Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus Department: Course Title: Pharmacology Credit Hours: 3 Hours Pre-requisites: Course Number: 0901203 Course Year Level: 2st Faculty Member: Day, Time: E-mail : Office Hours: Course Website: Office Phone: Academic Year: 20 Semester: / 20 Course Description This course provides a study of drug classifications, actions, therapeutic uses and methods of administration of the most common used drugs. In addition, basic principles of pharmacology will also be discussed. General Learning Objectives Upon completion of the course the student will be expected at a beginning level to: a. Demonstrate an understanding of terminology related to Pharmacology b. Describe and categorize drug classification systems. c. Demonstrate an understanding of therapeutic uses and the adverse effects of drugs. d. Describe Disease states in relation to anatomy and physiology of the body e. Relate disease states to medical drugs, by classification, that are used in the diagnosis, prevention and treatment of disease states f. Locate information sources and interpret the drug information data provided for health care professionals. Issue Date: August 2015 Revision Date: 1 Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus Specific Learning Objectives Basic Principles: 1. Describe the two primary properties of a drug receptor, and how a receptor differs from an inert binding site. 2. List four different types of targets (receptors) by which drugs can interact to exert their biological effects. 3. Define the following drug properties: agonist, antagonist, partial agonist, affinity, efficacy, potency. 4. Describe a typical dose-response curve for a drug, and label the positions on the curve that are used to define drug potency and efficacy. 5. Describe several different signal transduction mechanisms by which agonists exert their effects. 6. Explain the difference between selectivity and specificity of drug effect, and which is more commonly observed. 7. Describe what is meant by the term Therapeutic Window. 8. Describe and explain the effect(s) of competitive and non-competitive antagonists on the dose-response curve for an agonist. 9. Explain how a quantal dose-response curve is constructed. 10. Explain what is meant by additive and synergistic drug effects. 11. Define the terms ED50, LD50, TD50 , and Therapeutic Index. Pharmacokinetics: 1. Understand the importance of drug distribution with regard to efficacy and toxicity of drugs. 2. Explain how drug distribution may contribute to terminate the actions of some drugs. 3. Define the concepts of loading dose, maintenance dose, volume of distribution, clearance, elimination half-life. 4. Explain the difference between first-order, zero order and dose-dependent kinetics of drug elimination. 5. List examples of commonly prescribed drugs that follow zero-order, first-order and dosedependent kinetics. 6. Describe the concept of "steady-state" with regard to plasma drug concentrations. 7. Explain the importance of different pharmacokinetic parameters on the duration of drug action. 8. Describe what is meant by a one-compartment and two-compartment model of drug distribution and elimination. 9. Explain the importance of drug distribution with regard to efficacy and toxicity of drugs. 10. Explain how drug distribution may contribute to terminate the actions of some drugs. 11. Explain the determinants of hepatic drug clearance. Issue Date: August 2015 Revision Date: 2 Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus 12. Explain the difference between pre-systemic clearance (first-pass metabolism) and systemic clearance. 13. Explain the importance of plasma protein binding and hepatic blood flow with regard to hepatic clearance of drugs. 14. Explain the changes in hepatic drug clearance associated with liver disease. Autonomic Pharmacology: 1. Describe the different roles of the sympathetic and parasympathetic divisions of the nervous system in homeostasis and general physiology. 2. Describe the physiological responses produced by activation of the sympatho-adrenal system in fight or flight situations. 3. Explain what tone is. 4. Apply knowledge of predominant tone to regulation of singly-innervated and dualinnervated organs. 5. Define the different cholinergic and adrenergic receptor subtypes, and describe their physiological roles. 6. List examples of selective cholinergic and adrenergic agonists and antagonists, and describe their effects on different organ systems. 7. Cite several examples of indirectly acting sympathomimetic drugs. 8. Describe the effects of autonomic drugs on vision (accomodation), and their use in the treatment of glaucoma. Inflammation: 1. Explain the properties of autocoids, including biogenic amines, eicosanoides and their inhibitors, peptides and analogs, and smooth muscle/endothelial autocoids. 2. Explain the mechanisms of action, use and adverse effects of immunosupressive drugs and drugs used to treat acquired disorders of immune responsiveness. 3. Describe the mechanism of action, use, and adverse effects of drug used for the treatment of skin disorders (e.g. sunscreen, retin-A, methotrexate) Anticancer Pharmacology: 1. List different types of drugs used to treat different forms of cancer. 2. Explain the mechanisms of action, use, and adverse effects of drugs used to treat different forms of cancer. Cardiovascular Pharmacology: 1. Describe the mechanisms of action, use, and adverse effects of drugs used in the treatment of disorders of the cardiovascular system including: coronary and peripheral vasodilators Issue Date: August 2015 Revision Date: 3 Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus antiarrhythmic drugs antihypertensive drugs drugs used to treat hypotension and shock drugs altering cholesterol and lipid metabolism inotropic drugs and other drugs used to treat heart failure Renal Pharmacology: 1. Describe the mechanism of action, use, and adverse effects of drugs used in the treatment of disorders of the renal and urinary system including: diuretics & antidiuretic drugs drugs and fluids used to treat volume, electrolyte and acid-base disorders drugs used to enhance renal perfusion (e.g. dopamine) angiotensin converting enzyme inhibitors and angiotensin receptor antagonists Respiratory Pharmacology: 1. Describe the mechanisms of action, use, and adverse effects of drugs used in the treatment of disorders of the respiratory system (e.g. expectorants, mucolytics, decongestants, cough suppressants, bronchodilators, anti-inflammatory drugs). Hematopoietic Pharmacology: 1. Describe the mechanisms of action, use and adverse effects of drugs used to treat disorders of the hematopoietic system including: blood and blood products drugs stimulating erythrocyte production (erythropoietin) drugs stimulating leukocyte production (e.g.G-CSF , GM-CSF) anticoagulants, thrombolytic drugs antiplatelet drugs chelating agents GI Pharmacology: 1. Describe the mechanisms of action, use, and adverse effects of drug used for the treatment of disorders of the gastrointestinal system including: drugs used to alter GI motility (e.g. antidiarrheal drugs, antiemetics, prokinetics, cathartics) fluid replacement (e.g. oral rehydration) drugs used to treat peptic ulcer and gastroesophageal reflux (e.g. antacids, motility drugs, Issue Date: August 2015 Revision Date: 4 Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus antibiotics) CNS Pharmacology: 1. Describe the adverse effects of ethanol on the central nervous system. 2. Describe the mechanisms involved in the development of drug tolerance and drug dependence, and be able to cite examples that are clinically relevant. 3. Describe the mechanisms of action, use, and adverse effects of drugs used to treat disorders of the nervous system including: local and general anesthetics hypnotics& anxiolytics antipsychotics, antidepressants and mood-stabilizing drugs anticonvulsants analgesics CNS stimulants (e.g. amphetamines) antiparkinsonian drugs neuromuscular junction blocking agents antimigraine drugs anticholinesterases Endocrine Pharmacology: 1. Describe the mechanisms of action, use, and adverse effects of drugs used for the treatment of the endocrine system including: hormones and hormone analogs stimulators of homrone production (e.g. sulfonylureas) inhibitors of hormone production (e.g. thiouracils) hormone antagonists potentiators of hormone action (e.g. thiazolidinediones, demeclocycline) Antimicrobial and Antiviral Pharmacology: 1. Describe the mechanisms of action, use, and adverse effects of drugs used for the treatment of infectious diseases including: antibiotics antifungal drugs antimalarial drugs antiparasitic drugs antimycobacterial (e.g. antituberculosis) drugs Issue Date: August 2015 Revision Date: 5 Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus antiviral and anti-HIV drugs Toxicology: 1. Describe special terms or acronyms which are used to define toxicity or safety. 2. Describe the basis of selective toxicity. 3. Describe the toxic effects of common household products. 4. Explain the basis for distinguishing acute vs. chronic toxicity. 5. Describe the general treatment of poisoning for specific agents 6. List at least one good chelating agent for each of the major heavy metals. 7. List antidotes for specific agents and their mechanisms 8. Describe the three aims of treatment of a poisoned patient. 9. Describe the general ways to prevent absorption of ingested drugs or chemicals. 10. Indicate the appropriate laboratory tests to determine whether a patient has been poisoned. 11. List the agents or procedures used to detoxify or eliminate poisons from the body after they have been absorbed. 1. 2. 3. 4. 5. - Instructional Resources Online Data Base. Library Resources Textbook, CDs, Journals. Audiovisual Materials. Handouts Overhead projector Teaching & Learning Methods Lecture, discussion, dialogue within and among small groups, internet streamed video, CD-ROMs, computer assisted instruction, case studies, role playing Issue Date: August 2015 Revision Date: 6 Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus Evaluation Scheme Expected Date Percentage First Exam 25% Second Exam 25% Final Exam 40% Participation and Attendance 10% Course Contents Week Date 1 Topic Duties / Tasks 1. Introduction to pharmacology : - Basic terms. - Drug regulation. - Names and information. - Drug Dosage forms. - Routes of drug administration. 2 Pharmacokinetics 3 Pharmacodynamics 4 The Autonomic nervous system: - Introduction. - Cholinergic agents: Muscarinic agonists and antagonists, - Cholinesterase inhibitors, - Neuromuscular blocking agents - Adrenergic agonists and antagonists. 5 Issue Date: August 2015 Revision Date: Cardiovascular System - Diuretics, Drugs acting on the Rennin-AngiotensinAldosterone system, Calcium Channel Blockers, and Vasodilators. 7 Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus 6 Cardiovascular System - Antihypertensive drugs, Drugs for angina pectoris, Drugs for Cardiac Arrhythmias 7 Antimicrobial therapy: - Introduction. - Drugs that weaken bacterial cell wall, Inhibitors of protein synthesis, Folate antagonists, Urinary tract antiseptics and Quinolones, Antimicrobial therapy: Antimycobacterial, Antifungal, Antiprotozoal, Anthelmintic drugs, and Antiviral drugs. Chemotherapy: - Basic Principles of Chemotherapy 8 9 10 - Cancer Chemotherapy Analgesics - Non-Steroidal Anti-Inflammatory Drugs and Acetaminophen. - Opioid Analgesics. 11 Glucocorticoids 12 Drugs Affecting Gastrointestinal Tract - Drugs for Peptic Ulcer, Laxatives and Antidiarrheal agents. 13 Drugs for Diabetes Mellitus 14 Central nervous system: - Introduction. - CNS Neurotransmitters - CNS Depressants: Sedative, Hypnotic & Anxiolytic Drugs, Anesthetics and Antiepileptic drugs 15 Central nervous system: - CNS stimulants - Neurodegenerative Disorders: Parkinsonism Disease and Alzheimer’s Disease - Antidepressants and Antipsychotic drugs Final Exam 16 Issue Date: August 2015 Revision Date: 8 Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus References, Textbook Title Pharmacology, Author(s) H.P. Range, M.M. Dale, J.M. Ritter and P.K. Moore, Publisher Lippincott Year 2005 Edition 5th Ed Book Website Pharmacology for Nursing Care, 5th Ed., by Richard A. Lahne, 2004.. Recommended Textbooks: Student Responsibilities and Academic Conduct: There are a number of expectations to achieving the goals of this course and successfully passing the Adult Health Nursing II. They include: A. Attendance: Your success in this class will depend on regular attendance and punctuality. 1) Attendance is expected at every class, for those who miss more than 15% of lecture hours with or without acceptable excuse will be dismissed from the course. 2) If class is missed, students should get missed information from lecture from a classmate. Instructors will not provide missed information. 3) In the case of a critical life event, homework, quizzes, and exams may be made up, at the discretion of the faculty. B. Reading: 1. Reading of textbook assignments should be done before the topic is presented in class to ensure a basic understanding of the topic before lecture. C. Active Participation in class discussions: 1. Active participation is important to successful learning. You will be encouraged to join in on class discussions, share relevant experiences, and ask questions. Emphasis is placed on practicing English in order to promote English fluency. STUDENT CONDUCT 1. Meet the course teacher at the posted office hours or by appointment. Issue Date: August 2015 Revision Date: 9 Al Hussein Bin Talal University AHU-FON-NUR- CS -ACD—009 Princess Aaesheh Bint Al-Hussein College of Nursing and Health Sciences Course Syllabus 2. Avoid cheating, academic misconduct, fabrication, and plagiarism. Such behaviors will lead to disciplinary action as described in the students’ handbook. 3. Cell phones are required to be turned off during class time. 4. Students are expected to participate in an orderly manner. Students whose behaviors distract from the learning process will be asked to leave for the day and will count as an absence. This includes talking during class time Issue Date: August 2015 Revision Date: 10