Syllabus COURSE TITLE: Cardiac Drugs COURSE NUMBER: MED 268 CLASS MEETING DAY & TIME: Tuesday, 4:30 pm COURSE DESCRIPTION: This course covers types of drugs used in cardiac disease, their categories, and function. Students will have a thorough understanding and working knowledge of the various drugs used in the treatment of heart disease upon completion of the course. COURSE PREREQUISITES: Anatomy & Physiology I, MED 153; anatomy & Physiology II, MED 154; Medical Terminology, MED 103; Electrocardiography (EKG), MED 294; and Basic Cardiovascular Anatomy & Physiology, MED 159. LECTURE HOURS: 40 EXPECTED HOMEWORK HOURS: 80 ACADEMIC CREDITS HOURS AWARDED: 4.0 Quarter Credit Hours LAB HOURS: None LAB REQUIREMENTS: None INSTRUCTOR: Lisa H. Young, RN, BSN, MA Ed. INSTRUCTOR CONTACT INFORMATION: Lyoung@daymarcollege.edu Cell or text: 270-202-6137 STUDENT LEARNING OUTCOMES: Upon completion of this course, the student will: 1. Practice critical thinking skills in evaluation of drugs used in certain cardiac diseases. 2. Reference drug book with 100% accuracy for drug information 3. Demonstrate knowledge of medication administration, medication preparation and medication calculations as well as completing medication record with 90% accuracy. We Change Lives… One Person at a Time Revised 1/2015 Page 1 4. Identify drug-drug and food-drug interaction for cardiac drugs reviewed. 5. Recognize drug categories for cardiovascular drugs reviewed with 90% accuracy. 6. Identify emergency cardiovascular medications and their desired effects with 90% accuracy. 7. Complete drug reference card for assigned medications commonly used in the treatment of cardiovascular patients INSTRUCTIONAL MATERIALS, REFERENCES, AND TEXT: Intergrated Cardiopulmonary Pharmacology, third edition. Colbert, Gonzalez III, and Kennedy. Pearson, ISBN-10: 0-13256872-1 Health Professionals Drug Guide 2013-14, 1st edition, Shannon, Pearson ISBN-13: 9780132738774 CardioTech.wordpress.com blog with homework assignments and discussions. METHOD OF INSTRUCTION AND TEACHING STRATEGIES: Lecture, computer usage, DVD instructional films, worksheets, quizzes and exams with power point presentation. REQUIREMENTS FOR SUCCESSFUL COMPLETION & EVALUATION: Successful completion involves class participation, attendance, and completion of work by assigned dates, and taking exams on assigned dates. If assignments are 1 week late, the grade for this work will be dropped one letter grade. Example (A will be a B). After two weeks, it will be an F. GRADING SCALE: Grade determination: Professionalism Worksheets/Quiz Drug Cards LRC Project Portfolio Project Exams 90 – 100 % 80 – 89% 70 – 79% 60 – 64% Below 64% 10% 20% 20% 10% 10% 30% 100% A B C D F LEARNING RESOURCE CENTER/INTERNET ASSIGNMENT: The student will complete a typed report including references for a specific heart disease. This report will be presented to the class. Credit will be given for research, preparation as well as presentation. Resource material may be obtained from the Learning Center or Ebrary database or ProQuest (icon is on computer desktop). LEARNING RESOURCE CENTER INFORMATION: Robin McGinnis, Coordinator Office Hours: 8am – 5:30pm Mon – Thurs, 8am – 2pm Fridays The LRC is open to student 8am – 9pm Mon – Thurs 8am – 2pm on Fridays THE PACIFIC INSTITUTE ELEMENT: This course will provide the student with a fundamental understanding of the heart anatomy and the ability to apply heart anatomy knowledge to understand common heart diseases, such as cardiomyopathy, hypertension, coronary artery disease, and valvular dysfunction. We Change Lives… One Person at a Time Revised 1/2015 Page 2 PORTFOLIO PROJECT: Each student will receive an outline identifying the new skills they have mastered for their portfolio. Portfolio will be reviewed at end of course for completeness. COURSE/CLASSROOM POLICIES: Participation/Professionalism: Each student must accept responsibility in the use of the facilities at Daymar and obey the policies and procedures. The instructor will conduct this class in a mature manner. It is expected that each student will act in the same adult manner when interacting with classmates and the instructor. It is my responsibility to maintain an atmosphere conducive to learning in the classroom, and I will do so. Please spare everyone the stress and embarrassment by being courteous and obeying classroom rules. Attendance: Students are expected to attend all scheduled courses in order to achieve the learning goals of their program. Prospective employers are often as concerned with applicants’ school attendance records as with their academic records. Attendance has a direct bearing on the students’ final grade in each course. If a student has been out of school for 14 consecutive days, the student will be withdrawn from school. Refer to Unofficial Withdrawal in the catalog. Internet Usage: There is to be no Internet surfing during class time unless instructed by the instructor. Tardiness: Attendance is recorded during the first ten minutes of each class session. The instructor updates the attendance record at the end of each class. If you know you will be late, please call Daymar and leave a message for your instructor. Late Work: Assignment due dates will be announced in class and will allow sufficient time for each assignment to be completed. Late homework, papers, etc. will be penalized. In-class assignments, quizzes, presentations, and other daily work cannot be made up. The instructor may extend an assignment due date for a student based upon individual circumstances. However, the situation must first be discussed and approved by the instructor. Completion Of Course Work: All course work must be turned in by the last day of class. Work turned in after the last day of class will not be accepted for credit except under special circumstances approved by the Director of Education and/or the Campus Director. Dress: Students are required to dress in attire appropriate for a college classroom, and are to refrain from wearing clothing that might be considered “distracting” to others in the classroom. In addition, the curriculum has assignments in which a student’s professional appearance will be evaluated as part of the overall grade of the assignment. We Change Lives… One Person at a Time Revised 1/2015 Page 3 Decorum: The following are some behaviors inappropriate for a college classroom: *sleeping in class *children in class *unauthorized visitors *rude behavior * interrupting speakers *profane language Cell phones: A communication devices MUST be turned off or put on silent mode during class time. Text messaging is not allowed during instructional time. Academic Dishonesty: Plagiarism is defined as an act or instance of stealing or passing off the ideas or words of another as one’s own, or to use a creative production without crediting the source. Incidences of academic dishonesty will result in severe penalty up to and including a failing grade for the course, as well as being noted on the student’s permanent record. Additional incidences of academic dishonesty could result in a student’s permanent expulsion from Daymar. We Change Lives… One Person at a Time Revised 1/2015 Page 4 Course Overview and Outline (Outline is adjusted to number of weeks in each quarter) Class Week 1 2 3 4 5 6 7 Learning Outcomes / Objectives WIIFM General Pharmacologic Principles How to use drug book for drug information. Utilize drug reference sources of information Discuss advantages and disadvantages of different routes of administration. Describe the processes of drug absorption, distribution, metabolism, and elimination Explain differences in pharmacokinetics, pharmacodynamics, and adverse effects of drugs in patients. Discuss factors that may alter a patient’s response to a drug. Discuss principles of drug poisonings, adverse drug reactions, and interactions. Discuss responsibilities in drug administration. The Metric System and Drug Dosage Calculations Define key terms relevant to drug dosage calculations. Perform conversions of units of measurement within the metric system. Perform conversions between units of measurement in the metric and English systems. Calculate strength of solutions in percentage and ratio forms Perform drug dosage calculations Mid-term Examination Pharmacology of the Autonomic Nervous System Describe the divisions of the central and peripheral nervous systems. Define key terms relative to pharmacology of the autonomic nervous system. State four classifications of autonomic nervous system drugs on the basis of how and where they work Cardiac Agents Relate cardiovascular physiology to pharmacologic treatments. Describe indications and pharmacologic effects of antiarrhythmics, ACE inhibitors, angiotensinreceptor blockers, inotropic agents, antilipidemics and vasodilators. We Change Lives… One Person at a Time I understand how to use and read a drug book. I understand the different routes of drug administration and why these routes are used for certain categories of medications. I understand the procedure for accurate drug administration and documentation . I understand how to convert units of measurement within the metric system for medication administration. I understand how to calculate drug dosages I will be administering in the cardiovascular field I understand the effects of the autonomic nervous system I understand the use of antiarrhythmics, ACE inhibitors, angiotensinreceptor blockers, inotropic agents antilipidemic agents and vasodilator agents in the treatment of coronary artery disease patients Revised 1/2015 Page 5 8 Understand the role of pharmacologic therapy in heart failure, acute coronary syndrome, myocardial infarction, hyperlipidemia, and angina. Discuss the relationship between metabolic syndrome and myocardial infarction and stroke 9 10 Blood Pressure and Antithrombotic Agents Understand the variables that affect blood pressure. Relate cardiovascular physiology to pharmacologic treatments. Describe the indications and pharmacologic effects of various types of antihypertensive agents. Relate renal physiology to diuretic treatment. Antiarrhythmic Agents Understand the actions for various antiarrhythmic agents administered to correct arrhythmias and rhythm maintenance. 11 12 Medications for Advanced Cardiovascular Life Support Describe the pharmacologic effects of the drugs commonly used in the treatment of acute myocardial infarction, cardiac arrest, cardiogenic shock, bradycardia, tachycardia, and pulseless arrest. Final Exam We Change Lives… One Person at a Time I understand the medications used for the treatment of heart failure, ACS, MI, hyperlipidemia and angina and will be able to educate patients who will be prescribed these medications. I understand the importance of medications used to manage metabolic syndrome, MI and CVA I understand the types of medications used for hypertension and how to administer these medications. I understand the types of anticoagulants, antiplatelet agents and fibrinolytic agents and how these agents I understand the types of antiarrhythmic medications available and how these medications are utilized to control arrhythmias. I understand the medications used in the emergency treatment of cardiovascular disease patients. I have successfully completed course requirements Revised 1/2015 Page 6 Textbook Reading Schedule and Homework Assignments (subject to change…monitor blog for updates; medicallyoung.wordpress.com) Class Week Chapters & Homework Assignments & Location Part One: The Basics Week 1 Chapter 1: General Pharmacologic Principles 1/20 Classroom Chapter 2: The Metric System and Drug Dosages Calculations Assignments: Chapter 1 worksheet Chapter 2 worksheet *4 Drug Cards will be due every week. See drug card list. Part One: The Basics Continued Week 2 Chapter 3: Pharmacology of the Autonomic Nervous System 1/27 Classroom Assignments: Medicine Administration Worksheet Return demonstration: Injection medications; subcutaneous and intradermal injections. Week 3 2/3 Classroom Week 4 2/10 Week 5 2/17 Midterm Exam due Week 6 2/24 Week 7 3/3 Week 8 3/10 Week 9 3/17 Week 10 3/24 Final Exam due Due Date Week 2 1/27 Week 3 2/3 Continued Medicaiton Calculations & Medication Administration Documentation Return demonstration: Intramuscular (deltoid, dorsogluteal, ventrogluteal, and vastus lateralis sites) Assignments: Dosage calculation worksheet Charting exercise worksheet Glossary #1 worksheet Chapter 9: Part Two: The Specific Drug Categories Cardiac Agents Assignments: Chapter 9 worksheet Prepare for med-term examination Chapter 10: Blood Pressure and Antithrombotic Agents Assignments: Lecture #1 & #2 worksheets Week 4 2/10 Antiarrhythmic Agents Handout Assignments: Lecture #3 & 4 worksheets Glossary #2 worksheet Assignments: Lecture #5 & 6 worksheets Week 7 3/3 Chapter 15: Medications for Advanced Cardiovascular Life Support Assignments: Arrhythmia & Emergency Medication Treatment worksheet Assignments: Drug table; final exam LRC project due Portfolio project due Last day of class Week 9 3/17 We Change Lives… One Person at a Time Revised 1/2015 Week 5 2/17 Week 6 2/24 Week 8 3 / 10 Week 10 3/24 Page 7