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SCHOOL OF NURSING
NURSING 304
Clinical Pharmacology in Nursing Practice
Fall 2014
FACULTY:
L. SAARMANN, RN, EdD
Lsaarman@mail.sdsu.edu
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COURSE OVERVIEW
3 units - Three lecture hours.
Major classifications of drugs; pharmacological and toxicological activity; clinical applications.
Role of nurse in assessment, intervention, and patient education.
Prerequisites: N202, N206, and N208. Co-requisite: N300
STUDENT LEARNING OUTCOMES:
Student Learning Outcomes
Level
Outcomes
(Level 1)
Discuss the principles of pharmacokinetics.
1
2
2, 5, 9
Explain the principles of pharmacodynamics
2, 5, 9, 10
a.
Explain the bases for drug actions, side effects, adverse reactions, and
drug interactions
b. Describe the differences of pharmacologic principles in relation to
the age of the patient.
3
4
Analyze the role of the professional nurse in the prevention and detection of
complications of drug therapies
2, 5, 10
Analyze the variables effecting safe medication administration.
2, 5, 9
5
Describe the nursing assessments, interventions, and evaluations required for
specific drug classes.
2, 5, 9, 10
6
Delineate the patient/family teaching needed for specific drug classes
3, 5, 8, 9, 10
7
Understand the role of finances within the health care system in the use of
medications.
1,10, 12, 13
FACULTY INFORMATION:
Email Lembis77@gmail.com
Phone 619-987-1604 (C)
Office Location HT 156
Office Hours by appointment
Notes
Email and cell phone are the best ways to contact me. I will answer email within 48 hours. I
usually read my email in the evenings. Sometimes, I don’t look at them on weekends.
Please put the course number (N304) in the subject line. That way I will be able to find it if it
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goes into the spam folder.
If you call my cell, please identify yourself by name and as a student in N304 when I answer. If I
do not answer, you may leave a voice message. Please identify yourself by name and as a
student in N304 when you leave your message. State your phone number clearly.
DISABILITIES
If you are a student with a disability and believe you will need accommodations for this class, it
is your responsibility to contact Student Disability Services at (619) 594-6473. To avoid any
delay in the receipt of your accommodations, you should contact Student Disability Services as
soon as possible. Please note that accommodations are not retroactive, and that
accommodations based upon disability cannot be provided until you have presented your
instructor with an accommodation letter from Student Disability Services. Your cooperation is
appreciated.
COURSE DESIGN
The course uses lecture as the main strategy. In addition, students are required to complete
assignments in My Nursing Lab.
My Nursing Lab
This product is designed to help you prepare for class. There is a tremendous amount
of information in pharmacology. Using the pretests, modules, and post-tests in MNL will
help you to focus, remember and use this information.
You must complete each assignment by the due date. The due date for every
assignment is 11pm of the day before the class in which that content is quizzed.
That date is one week after the content is taught in class.
Your grade for the post-test will be the grade entered into the BB gradebook at the end
of the semester. Until then, you will find the grade on the MNL site. Incomplete, late, or
missing assignments will be graded “zero”.
REQUIRED MATERIALS:
Adams, M.P. & Urban, CQ. (2013). Pharmacology: Connections to nursing practice. 2cd Ed.
Upper Saddle River, NJ: Pearson.
My Nursing Lab by Pearson.
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SCHEDULE:
DATE
Aug 25 &
Sept 8
Sept 15
Sept 22
Sept 29
Oct 6
Oct 13
Oct 20
TOPIC
Pharmacodynamics and
pharmacokinetics
Drugs used in cancer
patients:
analgesics
antiemetics
hematinics
Drugs used in CAD
nitrates
β blockers
Ca blockers
thrombolytic
anticoagulants
antilipemics
antiarrhythmic
Drugs used in HF
digoxin, etc
diuretics
ACE inhibitors
Drugs used in renal
disease
and
acid/base disturbances
Antihypertensives
Drugs used for DM and
other endocrine
conditions
insulin
oral
hypoglycemics
thyroid drugs
steroids
READINGS
Ch 1, 2; 4, 5, 6,
7, 10, 12, 13
Ch 29
pp. 1102 - 1106
Ch. 42
Ch 38
Ch 33
Ch 41
Ch 32
pp. 648 - 653
Ch 39
Ch 35
Ch 34
MNL
Mod 1 – Lesson 1 & 2
(NS-Pt Relationship)
Mod 3 – Lesson 7 (Pain)
Mod 4 – Lesson 6 (Hemat)
Mod 4 – Lesson 2
(Angina,MI)
Mod 4 – Lesson 4
(Hyperlipid)
Mod 4 – Lesson 5 (Coag)
Mod 4 – Lesson 7
(Dysrhythmia)
Mod 4 – Lesson 1 (HTN)
Mod 4 – Lesson 3 (HF)
Mod 2 – Lesson 1
(Adren.Antag)
Ch 37, 20
Ch 69
Mod 9 – Lesson 1
(Pit,thyroid)
Mod 9 – Lesson 2 (DM)
Ch 70
Ch 71
Mod 10 – Lesson 1 (U Resp)
Mod 10 - Lesson 2 (L Resp)
Drugs used for
respiratory diseases
xanthines
expectorants, etc
inhalers
steroids
Ch 47
Ch 48
Drugs used in GI
disorders including
Ch 62,63
Ch 45
Ch 71
Mod 7 – Lesson 1 (UGI)
Mod 7 – Lesson 2 (LGI)
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immune modulators
Mod 5 – Lesson 2 (Immune
suppressants)
Drugs used for
Conscious Sedation
Oct 27
Nov 3 & 10
Drugs used in
Neurological disorders
osmotic diuretics
anticonvulsants
muscle relaxants
antiparkinsons
anticholinergics
Betaseron
CNS stimulants
Ch 26
Ch 27
Ch 25
Ch 18
Ch. 28
Drugs used to treat
infections
antimicrobials
antivirals
antitubercular
agents
antifungals
antimalarials, etc
Ch 49 - 58
Musculoskeletal system
drugs
Ch 75
drugs for osteoporosis
Pgs 1313 - 1324
Drugs used for
psychiatric disorders
Ch 22, 23, 24
Hormone Therapy
Drugs used in obstetrics
tocolytics
oxytocics
Ch 72, 73, 74
.
Nov 17
Nov 24
Dec 1
Mod 3 – Lesson 3 (Degen
CNS)
Mod 3 – Lesson 5 (Seizures)
Mod 6 – Lesson 1 (Anti Inf)
Mod 6 – Lesson 2 (Fungal)
Mod 6 – Lesson 3 (Antiviral)
Mod 12 – Lesson 1 (Bone &
joint)
Mod 3 – Lesson 1 (Mood)
Mod 3 – Lesson 2 (Psych)
Mod 3 – Lesson 4 (Anxiety)
Mod 8 _ Lesson 1 (female)
Mod 8 – Lesson 2 (male)
Also Mod 12 – Lesson 2 on
eye and ear disorders
Dec 8
Dec 15
Herbal Meds
Final Exam
Ch 15
1 – 3 pm
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GRADING POLICIES:
Grading Scale: Final grades will be determined using the following grading
system:
A
B
C
D
F
=
=
=
=
=
90-100
80 - 89
70 - 79
60 - 69
below 60
Percentage Weighting of Grade: 100% total
Quizzes
65% - there will be several quizzes. These may be given at any
time during class.
My Nursing Lab
10%
Final
25% - the final is NOT comprehensive. About 2 weeks before the
final, I will list the categories which will be included.
Scantrons: You will need several small red and white scantrons (289-PAR-L).
Grades:
You have one week after a grade is posted to question the grade. After one week, no changes
will be made.
Exams:
Attendance for all exams and quizzes is expected. No provision is made for exams or quizzes
missed because of unexcused absences from class. Unless a prior arrangement for an
excused absence is obtained, a grade of F (0%) will be given for the exam that is missed.
Make-up exams may differ from the original exam and may be of a different nature (e.g. essay,
short answer, matching, oral etc.) No writing or recording is permitted during quiz/exam reviews.
Test security is strictly maintained during both tests and review sessions. During exams,
students must leave all parcels, phones, pagers, PDAs, etc at the front of the room. Students
are allowed to have pencils and erasers at their desks. Once a test has begun, any student who
leaves the room will not be allowed to continue the test. Any student who, in the judgment of
the faculty, is cheating during a test or quiz will receive a zero for that test. In addition,
the student’s final course grade will be dropped by 10 points. The student also will be
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reported to the Office of Student Rights and Responsibilities for further action. It is the
responsibility of the student to avoid any behavior which could give rise to a suspicion
of cheating.
During quizzes, the same expectations of academic integrity apply. Students may keep their
belongings at their desks, but must put them out of sight.
Each test will have several different forms. It is vital that you fill in your form letter on
your scantron. Failure to do so will result in the deduction of 10 points from your test
score.
Behavioral Outcomes
1.
2.
3.
4.
Interactions reflect professionalism and civility as evidenced by academic
excellence, caring, citizenship, fairness, respect, responsibility, and
trustworthiness. (Clark, 2008)
Individuals demonstrate accountability for their own conduct.
Conduct is in conformity with the values, ethics and standards of the profession.
Please review the Code of Conduct on the Student Rights and Responsibilities
Page: http://www.sa.sdsu.edu/srr/conduct1.html
Specific Expectations:
1. Students will arrive to class on time and return from breaks on time. Late arrivers
will wait until the next break to enter and be seated.
2. Once class is in session, please do not leave the room. It is rude and disturbing
to your classmates.
3. There will be no extraneous talking during class.
4. All cell phones and other devices must be silenced.
5. Students will be prepared for each class having read the assigned readings
before coming to class.
Taping Lectures:
I do NOT allow lectures to be recorded.
All my lectures are copyrighted material and may not be reproduced or posted in any way.