Mindanao State University ILIGAN INSTITUTE OF TECHNOLOGY COLLEGE OF NURSING Iligan City, 9200 COURSE SYLLABUS: HS8

I. II.

COURSE TITLE COURSE DESCRIPTION

III. IV. V. VI. VII.

VIII.

PHARMACOLOGY This course deals with pharmacodynamics, pharmacokinetics, clinical/therapeutic uses and toxicology of drugs. Emphasis is given on how a drug works to anticipate when giving a drug to a patient are of paramount importance since nursing responsibilities include administering drugs, assessing drug effects, intervening to make a drug more tolerable, and providing teaching about drugs and the drug regimen. COURSE CREDIT MODULE 1 - 1.5 units MODULE 2- 1.5 units TOTAL 3 units CONTACT HOURS/ MODULE 1- 27 lecture hours SEM MODULE 2- 27 lecture hours TOTAL 54 hours PRE-REQUISITE Math 1, General Chemistry, Anatomy & Physiology, NCM 102 PLACEMENT 2nd year, Summer TERMINAL At the end of the course and given relevant actual or simulated situations/conditions, the student will be able COMPETENCIES to: 1. Apply concepts and principles of pharmacology to ensure safe and proper use of drugs 2. Explain the actions, therapeutic uses, preparations, dosages, modes of administration of selected drugs and medicinal plants. 3. State precautionary measures to be observed in the administration of selected drugs 4. Discuss the role and responsibility of the nurse in pharmacology COURSE Must attend and pass quizzes, long exams, group activities, and assignments REQUIREMENT

MODULE 2: Drugs Acting on the Nervous System to Drugs Acting on the Genitourinary System
Intermediate Competencies Content TEACHING METHODOLOGIES/ STRATEGIES Classroom At the end of the lesson the students are able to: 1. Be reminded with the vision, mission, goals, core values, objectives, college policies, rules and regulations of MSU-IIT and the Nursing. 2. Explain the importance of studying Nursing. 3. Understand Learning Contract Brief review of MSU-IIT and CON: vision, mission, goals, core values, objectives, college policies, rules and regulations. Requirements of the course. Coverage of the course. Grading system Learning Contract Lecturediscussion Discussio n of other relevant and related issues about MSU-IIT and CON, feedback and reflection Student handbook, fact sheets, etc. Learning contract 1 .5 Oral recitation RLE Instructi onal Material s Number of Hours Lec RL E Evaluatio n Time Fram e (week s)

Given relevant

I. CONCEPT ON PERCEPTION AND COORDINATION FUNCTIONAL HEALTH

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1 hour

questions, the students will be able to: 1. Identify the basic functions of the nervous system. 2. Identify the important divisions of the peripheral nervous system 3. Compare and contrast the actions of sympathetic and parasympathetic divisions of the autonomic nervous system 4. Discuss the classification and naming of autonomic nervous system 5. Describe the nurses role management of clients receiving drugs affecting the autonomic nervous system 6. Explain the mechanism of drug action, primary actions and important

PATTERNS: Cognitive and Perceptual Patterns The Nervous System: Central Nervous System or CNS; Peripheral Nervous System or PNS Degenerative Diseases of the CNS IA. Drugs Acting on the ANS 1. Drugs Class: o Adrenergic agents o Adrenergic blocking agents o Cholinergic agents o Cholinergic blocking agents 2. Mechanism of Actions 3. Therapeutic Actions and Indications 4. Pharmacokinetics 5. Contraindications and Cautions 6. Adverse Effects 7. Drug-drug Interactions 8. Nursing Process Clients receiving sympathomimetic therapy Clients receiving adrenergic blocking therapy Client receiving parasympathomimetic therapy Clients receiving anticholinegric therapy 9. Patient Teaching Checklist IB. Drugs Acting on the CNS AND PNS 1. Drugs Class: o Anxiolytic and Hypnotic Drugs o States affected by Anxiolytic

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Verbal feedback

0.5

Lecturediscussion

Paper and pencil test

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1 hour Lecture -discussion Case study

Workbook 30 minut es 4 hours

Well written nursing diagnosis with NCP

Reporting Lecturediscussion PowerPoin t presentati on PowerPoin t

Evaluation Criteria Paper and pencil test

0.75

adverse effects

and Hypnotic Drugs: Anxiety; Sedation; and Hypnosis o Drug subclass: i. Benzodiazepines ii. Barbiturates o Antidepressant Drugs o Depression and biogenic amine theory of depression o Drug subclass: i. Tricyclic Antidepressants ii. Monoamine Oxidase Inhibitors iii. Selective Serotonin Reuptake Inhibitors o Psychotherapeutic Agents o Mental Disorders and their Classification o Drug subclass: i. Antipsychotics/ Neuroleptic Drugs ii. Antimanic Drugs iii. CNS Stimulants o Antiepileptic Agents o Nature of Epilepsy o Drug subclass i. Hydantoins ii. Barbiturates and Barbiturate-like Drugs iii. Benzodiazepines iv. Succinimides A. Antiparkinsonism Agents o Parkinsonism o Drug subclass

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i. Anticholinergics ii. Dopaminergics B. Muscle Relaxants o Nerves and Movements o Neuromuscular abnormalities o Drug subclass i. Centrally Acting Skelatal Muscle Relaxants ii. Direct Acting Skeletal Muscle Antispasmodics o Narcotics and Anti-migraine drug o Pain perception o Migraine Headaches o Drug subclass i. Narcotic Agonists ii. Opiod Receptors iii. Narcotic AgonistsAntagonists iv. Narcotic Antagonists v. Ergot Derivatives vi. Triptans o General and Local Anesthetics o Drug subclass i. Local Anesthesiatechniques of admnistration ii. General Anesthesiatypes and stages o Neuromuscular Blocking Agents o Neuromuscular Junction o Drug subclass i. Nondepolarizing

2. 3. 4. 5. 6. 7. 8.

9.

Neuromuscular Junction Blockers ii. Depolarizing Neuromuscluar Junction Blockers o Sites of action, onset, and duration Mechanism of Actions Therapeutic Actions and Indications Pharmacokinetics Contraindications and Cautions Adverse Effects Drug-drug Interactions Nursing Process Clients receiving Benzodiazepines Clients receiving Antidepressant Therapy Clients receiving Conventional Antipsychotic Drugs Clients receiving Levodopa Therapy Clients receiving Drugs for Muscle Spasm Clients receiving Opioid Therapy Clients receiving NSAID Therapy Clients receiving General Anesthesia Patient Teaching Checklist SSRIs Antipsychotic Neurologic Drugs Anti-epileptic Agents Levodopa

1 hour Lecturediscussion Case Study Workbook

Well written nursing diagnosis and NCP

30 minut es Reporting PowerPoin t presentati on

Evaluation criteria

 Given relevant questions, the students will be able to: 1. Explain the pharmacotherapy of the following : a. Hypertensiv e conditions b. Lipid disorders c. Heart failure d. Angina pectoris e. Myocardial infarction f. Dysrythmia s g. Coagulation disorders h. Hematopoe itic disorders 2. Describe the nurses role in the pharmacological management of those conditions. 3. Categorize drugs

Direct Acting Muscle Relaxant Anti-epileptic Agents Local Anesthetics Film Showing Lecture discussion PowerPoin t presentati on 1 hour Verbal feedback 0.5

II.CONCEPT ON OXYGENATION PERFUSION FUNCTIONAL HEALTH PATTERNS: Activity and Exercise Pattern The Cardiovascular System or CVS Diseases of the CVS The Respiratory System: Upper Respiratory Tract and the Lower Respiratory Tract Respiratory Pathology IIA. Drugs Acting on the CVS 1. Drugs Class: o Antihypertensive Drugs o Renin-Angiotensin System o BP or Blood Pressure control o Factors affecting BP o Drug subclass: i. ACE Inhinitors ii. Angiotensin II Receptor Blockers iii. Calcium Channel Blockers iv. Vasodilators v. Hypotensive Agents o Antiarrythmic Agents o Cadiac Conduction o Automaticity of the Heart o Cardiac Arrythmias o Drug subclass: i. Sodium Channel

6 hours Lecturediscussion PowerPoin t presentati on

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used in the treatment of cardiovascular disorders based on their classification and mechanism of actions. 4. Utilize nursing process to care for clients receiving drug therapy for cardiovascular disorders.

Blockers or CLASS I Beta Adrenergic Antagonists or CLASS II iii. Potassium Channel Blockers or CLASS III iv. Calcium Channel Blocker or CLASS IV Antianginal Agents o Blood supply to myocardium o Coronary Artery Disease o Drug subclass: i. Nitrates ii. Beta-adrenergic Blockers iii. Calcium Channel Blockers Cardiotonic Agents o Cardiac Muscle Function o Congestive Heart Failure o Drug subclass: i. Vasodilatros ii. Diuretics iii. Beta-adrenergic Agents iv. Cardiac Glycosides v. Phosphodiesterase Inhibitors Lipid Lowering Agents o Metabolism of Fats o Drug subclass: i. HMG-COA Reductase Inhibitors ii. Bile-acid Binding Agents ii.

2. 3. 4. 5. 6. 7. 8.

iii. Fibric Acid Agents Drugs affecting Blood Coagulations o Blood Coagulation o Clot Resolution and Anticlotting o Drug subclass: i. Epoietin Alfa ii. Colony-stimulating Factors iii. Platelet EnhancerVitamin K, Protamine Sulfate, Lepirudin o Drugs used to treat Anemias o Blood Components o Erythropoiesis o Anemia o Drug subclass: i. Iron supplements Mechanism of Actions Therapeutic Actions and Indications Pharmacokinetics Contraindications and Cautions Adverse Effects Drug-drug Interactions Nursing Process Clients receiving diuretic therapy Clients receiving Calcium Channel Blocker Therapy Clients receiving ACE Inhibitor Therapy Clients receiving Vasodilator Therapy Clients receiving Antidysrhythmic Therapy o

2 hours Lecturediscussion Case Study Workbook

Well written nursing diagnosis and NCP

1 hour Reporting PowerPoin t presentati on

Evaluation cirteri

0.75

 Given relevant questions, the students will be able to: 1. Explain the pharmacotherapy of the respiratory disorders. 2. Describe the nurses role in the pharmacological management of those conditions. 3. Categorize drugs used in the treatment of respiratory disorders based on their classification and mechanism of actions. 4. Utilize nursing process to care for clients receiving drug

Clients receiving Vasodilator Therapy Clients receiving Nitroglycerin Clients receiving Cardiac Glysocide Therapy Clients receiving HMG-COA Reductase Inhibitors Therapy Clients receiving Epoitein Alfa Clients receiving Ferrous Sulfate Lecturediscussion Film Showing

1 hour

Paper and pencil test

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9. Patient Teaching Checklist ACE Inhibitors Anti-anginal Nitrates Digoxin HMG-COA Reductase Inhibitors Oral Anticoagulants Iron Preparations IIB. Drugs Acting on the Respiratory System 1. Drugs Class: o Bronchodilators o Beta-Agonists o Methylxanthines o Anticholinegrics o Antitussives o Expectorants 2. Mechanism of Actions 3. Therapeutic Actions and Indications

1 hour

Well written nursing diagnosis and NCP Evaluation Criteria

Lecturediscussion Case Study

Workbook

15 minut es

Reporting PowerPoin t presentati on

therapy for respiratory disorders.

4. 5. 6. 7.

Pharmacokinetics Contraindications and Cautions Adverse Effects Drug-drug Interactions

8. Nursing Process Clients receiving Antihistamine Therapy Clients receiving Bronchodilator Therapy 9. Patient Teaching Checklist Antihistamines III. CONCEPT ON FLUIDS AND ELECTROLYTES FUNCTIONAL HEALTH PATTERNS: Elimination Patterns The Renal System Renal Disorders IA. Drugs Acting on the Renal System 1. Drug Class: o Diuretics o Renal Absorption and Secretion o Fluid and Electrolyte Balance o Renal Failure o Drug subclass: i. Thiazides ii. Potassium-sparing Diuretics iii. Potassium-losing Diuretics iv. Osmotic Diuretics

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1 hour

Verbal Feedback

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2 hours Lecturediscussion PowerPoin t presentati on

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2. 3. 4. 5. 6. 7. 8.

Carbonic Anhydrase Inhibitors o Urinary Tract Agents o Parenteral fluids and electrolytes o IVF: hypotonic, hypertonic, isotonic o Electrolytes: Sodium, Potassium, Chloride Mechanism of Actions Therapeutic Actions and Indications Pharmacokinetics Contraindications and Cautions Adverse Effects Drug-drug Interactions Nursing Process Clients receiving Diuretic Therapy

v.

Lecturediscussion Case Study

15 minut es Workbook 30 minut es

Well written nursing diagnosis and NCP Evaluation Criteria

Reporting

9. Patient Teaching Checklist Diuretic Agents Urinary Tract Agents

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GRADING SYSTEM: Theory: Major Exam Quizzes Requirements

40% 30% 10%

Oral recitation Attitude and Attendance TOTAL RLE or Skills: Return Demonstration Exam Quizzes Attitude and Attendance TOTAL

10% 10% 100%

50% 20% 20% 10% 100%

REFERENCES: Karch, A. (2011). Focus on Nursing Pharmacology. 5 th edition. Lipincott Williams and Wilkins Inc. Kee, J., Hayes E, and McCuisition M.(2006). Pharmacology: A Nursing Approach. 4 th edition. Lehne, R. (2005). Pharmacology for Nursing Care. 5 th edition. Elsevier Inc. Instructor: Noted by: Approved by:

JOHN PAUL BEN T. SILANG, RN, MAN JONDONERO, RN, MAN, MSci.Ed. Clinical Instructor III MODULE 2 Updated: January 2013

PROF. GLORIA SHIELA E. COYOCA, RN, MAN Academic Coordinator

PROF. CLOWE

College Dean