Stephen F. Austin State University DeWitt School of ... · Section Number: 001 Spring 2011 ......

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Stephen F. Austin State University

DeWitt School of Nursing

PHARMACOLOGY ACROSS THE LIFESPAN SYLLABUS

Course Number: NUR 308

Section Number: 001

Spring 2011

Course Instructor

Gina Haidinyak, M.Ed., MSN, JD, RN

ALL INFORMATION IN THIS SYLLABUS IS SUBJECT TO THE WRITTEN

POLICIES AND PROCEDURES OF THE SCHOOL OF NURSING, STEPHEN F.

AUSTIN STATE UNIVERSITY, NACOGDOCHES, TEXAS.

IN THE CASE OF COMMISSION, OMISSION, AMBIGUITY, VAGUENESS, OR

CONFLICT, THE POLICIES AND PROCEDURES OF THE SCHOOL OF NURSING

SHALL CONTROL.

EACH STUDENT SHALL BE RESPONSIBLE FOR ACTUAL AND/OR

CONSTRUCTIVE KNOWLEDGE OF THE POLICIES AND PROCEDURES OF THE

SCHOOL OF NURSING AND FOR COMPLIANCE THEREWITH.

EACH STUDENT IS RESPONSIBLE FOR ALL INFORMATION IN THIS SYLLABUS.

This syllabus is provided for informational purposes only.

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Name: Greta Eugenia (Gina) Haidinyak, M.Ed., MSN, JD, RN

Department: Nursing

Email: [email protected]

Phone: 936-468-7735

Office: Room 106

Office Hours: Mondays: 1115 – 1200; 1300 – 1700

Tuesdays 1445 - 1700; Wednesdays 1115 – 1200

Thursdays 1445 – 1700

Class Meeting Time and Place: 0900 – 1200 Tuesdays in Room 107

Textbooks and Materials: Broyles, B., Reiss B.. & Evans, M. (2007) Pharmacological Aspects of Nursing Care (7

th ed.)

Clifton Park, NY: Thomson/Delmar Learning

Morris, Deborah (2010) Calculating with Confidence (5th

ed.). St Louis, Missouri: Elsevier

Mosby

Course Description

This course establishes a foundation for the pharmacological aspects of nursing and builds on

concepts from core curriculum, previous, and concurrent nursing courses. The course will

encompass basic principles of pharmacology, medication administration, and classification of

drugs.

Number of Credit Hours 3 credit hours (3 lecture)

Course Prerequisites and Co-requisites

Pre-requisites: NUR 304, NUR 305, Admission to Nursing Program

Co-requisites: NURS 306, NURS 307

Program Learning Outcomes

1. Apply knowledge of the physical, social, and behavioral sciences in the provision of nursing

care based on theory and evidence based practice.

2. Deliver nursing care within established legal and ethical parameters in collaboration with

clients and members of the interdisciplinary health care team.

3. Provide holistic nursing care to clients while respecting individual and cultural diversity.

4. Demonstrate effective leadership that fosters independent thinking, use of informatics, and

collaborative communication in the management of nursing care.

5.Assure responsibility and accountability for quality improvement and delivery of safe and

effective nursing care.

6. Serve as an advocate for clients and for the profession of nursing.

7. Demonstrate continuing competence, growth, and development in the profession of nursing.

General Education Core Curriculum Objectives/Outcomes

None

mailto:[email protected]

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Student Learning Outcomes

1. Identify concepts and principles of the arts, sciences, humanities, and nursing as foundational

content for the science of pharmacological nursing.

2. Identify the nursing responsibility and accountability related to pharmacology and medication

administration.

3. Identify the interdisciplinary collaboration involved with pharmacology.

4. Describe the moral, ethical, economic, political, and legal issues involved in nursing and

pharmacology.

5. Explain how holistic, socio-economic, spiritual, and ethno-cultural characteristics of clients

affect nursing and pharmacology.

6. Identify selected drug classifications, mechanisms of action, indications for use, and pertinent

client educational needs.

7. Evaluate drug effects on physiologic and psychological processes.

8. Describe processes utilized in medication administration.

9. Demonstrate medication calculations through successful completion of calculation exam prior

to administering medications in the clinical setting.

Course Requirements:

Homework 9%

Attendance and Participation 1%

Group Project 10%

Test I 20%

Test II 20%

Test III 20%

Final Exam 20%

Course Calendar:

TENTATIVE SCHEDULE

ALL ASSIGNMENTS ARE IN BROYLES UNLESS OTHERWISE INDICATED.

Jan. 25 Introduction to Course

Drug Actions and their Actions (Chapters 1)

Chapters 1 – 9 in Morris

Feb. 1 Drug Administration (Chapter 2)

IV Therapy and Calculations (Chapters 3 & 4)

Chapters 10 – 14, 17, & 18 in Morris

Calculation Homework #1 Due

Feb. 8 Pediatric and Geriatric Therapy (Chapters 5 & 6)

Diabetic and Endocrine Agents (Chapters 36 & 37)

Chapters 19 – 23 in Morris


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Feb. 15 CALCULATION TEST


Antimicrobial Agents - Antibiotics (Chapter 7)

Feb. 18 (Friday) Make-up Calculation Test at 1:00 PM

Feb. 22 Antimicrobial and Related Agents (Chapters 8 and 9)

GI Agents (Chapters 24, 25 and 26)

PRESENTATIONS #1 AND #2

March 1 TEST I

Agents for Eye, Ear and Skin Disorders (Chapters 41, 42 & 43)

March 8 ANS Agents (Chapter 34)

Respiratory Agents (Chapters 14, 15 and 16)

PRESENTATIONS #3 and #4

March 15 SPRING BREAK

March 22 CV Agents I (Chapters 17 & 18)

CV Agents II (Chapter 19)


March 29 CV Agents III (Chapter 20)

CV Agents IV (Chapters 21, 22 & 23)


April 5 TEST II

Chemotherapy and Immune Agents (Chapters 39 & 40)

April 12 Agents for Pain and Inflammation (Chapters 10, 12 and 13)

Neurological Agents I (Chapters 27 and 28)


April 19 Neurological Agents II (Chapters 29, 30 and 31)

Neurological Agents III (Chapters 32 and 33)


April 26 Test III

May 3 Optional Review (0900 – 1030)

Make-up Exams (1030 – 1200)

May 10 COMPREHENSIVE FINAL EXAMINATION (1000 - 1200)

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Grading Policy:

A = 90 - 100

B = 80 - 89

C = 75 - 79

F = 74 and below

Attendance Policy: Class attendance and participation are important. Students are expected to attend class.

Attendance and participation are worth one percent (1%) of the grade. In a class which meets

only once a week, more than one (1) unexcused absence is excessive and may result in a loss of

one percent (1%) credit.

Academic Integrity (A -9.1) Academic integrity is a responsibility of all university faculty and students. Faculty members

promote academic integrity in multiple ways including instruction on the components of

academic honesty, as well as abiding by university policy on penalties for cheating and

plagiarism.

Definition of Academic Dishonesty

Academic dishonesty includes both cheating and plagiarism. Cheating includes but is not limited

to (1) using or attempting to use unauthorized materials to aid in achieving a better grade on a

component of a class; (2) the falsification or invention of any information, including citations, on

an assigned exercise; and/or (3) helping or attempting to help another in an act of cheating or

plagiarism. Plagiarism is presenting the words or ideas of another person as if they were your

own. Examples of plagiarism are (1) submitting an assignment as if it were one’s own work

when, in fact, it is at least partly the work of another; (2) submitting a work that has been

purchased or otherwise obtained from an Internet source or another source; and (3) incorporating

the words or ideas of an author into one’s paper without giving the author due credit.

Please read the complete policy at http://www.sfasu.edu/policies/academic_integrity.asp

Withheld Grades (Semester Grades Policy A – 54) Ordinarily, at the discretion of the instructor of record and with the approval of the academic

chair/director, a grade of WH will be assigned only if the student cannot complete the course

work because of unavoidable circumstances. Students must complete the work within one

calendar year from the end of the semester in which they receive a WH, or the grade

automatically becomes an F. If students register for the same course in future terms the WH will

automatically become an F and will be counted as a repeated course for the purpose of

computing the grade point average.

The circumstances precipitating the request must have occurred after the last day in which a

student could withdraw from a course. Students requesting a WH must be passing the course

with a minimum projected grade of C.

http://www.sfasu.edu/policies/academic_integrity.asp

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Students with Disabilities To obtain disability related accommodations, alternate formats and/or auxiliary aids, students

with disabilities must contact the Office of Disability Services (ODS), Human Services Building,

and Room 325, 468-3004/ 468-1004 (TDD) as early as possible in the semester. Once verified,

ODS will notify the course instructor and outline the accommodation and/or auxiliary aides to be

provided. Failure to request services in a timely manner may delay your accommodations. For

additional information, go to http://www.sfasu.edu/disabilityservices/.

Acceptable Student Behavior Classroom behavior should not interfere with the instructor’s ability to conduct the class or the

ability of other students to learn from the instructional program (see Student Conduct Code,

policy D – 34.1). Unacceptable or disruptive behavior will not be tolerated. Students who

disrupt the learning environment may be asked to leave class and may be subject to judicial,

academic or other penalties. The prohibition applies to all instructional forums, including

electronic, classroom, labs, discussion groups, field trips, etc. The instructor shall have full

discretion over what behavior is appropriate/inappropriate in the classroom. Students who do not

attend class regularly or who perform poorly on class projects/exams may be referred to the

Early Alert Program. This program provides students with recommendations for resources or

other assistance that is available to help SFA students succeed.

WEIGHTED MEAN AVERAGE

A student must have a weighted mean average of at least seventy-five percent (75%) on Tests I,

II, III and the Comprehensive Final Examination to pass the course. This will be calculated by

taking each test score and multiplying it by the percentage it is worth. Those results will be

added and the total divided by the total percentage of the tests.

If the weighted mean average of the tests is less than 75%, the student will earn an “F” in the

course.

A STUDENT WHO FAILS THE COURSE WILL NOT BE ALLOWED TO PROGRESS

IN THE NURSING PROGRAM.

CALCULATION TEST

A student must pass the Calculation Test before being allowed to administer medications in the

clinical area. A student who does not pass the Calculation Test will earn an “F” in the course.

MAKE-UP EXAMS

For good cause shown, Make-up Exams will be given during dead week after the optional

review.

http://www.sfasu.edu/disabilityservices/

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TENTATIVE SCHEDULE

INTRODUCTION TO COURSE

Reading: Syllabus

DRUGS AND DRUG ACTIONS

Reading: Chapter 1 in Broyles

Objectives

1. Describe the scope of the science of pharmacology

2. Identify drug sources and provide an example of each.

3. Compare the significance of the chemical name, generic name and brand name of a drug.

4. Discuss the significance of peak and trough concentrations.

5. Define half-life of a drug.

6. Define therapeutic index.

7. Differentiate among each of the following adverse drug reactions: side effect, toxic

effect, allergic reaction, idiosyncratic reaction and teratogenic effect.

8. Describe how drugs are absorbed and distributed through the body.

9. Differentiate between enteral and parenteral administration of a drug.

MATH REVIEW

Reading: Chapter 1 – 5 in Morris

Objectives

1. Recognize the symbols used to represent numbers in the Roman numeral system.

2. Convert Roman numerals to Arabic numbers.

3. Convert Arabic numbers to Roman numerals

4. Compare the sizes of fractions.

5. Add, subtract, divide and multiply fractions.

6. Reduce fractions to lowest terms.

7. Reade and write decimals.

8. Compare the sizes of decimals.

9. Convert fractions to decimals and decimals to fractions.

10. Add, subtract, multiply and divide fractions.

11. Round decimals to the nearest tenth and nearest hundredth.

12. Define ratio and proportion.

13. Calculate problems for a missing term (x) using ratio and proportion.

14. Define percent.

15. Convert percents to fractions, decimals and ratios.

16. Convert decimals and fractions to percents.

17. Convert fractions to ratios.

18. Determine the percents of numbers.

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SYSTEMS OF MEASUREMENT

Reading: Chapters 5 – 9 in Morris

Objectives

1. Express metric measures correctly using rules of the metric system.

2. State common equivalents in the metric system.

3. Convert measures within the metric system.

4. State common apothecary equivalents.

5. State common household equivalents.

6. State specific rules that relate to the apothecary and household systems.

7. Identify symbols and measures in the apothecary and household systems.

8. Convert a unit of measure to its equivalent within the same system.

9. Convert approximate equivalents between the metric, apothecary, and household systems of

measure.

10. Convert between Celsius and Fahrenheit temperature.

11. Convert between units of length; inches, centimeters, and millimeters.

12. Convert between units of weight; pounds and kilograms, pounds and ounces to kilograms.

DRUG ADMINISTRATION


Objectives

1. Recognize the symbols used to represent numbers in the Roman numeral system.

2. Convert Roman numerals to Arabic numbers.

3. Convert Arabic numbers to Roman numerals.

4. Compare the size of fractions.

5. Add, subtract, multiply, divide and reduce fractions to the lowest terms.

6. Read and write decimals.

7. Compare the size of decimals.

8. Convert fractions to decimals and decimals to fractions.

9. Add, subtract, multiply and divide decimals.

10. Round decimals to the nearest tenth and to the nearest hundredth.

11. Define ratio and proportion.

12. Calculate ratio and proportion problems.

13. Define percent.

14. Convert percents to fractions, decimals and rations.

15. Convert decimals to percents.

16. Convert fractions to percents.

17. Convert fractions to ratios.

18. Determine the percent of numbers.

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IV THERAPY


Objectives

1. Describe the nursing considerations in caring for a client receiving an IV.

2. Discuss the complications of IV therapy.

3. Calculate the rate of flow of IV infusions.

4. Explain how to prepare a solution from a powdered medication according to directions on the

vial or other resources.

5. Identify essential information to be placed on the vial of a medication after it is reconstituted.

6. Determine the best concentration strength for medications ordered when there are several

directions for mixing.

7. Calculate dosages from reconstituted medications.

8. Differentiate between primary and secondary administration sets.

9. Differentiate between various devices used to administer IV solutions.

10. Identify the abbreviations used for IV fluids.

11. Calculate IV infusion times.

CALCULATING MEDICATIONS


Objectives

1. Interpret a medication prescription accurately.

2. Set up valid proportions to perform calculations required in administering medications.

3. Calculate safe dosages for adults, infants and children.

4. Calculate dosages for individual clients given the client’s weight and/or height and the

recommended dose.

5. List some steps to decrease errors in interpreting the strength of drugs from the written

prescription.

MEDICATION ADMINISTRATION

Reading: Chapters 10 – 13 in Morris

Objectives

1. State the consequences of medication errors.

2. Identify the causes of medication errors.

3. Identify the role of the nurse in preventing medication errors.

4. State the “rights” of medication administration.

5. Identify factors that influence medication dosages.

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6. Identify the common routes for medication administration.

7. Discuss the importance of client teaching.

8. Identify the components of a medication order.

9. Identify the meanings of standard abbreviations used in medication administration.

10. Interpret a given medication order.

11. Identify abbreviations, acronyms, and symbols recommended by the Joint Commission’s

“Do Not Use” list.

12. Read and write correct medical notations.

13. Identify necessary information that must be transcribed to a medication administration

record (MAR).

14. Read an MAR.

15. Transcribe medication orders to an MAR.

16. Identify trade and generic names of medications.

17. Identify dosage strengths and forms in which a medication is supplied.

18. Identify directions for mixing or preparing a drug when necessary.

CALCULATING MEDICATIONS

Reading: Chapters 14, 17 and 18 in Morris

Objectives

1. State a ratio and pro9portion to solve a given dosage calculation problem.

2. Solve simple calculation problems using the ratio and proportion method.

3. Identify the forms of oral medication.

4. Identify the terms on the medication label to be used in calculation of dosages.

5. Calculate dosages for oral and liquid medications using ration and proportion.

6. Apply principles learned concerning tablet and liquid preparations to obtain a rational

answer.

7. Read and measure dosages on a syringe.

8. Read medication labels on parenteral medications.

9. Calculate dosages of parenteral medications already in solution.

PEDIATRIC AND GERIATRIC THERAPY

Reading: Chapters 5 and 6 in Broyles

Objectives

1. Identify anatomical and physiological factors that may result in altered drug effects in

children.

2. Describe how pediatric dosages may be calculated.

3. Apply the nursing process as related to the administration of medications to children.

4. Identify anatomical and physiological factors that may result in altered drug effects in the

elderly.

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5. Identify social and environmental factors related to drug problems in the elderly.

6. Apply ;the nursing process related to the administration of medications to the elderly.

DIABETIC AGENTS


Objectives

1. Explain insulin function.

2. Describe signs, symptoms and treatment of hyperglycemia and hypoglycemia.

3. Discuss three adverse effects associated with insulin administration.

4. Identify the insulin currently in use.

5. Describe the mechanism of action of oral hypoglycemic agents.

6. Differentiate among short, intermediate, and long-acting insulin and give an example of each.

7. Explain in a stepwise fashion the procedures used in mixing and administering insulin.

8. Discuss the sites commonly used for insulin administration and plan a rotation pattern.

9. Discuss the local tissue responses possible with repeated insulin injections.

10. Identify factors that may produce a change in a diabetic client’s insulin requirement.

11. Briefly describe how a sliding scale of insulin administration works and describe the use of

insulin pumps.

12. Discuss adverse effects commonly associated with the use of sulfonylurea oral

hypoglycemic agents.

13. Discuss the assessment of a client with diabetic mellitus.

14. Apply the nursing process related to care of clients experiencing hypoglycemia or

hyperglycemia.

15. Prepare teaching plans for clients with Type I and Type II diabetes.

16. Identify important information on insulin labels.

17. Read calibrations on U-100 syringes.

18. Measure insulin in single and combined dosages.

19. State the importance of calculating heparin dosages accurately.

20. Calculate heparin doses.

ENDOCRINE AGENTS


Objectives

1. Describe the mechanism by which each of the following forms of therapy relieves symptoms

of hyperthyroidism: antithyroid drugs, iodides, radioactive iodine (I 131), beta-adrenergic

blocking agents, and surgery.

2. Discuss the signs and symptoms of hyperthyroidism and hypothyroidism.

3. Explain how hypothyroidism is treated.

4. Discuss the normal function of the parathyroid glands.

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5. Compare the causes, symptoms, and treatment of hypoparathyroidism and

hyperparathyroidism.

6. Discuss the hormones secreted by the anterior and posterior pituitary.

7. Compare the causes, symptoms and therapy of hypopituitarism, hyperpituitarism, and

diabetes insipidus.

8. Discuss the proper administration of human growth hormone, corticotrophin, and vasopressin.

9. Discuss appropriate nursing assessment of persons taking drugs affecting thyroid,

parathyroid, or pituitary function.

10. Apply the nursing process related to caring for clients receiving therapy for diseases of the

thyroid, parathyroid or pituitary gland.

SOLUTIONS AND IV CALCULATIONS

Reading: Chapters 19, 21 and 22 in Morris

Objectives

1. Explain how to prepare a solution from a powdered medication according to directions on the

vial or other resources.

2. Identify essential information to be placed on the vial of a medication after it is reconstituted.

6. Determine the best concentration strength for medications ordered when there are several

directions for mixing.

3. Calculate dosages from reconstituted medications.

4. Differentiate between primary and secondary administration sets.

5. Differentiate between various devices used to administer IV solutions.

6. Identify the abbreviations used for IV fluids.

7. Calculate IV infusion times.

INSULIN AND HEPARIN CALCULATIONS

Reading: Chapters 20 and 23 in Morris

Objectives

1. Identify important information on insulin labels.

2. Read calibrations on insulin syringes.

3. Measure insulin in single and combined dosages.

4. Calculate heparin dosages being administered IV and SC.

5. Calculate heparin dosages based on weight.

ANTIBIOTICS AND OTHER ANTIMICROBIAL AGENTS

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Reading: Chapters 7, 8 and 9 in Broyles

1. Identify factors determining the selection of an antimicrobial agent for the treatment of an

infection.

2. Differentiate between bactericidal and bacteriostatic.

3. Describe the therapeutic actions of antibiotics.

4. Differentiate between broad and narrow spectrum agents.

5. Identify the major classes of antimicrobial agents and the drugs found in each class.

6. Discuss the major adverse effects associated with the use of each class of antimicrobial

agents.

7. Discuss the appropriate nursing interventions in the administration of each class of

antimicrobial agents.

8. Discuss the information clients should be told about their antimicrobial medication.

9. Describe the ways in which humans contact parasites.

10. Identify ways in which drugs may exert antiparasitic effects.

11. Apply nursing care process in the administration of antiparasitic medications.

12. Describe nursing interventions to prevent reinfestation with parasites.

GI AGENTS


Objectives

1. Discuss the ways antiacids may interact with other drugs.

2. Explain the difference between systemic and nonsystemic antiacids and give an example of

each.

3. Apply the nursing process related to caring for clients receiving agents used to treat

hyperacidity and GERD.

4. Discuss the actions and effects of the various classes of drugs used in the treatment of nausea

and vomiting.

5. Compare and contrast emetics and antiemetics.

6. Apply the nursing process for clients receiving emetic and antiemetic agents.

7. Describe the characteristics of an ideal laxative.

8. Discuss the differences among the major categories of laxative agents.

9. Explain the mechanism of action, common adverse effects, and appropriate nursing measures

related to the use of major laxatives and drugs used for diarrhea.

AGENTS FOR EYE, EAR AND SKIN DISORDERS


1. Discuss the purposes for using mydriatic agents.

2. Describe two major classes of mydriatic agents, giving an example of each.

3. List the three classes of ophthalmic anti-infective agents, giving an example of each.

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4. Discuss the purposes for using corticosteroid ophthalmic preparations.

5. Explain the classes of agents that decrease the formation of aqueous humor.

6. Explain the classes of agents that increase the outflow of aqueous humor.

7. Apply the nursing process related to the administration of ophthalmic agents.

8. Discuss the primary ear disorders for which otic agents are used.

9. Discuss otitis media and its treatment.

10. Discuss the classification of otic agents, providing an example of each.

11. List the classes of otic anti-infective agents, giving an example of each.

12. Apply the nursing process related to the administration of otic agents.

13. Discuss the properties of and specific uses for ointments, creams, pastes, lotions, gets,

aerosol sprays, aerosol foams, powders, and oils when used in the treatment of

dermatological disorders.

14. Discuss the causes of dry skin and the role of emoillients.

15. Describe the therapeutic use and appropriate method of application of keratolytic agents.

16. Discuss adverse effects and contraindications related to the use of local anesthetic agents

on the skin.

17. Discuss factors to be assessed in clients receiving treatment for skin disorders.

18. Apply the nursing process related to the administration of agents used in the treatment of

dermatological disorders.

19. Apply the nursing process for clients being treated for burns.

ANS AGENTS


1. Explain the major functions of the sympathetic and parasympathetic branches of the

autonomic nervous system (ANS).

2. Discuss the functions of the alpha and beta adrenergic receptors.

3. Differentiate among and compare the actions of four categories of drugs that affect the ANS.

4. Discuss the mechanism of action of anticholinergic and direct-acting ANS agents.

5. Identify the conditions in which the use of ANS agents would be indicated or contraindicated.

6. State five adverse effects of ANS agents.

7. Apply the nursing process relative to caring for clients receiving ANS drugs.

RESPIRATORY AGENTS


Objectives

1. State the pathophysiological changes that occur in clients with the common cold and with

allergic rhinitis.

2. State the mechanisms by which antihistamines exert their pharmacological effect.

3. Discuss the adverse effects commonly caused by antihistamines.

4. Identify antihistamines that are effective in preventing or countering motion sickness, nausea

and vomiting.

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5. State the mechanism by which nasal decongestants exert their pharmacological effects.

6. Describe the cause of rebound congestion.

7. Discuss adverse effects of nasal decongestants.

8. Apply the nursing process related to the administration of antihistamines and nasal

decongestants.

9. Discuss factors to be assessed in persons with allergic rhinitis and the common cold.

10. Identify agents currently in clinical use as antitussives or expectorants.

11. State the mechanisms by which expectorant and antitussive agents produce their therapeutic

effects.

12. Discuss factors to be assessed in clients taking expectorants or antitussives.

13. Discuss when the use of expectorants or antitussive agents, or both, is clinically desirable.

14. Apply the nursing process related to the administration of expectorant and antitussive agents.

15. Explain the mechanism by which adrenergic stimulants and xanthine derivatives produce

bronchodilation.

16. discuss the adverse effects commonly seen in the use of bronchodilator agents.

17. Discuss factors to be assessed in persons with chronic obstru ctive pulmonary disease

(COPD).

18. Discuss the mechanism by which corticosteroids work to prevent asthmatic attacks.

CARDIOVASCULAR AGENTS

PARTS I, II, III, AND IV

Reading: Chapters 17, 18, 19, 20, 21, 22, and 23 in Broyles

Objectives

1. Distinguish between positive and negative inotropic, chronotropic, and dromotropic effects of

agents on the heart.

2. Discuss the mechanisms by which cardiac glycosides provide effective treatment for heart

failure.

3. Discuss factors which affect the selection for an appropriate cardiac glycoside for a particular

client.

4. Define a digitalizing dose.

5. Discuss the most common gastrointestinal, neurological, and cardiac symptoms indicative of

cardiac glycoside intoxication.

6. Discuss factors that may predispose a client to the development of cardiac glycoside toxicity.

7. Describe the mechanism of action and adverse effects related to the use of inamrinone and

milirinone.

8. Describe the mechanism of action and adverse effects related to the use of calcium channel

blockers.

9. Apply the nursing process for clients receiving cardiac drugs.

10. Discuss ways in which antiarrhythmic drugs act to diminish or obliterate rhnythm

disturbances of the heart.

11. Discuss the most common adverse effects associated with antiarrhythmic agents.

12. Apply the nursing process for clients taking antiarrhythmic agents.

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13. Discuss the mechanism of action and common adverse effects and apply nursing measures

related to the use of the cardiac stimulants most commonly employed in the treatment of shock.

14. Discuss now nitrates reduce angina pain.

15. Identify the common routes of nitroglycerin administration and the advantages associated

with each.

16. Explain the storage requirements necessary for nitroglycerin tablets to retain their potency.

17. Discuss the major adverse effects associated with the use of nitrates.

18. Discuss the therapeutic effects and adverse effects of the major peripheral vasodilating

agents.

19. Apply the nursing process related to caring for clients receiving coronary and peripheral

vasodilators.

20. Discuss commonly used drugs that may induce bleeding or delay coagulation time.

21. Describe the mechanisms of action of heparin, oral anticoagulatns, thrombolytic enzymes,

alteplase and anistreplase.

22. Discuss the usual methods of administering heparin.

23. Describe, in a stepwise manner, the technique for subcutaneous (SC) administration of

heparin.

24. Discuss safety measures used by nurses in providing care to clients receiving heparin or oral

anticoagulants.

25. Apply the nursing process used in providing care for clients receiving heparin or oral

anticoagulants.

26. Discuss the educational needs of clients receiving heparin, oral anticoagulants, or both.

27. Apply the nursing process for a client following intracoronary thrombolysis, employing

urokinase, streptokinase, alteplase, or anistreplase.

28. Discuss the major classes of diuretics, their mechanism of action, and their side effects.

29. Explain the mechanism of action and major adverse effects for each of the commonly used

antihypertensive drugs.

30. List major nursing diagnoses and goals in caring for hypertensive clients.

31. Discuss the long-term management of hypertensive clients.

32. Apply the nursing process when caring for clients experiencing a hypertensive emergency.

33. Discuss the major risk factors associated with the development of atherosclerosis.

34. Explain the mechanism of action of each class of agents used in the treatment of

hyperlipidemia.

35. Discuss the role of diet and drug therapies in the control of hyperlipidemia.

36. Discuss the common adverse effects of agents used to treat hyperlipidemia.

37. Apply the nursing process related to the administration of agents used to treat

hyperlipidemia.

38. Discuss common factors to be included in a comprehensive nursing assessment of the client

with hyperlipidemia.

39. Explain the symptoms of anemia.

40. Identify persons at high risk for the development of iron deficiency anemia.

41. Discuss the advantages and disadvantages or oral and parenteral iron therapy.

42. Discuss the causes and effects of Vitamin B 12 deficiency.

43. Discuss drugs that can cause blood loss.

44. Identify several common causes of hypokalemia.

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45. Apply the nursing process associated with the administration of vitamin and mineral

preparations.

46. Explain the function of the nurse in providing nutritional education.

47. Apply the nursing process for clients receiving total parenteral nutrition (TPN).

CHEMOTHERAPY AND IMMUNE AGENTS

Reading: Chapters 39 and 40 in Broyles

1. Differentiate the drugs most often used to stimulate the immune system from those used to

suppress the immune system.

2. Discuss the major adverse effects of drugs used to suppress the immune system.

3. Apply the nursing process for clients receiving drugs to stimulate the immune system.

4. Apply the nursing process for clients receiving drugs to suppress the immune system.

5. List the recommended childhood immunizations.

6. Discuss the major classes of antineoplastic agents and give an example of an agents in each

class.

7. Explain the major therapeutic actions and adverse effects of each class of antineoplastic

agents.

8. Describe important aspects of nursing assessment for clients receiving cancer thermotherapy.

9. Apply the nursing process for clients receiving anticancer agents.

10. Discuss measures taken to ensure the safe administration of antineoplastic agents.

AGENTS FOR PAIN AND INFLAMMATION

Reading: Chapters 10, 12, and 13 in Broyles

Objectives

1. Discuss the major therapeutic actions and adverse effects of each class of analgesics and

antipyretics.

2. Apply the nursing process for clients receiving each of the classes of analgesics and

antipyretics.

3. Describe the use of placebos.

4. Identify client behaviors indicative of pain and the nursing actions that might be associated

with pain control.

5. Describe the mechanism of the nonsteroidal anti-inflammatory agents.

6. Discuss the major adverse effects associated with the use of nonsteroidal anti-inflammatory

agents.

7. Describe the mechanism of corticosteroid action in the treatment of inflammation.

8. Discuss the major adverse effects associated with the use of corticosteroids.

9. Apply the nursing process related to the use of nonsteroidal and steroidal anti-inflammatory

agents.

10. Explain the pathophysiological changes seen with gout.

11. escribe the use of colchicines in the treatment of an acute attack of gout.

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12. Contrast the mechanisms by which probenecid (Benemid), sulfinpyrazone (Anturance), and

allopurinol (Zyloprim) reduce serum uric acid levels.

13. List common side effects of the drugs used to treat gout.

14. Apply the nursing process in the care of a client with gout.

NERVOUS SYSTEM AGAENTS

PARTS I, II, AND III

Reading: Chapters 27, 28, 29, 30, 31, 32 and 33 in Broyles

Objectives

1. Explain the difference between a drug used as a sedative and one used as a hypnotic.

2. Discuss the therapeutic effects and side effects of the major barbiturates and nonbarbiturate

sedative-hypnotics.

3. Apply the nursing process related to the administration of each of the barbiturate and

nonbarbiturate sedative-hypnotic agents.

4. Describe the major classes of psychotropic agents and give an example of an agent in each

class.

5. Discuss the mechanism of action of the major classes of psychotropic agents.

6. Describe the major therapeutic and side effects associated with the use of each class of

psychotropic agents.

7. Explain the behavioral observations the nurse should make when a client is receiving a

psychotropic agents.

8. Apply the nursing process related to providing care for clients receiving each of the classes of

agents used in the treatment of psychiatric disorders.

9. Discuss three indications for the use of central nervous system (CNS) stimulants.

10. Discuss adverse effects associated with the use of anorectic drugs.

11. Discuss CNS stimulant drugs having anorectic activity and those without anorectic activity.

12. Identify the agents used as CNS stimulants.

13. List the agents used to treat Attention-Deficit Hyperactivity Disorder (ADHD).

14. Discuss the agents used to treat the symptoms of Alzheimer’s Disease.

15. Explain specific nursing interventions related to the administration of agents used to treat

ADHD and Alzheimer’s Disease.

16. Apply the nursing process related to the use of CNS stimulants, agents used to treat ADHD,

and agents used to treat the symptoms of Alzheimer’s Disease.

17. Describe uses for neuromuscular blocking agents.

18. Apply the nursing process related to administration of the major neuromuscular blocking

and centrally acting skeletal muscle relaxants and stimulants.

19. Explain the mechanism by which levodopa acts to alleviate the symptoms of Parkinson’s

Disease.

20. Discuss the actions and adverse effects of the agents used in the treatment of Parkinson’s

Disease.

21. Apply the nursing process related to the administration and use of the major anti-Parkinson

agents.

22. Discuss the most commonly used anticonvulsants and indicate their major side effects.

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23. Explain the important aspects of a client education program for a person just diagnosed as

having a seizure disorder and started on anticonvulsants.

24. Discuss factors to be assessed in monitoring the effectiveness of anticonvulsant drug

therapy.

25. Discuss techniques of oral care that may decrease gum problems due to phenytoin (Dilantin)

therapy.

26. Apply the nursing process for clients taking anticonvulsants.

27. Explain special nursing needs of clients receiving treatment for status epilepticus.

28. Define the terms substance misuse, substance abuse, habituation, physical dependence,

psychological dependence, addiction, tolerance, cross-tolerance and alcoholism.

29. Explain the major pharmacological effects and use method of abuse for commonly abused

drugs.

30. Explain the use of methadone maintenance and narcotic antagonist therapy in the treatment

of the opiate abuser.

31. Discuss appropriate nursing assessment for persons who abuse substances.

32. Describe emergency nursing care given to substance abusers.

33. Apply the nursing process for persons who are chronic or recurrent substance abusers.

34. Discuss the management of health care workers who are substance abusers.

35. Describe several resources for information on substance abuse.

HOMEWORK ASSIGNMENTS

There are three (3) homework assignments and each is worth three percent (3%) on the grade.

Answers will be completed on scantrons (Form no. 30423).

Homework Assignment #1 is due Feb. 1, 2011 at the beginning of class.



GROUP PROJECT

Each student will participate in the completion of a group project. This project will be worth ten

percent (10%) of the grade.

Each student will be assigned to a group and each group will present a program on an assigned

medication on a specified date. The presentation is worth forty-five percent (45%) of the project

grade. The presentation should last at least ten (10) minutes and not more than fifteen (15)

minutes. A brochure prepared by the group should be presented to each class member at the

beginning of the presentation. The brochure should be written in a format for client

teaching.

Each group will also present a written paper on the assigned medication. This paper will be

worth forty-five percent (45%) of the project grade. The paper should be at least five (5) pages

and no more than ten (10) pages long and shall be typed and double-spaced. Quantity is not a

substitute for quality. The paper should explain relevant facts about the medication and then

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present a teaching plan based on the nursing process. You may use the text, but use at least

three (3) references additional references. You may use APA or any recognized writing format.

Use at least one nursing reference. Do not use Wikipedia. The paper should have the

following sections:

1. Introduction

2. Facts about the Medication

a. Type

b. Action

c. Dosage/route(s) of administration

d. Side/adverse/toxic effects

3. Nursing Process

a. Assessment (specific to this medication)

b. Nursing diagnosis (related to lack of knowledge about medication)

c. Teaching plan (be specific on WHO you will teach (client and/or caregivers, parents);

WHERE you will teach (clinic, hospital, home), have at least two (2) learning

objectives based on observable behaviors, and identify audiovisual aids and

pamphlets you will use

d. Evaluation (how this will be done: verbally, written test, computer test or other)

4. Conclusion

5. References

The paper will be due on the date of the presentation. Visual aids such as power point, You

Tube and play-acting may be used during the presentation. BE CREATIVE.

Group participation is important and each student will evaluate the other students in the group.

Each student should complete a separate evaluation sheet for all other students in the group.

These peer evaluations will be worth five percent (5%) of the project grade.

Part of a group project is learning to work together and every student will receive the same grade

for the project unless a student has a deduction for poor peer evaluations. Because of this, please

make sure all the work has been done to your satisfaction even if it was not part of your specific

assignment.

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GRADING CRITERIA

Presentation (45%)

1. Time Limits Observed (10 – 15 minutes) 5%

2. Brochure (creativity) 20%

3. Attire and Demeanor 5%

4. Content 15%

Paper (55%)

1. Introduction 5%

2. Facts about the Medication 10%

a. Type

b. Action

c. Dosage/route(s) of administration

d. Side/adverse/toxic effects

3. Nursing Process 20%

a. Assessment

b. Nursing Diagnosis

c. Teaching Plan

d. Evaluation

4. Conclusion 5%

5. References 5%

6. Grammar/Spelling/Format 5%

7. Peer Evaluations 5%

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PEER EVALUATION

Group # __________

MEDICATION: ________________________________________

DATE of presentation: ____________________________________

NAME of student doing evaluation: __________________________________________

NAME of student being evaluated: ___________________________________________

Characteristics for evaluation include attendance at planning meetings, attitude, cooperation,

completion of work and quality of work. Please provide a short description of the student being

evaluated in the space below.

Stephen F. Austin State University DeWitt School of ... · Section Number: 001 Spring 2011 ......

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