College of Nursing - Christopher W. Blackwell, Ph.D., ARNP

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College of Nursing
UNIVERSITY OF CENTRAL FLORIDA
COLLEGE OF NURSING
Spring 2013
Course Number:
NGR 6172
Course Title:
Pharmacology for Advanced Nursing Practice
Credit Hours:
3 (3, 0)
Prerequisites or Co-requisites: NGR 5141
(Pathophysiological Bases for Advanced Nursing Practice)
Students concurrently enrolled in a clinical practice course and
NGR 6192 who choose to withdraw from NGR 6172 MUST
also withdraw from the clinical practice course.
Catalog Description: Comprehensive study of medications used in the promotion and
maintenance of health across the lifespan. Examination of the implications for advanced nursing
practice. May be used in the degree program a maximum of 2 times.
Purpose: Introduce graduate nursing students to advanced pharmacological concepts employed
by advanced practice nurses across the lifespan.
Instructors: Christopher W. Blackwell, Ph.D., ARNP, ANP-BC, CNE
Associate Professor and Coordinator of Nurse Practitioner Programs
College of Nursing
(407) 823-2517 (office); (407) 823-5675 (fax)
(407) 375-4334 (personal cell) Office: UT: 453 (by appt.)
E-Mail: christopher.blackwell@ucf.edu
Sally Ayash, Pharm.D., RPh, CPH
Instructor
College of Nursing
(407) 823-2744 (main CON number); (407) 823-5675 (fax)
Office Hours: By appt.
E-Mail: sally.ayash@ucf.edu
Meeting Time and Location: UT, Room 650A; Select R: 1330-1620
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Course Objectives:
1. Integrate the concept of pharmacotherapeutics in the prevention and treatment of illness
in clients across the lifespan;
2. Apply nursing and related research in the use of pharmacologic agents;
3. Apply concepts of pharmacokinetics and pharmacodynamics in the selection and
monitoring of pharmacologic agents;
4. Discuss the ethical, legal, and professional aspects of advanced nursing practice roles in
relation to prescriptive authority and the roles of other health care team members;
5. Use knowledge of drug actions to predict possible adverse reactions, toxic effects, and
drug interactions associated with drugs used in the management of common health
problems;
6. Relate age, gender, pregnancy status, socioeconomic, psychosocial and cultural
considerations to the pharmacologic management of common health problem;
7. Incorporate use of a drug history and client knowledge of drug therapy in developing
interventions related to drug therapy.
Teaching/Learning Strategies:
Lecture
Class and Web based discussion
Reading
Written/ Group Assignments
Case Studies
Review and use of library and electronic resources
Examination
EVALUATION METHODS:
Live Comprehensive Final Examination
7 Module Discussion Case Study Postings
1 Written Pharmacology Case Study Report
Attendance and Participation
Units of Instruction: (Note order of content in lecture will vary slightly. See course
schedule)*
I. Prescribing Practices, Patient Adherence, and Rational Drug Selection:
1. Florida NP Prescription Laws and Regulations
2. Patient Adherence and Compliance
3. Counterfeit Drug Laws
4. Information Technology and Pharmacotherapeutics; Safety in Pregnancy and
Lactation; and additional resources
5. Writing Prescriptions: How, What, and Legally Mandated Components
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II. Pharmacokinetics and Pharmacodynamics
1. Basic Principles of Pharmacology
2. Adverse Drug Reactions & Interactions
3. Factors that Foster Positive Outcomes
4. Rational Drug Selection
III. Pharmocogenetics, Pharmacoeconomics, OTCs, Herbals, and Supplements:
1. Cultural and Ethnic Influences in Pharmacotherapeutics
2. Pharmacogenomics
3. Nutrition and Nutraceuticals
4. Pharmacoeconmics
5. OTC Medications
6. Herbal and Complimentary Therapies
IV. Drugs Affecting the Hematapoietic System:
1. Anemias
2. Anticoagulants
3. Nutritional Fe+ supplements
3. Growth-Colonization Stimulating Factors (GCSF)
V. Drugs Affecting the Endocrine System:
1. Diabetes Mellitus
2. HRT and Osteoporosis
3. Hyperthyroidism and Hypothyroidism
4. Hyperparathyroidism
VI. Drugs Affecting the Integumentary System:
1. Dermatological Conditions
VII. Drugs Affecting the Neurological System and Drugs Used to Treat Psychiatric
Disturbances:
1. Anxiety and Depression
2. Mood Disorders
3. Dementia
4. Psychosis
5. Pain Management: Acute and Chronic
6. Headaches
7. Smoking Cessation
8. ETOH Cessation
VIII. Drugs Affecting the Gastrointestinal System:
1. Inflammatory Bowel Diseases
2. Gastric Esophageal Reflux Disease (GERD)
3. Peptic Ulcer Disease (PUD)
IX. Drugs Affecting the Respiratory System:
1. Asthma and COPD
2. Pneumonia
3. Tuberculosis
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4. Upper Respiratory Infections
X. Anti-Infectives and Resistance:
1. Drugs Used to Treat Infectious Diseases
2. Basic Principles of Antibiotics
3. Drug Resistance
4. Methicillin-Resistant Staph. aureus
5. Carbapenam resistant Klebsiella
XI. Drugs Affecting the Cardiovascular and Renal Systems:
1. Chronic and Acute Stable/ Low-Risk Angina
2. Heart Failure
3. Hyperlipidemia
4. Hypertension
XII. Drugs Affecting the Musculoskeletal System:
1. Muscle Relaxants and Anti-Inflammatories
2. Drugs used to treat OA
3. Drugs used to treat RA
XIII. Drugs Affecting the Immune System:
1. Corticosteroids
2. Immunomodulators
3. Biologicals
4. HIV/ AIDS
XIV. Drugs Affecting the Reproductive System:
1. Contraception and Pregnancy Prevention
2. Sexually-Transmitted Infections
3. Vulvo-Vaginitis
3. Urinary Tract Infections
4. Prostate, Testicular, and Penile Conditions
*- Note, this course does not cover the diagnostic process or management of any disease process.
Drugs and other medicinal interventions used to treat diseases will be covered and will include
classes of drugs and other specific pharmacological interventions used as part of the management
of acute and chronic illnesses.
Required Text
Woo, T. M. & Wynne, A.L. (2011). Pharmacotherapeutics for nurse practitioner prescribers
(3rd ed.) Philadelphia, PA: F.A. Davis.
Textbook ISBN: 97808362235
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Recommended Textbooks:
Gilbert, et al. (2012). The Sanford guide to antimicrobial therapy 2012 (42nd Ed.). Sperryville,
VA: Antimicrobial Therapy, Inc.
Textbook ISBN: 978-1930808706 [also available for mobile devices]
Recommended Technology:

Apple iPhone, iTouch, or Android device with the following Apps downloaded: Monthly
Prescriber’s Reference, MedScape, WebMD, Epocrates (all are free)
Course Schedule:
Date
January 10, 2013 (Live)
January 17, 2013 (Live)
January 24, 2013 (WWW)
January 31, 2013 (Live)
Content
I. Prescribing Practices,
Patient Adherence, and
Rational Drug Selection:
1. Florida NP Prescription
Laws and Regulation
2. Patient Adherence and
Compliance
3. Counterfeit Drug Laws
4. Information Technology
and Pharmacotherapeutics
5. Writing Prescriptions:
How, What, and Legally
Mandated Components
Assignment
Woo & Wynne (2011):
II. Pharmacokinetics and
Pharmacodynamics
1. Basic Principles of
Pharmacology
2. Adverse Drug Reactions
3. Factors that Foster
Positive Outcomes
4. Rational Drug Selection
II. Pharmacokinetics and
Pharmacodynamics
1. Basic Principles of
Pharmacology
2. Adverse Drug Reactions
3. Factors that Foster
Positive Outcomes
4. Rational Drug Selection
Woo & Wynne (2011):
Chapters: 1, 4, 11
Chapters: 2, 3, 5, 6
Woo & Wynne (2011):
Chapters: 2, 3, 5, 6
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January 31, 2013 (Live)
February 7, 2013 (WWW)
February 14, 2013 (Live)
February 21, 2013 (WWW)
II. Pharmacokinetics and
Pharmacodynamics
1. Basic Principles of
Pharmacology
2. Adverse Drug Reactions
3. Factors that Foster
Positive Outcomes
4. Rational Drug Selection
III. Pharmocogenetics,
Pharmacoeconomics,
OTCs, Herbals, and
Supplements:
1. Cultural and Ethnic
Influences in
Pharmacotherapeutics
2. Pharmacogenomics
3. Nutrition and
Nutraceuticals
4. Pharmacoeconmics
5. OTC Medications
6. Herbal and
Complimentary Therapies
IV. Drugs Affecting the
Hematapoietic System:
1. Anemias
2. Anticoagulants
3. Nutritional Fe+
supplements
4. Growth-Colonization
Stimulating Factors
(GCSF)
Woo & Wynne (2011):
Chapters: 2, 3, 5, 6
Woo & Wynne (2011):
Chapters: 7, 8, 9, 10, 12, 13
Woo & Wynne (2011):
Chapters: 18, 27
Woo & Wynne (2011):
Chapters: 21, 33, 38, 41
V. Drugs Affecting the
Endocrine System:
1. Diabetes Mellitus
2. HRT and Osteoporosis
3. Hyperthyroidism and
Hypothyroidism
VI. Drugs Affecting the
Integumentary System:
1. Dermatological
Conditions
Woo & Wynne (2011):
Chapters: 23, 32
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February 28, 2013 (Live)
March 4-9, 2013
March 14, 2013 (Live)
March 21, 2013 (WWW)
VII. Drugs Affecting the
Woo & Wynne (2011):
Neurological System and
Drugs Used to Treat
Chapters: 14, 15, 29, 35, 43
Psychiatric Disturbances:
1. Anxiety and Depression
2. Dementia
3. Psychosis
2. Pain Management: Acute
and Chronic
3. Mood Disorders
4. Headaches
5. Smoking Cessation
6. ETOH Cessation
VIII. Drugs Affecting the
Gastrointestinal System:
1. Inflammatory Bowel
Diseases
2. Gastroesophageal Reflux
Disease (GERD)
3. Peptic Ulcer Disease
Spring Break
IX. Drugs Affecting the
Respiratory System:
1. Asthma and COPD
2. Pneumonia
3. Tuberculosis
4. Upper Respiratory
Infections
Woo & Wynne (2011):
Chapters: 20, 34
No Classes
Woo & Wynne (2011):
Chapters: 17, 30, 42, 45, 46
(Dr. Christopher W. Blackwell,
ARNP, ANP-BC, CNE)
X. Anti-Infectives and
Resistance:
1. Drugs Used to Treat
Infectious Diseases
2. Basic Principles of
Antibiotics
3. Drug Resistance
4. Methicillin-Resistant
Staph. Aureus
5. Carbapenan resistant
Klebsiella
Woo & Wynne (2011):
Chapters: 24, 42, 45, 46
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March, 28 2013 (Live)
April 4, 2013 (Live)
April 11, 2013 (WWW)
April 18, 2013 (Live)
April 25, 2013 (Live)
XI. Drugs Affecting the
Cardiovascular and Renal
Systems:
1. Chronic and Acute
Stable/ Low-Risk Angina
2. Heart Failure
3. Hyperlipidemia
4. Hypertension
Woo & Wynne (2011):
XII. Drugs Affecting the
Musculoskeletal System:
1. Muscle Relaxants and
Anti-Inflammatories
2. Drugs Used to Treat OA
and RA
XIII. Drugs Affecting the
Immune System:
1. Corticosteroids and
Immunomodulators
2. HIV/ AIDS
Woo & Wynne (2011):
XIV. Drugs Affecting the
Reproductive System:
1. Contraception and
Pregnancy Prevention
2. Sexually-Transmitted
Infections and Vaginitis
3. Urinary Tract Infections
4. Prostate, Testicular and
Penile Conditions
Comprehensive Final
Examination
Woo & Wynne (2011):
Chapters: 16, 28, 36, 39, 40
Chapters: 25
Woo & Wynne (2011):
Chapters: 25, 37
Chapters: 31, 44, 47, 49
This Comprehensive Final
Examination covers all content
for the course and is
administered live in University
Tower. This is a closed-book,
closed-note, closed-WWW
examination.
EVALUATION METHODS
Live Comprehensive Final Examination
5 Module Discussion Case Study Postings (10 points each x 5)
50 points
50 points
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1 Written Pharmacology Case Study Report
50 points
Attendance and Participation
40 points
______________________________________________________________________________
Total
190 points
Grading System:
96-100
92-95
87-91
83-86
79-82
75-78
70-74
69 or below
A
AB+
B
C+*
C*
D*
F*
Points
181 - 190
174 - 180
164 - 173
157 - 163
149 - 156
142 - 148
132 - 141
0 - 131
* - Not acceptable for progression in the Doctor of Nursing Practice Program.
Academic Progression, Description of Course Assignments, and Course Policies:
Academic Progression: An average of 75% must be earned on the final examination to
successfully pass this course. Any student with a final exam average less than 75% will not
have any other course assignments (including extra credit, when available) calculated in
the final grade and cannot progress in the Doctor of Nursing Practice program in the
College of Nursing.
Comprehensive Final Examination (50 points): Students will complete a comprehensive final
examination that will cover all of the content for the course. This examination is administered
during the University’s Final Examination Week (see course schedule, above) and is closedbook, closed-note, and closed-WWW. Nothing besides the student’s own knowledge can be used
to complete the examination. This examination is administered live and consists of 50 multiple
choice/matching/true or false questions. Students will have 2 hours to complete the
Comprehensive Final Examination.
Module Discussion Case Study Postings (10 points each x 5; 50 points): Students will
actively participate in an on-line discussion regarding relevant cases from the modules being
covered in the course. Each student group member will be assigned a question from the case and
will have to comprehensively answer the item. In addition, the student must uniquely respond to
at least one group member’s post using evidenced-based rationales. References must be in APA
format and correctly cited. See the grading rubric (below) for more information regarding the
requirements of this assignment.
Written Pharmacology Case Study Report (50 points): A comprehensive case study regarding
an aspect of pharmacology will be assigned to each student in the class. Students will have to
address each item in the case study from an evidence-based perspective and prepare a formal
written report on the case. See the grading rubric (below) for more information regarding the
requirements of this assignment.
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Attendance/ Participation (40 points): Students are expected to arrive promptly to class on the
10 days the course is scheduled to meet live (see course schedule, above). In addition, students
are expected to remain in class for the entire meeting session (3 hours) and are required to
participate in any on-line initiated discussions. Attendance at each session is worth
approximately 4 points. Students are also expected to arrive to the live class sessions prepared
for discussion and are expected to complete any assigned reading assignments before the class
meeting. In addition, any additional readings and/or resources posted to the WebCourses site
should be read and reviewed prior to the class meetings. Students who are enrolled in a Webbased program (Nurse Educator, CNL) can complete the course in an on-line distant
WWW-based format.
Missed Examinations: It is not advisable to miss an examination. The makeup examination
and/or assignment may be different than the original exam and could consist of multiple choice,
matching, and/or essay style questioning. The instructor(s) can also require additional work such
as research assignments, essays, or other work in addition to the examination substitution.
Students who do not notify the instructor of a missed assessment within 2 hours of the exam
closure time will forfeit makeup and receive a 0 score. All makeup assessments are taken at the
instructor’s discretion and are administered live on the Orlando campus.
Canvas On-Line Learning System
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College of Nursing
NGR 6172: Pharmacology for Advanced Nursing Practice
Grading Rubric:
Module Discussion Case Study Postings:
Criteria
Possible Points
3
 Adequately
addresses each
item of the case
question.
3
 Uses evidencebased data to
support any
clinical claims;
all sources of
data are
correctly cited
in the
discussion
posting.
2
 Uses correct
APA
formatting
according to
the 6th edition
of the APA
Manual.
2
 Responds to at
least one
student’s
posting and
provides
unique
feedback and
perspective into
the case
discussion.
Actively
participates in
the group
discussion.
Total Points
Points Earned
Instructor Feedback
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An Equal Opportunity and Affirmative Action Institution
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College of Nursing
NGR 6172: Pharmacology for Advanced Nursing Practice
Grading Rubric:
Written Pharmacology Case Study Report:
Criteria
 Adequately
addresses each
item of the
case.
 Uses evidencebased data to
support any
clinical claims;
all sources of
data are
correctly cited
in the written
report.
 Uses correct
APA
formatting
according to
the 6th edition
of the APA
Manual.
Total Points
Possible Points
20
Points Earned
Instructor Feedback
20
10
Overall Feedback to the Student about Case:
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American Nurses Association
The Code of Ethics for Nurses 2001
Voted on and accepted by the ANA House of Delegates on June 30, 2001
1. The nurse, in all professional relationships, practices with compassion and respect for
the inherent dignity, worth, and uniqueness of every individual, unrestricted by
considerations of social or economic status, personal attributes, or the nature of health
problems.
2. The nurse's primary commitment is to the patient, whether an individual, family, group, or
community.
3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the
patient.
4. The nurse is responsible and accountable for individual nursing practice and determines the
appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient
care.
5. The nurse owes the same duties to self as to others, including the responsibility to preserve
integrity and safety, to maintain competence, and to continue personal and professional growth.
6. The nurse participates in establishing, maintaining, and improving health care environments
and conditions of employment conducive to the provision of quality health care and consistent
with the values of the profession through individual and collective action.
7. The nurse participates in the advancement of the profession through contributions to practice,
education, administration, and knowledge development.
8. The nurse collaborates with other health professionals and the public in promoting
community, national, and international efforts to meet health needs.
9. The profession of nursing, as represented by associations and their members, is responsible for
articulating nursing values, for maintaining the integrity of the profession and its practice, and
for shaping social policy.
The Code of Ethics for Nurses is available for sale from American Nurses Publishing at
1-800-637-0323 or www.nursesbooks.org
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Office of Student Rights and Responsibilities
University of Central Florida
YOUR ENROLLMENT STATUS MAY BE AT RISK!
Academic Dishonesty in any form will not be tolerated!!!
The University of Central Florida has recently started an account with turnitin.com., an
automated system which instructors can use to quickly and easily compare each student's report
to billions of web sites, as well as an enormous database of student papers that grows with each
submission. After submission of the paper, instructors receive a report that states if and how
another author's work was used.
Violations of student academic behavior standards are outlined in The Golden Rule, the
University of Central Florida's Student Handbook. See http://www.ucf.edu/goldenrule/ for
further details.
1. Cheating whereby non-permissible written, visual or oral assistance including that obtained
from another student is utilized on examinations, course assignments or projects. The
unauthorized possession or use of examination or course related material shall also constitute
cheating.
2. Plagiarism whereby another's work is deliberately used or appropriated without any indication
of the source. Thereby attempting to convey the impression that such work is the student's
own. Any student failing to properly credit ideas or materials taken from another has
plagiarized.
3. A student who has assisted another in any of the aforementioned breach of standards shall be
considered equally culpable.
ACADEMIC ACTION
* Taken by Instructor, Chair, or Dean of College*
1. Counseling
2. Loss of credit for specific assignment, examination or project.
3. Removal from course with a grade of "F" and/or
CONDUCT REVIEW ACTION
*Taken by the Office of Student Conduct*
1. Warning
2. Probation
3. Suspension
4. Expulsion
5. Permanent conduct record with UCF accessible by other institutions by request.
For more information, please contact the Office of Student Conduct at 823-2851.
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Persons With Disabilities: The University of Central Florida is committed to
providing reasonable accommodations for all persons with disabilities. Students who need
accommodations must be registered with Student Disability Services (SDS), Student Resource
Center Room 132, phone (407) 823-2371, TTY/TDD only phone (407) 823-2116, before
requesting accommodations from the professor. Students who are registered with SDS and need
accommodations in this course must contact the professor at the beginning of the semester to
discuss needed accommodations. No accommodations will be provided until the student has met
with the professor to request accommodations. This syllabus is available in alternate formats
upon request.
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