[PHARMACOLOGY GUIDE] Puson and Ugdoracion Cebu Normal University College of Nursing Osmeña Blvd., Cebu City AY 2010-2011, 2st Semester A COMPETENCY-BASED INSTRUCTIONAL MATRIX FOR NAS 3- Pharmacology, Therapeutics and Diagnostics www.puson.tk Prepared by: by: Mr. Domino B. Puson NAS III Subject Coordinator Nursing Approved Dr. Daisy R. Palompon Dean, College of Page 1 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion Cebu Normal University College of Nursing Osmeña Blvd., Cebu City AY 2009-2010, 2st Semester A COMPETENCY – BASED INSTRUCTIONAL MATRIX COURSE TITLE: Pharmacology, Therapeutics, and Diagnostics CREDIT UNITS: HOURS: 3 UNITS LECTURE 54 Hours COURSE DESCRIPTION: This course deals with the concepts, principles and nursing responsibilities and intervention basic to the administration of drugs and other therapeutic agents. Furthermore, understanding of the different diagnostic procedures used in the identification of problems by body system with emphasis on promotion, maintenance and restoration of health will be enhanced. PRE-REQUISITE COURSES / SUBJECTS: GENERAL PSYCHOLOGY, CHEMISTRY, and NUTRITION BIOCHEMISTRY, PHYSICS, HUMAN ANATOMY & PHYSIOLOGY, FUNDAMENTALS IN NURSING Page 2 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion STUDENT ENTRY COMPETENCIES: 1. A concrete knowledge in basic human psychology is needed so that students will be able to relate the inner workings of the mind and its influence on the body as a whole 2. Basic knowledge in chemical processes and organic chemistry will guide the students in understanding the metabolic functions and chemical interactions that is necessary for survival. 3. Fundamental knowledge in physics will guide the students in understanding the relationships of the internal and external structure of the body, its organization and groupings with respect to the cells, organs and systems function as a whole and as individual components of the human body. 4. A wide-ranging knowledge on Fundamentals in nursing and nursing process in order to apply skills with knowledge, care & compassion. GENERAL OBJECTIVES: The BSN Level II students will be able to acquire essential knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains proper documentation and safe administration in the caring aspect of nursing practice. Specifically, the students will: Discuss the overview of medication involve in the care of the patients. Describe the absorption, distribution, metabolism and excretion of drugs for patients receiving medications Explain the mechanism of action of drugs affecting organization and awareness. Identify common drug interactions. Familiarize general side-effects of the medications. Apply the concept of nursing process in the care of clients receiving drugs. INSTRUCTORS Domino Butron Puson Jeral Ugdoracion Page 3 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT I – History of Pharmacology in Nursing DATE OF CLASS: COMPETENCY: Week 1-Week 2 (November 10-11, 2010, November 16-17, 2010) SESSION: Demonstrates knowledge and utilizes the nursing process as a framework for nursing care in patients taking medications Elements History of Pharmacology in Nursing Nurses perspective of Pharmacology o History o Nature o Subdivision o Drug information resources Fundamental Principles of Pharmacology o Pharmacokinetics o Pharmacodynamics o Pharmacotherapeutics o Drug Interaction o OTC Medication o Drug Abuse Nursing Process and Medication The Role of the Nurse in Drug Research Law Concerning Drugs Objective After 4.5 hours of lecture and discussions the students will be able to: 1. Confer the history of the background of nursing pharmacology. 2. Outline the principles embodying pharmacology in nursing 3. Relate the concept of nursing process and medication properties 4. Recognize the roles of the nurse in research pertaining to drugs 5. Distinguish local or international law that governs the distribution, purchase and use of medications. Learning Outcome Strategic Knowledge Attitude Teaching Activities Lecture and Discussion Role Play Assignments Idea Building Face to face interaction Vocabulary 3 hours Outcome Measure Paper and Pencil test Reaction Writing Self-Check Quizzes Group presentations on a case Oral revalida Page 4 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT II – Nursing Care for Patients receiving Medication that Affects Perception and Coordination DATE OF CLASS: Week 2-Week 3 (November 12, 23-25, November 18-20, Dec 1. 2010) SESSION: 6 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving Medication that affects Perception and Coordination Analgesics Anesthetics Anti-Parkinson’s Anti-myesthenics Anti-glaucoma Midriatics Miotics Diagnostics o Visual Acuity o Color Vision Test o Opthalmoscopy o Hearing Acuity o Otoscopy o Tuning Fork Test o Vestibular Assesment o Caloric test Objective After 6 hours of lecture and discussion the students will be able to: Discuss the overview of medication that affects perception and coordination. Describe the absorption, distribution, metabolism and excretion of drugs for patients with alteration in perception and Coordination. Explain the mechanism of action of drugs affecting organization and awareness. Identify common drug interactions. Familiarize general sideeffects of the medications. Apply the concept of nursing process in the care of clients receiving drugs that affects perception and coordination. Learning Outcome Strategic Knowledge Attitude Teaching Activities Lecture and discussion Assignment and Group task Role Play Concept attainment Concept development Demonstration Outcome Measure Pencil and paper Test Written output regarding the topic Group Presentation Oral recitation Essay writing Return Demonstration Page 5 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT III – Nursing Care for Patients receiving Medication that Affects Cellular Aberration DATE OF CLASS: Week 3-Week 4 (Nov. 26, Dec. 7-8 2009, December 2-4, 2010) SESSION: 4.5 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving Medication that affects Cellular Aberration Antimicrobials Antifungals Antivirals Antiparasitics Antineoplastics Opthalmic Antiinfectives Objective After 4.5 hours of lecture and discussion the students will be able to: 1. Discuss the overview of medication that affects Cellular Aberration. 2. Describe the absorption, distribution, metabolism and excretion of drugs for patients with Cellular anomaly. 3. Explain the mechanism of action of drugs for Cellular irregularity 4. Identify common drug interactions. 5. Familiarize general sideeffects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs for Cellular abnormality Learning Outcome Attitude Strategic Teaching Activities Lecture and discussion Assignment Short clip showing Outcome Measure Pencil and paper Test Drill and Practice Self-check quizzes Short answer essay Class Recitation Page 6 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT IV – Nursing Care for Patients receiving Medication that Affects Nutrition and Elimination DATE OF CLASS: Week 5-Week 6 (December 9-10,2010 December 14-15, 2010) SESSION: 3 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Objective Nursing Care for Patients receiving After 4.5 hours of lecture and Medication that affects Nutrition and discussion the students will be Elimination able to: Anti-ulcer medications 1. Discuss the overview of Antispasmodics medication that affects Laxatives Nutrition and Elimination Antidiarrheals 2. Describe the absorption, Emetics / Anntiemetics distribution, metabolism Barrier Fortifiers and excretion of drugs for Gall Stone Stabilizers patients with nourishment Vitamins and Minerals and Elimination problems. Food Supplements 3. Explain the mechanism of Diagnostic Test action of drugs for o Occult Blood Test sustenance and o Upper GI Series Elimination o Lower GI Series 4. Identify common drug o EGD interactions. o Colonoscopy 5. Familiarize general sideo Proctosigmoidoscopy effects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs for Nutrition and Elimination. Learning Outcome Strategic Knowledge Attitude Teaching Activities Lecture and Discussion Summarizing Multimedia simulation Analyzing video Feedback Discussion Outcome Measure Pencil and Paper Evaluation Project or problem based activities Flash creation presentation Oral Revalida Page 7 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT V – Nursing Care for Patients receiving Medication that Affects Oxygenation DATE OF CLASS: Week 9 (January 4-6, 2010) Week 6 December 16 – 18, 2010) SESSION: 4.5 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving Medication that affects Oxygenation Antihistamines Mucolytics Expectorants Antitusives Bronchial Dilators Anti-TB Drugs Diagnostics o ABG Analysis o Pulmonary Function test o Pleural Fluid Analysis o Bronchoscopy o Sputum analysis o Pulse Oxymetry o Chest x-ray o Pulmonary Angiography Objective After 4.5 hours of lecture and discussion the students will be able to: 1. Discuss the overview of medication that affects Oxygenation. 2. Describe the absorption, distribution, metabolism and excretion of drugs for patients with Oxygenation problems. 3. Explain the mechanism of action of drugs for Oxygenation 4. Identify common drug interactions. 5. Familiarize general sideeffects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs for Oxygenation Learning Outcome Strategic Knowledge Attitude Teaching Activities Class discussion Streaming Audio explanations Assignments Group Discussion about the topic Outcome Measure Paper and Pencil Examination Feedback Writing Answering multiple choice questions Project making Group presentation of a case involving medications. Page 8 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT VI – Nursing Care for Patients receiving Medication that Affects Fluid and Electrolytes DATE OF CLASS: Week 9 & 12 (January 7 & 15, 2010) Week 10 (January 11-12, 2010) SESSION: 3 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving Medication that affects Fluid and Electrolytes Objective After 4.5 hours of lecture and discussion the students will be able to: 1. Discuss the overview of Fluid and Electrolytes for Oral medication that affects Administration Fluid and Electrolytes o Oral Electrolyte Solutions 2. Describe the (Pedialyte) absorption, distribution, o Salt Substitutes metabolism and excretion of drugs for Fluid and Electrolytes for patients with Fluid and Parenteral Administration Electrolytes problems. o Amino Acids 3. Explain the mechanism o Carbohydrates of action of drugs for o Electrolytes Fluid and Electrolytes o Trace Metals (For Slow 4. Identify common drug Infusion) interactions. 5. Familiarize general sideDiagnostics effects of the o Na K Determination medications. o Blood Chemistry 6. Apply the concept of nursing process in the care of clients receiving drugs for Fluid and Electrolytes Learning Outcome Strategic Knowledge Attitude Teaching Activities Lecture and Discussion Assignments Group task Creative Role Play Outcome Measure Paper and Pencil Test Self-check quiz Group reporting on a case that concerns medication Short Essay Writing Page 9 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT VII – Nursing Care for Patients receiving Medications related to Aging and Chronic Illness DATE OF CLASS: Week 12 (January 26-28, 2010) Week 10 (January 13-15, 2010) SESSION: 4.5 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving Medication related to Aging and Chronic Illness Anti-anginals Anti-Hypertension o Ace Inhibitors o Beta Blockers o Calcium Channel Blockers o Diuretics o K Sparing o Loop o Thiazide o Osmotic Anticoagulants Thrombolytics Hemostatics Cardiac Glycosides Lipid Lowering Agents Anticoagulants Thrombolytics Hemostatics Diagnostic test o o o o o o o o Cardiac Stress testing ECG Cardiac Catheterization Blood Coagulation Blood Chemistry Tourniquet Test BUN Creatinine Objective After 4.5 hours of lecture and discussion the students will be able to: 1. Discuss the overview of medication related to aging and chronic illness 2. Describe the absorption, distribution, metabolism and excretion of drugs related to aging and chronic illness 3. Explain the mechanism of action of drugs related to aging and chronic illness 4. Identify common drug interactions. 5. Familiarize general sideeffects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs related to aging and chronic illness Learning Outcome Strategic Knowledge Attitude Teaching Activities Lecture and Discussions Group Task Role Play Assignment Outcome Measure Innovative Pencil & Paper Test o Crossword Puzzle Type Quiz o Scrambled Words o Matching Type A –B–C Group presentation on a case study Role Play Critique Self-Check Quiz Page 10 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT VIII – Nursing Care for Patients receiving Medications related to Psychosocial Adaptation DATE OF CLASS: Week 14 (February 8 – 10, 2010) Week 13 (February 1-3, 2010) SESSION: 4.5 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Objective Nursing Care for Patients receiving Medication related to Psychosocial adaptation Psychotherapeutic agents o Anti-anxiety Agents o Antipsychotics o Antidepressants o Antimanic Diagnostic Test o EEG o CT Scan o MRI o CSF Analysis o Cerebral Angiography After 4.5 hours of lecture and discussion the students will be able to: 1. Discuss the overview of medication related to Psychosocial adaptation 2. Describe the absorption, distribution, metabolism and excretion of drugs related to Psychosocial adaptation 3. Explain the mechanism of action of drugs related to Psychosocial variation 4. Identify common drug interactions. 5. Familiarize general sideeffects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs related to Psychosocial Alteration Learning Outcome Strategic Knowledge Attitude Teaching Activities Lecture and Discussion Group Sharing Summarizing Short Clip Showing Outcome Measure Pencil and Paper Test Group presentation of a case Oral revalida Feedback writing Page 11 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT IX – Nursing Care for Patients receiving Medications that Affects Inflammation and Immunity DATE OF CLASS: Week 14 (February 11, 2009) Week 16 (February 22, 2009) Week 13 (February 4-5, 2009) SESSION: 3 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving Medication that affects Inflammation and Immunity NSAID Antigout Vaccines Agents that suppresses the immune response Agents that enhance immune response Diagnostic Test o Hepatitis B Antigen Test o ELISA Western Blot o P24 Count o CD4+ Count Objective After 3 hours of lecture and discussion the students will be able to: 1. Discuss the overview of medication that affects Inflammation and Immunity 2. Describe the absorption, distribution, metabolism and excretion of drugs that affects Inflammation and Immunity 3. Explain the mechanism of action of drugs that affects Inflammation and Immunity 4. Identify common drug interactions. 5. Familiarize general sideeffects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs for Inflammation and Immunity Learning Outcome Strategic Knowledge Attitude Teaching Activities Class Discussion Group work Drug Literature Hunting Analyzing Video Outcome Measure Pen and paper test Answering select that Class presentation of case regarding medications Drug presentation Video feedback writing Page 12 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT X – Nursing Care for Patients receiving Medications related to Reproduction and Sexuality DATE OF CLASS: Week 16 (February 23-24, 2010) Week 15 (February 15-16, 2010) SESSION: 3 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving medications related to Reproduction and Sexuality Male Hormones Female Hormones Synthetic Hormones Drugs affecting Uterine Motility Diagnostic Test o Pap Smear o Semen Analysis o Pelvic Ultrasound o Colposcopy o Lapaaroscopy o Mammography o DRE Objective After 3 hours of lecture and discussion the students will be able to: 1. Discuss the overview of medication related to reproduction and sexuality 2. Describe the absorption, distribution, metabolism and excretion of drugs related to reproduction and sexuality 3. Explain the mechanism of action of drugs related to reproduction and sexuality 4. Identify common drug interactions. 5. Familiarize general sideeffects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs related to reproduction and sexuality Learning Outcome Strategic Knowledge Attitude Teaching Activities Lecture and discussion TV Ad role play Group Drawing Game Assignments Outcome Measure Pencil and paper test Feedback writing Drawing Output Group drug presentation Page 13 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT XI – Nursing Care for Patients receiving Medications that Affects Metabolism DATE OF CLASS: Week 16 (February 25, 2010) Week 18 (March 8, 2010) Week 15 (February 17-18, 2009) SESSION: 3 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving medications that affects Metabolism Natural Hormones Synthetic Analogues Drugs that Stimulate Hormonal Secretions Hypothalamic and pituitary hormones Thyroid and Parathyroid Hormones Hyperglycemic Agents Hypoglycemic agents Diagnostic Agents o Endocrine Function test o Metabolic Function test o RAIU o Thyroid Panel Objective After 3 hours of lecture and discussion the students will be able to: 1. Discuss the overview of medication that affects metabolism 2. Describe the absorption, distribution, metabolism and excretion of drugs that affects metabolism 3. Explain the mechanism of action of drugs that affects metabolism 4. Identify common drug interactions. 5. Familiarize general side-effects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs that affects metabolism Learning Outcome Strategic Knowledge Attitude Teaching Activities Lecture and Discussion Bowl Game Demonstration Face to face interaction Clip Showing Outcome Measure Pencil and paper test Oral recitation Return Demonstration Oral revalida Page 14 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT XII – Nursing Care for Patients receiving Medications related to Rehabilitation DATE OF CLASS: Week 18 (March 9-10, 2010) Week 15 (February 19, 2010) Week 17 (March 1, 2009) SESSION: 3 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving medications related to Rehabilitation Native Herbal Medications Foreign Herbal Medications Commercial Herbal Preparations Other drug used for rehabilitation Objective After 3 hours of lecture and discussion the students will be able to: 1. Discuss the overview of medication related to rehabilitation 2. Describe the absorption, distribution, metabolism and excretion of drugs that is related to rehabilitation 3. Explain the mechanism of action of drugs related to rehabilitation 4. Identify common drug interactions. 5. Familiarize general sideeffects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs related to rehabilitation Learning Outcome Strategic Knowledge Attitude Teaching Activities Class discussion Group work One Question Exercise Drug Literature gathering (assignment) Herbal Pamphlet drafting Outcome Measure Pen and paper test Group presentation of a case Oral recitation Short essay writing Page 15 of 16 [PHARMACOLOGY GUIDE] Puson and Ugdoracion UNIT XIII – Nursing Care for Patients receiving Medications in Life Threatening Situations DATE OF CLASS: Week 18 (March 11 -12, 2010) Week 17 (March 2 – 3, 2010) SESSION: 3 hours COMPETENCY: Demonstrates knowledge, provides sound decision making, administers medication or therapeutics using the nursing process and maintains accurate and updated documentation of patient care and a safe environment. Elements Nursing Care for Patients receiving medications in Life Threatening Situations Emergency Drugs Agents used to treat poisoning Agents used in dug related toxicity Antidotes Objective After 3 hours of lecture and discussion the students will be able to: 1. Discuss the overview of medications in Life threatening Situations 2. Describe the absorption, distribution, metabolism and excretion of drugs in Life threatening Situations 3. Explain the mechanism of action of drugs in Life threatening Situations 4. Identify common drug interactions. 5. Familiarize general sideeffects of the medications. 6. Apply the concept of nursing process in the care of clients receiving drugs in Life threatening Situations Learning Outcome Strategic Knowledge Attitude Teaching Activities Class Discussion Drug Classification Exercise Home task Outcome Measure Pen and paper exam Group presentation Answer multiple choice question Page 16 of 16