NURS 360 Pharmacology Current course Credits: 1 Credit Prerequisite: Sophomore standing or consent of the instructor Catalog description: This course is designed to provide the student with the pharmacologic basis for understanding drug therapies. Course outline: 1. 2. 3. 4. 5. 6. Drug Action: Pharmaceutic, pharmacokinentic, pharmacodynamic phases Principles of Drug Administration Contemporary Issues in Pharmacology a. Drug approval process b. Transcultural and Genetic considerations c. Drug interaction and Overthe-counter drugs d. Drugs of abuse e. Herbal therapy and implications f. Pediatric & Geriatric pharmacology Nutrition & Electrolytes Autonomic Nervous System Agents a. Adrenergics and Adrenergic blockers b. Cholinergic and anticholinergics Neurologic and Neuromuscular Agents a. CNS stimulants b. CNS depressants c. Drugs for pain management Proposed course Credits: 1-2 credits (1SH non-nursing majors/2SH nursing majors) Rationale: Program and Student assessment data from the past 5 years identified that one credit was insufficient foundation for nursing majors. HERS majors only require 1 credit of pharmacology. Prerequisite: Generic Option; HERS major; elective for RN-to-BS Option; or consent of instructor. Rationale: Nursing students in the major will take this course along with other foundational nursing content to facilitate integration of this content. Other prerequisites are unchanged. Catalog description: Introduces the fundamental principles of pharmacology, pharmacokinetics, pharmacodynamics, pharmacotherapy, adverse drug reactions, major drug classes and related implications for individuals receiving drugs. Nursing students will incorporate various systems of measurement, conversion between systems, and calculation of drug dosages and rates. The 1 SH option is only available for non-nursing majors. Rationale: Expanded content to prepare students to practice in healthcare environments where high levels of pharmacology expertise are needed for safe practice. Course outline: Nursing section ONLY Unit 1: Overview General concepts 1. Drug Action: pharmaceutic, pharmacokinetic, and pharmacodynamic phases 2. Nursing Process and patient teaching 3. Principles of drug administration a. Five plus rights of drug administration b. 2007 National patient safety goals c. Disposal of medication d. Additional safety risks for safe administration e. Special considerations (factors that modify drug response) f. Guidelines for administration g. Forms and routes h. Nursing implications for administration of parenteral meds i. Developmental needs of pediatric patients j. Technologic advances Unit 2: Medication and calculations 1. Systems of measurement with conversion (metric, apothecary, household, conversion) 2. Methods of calculation a. Interpreting oral and injectable drug labels i. Basic formula ii. Ratio and proportion iii. Fractional equation iv. Dimensional analysis v. Body weight, BSA b. Calculations of oral dosages d. e. 7. 8. 9. 10. 11. 12. 13. 14. Anticonvulsants Drugs for neurologic disorders (Parkinsonism, Alzheimer’s disease) f. Drugs for Neuromuscular disorders (Myasthenia gravis, MS, spasm) Psychiatric Agents Antiinflammatory and antiinfective agents Immunologic Agents Cancer Agents Respiratory Agents Cardiovascular Agents Gastrointestinal Agents Endocrine Agents i. Capsules, tablets, liquids ii. Interpreting labels iii. Drug differentiation iv. Calculation, body weight, BSA, v. Administration via NG tube c. Calculations of injectable dosages i. Injectable preparations ii. Vials, ampoules, syringes iii. Interpreting injectable labels iv. Intradermal and subcutaneous injections v. Insulin injections vi. Intramuscular injections d. Calculations of intravenous fluids i. Continuous, intermittent, secondary sets without IV pumps ii. Intermittent infusion adapters/devises iii. Direct IV injections iv. Electronic intravenous regulators v. Patient controlled analgesia vi. Calculating flow rates for IV drugs e. Pediatric drug calculations f. Oral, IM g. Per body weight, per body surface area, h. Calculations and injectables Unit 3: contemporary issue in pharmacology 1. The drug approval process 2. Transcultural and genetic considerations 3. Drug interactions and over the counter drugs 4. Drugs of abuse 5. Herbal therapy with nursing implications 6. Pediatric pharmacology 7. Geriatric pharmacology 8. Medication administration in community setting 9. Role of the nurse in drug research Unit 4: Nutrition and electrolytes 1. Vitamin and mineral replacement 2. Fluid and electrolyte replacement 3. Nutritional support Unit 5: Autonomic Nervous system agents 1. Adrenergic and adrenergic blockers 2. Cholinergic and anticholinergics Unit 6: Neurologic and neuromuscular agents 1. Central nervous system stimulants 2. Central nervous system depressants 3. Anticonvulsants 4. Drugs for neurologic disorders: parkinsonism and Alzheimer’s disease 5. Drugs for neuromuscular disorders :myasthemia gravis, MS, muscle spasms Unit 7 Pain and inflammation management agents 1. Anti-inflammatory drugs 2. Nonopioid and opioid analgesiscs Unit 8 Psychiatric Agents 1. Antipsychotics and Anxiolytics 2. Antidepressants and mood stabilizers Unit 9: antibacterial agents 1. Penicillins and cephalosporins 2. Macrolides, tetracyclines, aminoglycosides, fluroquinolones 3. sufonamides Unit 10: anti-infective agents 1. antituberculars, antifungals, peptides, metronidazole 2. antivirals, antimalarials, anthelmintics Unite 11: immunologic agents 1. HIV and AIDS related drugs 2. Vaccines Unit 12: antineoplastic agents 1. anticancer drugs 2. targeted therapies to treat cancer 3. biologic response modifiers Unit 13: Respiratory agents 1. drugs for upper respiratory disorders 2. drugs for lower respiratory disorders Unit 14: Cardiovascular agents 1. cardiac glycosides, antianginals, antidysrhythmics 2. diuretics 3. antihypertensives 4. anticoagulants, antiplatelets, thrombolytics 5. antilipidemics, peripheral vasodilators Unit 15: Gastrointestinal agents 1. drugs for gastrointestinal tract 2. antiulcer drugs Unit 16: Eye, ear, and skin agents 1. drugs for disorders of eye and ear 2. drugs for dermatologic disorders Unit 17: endocrine agents 1. endocrine durgs; pituitary, thyroid, parathyroid, adrenal disorders 2. antidiabetics Unit 18: emergency agents 1. adult emergency drugs Course outline: Non-nursing section Unit 1: Overview General concepts 1. Drug Action: pharmacoceutic, pharmacokinetic, and pharmacodynamic phases 2. Teaching 3. Principles of drug administration a. Five plus rights of drug administration b. 2007 National patient safety goals c. Disposal of medication d. Special considerations (factors that modify drug response) e. Guidelines for administration f. Forms and routes Unit 2: contemporary issue in pharmacology 1. The drug approval process 2. Transcultural and genetic considerations 3. Drug interactions and over the counter drugs 4. Drugs of abuse 5. Herbal therapy 6. Pediatric pharmacology 7. Geriatric pharmacology Unit 3: Nutrition and electrolytes 1. Vitamin and mineral replacement 2. Fluid and electrolyte replacement 3. Nutritional support Unit 4: Autonomic Nervous system agents 1. Adrenergic and adrenergic blockers 2. Cholinergic and anticholinergics Unit 5: Neurologic and neuromuscular agents 1. Central nervous system stimulants 2. Central nervous system depressants 3. Anticonvulsants 4. Drugs for neurologic disorders: parkinsonism and Alzheimer’s disease 5. Drugs for neuromuscular disorders: myasthemia gravis, MS, muscle spasms Unit 6 Pain and inflammation management agents 1. Anti-inflammatory drugs 2. Nonopioid and opioid analgesiscs Unit 7 Psychiatric Agents 1. Antipsychotics and Anxiolytics 2. Antidepressants and mood stabilizers Unit 8: antibacterial agents 1. Penicillins and cephalosporins 2. Macrolides, tetracyclines, aminoglycosides, fluroquinolones 3. sufonamides Unit 9: anti-infective agents 1. antituberculars, antifungals, peptides, metronidazole 2. antivirals, antimalarials, anthelmintics Unite 10: immunologic agents 1. HIV and AIDS related drugs 2. Vaccines Unit 11: antineoplastic agents 1. anticancer drugs 2. targeted therapies to treat cancer 3. biologic response modifiers Unit 12: Respiratory agents 1. drugs for upper respiratory disorders 2. drugs for lower respiratory disorders Unit 13: Cardiovascular agents 1. cardiac glycosides, antianginals, antidysrhythmics 2. diuretics 3. antihypertensives 4. anticoagulants, antiplatelets, thrombolytics 5. antilipidemics, peripheral vasodilators Unit 14: Gastrointestinal agents 1. drugs for gastrointestinal tract 2. antiulcer drugs Unit 15: skin agents 1. drugs for dermatologic disorders Unit 16: endocrine agents 1. endocrine drugs; pituitary, thyroid, parathyroid, adrenal disorders 2.antidiabetics Rationale: Course Requirements: 1. Attend class 1 hour per week. 2. Bring computer to class. 3. Students are expected to read from the required text(s) and other assigned materials. 4. Participate in classroom discussions. 5. Complete exams/quizzes with a grade of “C” or better. 6. Complete assignments/quizzes/examinations as indicated. 7. Failure to take quizzes/exams at scheduled times will result in a score of zero. 8. Electronic devices (cell phones, PDA’s, etc.) will not be allowed in the classroom on examination or quiz days unless otherwise specified by your instructor. Students must receive approval of faculty prior to taping of class sessions. 9. Cell phones should be turned off during class time. 10.Students are expected to abide by all University academic policies and procedures. Course Requirements: Course expectations/requirements 1. Attend class and notify the professor of absences 2. Participate in class discussions and activities 3. Complete assignments on time Evaluation of Learning: Quizzes/Examinations Rationale: Student Accountability for learning. That includes academic integrity policies. Failure to do so may result in failure of the course and/or dismissal from an academic program. Evaluation of Learning: Quizzes/Examinations