SYLLABUS HANDOUT
For
Winter 2012
NURS 1950 7A
Pharmacology
Nancy Pares, RN, MSN
“Our greatest weakness lies in giving up. The most certain way to succeed is
always to try just one more time.”
~Thomas Edison
Welcome to Metropolitan Community College
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Metropolitan Community College
Course Syllabus –2012 Winter
COURSE IDENTIFICATION
Title:
Prefix/Section:
Credit Hours:
Begins/Ends/No-Class Days:
Meeting Day/Time:
Last Day to Withdraw
HOLIDAY RECESS:
Delivery Type:
Class Location:
Lab Location:
Course Web Address:
Pharmacology
NURS 1950 7A
4
November 28, 2012 – February 20, 2013
Wednesday, 8:00 a.m. -12:00 noon
February 6, 2013
Dec 24, 2011 –Jan 4, 2013
Classroom
SOC, Mahoney RM 503/511
SOC, Mahoney RM 505
http://www.mccneb.edu/healthcareers/default.asp
CONTACT INFORMATION
Instructor Name:
METRO OFFICE HOURS:
ACADEMIC PROGRAM AREA:
Nancy Pares, RN, MSN
Office: 402-738-4787
FAX: 402-738-4552
npares@mccneb.edu
SOC MHY 513
Appointment only
Dean Stacy Ocander of Health and Public Services
COURSE INFORMATION
Course Description: This course is designed to assist the student in developing an understanding
of how drugs assist the client with health alterations to attain or maintain optimum health. The
nursing process is an integral component of this course.
Course Prerequisites: The student will have completed fall quarter of the Nursing Program.
Course Objectives: At the completion of NURS 1950, the student will be able to:
1.
Describe how psychotropic agents are used to assist client’s wellness.
2.
Identify the analgesics and anti-inflammatory agents and relate how these drugs will
assist the client to function at an optimal level.
3.
Relate how the cardiotonics and coronary vasodilators assist clients who demonstrate a
deficiency in the cardiovascular system.
4.
Describe how the antidysrhythmics and antihypertensive agents aid in the maintenance of
health.
5.
Identify the respiratory agents and relate how these drugs assist the client in functioning
at an optimal level.
6.
Describe how antibiotics and other agents assist the client to obtain wellness.
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7.
8.
9.
10.
11.
12.
13.
Describe how antineoplastics and antianemics may assist the client to attain wellness.
Relate the effects and uses of drugs which influence the functions of the endocrine
system.
Relate how various drugs may be utilized to treat gastrointestinal disorders.
Describe how anticoagulants assist in health maintenance.
Describe how anticonvulsants, muscle relaxants, antiparkinson’s agents, sedatives and
hypnotics are used to assist client’s wellness.
Discuss the effects of drugs that affect the urinary system and how they are used for the
maintenance of wellness.
Demonstrate the ability to accurately calculate drug dosages.
Required & Supplemental Materials:
1. Pearson package #0133073866 Pharmacology for Nurses: A Pathophysiological
Approach. Adams, M: Pren Hall 2011: ISBN 978-0-13-50891
2. Workbook for Pharmacology for nurses: A pathophysiological approach. Adam, M.
Pren Hall 2010: ISBN 978-0135091289 (optional).
SOFTWARE/FILE SUBMISSION REQUIREMENTS:
Metropolitan Community College uses Microsoft products as part of its standard software and
encourages students to do the same. You may save word-processed documents for file
attachments in Microsoft Word .doc or .docx format. If your software does not allow either of
these, then save files in Rich Text Format (.rtf).
COURSE STRUCTURE:
Classroom lectures and demonstrations will be used to explain theoretical information.
Audiovisual aids will supplement lecture and demonstration. Students will be provided
opportunities for practical application of theories presented in the classroom. Review of tests
taken will be utilized to clarify information. Instructor reserves the right to change test schedule
as needed.
COURSE ASSESSMENT
1.
TYPES OF ASSESSMENT/ASSIGNMENTS:
The theory portion of the course will be evaluated through the use of periodic written unit
exams and a comprehensive final examination.
2.
GRADING POLICY:
The unit exams will be averaged together, and will constitute 75% of the course grade.
The final exam will constitute 20% of the course grade. My nursing lab assignments will
constitute 5%. The grading scale is: A = 93-100, B = 84-92, and C = 78-83, D = 70-77, below
70 = F. A final course grade of C (78%) is required to continue in the program.
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MAKE-UP TEST PROCEDURES:
If a student takes an exam outside of the scheduled time for the exam, the exam will be
considered a make up exam. The exam must be made up prior to the class meeting date the
following week. Failure to do so will result in a zero for that exam. A student may miss one
exam without penalty, as long as the exam is made up. If the student misses more than one
exam, the exam may be made up but the maximum score allowed is 80%. Any further exams in
the testing center are a maximum of 50%. The student will report to the Testing Center at South
Campus, Connector Building, Room 102 for make-up exams. The student may be required to
show proof of identification before receiving the make up exam. The instructor may change the
format of the make up exams. All unit exams must be completed prior to the final exam.
LATE ASSIGNMENTS:
All assignments must be turned in at the scheduled time. No credit will be given for late
assignments.
3.
MAINTENANCE OF STUDENT RECORDS:
Student’s testing bubble sheets and work not returned to the student will be kept for a
period of one year after the quarter in which the course was offered is completed. Tests will be
destroyed after that time. Any grade appeal that the student initiates must be done within that
time frame.
ASSESSMENT OF STUDENT LEARNING PROGRAM:
Metropolitan Community College is committed to continuous improvement of teaching and
learning. You may be asked to help us to accomplish this objective. For example, you may be
asked to respond to surveys or questionnaires. In other cases, tests or assignments you are
required to do for this course may be shared with faculty and used for assessment purposes.
USE OF STUDENT WORK:
By enrolling in classes offered by Metropolitan Community College, the student gives the
College license to mark on, modify, and retain the work as may be required by the process of
instruction, as described in the course syllabus. The institution shall not have the right to use the
work in any other manner without the written consent of the student(s).
INSTRUCTOR’S EXPECTATIONS OF STUDENTS
ATTENDANCE/PARTICIPATION POLICY:
After the first class meeting and through the Section Census Date, the instructor may disenroll
(WX) students who have not attended any classes. The Section Census Date is listed under the
Important Dates for the course in the official Class Schedule at
http://www.mccneb.edu/schedule/. There is no appeal for this disenrollment.
ATTENDANCE STATEMENT: Classroom attendance is expected and highly encouraged. It is the
student's responsibility to make up deficits incurred due to absence from class and to do so in a timely
manner.
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ATTENDANCE
Students who attend no class meetings up to and including the Section Census Date published
in the Class Schedule at www.mccneb.edu/schedule/ may be disenrolled from the class. There
is no appeal for this disenrollment.
WX: After the first class meeting and through the Census Date, the instructor will disenroll
(WX) students who have never attended. The Census Date is listed under the Important Dates for
the course in the official Class Schedule at http://www.mccneb.edu/schedule/.
FX is a final grade given to a student who stops attending a class (participating in a class if it's an
online class), does not return, and fails.
COMMUNICATION EXPECTATIONS:
When you communicate with others in this course, you must follow the Student Code of Conduct
(http://www.mccneb.edu/catalog/studentinformation.asp), which calls for responsible and
cooperative behavior. Please think critically, ask questions, and challenge ideas, but also show
respect for the opinions of others, respond to them politely, and maintain the confidentiality of
thoughts expressed in the class. You may also wish to review information at
http://www.albion.com/netiquette/.
RECORDING IN THE CLASSROOM:
Students may not video or audio record class sessions without the instructor’s knowledge and
permission. If recording of class sessions is authorized as a reasonable accommodation under
Americans with Disabilities Act (ADA), the instructor must have the appropriate documentation
from College Disability Support Services. Permitted recordings are to be used only for the
individual student’s educational review of the class session and may not be reproduced, posted,
sold or distributed to others. Students who violate this policy are subject to disciplinary
procedures as outlined in the Student Conduct Code.
ACADEMIC HONESTY STATEMENT:
Students are reminded that materials they use as sources for classwork may be subject to
copyright protection. Additional information about copyright is provided on the library website
at http://www.mccneb.edu/library or by your instructor. In response to incidents of student
dishonesty (cheating, plagiarism, illegal peer-to-peer file sharing, etc.), the College imposes
specific actions that may include receiving a failing grade on a test, failure in the course,
suspension from the College, or dismissal from the College. Disciplinary procedures are
available in the Advising/Counseling Centers or at http://www.mccneb.edu/procedures/V4_Student_Conduct_and_Discipline.pdf.
STUDENT WITHDRAWAL:
If you cannot participate in and complete this course, you should officially withdraw through
WebAdvisor at http://webadvisor.mccneb.edu or by calling Central Registration at 402-457-5231
or 1-800-228-9553. Failure to officially withdraw will result in either an attendance-related
failure (FX) or failing (F) grade. The last date to withdraw is noted in the CLASS
IDENTIFICATION section of this syllabus.
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LEARNING SUPPORT
MCC's Academic Resource Centers, Math Centers, and Writing Centers offer friendly,
supportive learning environments that can help students achieve educational success. Staff
members in these centers provide free drop-in assistance with basic computing, reading, math,
and writing skills. Self-paced, computer-assisted instructional support in reading, vocabulary,
typing, English as a Second Language, and online course orientation is also available.
Detailed information about the Academic Resource, Math, and Writing Centers is in the Student
Handbook, College Catalog, and online at http://www.mccneb.edu/arc/.
ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES:
Metropolitan Community College will provide reasonable accommodations for persons with
documented qualifying disabilities. It is the student’s responsibility to request accommodations
from Disability Support Services (DSS) located in each Student Services Office. After students
have arranged for accommodations with DSS, the student and instructor should privately discuss
these accommodations. For further information, please contact DSS or visit
http://www.mccneb.edu/dss/.
TECHNOLOGY SUPPORT
For assistance with student email, passwords, and most other MCC technology, contact the Help
Desk at 457-2900 or mcchelpdesk@mccneb.edu.
TECHNOLOGY RESOURCES:
By using the information technology systems at MCC (including the computer systems and
phones), you acknowledge and consent to the conditions of use as set forth in the Metropolitan
Community College Procedures Memorandum on Acceptable Use of Information Technology
and Resources. It is your responsibility as a student to be familiar with these procedures. The full
text of the Procedures Memorandum may be found at the following website:
http://www.mccneb.edu/procedures/X-15_Technology_Resources_Use.pdf.
COLLEGE POLICIES
College policies, such as student rights and responsibilities, academic standards, plagiarism, and
etc. are outlined in the College Catalog and Student Handbook. This information can be
accessed via the online catalog at http://www.mccneb.edu/academics/catalog.asp.
STUDENT CODE OF CONDUCT: The college has a standard code of conduct that involves
consequences for specific academic and non-academic behavior that may result in a failing
grade, probation, or suspension from the college. More complete information about the code of
conduct is located in the Student Services portion of the online catalog
(http://www.mccneb.edu/catalog/studentinformation.asp).
[Other pertinent college policies are posted on the CDS website www.mccneb.edu/cds; it is
suggested, but not required, that they be attached to your syllabus.]
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REQUIRED ATTACHMENTS
1. SCHEDULE OF ASSIGNMENTS
DATE
Nov. 28
Dec. 5
Dec. 12
(Subject to change)
CLASS ACTIVITY
Orientation, Lecture-Unit I Psychotropics
Unit 2 Analgesics and Anti-Inflammatory
Test Unit I (25 questions)
Continue lecture Unit 2
Lecture – Unit III Cardiotonics/Vasodilators
Test Unit 2 (25 questions)
Continue lecture Unit 3
Lecture – Unit 4 Antidysrrhythics/Antihypertensives
Dec. 19
Test Units 3 and 4 (50 questions)
Lecture Unit 5 Respiratory Agents
Lecture – Unit 6 Antibiotics and Other Agents
Jan. 8
Test Units 5 and 6 (50 questions)
Lecture Unit 7 – Antineoplastics/Antianemics
Lecture Unit 8 - Endocrine
Jan. 15
Lecture – Unit 9 - GI
Jan. 22
Lecture Unit 10 - Anticoagulants
Test Units 7 and 8 (50 questions)
Jan. 29
Lecture Unit 11 – Anticonvulsants/Muscle Relax
Test Units 9 and 10 (50 questions)
Feb. 5
Lecture Unit 12 – Urinary System
Feb. 12
Feb. 26
Test Unit 11 and 12 (50 questions)
Final
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2012/13 Winter Quarter Important Dates
Classes Begin ........................................................................................................... Nov 28 W
***Census Date/Tenth Day* .................................................................................... Dec 11 Tu
Holiday Recess/College Closed .......................................................................... Dec 24-Jan 1
Holiday Recess ends for Staff ..................................................................................... Jan 2 W
Holiday Recess ends Faculty Report/classes Resume ................................................. Jan 5 Sa
Current Student (greater than 50 hours) Spring 2013 (12/SP) Registration begins ... Jan 3 Th
Current Student (less than 50 hours) Spring 2013 (12/SP) Registration begins ........ Jan 9 W
General Spring 2013 (12/SP) Registration begins ..................................................... Jan 16 W
Martin Luther King Recess/College closed ................................................................ Jan 21 M
Fall Quarter Term Incomplete “I” Grades Due ........................................................ Feb 12 Tu
No Classes ......................................................................................................Feb 23-24 Sa-Su
Classes end ............................................................................................................. Feb 26 Tu
Winter grades due and posted by 11:59 p.m. ........................................................... Feb 28 Th
Student Withdrawal Deadline to “drop” a class without receiving a grade Varies by Class**
Student Withdrawal Deadline to “drop” a class with a refund varies ** See Refund Policy****
* Tenth Day is the date on which your enrollment level is checked.
**To view the last day to withdraw “drop” a class to prevent receiving a grade, go to the class
schedule found on line at http://www.mccneb.edu/schedule/classschedule.asp . Then, find the
course section and click on the Important Dates link on the same line as the course title. Dates
for each course section are automatically calculated based on the start and end dates and the
number of sessions for a course. A student must withdraw by this date to avoid an “F” grade.
Note: Schedule changes may have implications for students on Financial Aid. Check with
the Financial Aid Office prior to any schedule changes at 402-457-2330. The Census Date***
is the date on which Financial Aid Student’s enrollment is checked to determine the type and
amount of authorized funds for the quarter. Payment is based on enrollment as of that date.
****REFUND POLICY for Credit Courses
A student is responsible for withdrawing “dropping” from a course(s) if unable to attend. Nonattendance or non-payment does not relieve a student from the obligation to pay.
An official schedule change that reduces or terminates a student’s academic credit load may
entitle the student to a refund. Go to “My Services” and click “Student Accounts”, then
“Tuition Modeler” to see the refund percentage received through midnight of the same day you
“drop” withdraw from a class.
To withdraw “drop” from a course in My Way, go to “My Services”, click “Registration”.
Then click “Register and Drop Sections”. Find the class you wish to drop and check the box
under the word Drop and click Submit. You have successfully dropped the class if the message
at the bottom of the screen states “the following request(s) have been processed”.
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Unit I: Psychotropic Agents
Objectives: At the completion of this unit the student will be able to:
l.
2.
3.
4.
5.
6.
7.
Identify the major antianxiety agents.
Identify the major groups of drugs used to treat depression.
Describe the actions of the cyclic second generation and MAO inhibitors.
Specify the dietary implications appropriate for the client receiving a MAO inhibitor.
Discuss the uses for antimanic agents.
Identify the antipsychotics and describe their actions.
Identify the nursing process as it relates to clients who receive psychotropic medications.
Learning Activities:
_ Required readings:
Adams Chap 14, Chap 16, Chap 17:
My Nursing Lab: Pretest and post test for Chap 14, 16, 17.
_ Complete Unit Objectives
_ Unit Examination
-
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UNIT 2: Analgesics and Anti-inflammatory Agents
Objectives: At the completion of this unit the student will be able to:
1.
2.
Define: pain threshold and pain tolerance.
Identify the factors which affect the individual’s response to pain.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Describe those factors included in the assessment of pain.
Describe scheduled drugs.
Define analgesics.
Describe the actions of narcotic analgesics.
Compare the many effects of morphine sulfate and Demerol.
List other narcotic analgesics.
Compare narcotics with acetaminophen and ASA.
Describe the nursing implications associated with narcotic administration.
Describe the uses of salicylates.
Describe the nursing implications associated with salicylates.
Identify the signs of salicylate poisoning.
Identify the uses, advantages, and major disadvantages of acetaminophen.
List some non-narcotic analgesics.
Identify some non-steroidal anti-inflammatory agents.
Define gout and list drugs used to control acute gouty arthritis.
Describe the nursing process as it relates to clients on analgesic and antinflammatory
drugs.
Demonstrate ability to calculate drug dosages.
19.
Learning Activities:
_ Required readings:
Adams Chap 18 and Chap 33. Gout pg 741-747.
My nursing lab: Pre and post test for Chap 18 and 33
_Complete unit objectives
_ Unit examination
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UNIT 3: Cardiotonics and Coronary Vasodilators
Objectives: At the completion of this unit the student will be able to:
l.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Describe the relationship of calcium to electrical activity of the heart.
Describe how the autonomic nervous system affects the heart rate.
Describe how cardiac drugs affect cardiac action.
Identify the action of the cardiac glycosides.
Relate how the effects of digitalis are beneficial to the client with CHF.
Describe the usefulness of digitalis in the treatment of atrial fibrillation.
List the generic and brand names of the digitalis preparations.
Define digitalization.
List symptoms of digitalis toxicity.
Identify the factors which predispose digitalis toxicity.
Describe the nursing responsibilities associated with administering digitalis preparations.
Describe the actions of the antianginal drugs.
Identify the drugs used to treat angina pectoris.
List the side effects of nitroglycerin.
Identify the nursing responsibilities associated with administering the nitroglycerin
preparations.
Identify the beta-adrenergic blocker used to treat angina.
Identify the calcium channel blockers used to treat angina.
Identify the ace inhibitors used to treat angina.
Describe the nursing process as it relates to clients receiving cardiotonics and coronary
vasodilators.
Demonstrate ability to calculate drug dosages.
Learning Activities:
_ Required readings:
Adams Chap 24: Chap 25:
My nursing lab: pre and post test Chap 24, 25
_Complete unit objectives
_Unit Examination
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UNIT 4: Antidysrhythmic and Antihypertensive Agents
Objectives: At the completion of this unit the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Define the term “ectopic site”.
Define the term “arrhythmia” or dysrhythmia.”
Describe the actions of the antiarrhythmic drugs.
Identify the actions, results, and uses of major antiarrythmics.
List the side effects of antiarrythmics.
Describe the nursing implications associated with the antiarrhythmics.
Define “essential hypertension”.
List the factors which determine BP.
Identify diuretics used as antihypertensives.
Identify non-diuretic antihypertensives.
Explain the actions of the non-diuretic antihypertensives.
Explain the nursing implications associated with the antihypertensives.
Describe the nursing process as it relates to clients receiving antiarrhythmics and
antihypertensive drugs.
Demonstrate the ability to calculate drug dosages.
Learning Activities:
Required readings:
Adams Chap 23: Chap 26
My nursing lab: pre and post test for Chap 23 and 26
_ Complete unit objectives
_ Unit Examination
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UNIT 5: RESPIRATORY DRUGS
Objectives: At the completion of this unit, the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Describe how antihistamines exert their pharmacological effect.
List 5 side effects commonly caused by antihistamines.
Identify additional uses and contraindications for antihistamines.
List the antihistamines.
Describe the mechanism of action of the nasal decongestants.
List the nasal decongestants.
Describe nursing implications associated with the antihistamines and decongestants.
Identify drugs used as antitussives and expectorants.
Describe uses for antitussives and expectorants.
Describe nursing implications associated with antitussives and expectorants.
Describe the actions of bronchodilators.
Identify the sympathomimetic and xanthine bronchodilators.
Describe the use of mucolytics and identify them.
Describe the nursing process as it relates to clients receiving respiratory drugs.
Demonstrate ability to calculate drug doses.
Learning Activities:
_ Required readings:
Adams Chap 38 pgs. Chap 39
My nursing lab: pre and post test Chap 38 and 39
_Complete unit objectives.
_Unit examination.
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UNIT 6: Antibiotics and Other Agents
Objectives: At the completion of this unit the student will be able to:
l.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Identify the body’s natural defenses against infection.
Describe factors that increase the susceptibility of the body to infection.
Name the lab tests done to identify the invading pathogen.
Identify factors utilized to select an appropriate antibiotic.
Explain what resistance means, and the various types of resistance.
Define what narrow spectrum and broad spectrum mean.
Describe adverse reactions to antibiotics.
Discuss the penicillins and identify specific penicillin preparations.
Discuss various cephalosporin preparations.
Discuss tetracycline, including the nursing implications.
Describe the uses, side effects and nursing implications of the various aminoglycosides.
Discuss uses of the quinolones and macrilides.
Describe some miscellaneous antibiotics.
Discuss patient education on antibiotics..
List the antitubercular drugs and their uses.
Identify the antifungal agents and their uses.
List antiviral drugs and their uses.
Identify the nursing care for a client receiving these medications.
Demonstrate the ability to calculate drug dosages.
Learning Activities:
_ Required readings:
Adams Chap 34: ; Chap 35: Chap 36
My nursing lab: pre and post tests for Chap 34 and 35 and 36
_ Complete Unit Objectives
_ Unit examination
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Unit 7: Antineoplastics and Antianemics
Objectives: At the completion of the unit the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Describe the general factors utilized to select the therapy used to treat cancer.
Describe the general uses of chemotherapy in the treatment of cancer.
Identify the basic types of antineoplastic drugs.
Identify the 2 factors that play a major role in the response of the cancer cell to the
antineoplastic drug.
Describe what “tumor resistance” means.
Specify which normal cells are frequently affected by antineoplastic therapy; and signs
and symptoms that result most frequently.
Discuss the nursing care for the client receiving antineoplastic therapy.
Describe the types of anemia.
Identify drugs used to treat iron deficiency anemia.
Describe the nursing responsibilities associated with administering iron preparations.
Describe pernicious anemia and identify the drug used to treat it.
Describe the nursing process when caring for the client receiving antineoplastic and
antianemic agents.
Learning Activities:
_ Required readings:
Adams Chap 37: Chap 28:
My nursing lab: pre and post tests Chap 37, 28
_ Complete unit objectives
_ Unit Examination
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Unit 8: Drugs That Affect the Endocrine System
Objectives: At the completion of the unit the student will be able to:
1.
Define the term hormone.
2.
List the endocrine glands.
3.
Identify the hormones that are secreted by the anterior pituitary and describe their
main functions in the body.
4.
Identify the hormones that are released by the posterior pituitary and describe their
main functions in the body.
5.
Identify the two main thyroid hormones.
6.
Describe how the body synthesizes the thyroid hormones.
7.
Identify the actions of drugs used to treat hyperthyroidism.
8.
List the anti-thyroid agents used to treat hyperthyroidism.
9.
Identify the hypothyroid conditions.
10.
List the thyroid agents.
11.
Describe the nursing process associated with administering thyroid or anti-thyroid
preparations.
12.
Name the parts of the adrenal gland.
13.
List the types of hormones secreted by the adrenal glands.
14.
Describe the metabolic effects of the glucocorticoids, and the consequences of these
effects.
15.
Describe how glucocorticoids suppress inflammation.
16.
Identify therapeutic uses of the glucocorticoids.
17.
List the glucocorticoid preparations.
18.
Describe nursing care responsibilities associated with administering glucocorticoids.
19.
Identify the functions of insulin in the body.
20.
Define diabetes mellitus.
21.
Identify the site of insulin production in the body.
22.
List the types of diabetes.
23.
Explain the functions of insulin.
24.
Identify the onset, the peak, and the duration of action for rapid, intermediate, long
acting, and fixed combination insulin.
25.
Describe the local tissue responses that can occur with repeated insulin injections.
26.
List the symptoms of insulin shock.
27.
Discuss glucose elevating drugs.
28.
Describe what is meant by sliding scale insulin administration.
29.
Describe the action of the oral antidiabetic agents.
30.
Identify the conditions under which an oral antidiabetic agent would be used.
31.
List the oral antidiabetic agents.
32.
Describe the nursing interventions associated with teaching the diabetic about the
treatment.
33.
Describe the nursing process as it relates to the client receiving antidiabetic agents.
34.
List the therapeutic uses of estrogen and progesterone.
35.
Name the estrogen preparations.
36.
Name the progesterone preparations.
37.
Identify the most commonly used ovulatory agents.
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38.
Describe the actions of the oral contraceptives.
39.
Identify the nursing process for clients with conditions for which female hormones
are used.
Demonstrate ability to calculate drug dosages.
40.
Learning Activities:
_ Required readings:
Adams Chap 43; Chap 44; Chap 45:
My nursing lab: pre and post test Chap 43, 44, 45
_ Complete unit objectives
_ Unit Examination
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UNIT 9: Gastrointestinal Drugs
Objective: At the completion of the unit the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
List the components of gastric juice that contribute to the pain associated with peptic
ulcers.
Describe the physiology of gastric secretions.
List drugs considered to be ulcerogenic.
Explain the actions of the antiulcer drugs.
Describe the pain reducing effects of antacids.
Identify the features of an ideal antacid.
Differentiate between the various antacids.
Describe the nursing implications associated with antacid therapy.
State the mechanism of action of anticholinergic and antispasmodic agents.
Identify appropriate nursing actions relative to caring for clients receiving
antispasmodic drugs.
Describe the effects and uses of the H2 receptor antagonists, and proton pump
inhibitors.
Explain the nursing interventions associated with H2 receptor antagonists and proton
pump inhibitors.
Identify causes of constipation.
Explain the uses of laxatives and cathartics.
Identify features of an ideal laxative and cathartic.
Describe the actions of the types of laxative.
Identify laxatives according to type.
Describe the major nursing interventions associated with the administration of
laxatives.
Identify causes of diarrhea.
Describe the uses of the antidiarrheal agents.
Identify the antidiarrheal agents.
Describe the nursing implications associated with receiving antidiarrheal agents.
Discuss the pathophysiology of nausea and vomiting.
Identify antiemetic drugs and their classification.
Identify the mechanisms of action, indications for use and desired effects of
antiemetic drugs.
Explain the use of emetics.
Describe the nursing process related to the administration of emetics/antiemetics.
Demonstrate the ability to calculate drug dosages.
Learning Activities:
_ Required readings:
Adams Chap 40 and 41;
My nursing lab: pre and post test Chap 40, 41
_ Complete unit objectives
_ Unit Examination
Metropolitan Community College
18
UNIT 10: Anticoagulants
Objective: At the completion of the unit the student will be able to:
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Identify general reasons anticoagulants are given.
Identify the cells in the body that release heparin.
Describe the actions of heparin.
List the appropriate routes to administer heparin.
Identify the antidote for heparin.
Name the lab tests that are the basis to determine the effectiveness and dosage of
heparin.
Describe the important points regarding subcutaneous administration of heparin.
List the signs of heparin overdose.
Identify drugs that enhance the action of heparin.
Describe the action of coumadin.
Name the lab tests done to determine the effectiveness and dosage of coumadin.
Identify drugs that increase and decrease the effectiveness of coumadin.
Discuss other select anticoagulant agents.
Discuss the indications for antiplatelet drugs.
Describe the nursing responsibilities associated with a client receiving an
anticoagulant, including specific safety considerations.
Demonstrate the ability to calculate drug dosages.
Learning Activities:
_ Required readings:
Adams Chap 27:
My nursing lab: pre and post test Chap 27
_ Complete unit objectives
_ Unit Examination
Metropolitan Community College
19
UNIT 11: Drugs That Effect the Central Nervous System
Objective: At the completion of this unit the student will be able to:
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Describe the general cause of seizures and the two major clinical findings associated
with seizures.
List factors that may precipitate seizures.
Name and describe the major types of epileptic seizures.
List the anticonvulsants.
Name the drug of choice for the treatment of status epilepticus.
List the observations that should be made by the nurse during a seizure.
Describe the patient education you, as the nurse, should include when teaching the
client about epilepsy and its treatment.
Describe the common symptoms of Parkinson’s disease.
Describe the role of dopamine in the body.
Name the preparations used to treat Parkinson’s disease.
Describe the role of the anticholinergic drugs in the treatment of Parkinson’s disease.
Apply the nursing process as it relates to the care of the client with Parkinson’s
disease and the accompanying drug therapy.
Define the terms sedative and hypnotic.
Describe the actions, uses, and side effects of the barbiturates.
Identify the commonly used barbiturates and benzodiazepines.
Name the conditions that may cause muscle spasticity.
Describe the goals of drug therapy in the treatment of muscle spasticity.
Name the musculoskeletal relaxants.
Describe the nursing process as it relates to clients receiving drugs affecting the
central nervous system.
Demonstrate ability to calculate drug dosages.
Learning Activities:
_ Required readings:
Adams Chap 15; Chap 20; Chap 21:
My nursing lab: pre and post test Chap 15, 20, 21
_ Complete unit objectives
_ Unit Examination
Metropolitan Community College
20
UNIT 12: Drugs That Affect the Urinary System
Objective: At the end of the unit the student will be able to:
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List two (2) major physiological functions of the kidneys.
List the four (4) processes carried out by the nephron.
Name the part of the nephron responsible for each of the processes.
Name the pituitary hormone that influences the urine volume.
Name the adrenocortical hormone that influences the urine volume.
List the four (4) ways in which fluid is normally lost from the body.
Describe the actions of diuretics.
Describe the uses, actions, and adverse effects of the thiazide and thiazide-like
diuretics.
List the thiazide and thiazide-like diuretics.
Describe the uses, actions and adverse effects of Lasix and other loop diuretics.
List the electrolyte imbalance that most commonly occurs as a result of diuretic
therapy.
Describe the uses, and action of the potassium sparing diuretics.
Explain how increased fluid intake enhances the action of diuretics.
List good dietary sources of potassium.
Apply the nursing process as it relates to clients receiving diuretic therapy.
Identify the drugs used to treat urinary tract infections.
Identify the drugs used as urinary stimulants and antispasmodics.
Discuss patient education guidelines for drugs that affect the urinary system.
Identify at least one nursing diagnosis that may be applicable for clients receiving
diuretic therapy under the guidance of the instructor.
Describe the nursing process as it relates to client’s receiving diuretic therapy.
Demonstrate ability to calculate drug dosages.
Learning Activities:
_ Required readings:
Adams Chap 30:
My nursing lab: pre and post test Chap 30
_ Complete unit objectives
_ Unit Examination
Metropolitan Community College
21