OGLALA LAKOTA COLLEGE COURSE SYLLABUS & ADMINISTRATION Fall 2015 Rebuilding the Lakota Nation through Education Wounspe Ihuniyan Hci Lakota Oyate Kin Akta Ic’icakagapi Kte lo Name of Course: Pharmacology for Nursing I Course Number: Nursing 312 Department: Nursing Credit Hours: Two (numpa) Time & Day: Tuesdays 10 a.m 12p.m. Instructor’s Name: Michelle L. Bruns, MSN, RN Email: mbruns@olc.edu Phones: 605-867-5856 Mobile: 308-360-1733 Office: Nursing Building Office Hours: Daily 8 a.m. – 4:30 p.m. ____________________________________________________________________________________ Location: Nursing Building Course Description (Waunspe Oyakapi): This course will be an introduction to drug therapy with the study of specific drug classifications using the nursing process, with a focus on the general principles of pharmacology, therapeutic uses, toxicity, and mechanisms of action for each class of drugs. This course is designed to closely follow the body systems and corresponding health disorders covered in N317, offered in the Fall semester. Prerequisites: Nursing 218, 224 & 234 Required Text and Materials: Frandsen, G. & Pennington, S. S. (2014). Abrams’ Clinical Drug Therapy: Rationales for Nursing Practice (10th ed). Philadelphia, PA: Lippincott Williams & Wilkins CoursePoint: Frandsen & Pennington: Abrams’ Clinical Drug Therapy, 10th ed. Course Goal: Students will obtain knowledge of the pharmaceutics, pharmacokinetics, and pharmacodynamics of various drug classes and apply that knowledge to the nursing process of administering medications to patients. Learning Objectives (Wounspe Taku Unspepi Kte Kin He Le E): Upon completion of this course students will be able to: 1. Describe the nursing process and drug therapy, pharmacologic principles and life span in development of clinical decision making. 2. Assess the cultural considerations and evaluate how the client’s ethnicity affects the pharmacologic treatment of individuals. 3. Describe the legal and ethical accountability required in the pharmacologic aspect of providing nursing care. 4. Identify various sources of information, including technological and evidence-based practice required for safe and effective administration of medication. 5. Collaborate with the client and family when conducting client-teaching regarding safe and effective use of medications in the treatment and prevention of illness and disease. 6. Discuss some native plants utilized in the area within the Native culture for disease treatment and prevention. 7. The student may engage in co-curricular activities inside and/or outside of the classroom to augment learning. Assessment: These objectives will be assessed through the use of classroom discussions, assignments, classroom presentations, medication calculation quizzes, and exams. Instructional Methodology: This course will be taught utilizing lecture-discussion format with enhancement from the use of Moodle. Course Rationale: The purpose of this course is to assist the nursing student to adequately assess, plan, intervene, and evaluate drug effects in preparation for becoming an Associate Degree Registered Nurse. Homework: Each student should expect to spend two (numpa) to three (yamni) hours out of class on reading and homework assignments each week, for every hour of class time (each credit hour), in order to perform satisfactorily. Therefore, if a course is three (yamni) credit hours you should spend approximately six (sakpe) hours outside of the course room on required readings and homework. However, every student differs in their individual skills, educational background, experience, capability and personal goals; so the amount of time you must dedicate to out of class work can vary significantly from this national average. Reading Load: Reading will include approximately three (yamni) to four (topa) chapters per week on average. Type & Amount of Writing Load: Minimal writing is required in the form of a Power Point presentation. Quizzes will contain algebraic computations and metric conversions in reference to medication administration. Some exams may include essay-type questions. Lakota Perspective Provided Through: This course stresses Wolakotakiciapi of “learning Lakota ways of life in the community”. This course is based on the values of mutual respect and generosity (woohola na wochantognakapi), seeking to advance each individual’s knowledge through their continuing hard work (fortitude- wowalitake) and willingness to learn new information and viewpoints, as well as to demonstrate it, by speaking in front of the group (bravery-woohitike); all undertaken in an environment of complete truthfulness, trust, integrity and humility. We will do this by embracing the teaching of our ancestors as we learn new ways. (Waunspe wicakiyapi ki iglutanyan ihani unpi kun hena itan waunspe tokeca uha ayin kte.) Evaluation and Grading: Nursing Department Grading Scale: A = 94-100 B = 87-93 C = 80-86 D = 73-79 F = 72 and below An 80% or better is required by the Nursing Department to pass this course. Any student with an exam average below 80% (after taking the second exam) will receive an early alert until the exam average is at or above 80%. Grading Method: Exams (7) 700 points Final Exam 200 points Medication Calculations 60 points Traditional Medicine Project 50 points CoursePoint Assignments 310 points 1320 points A = Superior Quality Work = Demonstrated concept mastery by scoring 94% or better. B = Good Quality Work = Demonstrated concept mastery by scoring 87-93%. C = Satisfactory Quality Work = Demonstrated concept mastery by scoring 80-86%. D = Marginal Quality Work = Demonstrated weak concept mastery by scoring 73-79% F = Demonstrated concept mastery below the acceptable mark of 72%, which is well below what may be required in the nursing world. W = Withdrawal = A student may withdraw from a course by filling out a Drop Card to be recorded by the Registrar. The student must sign this form if you drop yourself. A Drop Card may/can be filled out and signed by a counselor/instructor for lack of attendance. College Policy on Grading and Change of Grades: OLC Student Handbook – see page 12-13 Course Requirements, Expectations or Students: Because OLC offers classes in three-hour blocks once per week, (for everyone’s travel convenience), if you are absent from one OLC class session, it’s like missing three classes at another college. (See student handbook). Unannounced quizzes and graded in-class exercises will be given; content can include any course material assigned, up to and including the current session. Your homework assignments must be turned in on the dates due to get full credit. You are expected to participate in class discussion; this provides evidence of your interest in and preparation for the class. It also helps gauge the effectiveness of the instruction and everyone’s level of comprehension of the material presented. Most importantly, fellow class members benefit from your opinions and insights; in addition, the questions you ask may be about the same topic with which other students are having difficulty, so by helping yourself you also help them. If the Instructor is not present at the beginning of the class, and the College Center Staff has not heard from the Instructor, you should wait at least 30 minutes past the normal start-time and then if the Instructor has still not arrived, you may leave. Attendance and Tardiness OLC Student Handbook- see page 9-10 Policies on Academic Honesty OLC Student Handbook - see page 50 Standards of Conduct Policy OLC Student Handbook - see page 42-43 ADA Policy OLC Student Handbook - see page 41-42 Electronic Information Resources Acceptable Use Guidelines OLC Student Handbook - see page 45 Department Specifics: Medication Calculations are designed to keep you in the habit of correctly figuring dosages and then reviewing what you have figured, to determine if it is a safe dose, what toxic affects you may need to look for, etc. Therefore, please bring your calculators with you on exam days. You WILL need them. You will NOT be allowed to use your cell phone as your calculator! Exams are based on drug classes themselves. The Final exam will be comprehensive for the FALL semester only. You will also be responsible for completing a take home exam on assigned chapters listed in the course outline. This is due by 4:00 p.m. on the date noted in the course outline. Exams will be taken in the computer lab on Moodle – please bring a jacket or sweater, as it can be chilly in the computer lab. Traditional Medicine Project: This project is a power point presentation that you need to complete on something that is used as a traditional medicine (not necessarily from this tribe, but could be anything used as “medicine” by any indigenous group, or could include the use of herbal medications popular today). Your chosen subject needs to be approved by the instructor prior to working on your presentation. You will be asked to turn in an APA format reference sheet to the instructor on the due date along with a printed version of your power point (this may be printed in outline form which may be selected under “settings” after selecting print – OR – you may print 6 black and white slides per page). APA format needs to be followed – if you need help with the APA format, please ask – it will save you time in the end. You must use a minimum of 3 references – preferably from journals or books; try to refrain from using the herbal medicine dealer resources on the internet. The Woksape Tipi library has several books on traditional plants for healing purposes, and can order articles from other libraries for free for you, if you find one that is not carried here at OLC – they do need about a week’s worth of notice, so keep that in mind. Please refer to the course outline for the presentation due date. Ten points will be deducted DAILY for each day this is late. Missed Exams/Late Assignments: Students are expected to schedule and make up a missed exam within three days. The instructor may make exceptions to this rule in the event of extenuating circumstances. Exams taken late (after the scheduled date) will result in an automatic 10 point reduction on your test score. If the test has not been taken in a week, then an additional 10 points will be deducted every week. No further tests can be taken until this test has been made up. Every effort needs to be made to make up the test within three days of the missed test. Students unable to complete their work must talk with their instructor to make arrangements to submit it later. 10 points will be deducted daily from any late assignment as determined by your instructor. All assignments are required and not optional in order to receive a final grade in this course! If a student has course work that is overdue, that student will not be allowed to take the scheduled exam, until the course work is turned in, regardless of the anticipated grade. Late exam rules and deductions will then apply to the exam as well. It is in your best interest to turn assignments in and on time! Classroom conduct: Students are expected to be respectful in their comments and conduct regarding their instructors and fellow students. The use of iPods, cell phones, MP3/MP4 players, and texting will not be allowed in the classroom during class – TURN THEM OFF – please use the classroom breaks for use of these items. The use of laptops in class for note-taking is allowed, however, inappropriate use will not be tolerated – this includes: surfing the net, chatting, and social networking – if you feel that these are more important than paying attention in class then I might suggest that you not attend class. Tardiness: Tardiness does not belong in the realm of professional nursing and will not be tolerated. Students who are consistently tardy may be dropped from the class. If you believe you will be late for class, please contact your instructor, this is part of your professional responsibility. Tardiness to class leaves you missing out on vital information for class, as well as being disruptive and disrespectful to the rest of the class. Tardiness while test taking is particularly disruptive and chronic tardiness during test taking will result in penalties on your test scores. Upon your 3rd tardy of 15 minutes or more, your test will be docked 10% - as you have perhaps resulted in this much of a deduction in everyone else’s scores by disrupting them with your chronic late arrivals. ATI: While there is not an ATI Exit exam at the end of this semester, I strongly encourage you to keep up with the ATI reading module content and, as you will have a comprehensive ATI exam at the end of the Spring semester. Corresponding ATI content is noted within your syllabus. Note: All assignments are required and not optional in order to receive a final grade in this course! Date Oko Wanci 08/25/2015 Oko Numpa 09/01/2015 TOPICAL CONTENT Objectives by Chapter Course Orientation Chapter 1- Introduction to Pharmacology Define a prototype drug Distinguish between generic and trade names of drugs Describe the main categories of controlled substances in relation to therapeutic use, potential for abuse, and regulatory requirements. Identify the multiple safeguards that are in place to promote drug safety to packaging, drug laws, and approval processes. Recognize initiatives designated to enhance safe drug administration. Develop personal techniques for learning about drugs and using drug knowledge in patient care. Identify authoritative sources of drug information. Chapter 2 – Basic Concepts and Processes Explain each process of pharmacokinetics Discuss the clinical usefulness of measuring serum drug levels Describe major characteristics of the receptor theory of drug action Differentiate between agonist drugs and antagonist drugs. List drug-related and patient-related variables that affect drug actions Discuss mechanisms and potential effects of dug-drug interactions Identify signs and symptoms that may occur with adverse drug effects on major body systems Discuss general management of drug overdose and toxicity Discuss selected drug antidotes. Chapter 3 – Medication Administration and the Nursing Process of Drug Therapy Apply the rights of medication administration in the care of a patient Illustration knowledge needed to administer medication to a patient Identify and interpret the drug orders for medication administration Apply evidence-based practice research in the administration of medication Identify alternative or complementary therapy that may potentiate, negate, or cause toxicity with prescribed medications. (Learning Outcome [L.O.]1, 2,3; Program Learning Outcomes [P.L.O] – 1,2,3 NCLEX Blueprint – Pharmacological & Parenteral Therapies Safety & Infection Control) Chapter 4 – Pharmacology and the Care of the Infant and Pediatric Patient Identify the characteristics of pediatric pharmacotherapy in children from birth to 18 years of age Describe the evolution of pediatric pharmacotherapy and the purpose of federal legislation in the development of current practice standards. Describe methods for determining accurate pediatric dosing. Explain differences in pharmacodynamics variables between children and adults. Explain pharmacokinetic differences between children and adults. Describe nursing interventions that include caregivers to help ensure safe and effective medication administration to children. Chapter 5 – Pharmacology and the Care of the Adult and Geriatric Patient Understand pharmacodynamics and pharmacokinetic changes related to age in older adults. Understand the relevance of the Beers Criteria to medication administration in the aging population. Identify the physiological changes associated with increased age related to pharmacokinetics (absorption, distribution, metabolism, and excretion) of medications. Understand the effect of polypharmacy on the medication response of older adults Implement patient education about medication to prevent medication-related reactions and adverse effects. Chapter 6 – Pharmacology and the Pregnant or Lactating Woman Identify the pregnancy-associated changes that affect drug pharmacokinetics Analyze the effect of teratogens on the fetus during development Identify the effects of herbal and dietary supplements on the mother and fetus during pregnancy Assignments CoursePoint for Ch. 1-3 Due today to Level 3 Worth 30 points ATI Review Module – pg 165 CoursePoint for Ch. 4-6 due today to Level 3 – worth 30 points ATI Review Module – pg 66-71 Oko Yamni 09/08/2015 Oko Topa 09/15/2015 Identify pharmacological strategies to manage pregnancy-associated symptoms Identify the prototype drugs that altar uterine motility and describe these drugs Identify the prototype drugs used during labor and delivery and describe these drugs Discuss the use of drugs and herbs during lactation, including their effect on the infant Implement the nursing process in the care of the women of childbearing age. [L.O.]- 1,4,5; [P.L.O] – 1,4,5 NCLEX Blueprint – Reduction of Risk Potential, Safety & Infection Control, Physiological Adaptation, Pharmacological and Parenteral Therapies Begin Chapter 13 – Inflammation, Infection, and the Use of Antimicrobial Agents Identify the common etiologies of inflammation Discuss the pathophysiology of inflammation Describe, in general, the groups of drugs used to treat inflammation Identify the common pathogens and methods of infections control Discuss the pathophysiology of infection Discuss ways to minimize emergence of drug-resistant microorganisms Discuss ways to increase the benefits and decrease the risk associated with antimicrobial drug therapy Know how to apply the nursing process to the care of the patient who is receiving antimicrobial therapy. [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Chapter 14 – Drug Therapy to Decrease Pain, Fever, and Inflammation Discuss the role of prostaglandins in the etiology of pain, fever and inflammation Identify the major manifestations of fever and inflammation Understand the pathophysiology of osteoarthritis and gout Identify the prototype and describe the action, use, adverse effects, contraindications, and nursing implications for acetaminophen, propionic acid derivatives, oxicam derivatives, acetic acid derivatives, COX-2 inhibitors, mitotic agents, and uricosuric medications Know how to implements the nursing process in the care of patients undergoing drug therapy for pain, fever, and inflammation. Chapter 15 – Drug Therapy with Corticosteroids Understand the physiologic effects of endogenous corticosteroids Identify the pathophysiology of adrenal cortex disorders Describe the action and the clinical indications for use of exogenous corticosteroids Understand the contraindications and adverse effects of corticosteroids as well as the nursing implications of their use Analyze how other drugs and substances as well as other factors may affects the need for corticosteroids Apply the nursing process when a patient is administered a corticosteroid Chapter 16 – Drug Therapy with Beta-Lactam Antibacterial Agents Describe general characteristics of beta-lactam antibiotics Discuss the penicillins in relations to effectiveness, safety, spectrum of antibacterial activity, mechanism of action, indications for use, administration, observation of patient response, and teaching of patients. Recognize the importance of questioning patients about allergies before the initial dose of all drugs, especially penicillins Describe characteristics of beta-lactamase inhibitor drugs Give the rationale for combining a penicillin and a beta-lactamase inhibitor drug Discuss the cephalosporins, carbapenems, and the one monobactam drug in relation to effectiveness, safety, spectrum of antibacterial activity, mechanism of action, indications for use, administration, observation of patient response, and teaching of patients. Use the nursing process in the care of patients receiving beta-lactam antibacterials. Chapter 17 – Drug Therapy with Aminoglycosides and Fluoroquinolones State the rationale for the increasing use of single daily doses of aminoglycosides Discuss the importance of measuring serum drug levels during aminoglycoside therapy Exam over Ch. 1-6 Medication Calculation Quiz 1 CoursePoint for Ch. 13-19 due today to Level 3 – worth 70 points ATI Review Module – pg459-469, 483-492,583624 Oko Zaptan 09/22/2015 Oko Sakpe 09/29/2015 Describe measures to decrease nephrotoxicity and ototoxicity with aminoglycosides Identify characteristics of aminoglycosides and fluoroquinolones in relation to effectiveness, safety, spectrum of antimicrobial activity, indications for use, administration, and observation of patient responses. Recognize factors influencing selection and dosage of aminoglycosides and fluoroquinolones Describe characteristics, uses, adverse effects, and nursing process implications of fluoroquinolones. Discuss principles of using aminoglycosides and fluoroquinolones in renal impairment and critical illness Chapter 18 – Drug Therapy with Tetracyclines, Sulfonamides and Urinary Antiseptics Identify the prototype and describe the characteristics, action, use, adverse effects, contraindications, and nursing implications of the tetracyclines, sulfonamides, and adjuvant urinary antiseptic agents used in the treatment of urinary tract infections. Implement the nursing process in the care of patients being treated with tetracyclines, sulfonamides, or urinary antiseptics Chapter 19 – Drug Therapy with Macrolides, Ketolides, and Miscellaneous Anti-Infective Agents Describe the characteristics and specific uses of macrolide and ketolides anti-infective agents Identify the prototype and describe the action, use, adverse effects, contraindications and nursing implications of macrolides, ketolides, and miscellaneous anti-infective agents. Implement the nursing process in the care of patients being treated with macrolides, ketolides, and other miscellaneous anti-infective agents. [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Begin Chapter 20 – Drug Therapy for Tuberculosis and Mycobacterium avium Complex Disease Describe the etiology and pathophysiology of tuberculosis and Mycobacterium avium complex Describe the characteristics of latent, active, and drug-resistant tuberculosis Describe the drug therapy for tuberculosis, including the rationale for multiple-drug therapy List the action, uses, adverse effects, and nursing implication of first-line antitubercular drugs Describe how second-line antitubercular drugs are added to drug regimens to treat multidrugresistant tuberculosis Describe the drugs used to prevent or treat Mycobacterium avium complex Discuss ways to increase adherence to antitubercular drug therapy regimens Understand how to implement the nursing process in the care of patients undergoing drug therapy for tuberculosis [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Chapter 21 – Drug Therapy for Viral Infections Identify the characteristics of viruses and common viral infections Identify the major clinical manifestations of common viral infections Identify the prototype and describe the action, use adverse effects, contraindications, and nursing implications for antiviral agents administered for herpes simplex and varicella-zoster virus, cytomegalovirus, influenza, hepatitis, and human immunodeficiency virus (HIV). Identify the prototype and describe the action, use adverse effects, contraindications, and nursing implications for the nonnucleoside reverse transcriptase inhibitors, protease inhibitors, integrase strand transfer inhibitors and CCR5 antagonists administered for HIV. Implement the nursing process in the care of the patient undergoing drug therapy for viral infections. Chapter 22 – Drug Therapy for Fungal Infections Describe the characteristics of fungi and fungal infections Discuss antibacterial drug therapy and immunosuppression as risk factors for development of fungal infections Identify the prototype and describe the action, use, adverse effects, contraindications, and nursing implications for polyenes, azoles, echinocandins, the pyrimidine analog, and miscellaneous antifungal agents. Understand how to implement the nursing process in the care of patients undergoing drug therapy Exam - over Ch 13-19 Medication Calculation Quiz 2 CoursePoint for Ch. 20- 23 due today to Level 3 – worth 40 points ATI Review Module – pg 625-635,637652 Oko Sakowin 10/06/2015 Oko Saglogan 10/13/2015 Oko Napcinyunka 10/20/2015 for fungal infections. Chapter 23 – Drug Therapy for Parasitic Infections Describe the etiology, pathophysiology, and clinical manifestations of parasitic infections. Identify the prototype and describe the action, use, adverse effects, contraindications, and nursing implications for the amebicides, antimalarial drugs, anthelmintic drugs, scabicides and pediculicides. Implement the nursing process in the care of the patient being treated with antiparasitic agents [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Begin Chapter 7 – Drug Therapy for Coagulation Disorders Describe important elements in the physiology of hemostasis and thrombosis Discuss possible consequences of blood clotting disorders Compare and contrast heparin and warfarin in terms of indications for use, onset and duration of action, route of administration, blood tests used to monitor effects, and nursing process implications Discuss antiplatelet agents in terms of indications for use and effects on blood coagulation Discuss direct thrombin inhibitors in terms of indications, and contraindications for use, routes of administration, and major adverse effects Identify the prototype drug for each drug class Describe systemic hemostatic agents for treating overdoses of anticoagulant and thrombolytic drugs Understand how to use the nursing process in the care of patients receiving anticoagulant, antiplatelet, and thrombolytic agents [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Chapter 8 – Drug Therapy for Dyslipidemia Recognize the role of dyslipidemia in metabolic syndrome Identify sources and functions of cholesterol and triglycerides Educate patients about nonpharmacologic measures to prevent or reduce dyslipidemia Identify the prototype drug from each drug class used to treat dyslipidemia Describe the classes of dyslipidemic drugs in terms of their mechanism of action, indications for use, major adverse effects, and nursing implications Apply the nursing process in the care of patients with dyslipidemia Chapter 9 – Drug Therapy for Hematopoietic Disorders and to Enhance Immunity Briefly describe hematopoietic and immune functions Identify common clinical manifestations of inadequate erythropoiesis and diminished host defense mechanisms Discuss characteristics of hematopoietic drugs, colony-stimulating factors and interferons in terms of the prototype, mechanism of action, indications for use, adverse effects, principles of therapy, and nursing implications Implement the nursing process in the care of patients who take drugs to enhance hematopoietic and immune system function [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Chapter 11 – Drug Therapy to Suppress Immunity Describe the allergic and immune disorders as well as organ transplantation in terms of etiology, pathophysiology, and clinical manifestations. Discuss characteristics and uses of major immunosuppressant drugs in autoimmune disorders and organ transplantation. Describe the cytotoxic immunosuppressant agents in terms of prototype, action, use, adverse effects, contraindications, and nursing implications. Discuss the conventional antirejection agents in terms of prototype, action, use, adverse effects, contraindications, and nursing implications. Describe the adjuvant drugs in terms of prototypes, indications and contraindications for use, major adverse effects, and administration. Exam – over Ch. 20-23 Medication Calculation Quiz 3 CoursePoint for Ch. 7-10 due today to Level 3 – worth 40 points ATI Review Module – pg 308-319,341350 CoursePoint for Ch. 11 & 12 due today to Level 3 – worth 20 points ATI Review Module – pg 551-581 Oko Wikcemna 10/27/2015 Oko Ake Wanci 11/03/2015 Oko Ake Nunpa 11/10/2015 Understand how to use the nursing process in the care of patients receiving immunosuppressant drugs. Chapter 12 – Drug Therapy for the Treatment of Cancer Outline the etiology of cancer development Describe the major types of antineoplastic drugs in terms of mechanism of action, indications for use, and the nursing process. Discuss adverse effects of cytotoxic antineoplastic drugs and their prevention or management. Be able to teach patients about the administration of some anticancer drugs. Understand how to implement the nursing process in the care of patients undergoing drug therapy for cancer, including how to teach and promote efforts to prevent cancer. [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Begin Chapter 29 – Drug Therapy for Nasal Congestion Describe characteristics of selected upper respiratory disorders and symptoms Identify the prototype drug for each drug class Discuss nasal decongestants, antitussive agents, expectorants, and mucolytics in terms of their action, use, contraindications, adverse effects, and nursing implications Discuss the advantages and disadvantages of using combination products to treat the common cold Understand how to use the nursing process in the care of patients receiving nasal decongestants, antitussives, expectorants, and mucolytic agents. [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Chapter 30 – Drug Therapy to Decrease Histamine Effects and Allergic Response Delineate effects of histamines on selected body tissues Describe the types of hypersensitivity or allergic reactions Identify the effects of histamine that are blocked by histamine1 (H1) receptor antagonist drugs Discuss first-generation H1 receptor antagonists in terms of prototype, indications and contraindications, major adverse effects, interactions, and administration. Discuss second-generation H1 receptor antagonists in terms of prototype, indications and contraindications, major adverse effects, interactions, and administration. Understand how to use the nursing process in the care of patients receiving antihistamines. Chapter 31 – Drug Therapy for Asthma and Bronchoconstriction Describe the asthma and bronchoconstriction in terms of its pathophysiology Compare and contrast the short-acting (rescue) and the long-term maintenance inhaled beta2adrenergic agonists. Identify the prototype drug from each drug class used to treat asthma and bronchoconstriction. Describe drugs used to treat asthma and bronchoconstriction in terms of mechanism of action, indications for use, major adverse effects, and nursing implications. Understand how to use the nursing process in the care of patients with asthma and bronchoconstriction. [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Begin Chapter 39 – Drug Therapy for Diabetes Mellitus Differentiate between type 1 and type 2 diabetes mellitus Understand the major effects of endogenous insulin on the body tissues Identify the clinical manifestations of type 1 and type 2 diabetes mellitus Identify the prototype and describe the action, use, adverse effects, contraindications, and nursing implications for the insulins. Discuss characteristics of the various types of insulins and insulin analogs. Identify the various prototypes and describe the actions, uses, adverse effects, contraindications, and nursing implications for the oral antidiabetic drugs. Identify the different prototypes and describe the actions, uses, adverse effects, contraindications, and nursing implications for the amylin analogs, incretin mimetics, and dipeptidyl peptidase-4 (DPP-4) inhibitors. Implement the nursing process in the care of patients receiving medication for the treatment of Exam – over Ch. 7-9, 11& 12 Medication Calculation Quiz 4 CoursePoint for Ch. 29-31 due today to Level 3 – worth 30 points ATI Review Module – pg 208-234 Exam – Ch. 2931 Medication Calculation Quiz 5 Oko Ake Yamni 11/17/2015 Oko Ake Topa 11/24/2015 diabetes mellitus. Explain the benefits of maintaining glycemic control in preventing complications of diabetes Assist patients or caregivers in learning how to manage diabetes care, including administration of medication agents used to manage diabetes Assess and monitor patients’ adherence to prescribed management strategies. [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential Chapter 40 – Drug Therapy for Hyperthyroidism and Hypothyroidism Understand the physiologic effects of thyroid hormone Describe the etiology, pathophysiology, and clinical manifestations of hyperthyroidism, and hypothyroidism Identify the prototype and describe the action, use, adverse effects, contraindications, and nursing implications of the drugs administered for the treatment of hyperthyroidism and hypothyroidism Implement the nursing process in the care of the patient receiving medications for the treatment of hyperthyroidism or hypothyroidism Chapter 41 – Drug Therapy for Pituitary and Hypothalamic Dysfunction Describe the functions of the anterior and posterior pituitary hormones as well as the hypothalamic hormones Identify the pathophysiology and clinical manifestations of central precocious puberty, acromegaly, growth deficiency in children, and diabetes insipidus Identify the prototype and describe the action, use, adverse effects, contraindications, and nursing implications of the anterior pituitary hormone used to treat growth hormone deficiency in children. Identify the prototype and describe the action, use, adverse effects, contraindications and nursing implications of the posterior pituitary hormone used to treat diabetes insipidus Identify the prototype and describe the action, use, adverse effects, contraindications, and nursing implications of the hypothalamic hormone drugs used to treat precocious puberty Identify the prototype and describe the action, use, adverse effects, contraindications, and nursing implications of the hypothalamic hormone drugs used to treat acromegaly Implement the nursing process in the care of the patient receiving specific pituitary and hypothalamic hormones Chapter 42 – Drug Therapy to Regulate Calcium and Bone Metabolism Examine the roles of parathyroid hormone, calcitonin, and vitamin D in regulating calcium metabolism Evaluate the use of calcium and vitamin D supplements, as well as calcitonin, in the treatment of osteoporosis Identify the prototype and describe the action, use, adverse effects, contraindications, and nursing implications of the bisphosphonates used in the treatment of osteoporosis Outline appropriate management strategies of hypercalcemia as a medical emergency Implement the nursing process in the care of the patient receiving drug therapy to regulate calcium and bone metabolism Chapter 43 – Drug Therapy for Addison Disease and Cushing’s Disease Understand the etiology and pathophysiology of adrenal cortex disorders Identify the major manifestations of Addison’s disease and Cushing’s disease Explain how corticotropin (ACTH) is used in the diagnosis of adrenocortical insufficiency Explain how cosyntropin (Cortrosyn) is used in the diagnosis of adrenocortical insufficiency Identify the prototypes and describe the action, use, adverse effects, contraindications, and nursing implications for the drugs used in the treatment of Addison’s and Cushing’s disease Implement the nursing process in the care of the patient with Addison’s disease or Cushing’s disease [L.O.] – 1,4,5; [P.L.O.] – 1,4,5 NCLEX Blueprint – Pharmacological and Parenteral Therapies; Reduction of Risk Potential After Exam Traditional Medicine Presentations [L.O.] – 2,6; [P.L.O.] – 2 CoursePoint for Ch. 39-43 due today to Level 3 – worth 50 points Take Home Exam Due Today Traditional Medicine Presentation Outlines due today! - this is your completed presentation in outline form or 6 black and white slides per page ATI Review Module – pg 508-539,448458 Exam – Ch. 3943 Medication Calculation Oko Ake Zaptan 12/01/2015 NCLEX Blueprint – Psychosocial Integrity; Health Promotion& Maintenance Comprehensive Final Exam – All Chapters except take home test info After Exam Traditional Medicine Presentations [L.O.] – 1-6; [P.L.O.] – 1-5 NCLEX Blueprint – Pharmacological & Parenteral Therapies, Safety & Infection Control, Reduction of Risk Potential; Physiological Adaptation and Psychosocial Integrity Quiz 6 Final Exam Disclaimer: Information contained in this syllabus was, to the best knowledge of the instructor, considered correct and complete when distributed for use at the beginning of the semester. However, this syllabus should not be considered a contract between Oglala Lakota College and any student. The instructor reserves the right to make changes in course content or instructional techniques without notice or obligation. Students will be informed of any such changes. Additional student rights and responsibilities are outlined in the Student Handbook.