to pathophysiology.

COURSE OBJECTIVESSuccessful completion of this course will enable the student to:

1. Describe the role of the Vocational Nurse in drug therapy.2. State the fundamental principles of drug actions, including their biochemical and

physiological properties.3. Describe how medications might be given, the routes, timing, and documentation of

administration.4. Discriminate between nursing interventions to maximize desired outcomes of drug

therapy.5. Describe the basic drug action for each classification of drugs.6. Identify specific uses in clinical practice for each classification of drugs.7. Evaluate nursing implications specific to each drug class.8. Write teaching plans for patient education related to drug therapy.9. Assess and describe basic pharmacokinetics.10. Identify drug/drug and drug/food interactions.11. Identify side effects that are common to each class of drugs.12. Calculate simple dosages.13. Recognize dosing related equivalencies.

REQUIRED RESOURCES

ATI Online Learning SystemATI Supplemental textbooksFundamentals of Nursing Care: Concepts, Connections, & Skills 2nd EditionIntroductory Medical-Surgical Nursing 11th EditionNursing 2015 Drug HandbookRoach’s Introductory Clinical Pharmacology 10th Edition

RECOMMENDED TEXTBOOKS:

Ogden, Shelia J. Calculations of Drug Dosages 9th edition Mosby, 2012

ATTENDANCE/ABSENCE POLICY1. Refer to the Grossmont Health Occupations Center (GHOC) attendance policy.2. Refer to Attendance Policy described in the Vocational Nursing Student Handbook.

Specific Policies: Vocational Nursing Program/Department of Nursing EducationThe following policies are in effect for students enrolled in Pharmacology for Vocational Nurses. Please refer to Vocational Nursing Student Handbook:

1. Absences and Make-up Assignments2. Criteria for Make-up Assignments3. Absences Related to Examinations

CLASSROOM CONDUCT1. Refer to the GHOC policies related to student conduct2. Refer to Student Responsibilities Related to Classroom Experiences as described in

Vocational Nursing Student Handbook.

COURSE REQUIREMENTS1. The student is responsible for attending all class sessions.2. The student is responsible for coming to class prepared to discuss the topics as assigned

and to actively participate in class.3. Written assignments will be submitted at the beginning of the class periods on the due

date. All assignments will be typed, doubled space, using “Times New Roman” True Type (12 point) font, with margins and headers at 1” in “block” style. A hard copy will be made available to the instructor for grading, unless otherwise specified.

4. Any works cited when completing a research paper or written assignment shall be noted with a bibliography submitted with the assignment.

5. Students are expected to adhere to the GHOC policies related to honest academic conduct at all times.

6. Outside assignments may include, but are not limited to, the following: Reading assignments Practice problems Memorizing and applying formulas Internet assignments

7. Students can be expected to spend a minimum of 2 hours outside of class in preparation for each hour of class.

8. Guidelines for assignments shall be provided by the Instructor.9. The student is responsible for completing all campus/laboratory skill activities.10. At the end of the course, the student is expected to submit a written evaluation of the

course on the appropriate forms.

TEACHING AND LEARNING METHODS:

1. ATI Learning system2. Lecture/Discussion3. Small Group Activities/Role Playing4. Reading and Written Assignments5. Skill demonstration6. Viewing of audiovisual materials7. Library and On-line Internet Research8. Critical Thinking exercises9. Independent study

CLASS PARTICIPATIONParticipation includes the following:

1. An ATI “Ticket to Ride” may be required by the instructor for entrance into class. This will consist of studying the assigned ATI tutorial module before class and showing proof that the module test has been completed with the minimum acceptable score (score to be determined by instructor)

2. Being on time.3. Encouraging others to participate. You can do this by limiting the number of times that

you volunteer information and by directly encouraging others who have difficulty talking in class.

4. Presentations from group activities.5. Constructive discussions/questions about readings, assignments, and class activities and

their application.6. When taking the observer role, acting as time keeper and giving defined written

feedback.

METHODS OF EVALUATION:

1. Written examinations and quizzes covering theory sessions.2. Written assignments/homework covering theory sessions.

CRITERIA FOR EVALUATIONTo successfully complete Pharmacology for Vocational Nurses, the student must meet the following guidelines:

1. Achieve an average of at least 75% on all written examinations.2. Achieve a “Meets Standards” or “Satisfactory” evaluation on all written assignments.3. Pass a dosage calculation quiz with 100% accuracy.4. Attend and participate in class.

COURSE GRADES

ATI/Quizzes 35%Final Exam 45% Homework Assignments 10%Research Paper 10%

100%

Quizzes are given at various times throughout the day and do not need to be announced ahead of time; if the student is not present at the start of a quiz, he/she will be permitted to enter the classroom but will only have the original allotted time to complete the quiz. Additionally, he/she will have an automatic 10% deduction for that quiz. No makeup allowed for Math and Meds content. Midterms and Final Exams are given at the start of the day and are timed. If the student is not present at the start of class on the day of an exam, he/she will be permitted to enter the classroom, but he/she will only have the time remaining to complete the midterm/final exam. If special considerations are necessary, the student must inform the Director and the Instructor prior to the midterm/exam day. No special considerations given for quizzes.

STUDENTS MUST ACHIEVE AN AVERAGE QUIZ/TEST SCORE OF 75% IN ORDER TO RECEIVE A SATISFACTORY GRADE IN THIS COURSE.

GRADING PRACTICESProgression in the nursing program is contingent upon taking nursing courses in a specifically designated sequence and achieving a grade of "C" or better in each course.

The letter grade earned by the student will be based on written examinations and assignments covering both classroom and clinical content.

The grading scale is as follows: 100% - 92% = A 91% - 84% = B 83% - 75% = C Less than 75% = F There is no rounding off of numbers when determining the final course grade

Any student who is "at risk" (functioning below the minimally acceptable level of performance in either the clinical or academic areas of the program) at any time during the program will be given a written notification, stating areas in which improvement is needed, suggestions for making these improvements, and a date by which the objectives must be met.

LATE PAPERSLate papers will be graded accordingly. Since assignments have more learning value when completed on time, late assignments will have points deducted. If the assignment is turned in 1-4 days after the due date, 5% will be deducted from the grade. If an assignment is 5-7 days late, 10% will be deducted. Assignments submitted more than 7 days late will have deductions based on the same calculations. For example, an assignment submitted 3 days late will have a deduction of 5%, an assignment submitted 6 days late will have a 10% deduction, and an assignment submitted 13 days late will have a 15% deduction.Assignments are due at the start of the class period, and assignments turned in at any other time during the class will be considered 1 day late.

EXAMINATION REVIEW POLICY AND PROCEDUREAn exam review will occur following each examination. Faculty will be available at the review session to discuss the rationale for selected answers. The procedure for this review is as follows: Retrieve exam booklet from the proctor. Using your exam booklet, compare your answers with the exam key. Return the exam booklet to the proctor prior to leaving the review room. All written materials

must be returned to the proctor with your exam booklet.

AT NO TIME SHOULD AN EXAM BOOKLET OR ANY WRITTEN MATERIALS FROM THE EXAM LEAVE THE NURSING DEPARTMENT. FAILURE TO COMPLY WITH THIS RULE WILL RESULT IN A 10% PENALTY.

Example:Original Test Score: 80%Penalty: 10%Revised Score: 70%

MATHEMATICAL PROFICIENCYEach student is expected to satisfactorily pass the Math examination with 100% accuracy in order to complete course objectives. Students identified as having difficulty with mathematical computations will be referred for remediation measures.

STATEMENT RELATED TO STUDENTS WITH SPECIAL NEEDSStudents with disabilities, or who access Disability Support Program Services, who may need “reasonable accommodations”, should discuss options with the instructor during the first (1) week of class.

NOTE: THE SCHEDULE AND PROCEDURES IN THIS COURSE ARE SUBJECT TO CHANGE IN THE EVENT OF EXTENUATING CIRCUMSTANCES.

ATI POLICY

What is ATI? • Assessment Technologies Institute® (ATI) offers an assessment driven review program designed to enhance student NCLEX-RN success. • The comprehensive program offers multiple assessment and remediation activities. These include assessment indicator for academic success, critical thinking, and learning styles, online tutorials, online practice testing, and proctored testing over the major content areas in nursing. These ATI tools, in combination with the nursing program content, assist students to prepare more efficiently, as well as increase confidence and familiarity with nursing content. • Data from student testing and remediation can be used for program’s quality improvement and outcome evaluation. • ATI information and orientation resources can be accessed from your student home page. It is highly recommended that you spend time navigating through these orientation materials.

Modular Study:ATI provides online review modules that include written and video materials in all content areas. Students are encouraged to use these modules to supplement course work and instructors may assign these during the course and/or as part of active learning/remediation following assessments.

Tutorials:ATI offers unique Tutorials that teach nursing students how to think like a nurse; how to take a nursing assessment and how to make sound clinical decisions. Nurse Logic is an excellent way to learn the basics of how nurses think and make decisions. Learning System offers practice tests in specific nursing content areas that allow students to apply the valuable learning tools from Nurse Logic. Features are embedded in the Tutorials that help students gain an understanding of the content, such as a Hint Button, a Talking Glossary, and a Critical Thinking Guide.

Assessments:Standardized Assessments will help the student to identify what they know as well as areas requiring active learning/remediation. There are practice assessments available to the student and standardized proctored assessments that may be scheduled during courses.

Active Learning/Remediation:Active Learning/Remediation is a process of reviewing content in an area that was not learned or not fully understood as demonstrated on an assessment. It is intended to help the student review important information to be successful in courses and on the NCLEX. The student’s individual performance profile will contain a listing of the topics to review. The student can remediate, using the Focused Review which contains links to ATI books, media clips and active learning templates.

The instructor has online access to detailed information about the timing and duration of time spent in the assessment, focused reviews and tutorials by each student. Students can provide documentation that required ATI work was completed using the “My Transcript” feature under “My Results” of the ATI Student Home Page or by submitting written Remediation Templates as required.

ATI GRADING CRITERIA

In addition to individual ATI assignments the following will apply to Practice Assessments and Proctored Assessments.

Practice Assessment4 points

Complete Practice Assessment ARemediation:

Minimum one hour Focused Review For each topic missed, complete an

active learning template/and or identify three critical points to remember.

Complete Practice Assessment BRemediation:

Minimum one hour Focused ReviewFor each topic missed, complete an active learning template/and or identify three critical points to remember.

Proctored AssessmentLevel 34 points

Level 23 points

Level 10 points

Below Level 10 Points

1 hour Focused ReviewActive learning template

And/or three critical points for each topic to review







2 points 2 points 2 points 2 points

Week 1 10/23/2015

Ticket to Ride: ATI Pharmacology made Easy 3.0- “Introduction to Pharmacology”, Module Test

TOPIC: The role of the Vocational Nurse in drug therapy and drug actions. Medication administration, physician orders, the rights of medication administration and documentation of medication administration

INDEPENDENT ACTIVITY/ASSIGNMENT

1. Introductory Clinical Pharmacology : Review Chapters: 1, 2, 4, & 5

THEORY OBJECTIVESOn completion of this unit of study, students will be able to:”

1. Define pharmacology.2. Discuss the nursing implications associated with drug actions, interactions and effects.3. Discuss the types of drug interactions that may be seen with drug administration.4. Identify factors that influence drug action5. Discuss the various types of drug reactions produced in the body.6. Discus how the Nursing Process may be used in the administration of drugs.7. Identify and describe the principles of medication administration, including routes of

administration and the roles and responsibilities of the nurse before, during and after a drug is administered

8. Discus how the Nursing Process may be used in the administration of drugs.

CONTENT OUTLINE

General Principlesa. Pharmacology Definedb. Drug Namesc. Drug Categories

I. Prescription DrugsII. Nonprescription DrugsIII. Controlled Substances

d. Drug Activity in the BodyI. Pharmacokinetic Phase

i. Absorptionii. Distribution

iii. Metabolismiv. Excretionv. Half-Life

II. Pharmacodynamic Phasei. Alteration I Cellular Environment

ii. Alteration in Cellular Functione. Drug Reactions

I. Adverse ReactionsII. Allergic Reactions

III. Drug IdiosyncrasyIV. Drug ToleranceV. Cumulative Drug EffectVI. Toxic ReactionsVII. Pharmacogenetic Reactions

f. Drug InteractionsI. Drug-DrugII. Drug-Food

g. Factors Influencing Drug ResponseI. AgeII. WeightIII. GenderIV. DiseaseV. Route of Administration

Administration of DrugsI. The Six RightsII. Considerations in Administrationa. Errorsb. Ordersc. General Principlesd. PreparationIII. OralIV. PerenteralV. TopicalVI. TransdermalVII. InhalationVIII. Responsibilities after drug administrationPatient & Family TeachingI. The Teaching/Learning Processa. The Three Domains of Learningb. Cognitivec. Affectived. PsychomotorII. Adult LearningIII. The Nursing Process as a Framework for Patient Teaching

Week 1 10/23/2015

Ticket to Ride (Due 10/23/15): ATI Dosage Calculation 2.0: Dimensional Analysis Tutorial- Dosage Calculations including Case Studies and Finals, Critical Care Medications, Pediatric Medications, Dosages by Weight, Parenteral (IV) Medications, Powdered Medications, Injectable Medications, Medication Administration, Safe Dosage Module Tests

TOPIC: Conversion and Mathematics used in Drug Administration

INDEPENDENT ACTIVITY/ASSIGNMENTI. Introductory Clinical Pharmacology : Review Chapter: 3

THEORY OBJECTIVESOn completion of this unit of study, students will be able to:

Accurately perform dosage calculations and work with equivalencies.

CONTENT OUTLINE

Arithmetic and Calculation of Drug DosagesI. Review of Arithmetic

a. Fractionsb. Ratiosc. Proportionsd. Decimals

II. Calculation of Drug Dosagesa. Systems of Measurementb. Solutionsc. Reading Drug Labelsd. Oral Dosages of Drugse. Parenteral Dosages of Drugsf. Dosage Calculation Using Dimensional Analysisg. Metric Conversions using Dimensional Analysish. Temperaturesi. Pediatric Dosages

Week 2 10/30/15

Ticket to Ride: ATI Pharmacology made Easy 3.0- “Infection” Module Test

TOPIC: Anti-infectives: Sulfonamides and Penicillins, Cephalosporins, Tetracyclines, miscellaneous other anti-infectives.

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapters: 6, 7, 8, 9, 12 & 132. Introductory Medical-Surgical Nursing : Review Chapter 12


I. List the drugs included in the anti-infective class.II. List the action, dosing information, nursing considerations, and side effects of

sulfonamides and penicillins.III. List important preadministration and ongoing assessment activities the nurse should

perform on the patient taking sulfonamides and penicillins.IV. Identify and discuss ways to promote optimal response to therapy, how to manage

adverse reactions, and important points to keep in mind when educating patients about the use of sulfonamides and penicillins.

V. Explain the difference between first-, second- and third-generation cephalosporins.VI. List the action, dosing information, nursing considerations, and side effects of

cephalosporins & tetracyclines.VII. List important preadministration and ongoing assessment activities the nurse should

perform on the patient taking cephalosporins & tetracyclines.VIII. Identify and discuss ways to promote optimal response to therapy, how to manage

adverse reactions, and important points to keep in mind when educating patients about the use of cephalosporins & tetracyclines.

IX. Distinguish between superficial and systemic fungal infections.X. List the action, dosing information, nursing considerations, and side effects of anti-

fungals, anti-virals and antiparasitics.XI. List important preadministration and ongoing assessment activities the nurse should

perform on the patient taking anti-fungals, anti-virals and antiparasitics.XII. Identify and discuss ways to promote optimal response to therapy, how to manage

adverse reactions, and important points to keep in mind when educating patients about the use of anti-fungals, anti-virals and antiparasitics.

CONTENT OUTLINE

Sulfonamidesa. Actionsb. Usesc. Adverse Reactionsd. Contraindicationse. Precautionsf. Interactions

g. The Nursing Processh. Educating the Patient and Family

Penicillins1. Drug Resistance2. Actions3. Uses4. Adverse Reactions

a. Hypersensitivityb. Superinfectionsc. Other

5. Contraindications6. Precautions7. Interactions8. The Nursing Process9. Educating the Patient and Family

CephalosporinsI. The GenerationsII. ActionsIII. UsesIV. Adverse ReactionsV. ContraindicationsVI. PrecautionsVII. InteractionsVIII. The Nursing Process

10. Educating the Patient and Family

TetracyclinesI. Drug ResistanceII. ActionsIII. UsesIV. Adverse Reactionsa. Hypersensitivityb. Superinfectionsc. OtherV. ContraindicationsVI. PrecautionsVII. InteractionsVIII. The Nursing ProcessIX. Educating the Patient and Family

Anti-FungalsI. Superficial and SystemicII. ActionsIII. UsesIV. Adverse ReactionsV. Contraindications, Precautions, and InteractionsVI. The Nursing ProcessVII. Educating the Patient and Family

Anti-ViralsI. ActionsII. UsesIII. Adverse ReactionsIV. Contraindications, Precautions, and InteractionsV. The Nursing ProcessVI. Educating the Patient and Family

Anti-ParasiticsI. Superficial and SystemicII. ActionsIII. UsesIV. Adverse ReactionsV. Contraindications, Precautions, and InteractionsVI. The Nursing ProcessVII. Educating the Patient and Family

Week 2 & 3 11/06/2015 & 11/13/15

Ticket to Ride: ATI Pharmacology made Easy 3.0- “Pain and Inflammation” Module test

TOPIC: Pain Management: narcotics, narcotic antagonists, nonsteroidal anti-inflammatory drugs, non-narcotic analgesics, non-pharmacologic pain management.

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapters: 14, 15, 16, & 172. Fundamentals of Nursing Care: Review Chapter 193. Introductory Medical-Surgical Nursing : Review Chapter 11


1. List the action, dosing information, nursing considerations, and side effects of narcotics and non-narcotics.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient taking narcotics and non-narcotics.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of narcotics and non-narcotics.

4. Describe non-pharmacologic methods of pain management, including use, action, nursing considerations, and side effects.

5. Describe the pain scales, methods of evaluating a client’s pain, and the effectiveness of pain management techniques.

CONTENT OUTLINE

Non-narcotic Drugs1. Salicyclates

a. Actionsb. Usesc. Adverse Reactionsd. Contraindications, Precautions & Interactionse. The nursing process

2. Non-Salicyclatesa. Actionsb. Usesc. Adverse Reactionsd. Contraindications, Precautions & Interactionse. The nursing process

3. NSAIDSa. Actionsb. Usesc. Adverse Reactionsd. Contraindications, Precautions & Interactions

e. The nursing processNarcotic Analgesics

1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. The nursing process

Narcotic AntagonistsI. Naloxone1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & InteractionsII. NaltrexoneI. ActionsII. UsesIII. Adverse ReactionsIV. Contraindications, Precautions & InteractionsIII. Nursing Process

Non-Pharmacologic Pain Management I. Types of Pain II. Concepts Associated with Pain III. Physiology of Pain IV. Non-Pharmacologic Pain Management a. Cutaneous Stimulation b. Massage c. Heat & Cold Applications d. TENS & EMS e. Distraction f. Acupuncture, acupressure, chiropractic techniques g. Reiki and other non-traditional methods h. Alternative medicines V. Assessing Pain

a. Pain scales VI. Evaluating Effectiveness of Pain Management

Week 3 11/13/2015

Ticket to Ride: ATI Pharmacology made Easy 3.0- “Cardiovascular System” Module Test

TOPIC: Cardiovascular Drugs: Cardiotonics and Inotropics

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapter 39


1. List the action, dosing information, nursing considerations, and side effects of cardiotonics and inotropic drugs.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient taking cardiotonics and inotropic drugs.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of cardiotonics and inotropic drugs.

4. List some diagnosis particular to a client taking cardiotonics and/or inotropic drugs.5. Identify the symptoms of digitalis toxicity.

CONTENT OUTLINE

1. Heart Failure: Review2. Cardiotonics

a. Actionsb. Usesc. Adverse Reactions, Contraindications & Precautions1. Digitalis Toxicityd. Interactions

3. Inotropic Medications4. Nursing Process

Week 4 11/20/2015

TOPIC: Cardiovascular Drugs: Anti-arrhythmic, antianginal and peripherally vasodilating drugs.

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapter 37 & 40


1. List the action, dosing information, nursing considerations, and side effects of anti-arrhythmic drugs.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient taking anti-arrhythmic drugs.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of anti-arrhythmic drugs.

4. List some diagnosis particular to a client taking anti-arrhythmic drugs.5. List the action, dosing information, nursing considerations, and side effects of anti-

anginal and peripheral vasodilating drugs.6. List important pre-administration and ongoing assessment activities the nurse should

perform on the patient taking anti-anginal and peripheral vasodilating drugs.7. Identify and discuss ways to promote optimal response to therapy, how to manage

adverse reactions, and important points to keep in mind when educating patients about the use of anti-anginal and peripheral vasodilating drugs.

8. List some diagnosis particular to a client taking anti-anginal and peripheral vasodilating drugs.

CONTENT OUTLINE

Anti-arrhythmic Drugs1. Actions

a. Class Ii. I-A

ii. I-Biii. I-C

b. Class IIc. Class IIId. Class IV

2. Uses3. Adverse Reactions, Contraindications & Precautions4. Interactions5. Nursing Process

Anti-Anginal Drugs

I. Actionsa. Nitrates

b. Calcium Channel BlockersII. Uses

a. Nitrates b. Calcium Channel BlockersIII. Adverse Reactions, Contraindications, Precautions a. Nitrates b. Calcium Channel BlockersIV. Interactions a. Nitrates b. Calcium Channel BlockersV. Nursing Process

Peripheral Vasodilating Drugsa. Actionsb. Usesc. Adverse Reactionsd. Contraindications, Precautions & Interactionse. Nursing Process

Week 4 11/20/2015

Ticket to Ride: Dosage Calculation 2.0: Desired Over Have- “Critical Care Medications” Module Test

TOPIC: Cardiovascular Drugs: Antihypertensive & Anti-hyperlipidemic Drugs

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapters 35 & 36


1. List the action, dosing information, nursing considerations, and side effects of antihypertensive & anti-hyperlipidemic drugs.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient taking antihypertensive & anti-hyperlipidemic drugs.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of antihypertensive & anti-hyperlipidemic drugs.

4. List some diagnosis particular to a client taking antihypertensive & anti-hyperlipidemic drugs.

5. Explain why BP determinations are important during therapy with an antihypertensive drug.

CONTENT OUTLINE

1. Hypertension Review2. Antyhypertensive Drugs

a. Actionsb. Usesc. Adverse Reactionsd. Contraindications & Precautions & Interactionse. Nursing Process

3. Hyperlipidemia Review4. Anti-hyperlipidemia Drugs

a. Actionsi. Bile Acid Sequestrants

ii. HMG-CoA Reductase Inhibitorsiii. Fibric Acid Derivativesiv. Niacin

b. Usesi. Bile Acid Sequestrants

ii. HMG-CoA Reductase Inhibitorsiii. Fibric Acid Derivativesiv. Niacin

c. Adverse Reactionsi. Bile Acid Sequestrants

ii. HMG-CoA Reductase Inhibitorsiii. Fibric Acid Derivatives

iv. Niacind. Contraindications & Precautions & Interactions

i. Bile Acid Sequestrantsii. HMG-CoA Reductase Inhibitors

iii. Fibric Acid Derivativesiv. Niacin

5. Nursing Process

Week 5 12/04/2015

TOPIC: Adrenergic agents & Adrenergic blocking agents: Cholinergic & Cholinergic blocking agents

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapter 24-27


1. List the action, dosing information, nursing considerations, and side effects of adrenergic, adrenergic blocking, cholinergic and cholinergic blocking drugs.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient taking adrenergic, adrenergic blocking, cholinergic and cholinergic blocking drugs.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of adrenergic, adrenergic blocking, cholinergic and cholinergic blocking drugs.

4. List some diagnosis particular to a client taking adrenergic, adrenergic blocking, cholinergic and cholinergic blocking drugs.

5. Identify nursing diagnosis particular to a client taking adrenergic, adrenergic blocking, and cholinergic drugs.

6. Identify ways to promote optimal response to drug therapy and how to manage adverse reactions to adrenergic, adrenergic blocking, cholinergic and cholinergic blocking drugs.

CONTENT OUTLINE

I. Adrenergic Drugs1. Actions

1. affects of the adrenergic receptors2. Uses

1. types of shock3. Adverse Reactions, Contraindications, Precautions & Interactions4. Nursing Process

II. Adrenergic Blocking Drugs α-Adrenergic blocking drugs

a. Actions b. Uses c. Adverse Reactions d. Contraindications, Precautions & Interactions e. Nursing Process

β-Adrenergic blocking drugs a. Actions b. Uses c. Adverse Reactions d. Contraindications, Precautions & Interactions e. Nursing Process

III. Antiadrenergic blocking drugs a. Actions b. Uses c. Adverse Reactions d. Contraindications, Precautions & Interactions e. Nursing Process

IV. α/β-Adrenergic blocking drugs a. Actions b. Uses c. Adverse Reactions d. Contraindications, Precautions & Interactions e. Nursing Process

V. Cholinergic Drugs a. Actions

b. Uses c. Adverse Reactions, d. Contraindications, Precautions & Interactions

e. Nursing Process VI. Cholinergic Blocking Drugs

a. Actions b. Uses

c. Adverse Reactions d. Contraindications, Precautions & Interactions e. Nursing Process

Week 5 & 6 12/04/2015 &12/11/2015

Ticket to Rides: Pharmacology Made Easy 3.0- “The Neurological System” Part 1 & Part 2 Module Tests

TOPIC: Sedatives, Hypnotics, CNS stimulants, Anticonvulsants & Anti-parkinsonism Drugs

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapter 19, 21, 29 & 30


1. List the action, dosing information, nursing considerations, and side effects of sedatives, hypnotics, CNS stimulant, anti-convulsant and anti-parkinsonism drugs.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient taking sedatives, hypnotics, CNS stimulant, anticonvulsant and anti-parkinsonism drugs.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of sedatives, hypnotics, CNS stimulant, anticonvulsant and anti-parkinsonism drugs.

4. List some diagnosis particular to a client taking sedatives, hypnotics, CNS stimulant, anti-convulsant and anti-parkinsonism drugs.

5. Identify nursing diagnosis particular to a client taking sedatives, hypnotics, CNS stimulant, anti-convulsant and anti-parkinsonism drugs.

6. Identify ways to promote optimal response to drug therapy and how to manage adverse reactions to sedatives, hypnotics, CNS stimulant, anti-convulsant and anti-parkinsonism drugs.

CONTENT OUTLINE

1. Sedatives & Hypnotics1. Actions 2. Uses3. Adverse Reactions, Contraindications, Precautions & Interactions4. Nursing Process

2. CNS Stimulants: analeptics, amphetamines & anorexiants1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

3. Anticonvulsants1. Seizure mechanism2. Actions3. Uses4. Adverse Reactions, Contraindications, Precautions & Interactions

5. Nursing Process 4. Anti-parkinsonism Drugs

1. Parkinson’s Disease & parkinsonism2. Dopaminergic Drugs

1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

3. Anticholinergic Drugs1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

4. COMT & Dopamine Receptor Agonists1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

Week 6 12/11/2015

TOPIC: Psychotropic Medications, Cholinesterase Inhibitors, Anti-emetic & Anti-vertigo drugs, Anesthetic & conscious sedation drugs

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapter 18, 20, 22, 23 & 28


1. List the action, dosing information, nursing considerations, and side effects of psychotropic drugs, cholinesterase inhibitors, anti-emetic and anti-vertigo drugs, anesthetic drugs and drugs for conscious sedation.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient using psychotropic drugs, cholinesterase inhibitors, anti-emetic and anti-vertigo drugs, anesthetic drugs and drugs for conscious sedation.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of psychotropic drugs, cholinesterase inhibitors, anti-emetic and anti-vertigo drugs, anesthetic drugs and drugs for conscious sedation.

4. List some diagnosis particular to a client taking psychotropic drugs, cholinesterase inhibitors, anti-emetic and anti-vertigo drugs, anesthetic drugs and drugs for conscious sedation.

5. Identify nursing diagnosis particular to a client taking psychotropic drugs, cholinesterase inhibitors, anti-emetic and anti-vertigo drugs, anesthetic drugs and drugs for conscious sedation.

6. Identify ways to promote optimal response to drug therapy and how to manage adverse reactions to psychotropic drugs, cholinesterase inhibitors, anti-emetic and anti-vertigo drugs, anesthetic drugs and drugs for conscious sedation.

CONTENT OUTLINE

1. Psychotropic Drugs1. Antianxiety Drugs

1. Actions 2. Uses3. Adverse Reactions, Contraindications, Precautions & Interactions4. Nursing Process5. Dependence

2. Antidepressant Drugs1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

3. Antipsychotic Drugs1. Actions2. Uses

3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

2. Cholinesterase Inhibitors1. Actions2. Uses3. Adverse Reactions, Contraindications, Precautions & Interactions4. Nursing Process

3. Anti-emetic & Anti- Vertigo Drugs1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

4. Anesthetic Drugs & conscious Sedation1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

Week 7 12/18/2015

Ticket to Ride: Pharmacology Made Easy 3.0- Respiratory System Module Test

TOPIC: Antihistamines & Decongestants, Bronchodilators & Asthma Drugs, Anti-tussives, Mucolytic and Expectorant DrugsCalculating IV MedicationsRe-constituting Powdered Drugs



1. List the action, dosing information, nursing considerations, and side effects of antihistamines, decongestants, bronchodilators and asthma drugs, and anti-tussives, mucolytics and expectorants.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient using antihistamines, decongestants, bronchodilators and asthma drugs, and anti-tussives, mucolytics and expectorants.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of antihistamines, decongestants, bronchodilators and asthma drugs, and anti-tussives, mucolytics and expectorants.

4. List some diagnosis particular to a client taking antihistamines, decongestants, bronchodilators and asthma drugs, and anti-tussives, mucolytics and expectorants.

5. Identify nursing diagnosis particular to a client taking antihistamines, decongestants, bronchodilators and asthma drugs, and anti-tussives, mucolytics and expectorants.

6. Identify ways to promote optimal response to drug therapy and how to manage adverse reactions to antihistamines, decongestants, bronchodilators and asthma drugs, and anti-tussives, mucolytics and expectorants.

7. Accurately calculate drip rates for IV medications.8. Accurately calculate drug dosages when re-constituting powdered medications.

CONTENT OUTLINE

1. Antihistamines & Decongestants1. Actions 2. Uses3. Adverse Reactions, Contraindications, Precautions & Interactions4. Nursing Process

2. Bronchodilators and Asthma Drugs1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

3. Anti-tussives, Mucolytics & Expectorants1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

4. Calculations1. Reconstituting Powdered Drugss2. General Principles of IV Therapy & IV Calculations

1. Flow Rate Calculation2. Infusion & completion times3. Titration calculations4. Heparin infusion calculations

Week 7 12/18/2015

Ticket to Rides: Pharmacology Made Easy 3.0- “The Hematologic System” & “The Immune System” Module Tests

TOPIC: Anticoagulant and Thrombolytic drugsAgents used for AnemiaImmunologic AgentsNeoplastic Agents

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapter 38, 50 & 52


1. List the action, dosing information, nursing considerations, and side effects of anticoagulant and thrombolytic drugs, agents used for anemia, immunologic agents and neoplastic agents.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient using anticoagulant and thrombolytic drugs, agents used for anemia, immunologic agents and neoplastic agents.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of anticoagulant and thrombolytic drugs, agents used for anemia, immunologic agents and neoplastic agents.

4. List some diagnosis particular to a client using anticoagulant and thrombolytic drugs, agents used for anemia, immunologic agents and neoplastic agents.

5. Identify nursing diagnosis particular to a client using anticoagulant and thrombolytic drugs, agents used for anemia, immunologic agents and neoplastic agents.

6. Identify ways to promote optimal response to drug therapy and how to manage adverse reactions to anticoagulant and thrombolytic drugs, agents used for anemia, immunologic agents and neoplastic agents.

CONTENT OUTLINE

1. Anticoagulant and Thrombolytic Drugs1. Anticoagulants

1. Actions 2. Uses3. Adverse Reactions, Contraindications, Precautions & Interactions4. Nursing Process

2. Thrombolytics1. Actions 2. Uses3. Adverse Reactions, Contraindications, Precautions & Interactions4. Nursing Process

2. Agents Used to Treat Anemia1. Actions

2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

3. Immunologic Agents1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

4. Antineoplastic Drugs1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

Week 8 1/5/2016

Ticket to Rides: Pharmacology Made Easy 3.0- “The Endocrine System” and “The Reproductive System” Module Tests

TOPIC: Endocrine DrugsInsulinAnti-hypoglycemic DrugsHormones



1. List the action, dosing information, nursing considerations, and side effects of insulin, anti-hypoglycemic drugs and hormones.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient using insulin, anti-hypoglycemic drugs and hormones.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of insulin, anti-hypoglycemic drugs and hormones.

4. List some diagnosis particular to a client taking insulin, anti-hypoglycemic drugs and hormones.

5. Identify nursing diagnosis particular to a client taking insulin, anti-hypoglycemic drugs and hormones.

6. Identify ways to promote optimal response to drug therapy and how to manage adverse reactions to insulin, anti-hypoglycemic drugs and hormones.

CONTENT OUTLINE

1. Insulin & Oral Antidiabetic Drugs1. Actions 2. Uses3. Adverse Reactions, Contraindications, Precautions & Interactions4. Nursing Process

2. Pituitary and Adrenocortical Hormones1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

3. Thyroid & Antithyroid Drugs1. Actions2. Uses3. Adverse Reactions

4. Contraindications, Precautions & Interactions5. Nursing Process

4. Male & Female Hormones6. Actions7. Uses8. Adverse Reactions9. Contraindications, Precautions & Interactions10. Nursing Process

5. Drugs Acting on the Uterus11. Actions12. Uses13. Adverse Reactions14. Contraindications, Precautions & Interactions15. Nursing Process

Week 8 1/05/2015

Ticket to Rides: Pharmacology Made Easy 3.0- “The Gastrointestinal System” and “The Musculoskeletal System” Module Tests

TOPIC: DiureticsUTI Specific DrugsGI specific Drugs

INDEPENDENT ACTIVITY/ASSIGNMENT/HOMEWORK1. Introductory Clinical Pharmacology : Review Chapter 41, 42, 48, & 49


1. List the action, dosing information, nursing considerations, and side effects of diuretics and drugs used to treat UTIs and disorders of the GI tract.

2. List important pre-administration and ongoing assessment activities the nurse should perform on the patient using diuretics and drugs used to treat UTIs and disorders of the GI tract.

3. Identify and discuss ways to promote optimal response to therapy, how to manage adverse reactions, and important points to keep in mind when educating patients about the use of diuretics and drugs used to treat UTIs and disorders of the GI tract.

4. List some diagnosis particular to a client taking diuretics and drugs used to treat UTIs and disorders of the GI tract.

5. Identify nursing diagnosis particular to a client taking diuretics and drugs used to treat UTIs and disorders of the GI tract.

6. Identify ways to promote optimal response to drug therapy and how to manage adverse reactions to diuretics and drugs used to treat UTIs and disorders of the GI tract.

CONTENT OUTLINE1. Diuretics

1. Actions 2. Uses3. Adverse Reactions, Contraindications, Precautions & Interactions4. Nursing Process

2. Drugs used for UTIs1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

3. Drugs used to Treat Disorders of the GI System1. Actions2. Uses3. Adverse Reactions4. Contraindications, Precautions & Interactions5. Nursing Process

Week 9 1/08/2016 FINAL EXAM 0730-0930

ATI Proctored Exam 1000-1100

APA FORMAT

Putting Your APA Paper Together

Use standard 8 ½ x 11 inch white bond paper, not erasable or onionskin.

Use a 1-inch margin on all sides of each page.

Type no more than 27 lines of text on a page.

Use only one space at the end of each sentence.

Use one space after initials in personal names, commas, colons, and semicolons.

Do not justify the right margin.

Do not break words at the end of a typed line.

Number all pages consecutively, starting with the title page.

Place a manuscript page header (usually the first two or three words from the title) on each page in theupper right hand corner, approximately three to five spaces to the left of the page number.

Type the title of the paper, centered and double spaced in upper and lowercase letters (i.e., level one heading), at the top of the page where the text begins.

Sections of the text follow each other without a break. Do not start a new page when a new heading occurs.

Indent each paragraph.

Use a hanging indent for reference entries (first line is flush left and subsequent lines are indented).

In referencing periodicals, italicize the journal title and volume number. Italicize book title.

Short quotations (fewer than 40 words) should be incorporated into the text and enclosed in doublequotation marks. Longer quotations are displayed in a block quotation (a block quotation is indentedapproximately ½ inch form the left margin, does not have quotation marks, and is not indented form the right margin).

Double space text and references. Basically, double space just about everything.

Adapted from American Psychological Association (2001).Reference:McGuire, S.L., Gerber, D.E., & Currin, M.D. (2001). Helping students use APA format. Journal of Nursing Education, 40, 414-416.

VOCATIONAL NURSING PROGRAM

Pharmacology for Vocational Nursing II

Research Assignment

Purpose: To enhance knowledge of pharmacologic agents and current issues affecting the use of pharmacologic agents in the population, and to improve writing and research skills while incorporating the APA format.

1. The paper must be typewritten and with a maximum of 3 full pages, using size 12 font, Times New Roman.

2. The paper must be double-spaced, utilizing the Publication Manual of the American Psychological Association, 6th Edition (APA format).

3. You must include at least two recent professional references (within the last 5 years) and cite it in the body of paper. (For example, Nursing 2006, American Journal of Nursing, or nursing related websites) Magazines or websites such as Redbook, Parents Magazine or www. bhg.com (Better Homes and Gardens) are not professional sources.

4. The due date for the paper is 1/08/16; however papers may be handed in early. Submit papers to your instructor. For late papers - See beginning of this syllabus.

5. Possible topics may include, but are not limited to: Antibiotic Resistance in and outside of the hospital settingPros and cons of the use of medical marijuanaMedicare prescription drug coveragePrescription drug use and abusePrescription drugs obtained outside the United StatesDrugs new to the marketAdvertisement of prescription medicationsFDA and new drug approvals: Too fast? Too slow?

Additional topics may be researched with permission from the Instructor.6. Points

10 Typewritten, maximum 3 pages, size 12 font, Times New Roman (Minus 1 point per page if over 3 pages)

10 Clarity, organization, grammar, punctuation, spelling 10 Title page, two professional sources cited in the paper, APA

format 15 Components of Paper

IntroductionBody (Content)Conclusion

________5___ Reference List in APA format 50 Total Possible Points

PHARMACOLOGY FOR VOCATIONAL NURSING

RESEARCH PAPER (attach to last page of paper)

POINTS POSSIBLE

ACTUAL

POINTS

CRITERIA

10 Typewritten, minimum 2 pages to max of 3 pages, size 12 font (Minus 1 point per page if over 3 pages), double spaced

10 Clarity, organization, grammar, punctuation, spelling10 Title page, one profession source cited in paper, in APA

format5 Reference page match the sources cited within the paper5 Introduction of topic5 Body of the paper relates directly to the topic5 Conclusion

TOTAL POSSIBLE POINTS = 50

STUDENT SCORE ______ /50 _______%

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