COLLEGE OF HEALTH PROFESSIONS

2013 - 2014

NURS126 Pharmacology II
Credit Hours: 2

Contact Hours:

Prerequisite(s): NURS101, NURS101C and NURS125

Course Description
This course provides additional drug therapy foundations for the delivery of safe patient care.
Emphasis will be placed on the nursing management of drug therapy, the basics of core drug
knowledge and patient related variables in drug administration. Additionally, the nursing
management of drugs affecting various body systems, disease states, and other health conditions
will be considered. A $40.00 testing fee is charged in this course. Note: A grade of B- or better is
required to pass this course successfully.

Learning Outcomes

Care Provision - Utilize evidence based practice, critical thinking, cultural awareness, and the
nursing process in collaboration with the interdisciplinary team.
Communication - Engage in comprehensive, verbal, and written therapeutic communication
skills to interact with patients, families, and communities.
Management - Manage holistic care for patients, families, and communities with complex
health needs in a variety of setting.
Scope of Practice - Provide care appropriate to the scope of practice and ethical dimensions
for ones own actions according to the ANA Standards of Practice* and Universitys
Excellence System*.

*ANA Standards of Practice, 2010
*Excellence System, 2012

Level One Learning Objectives

Scope of Practice:
o Identifies and practices within an ethical and legal framework and standards of
professional nursing practice.
o Defines and describes accountability and responsibility for ones own choices and
behaviors related to nursing care.
o Identify and examine ethical and legal issues surrounding health care dilemmas.
o Describes and implements client and organizational confidentiality.

Care Provision:
o Identifies and develops nursing assessment skills.
o Provides holistic, culturally sensitive, safe, and effective therapeutic nursing interventions
in collaboration with individuals and families in multiple settings.
o Identifies the principles of the teaching learning process to educate individuals, and peers.
o Identifies and evaluates patient outcomes.
o Identifies and revises the plan of care based on individual patient outcomes.
o Identifies research and evidence-based information for application to nursing.

Communication:
o Develops and applies therapeutic communication skills in interactions with individuals
and families.
o Communicates effectively with individuals, peers, and members of the interdisciplinary
health care team.
o Develops skills in college-level writing and verbal.
o Identifies and uses technology for obtaining and presenting information.

Management:
o Identifies the leadership and management role.
o Identifies trends that influence the cost in health care and methods of cost savings in
health care.
o Identifies therapeutic goals for providing quality care in collaboration with individuals
and families.
o Identifies the steps and methods of delegation consistent with the Michigan Public
Health Code - Nursing.
o Identifies the role of the supervisor in healthcare.

Theory Objectives:
1. Explain the significance of drug classifications
2. Describe drug prototypes
3. Discuss how to evaluate drug therapy and its nursing management
4. Describe mechanisms of action, therapeutic effects, side effects, adverse reactions and
interaction for the various drug classes including complementary therapies
5. Demonstrate application of the nursing process in preparation and administration in each
drug class
6. Identify and understand the Nurse Practice Act, state and federal regulations that promote
administration of drug therapy safely and appropriately.
7. Describe how the nursing process I used in pharmacology
8. Develop an understanding of the physiologic influences of various disease processes and
related drug therapy
9. Explain strategies for maximizing therapeutic effects of drug therapy and minimizing
adverse effects in drug therapy
10. Analyze why it is important to assess a patients culture when managing drug therapy
11. Demonstrate ability to implement strategies that optimize patient education
12. Determine key patient variables amongst various populations to maximize therapeutic
effect, minimize adverse effects and calculate proper dosages

Required Textbooks and Additional Materials

978-0-13-309625-5
Pharmacology : Connections to Nursing Practice - With Access
Adams, Michael
2ND / Prentice Hall, Inc.
Purchase as New only


Davenport University has a print management system in which students are allotted a quota of free prints
and copies based on enrolled credit hours. Review the guidelines and FAQs on the DU website
under Print Management.

DU Excellence System
The Davenport University Excellence System consists of nine learning outcomes that
demonstrate professional competencies necessary for graduates to engage in life-long learning
and succeed in their chosen profession. These learning outcomes are reinforced throughout the
curriculum of each academic program and are assessed at the course and program levels, where
appropriate. The Excellence System covers:

Global and Intercultural Competence
Civic and Social Responsibility
Ethical Reasoning and Action
Critical and Creative Thinking
Analysis and Problem Solving
Leadership and Teamwork
Information and Technology Proficiency.
Written Communication
Professional Communication

Academic Integrity
Davenport University recognizes the principles of honesty and truth as fundamental to ethical
business dealings and to a vibrant academic community of faculty and students. All members of
an academic community shall be confident that each person's work has been responsibly and
honorably acquired, developed and presented. The work that a student submits shall be a fair
representation of his/her ability, knowledge and skill. The University expects students to respect
and exhibit these principles as they form the basis of the quality of the institution and the quality
of Davenports graduates.

As stated in the Student Code of Conduct, the University may discipline a student for academic
dishonesty which is defined as any activity that tends to undermine the academic integrity of the
institution. Academic dishonesty includes, but is not limited to: cheating, fabrication, facilitating
academic dishonesty, interference, plagiarism, or violation of course rules. Definitions,
procedures, and sanctions for these violations may be found in the Student Code of Conduct.

A minor violation occurs the first time the student has a breach of academic integrity and
typically involves an assignment or activity that does not represent a significant part of the
course grade. For example, the student knowingly and intentionally cheats on a weekly
assignment; copies a source without proper citation; etc.

A major violation occurs as a first violation on an assignment or activity that is a significant part
of the course grade, such as an exam or major paper, or as the result of a second minor violation.
Students are expected to review the complete Academic Integrity policy in the University catalog
under Academic Policies and Procedures.

The University utilizes Turnitin.com plagiarism detection software. All papers will be submitted
to Turnitin.com where they will be compared against the entire Internet and against a database of
previously submitted student papers.

ADA Statement
Students with disabilities may request accommodations as provided within federal law. In order
for the University to adequately review each case, requests should be made to the Student Access
Coordinator prior to the start of the semester. Requests made after the start of the semester
should be completed as early in the semester as possible to prevent delays in accommodation.
Students may contact their advisor or go to the Davenport University website for the name of the
Student Access Coordinator for the location where they attend.

Military Assistance
Davenport University recognizes the extraordinary contributions of the members of our armed
services. Service members and their dependents should check the Military page of the DU
website for educational benefits. Davenport University is committed to ensuring continuity of
study for every Active Duty, Reserve and Guard service member who is prohibited from
completing a semester as planned due to reassignment, long term training/schools or
deployments. Service members should work with their DU military specialist and
instructors prior to these events in order to ensure proper preparation and handling of DU
financial records and academic coursework so that academic re-integration is as seamless as
possible upon return.

Student Responsibilities
Students are bound by all policies of Davenport University and should familiarize themselves
with these through reading the catalog and student handbook. Students should review the tuition
refund policy found on the DU website.

All students must complete the final assessment for the course, such as the final exam, project, or
presentation. Students who do not complete the final assessment will receive a grade of F.

Students are expected to be adequately prepared for each class session. It is reasonable to expect
at least two hours of outside study for every hour spent in the classroom (inseat or online).

Students are expected to assist in maintaining a classroom environment that is conducive to
learning. Free discussion, inquiry, and expression are encouraged. Behavior that interferes with
the instructors ability to conduct the class or the ability of students to benefit from that
instruction is not acceptable.

Alternative Delivery Statement
Alternative delivery formats require considerably more student time outside of class and
maintain the same level of assignments and academic rigor as the traditional classroom format.
Blended inseat w/online is an example of an alternative delivery format.

Scheduled Class Meeting Times
The state dictates minimal contact hour requirements that are rigidly upheld by the University.
Some of that instructional time is used for tests. The University's expectation is that classes will
meet for the entire assigned time.

Attendance Requirement
Regular attendance and active participation are essential elements in the learning process.
Therefore, Davenport has implemented a mandatory attendance policy for any 100- or lower
level course.

For in-seat classes, attendance will be taken on a daily basis starting the first class meeting. An
absence is defined as missing more than one-half of a class period. Any unexcused absence will
start the process for administrative withdrawal from the course.

Attendance for online students will be defined as participating in at least one graded academic
activity each week. Postings not related to the graded discussion topics, emails, or other forms of
communication not related to the actual course assignments will be reviewed but may be
disqualified for attendance purposes.

A student requesting permission to be absent must notify the instructor within 24 hours of
missing the class. Failure to do so will initiate the withdrawal process and merely notifying the
instructor does not guarantee that permission will be granted. For complete details and
ramifications, students are expected to read the full Attendance Policy available on the DU
website.

Standardized Grade Scale
The following grading scale is a University standard for courses in this area of study:


A 100 93 B 86 83
A- 92 90 B- 82 80
B+ 89 87 F 79 0

A grade of B- or better is required to pass this course successfully. A minimum average grade of
2.70 is required in the nursing major for graduation.


Division Requirements
Students are responsible for adhering to the policies and procedures stated in the College of
Health Professions Handbook.

Research Approval
Davenport Universitys Institutional Review Board is a committee mandated by Federal laws to
protect the rights and welfare of the human subjects participating in research activities.
Compliance is monitored by the Office of Human Research Protection of the U.S. Department of
Health and Human Services. DUs IRB must review and approve all proposed academic research
at DU or by DU faculty, staff or students that involve certain criteria to ensure that the research
meets these governmental standards for the safety and protection of any human subjects involved
in the research.

NOTE: If your research involves surveys, questionnaires, focus-groups, or other methods
involving people, you will need to have your study approved by the Davenport University
Institutional Review Board. Review materials on the DU IRB website.
Class Participation
One of the goals of this course is to engage students in active, rather than passive, learning about
nursing. It is expected students will prepare themselves for each classroom session, will be
involved in the various classroom activities, and will engage in ongoing dialogue with
faculty and other students. Participation is one method of showing respect and caring for peers
and faculty a prerequisite to showing the same to our clients. It is imperative that you contact
faculty regarding any extenuating circumstances that would necessitate your missing or
leaving class early.
Instructor Class Policies

1. Attendance in class is mandatory for all 100 level classes.
2. All classes begin promptly at the scheduled time. Any student entering the class after the
class has begun will be subjected to late penalties as outlined in the syllabus. This includes,
but not limited to entering late for exams, handing in late assignments, etc.
3. Cell phones, pagers, and any type of communication device MUST be turned off during class
time unless specified by the instructor for classroom participation. Personal computers
may be used for lecture note taking only.
4. No recording of lectures or presentations without permission of instructor.
5. Private conversations are disruptive to the instructor as well as other students; any student
that disrupts class will be dismissed from the class. If you leave the classroom for any
reason during lecture, you may not return until there is a break in the class. If you
have urgent business (family/child ill) and you may need to take a call, please advise the
instructor and sit in the back of the class and/or the nearest to the door so you will not
disrupt any students when you leave. Repeated disruptions of the class by leaving my
result in elimination of rounding up of grade.
6. All assignments must be submitted at the start of the scheduled class time. Assignments
handed in late will be reduced by 10% for each day assignment is late, and if not completed
within one week, a grade of zero will be assigned.
7. Tests must be taken on the scheduled day and at the scheduled time as outlined in the course
syllabus. The option to make up a test is at the discretion of the course instructor. If a late
test is approved by the instructor, it MUST be made up prior to the next scheduled class
meeting and is subjected to be downgraded by 10%. Students are responsible for contacting
instructor about missed assignments, tests, or quizzes before the next class.
8. Late work will not be accepted during the final week of the semester. Any late work turned it
at this time will receive zero.
9. It is an expectation that the textbook reading for the class will be completed prior to class.
This will enhance your learning and you will be able to ask questions and clarify
misconceptions along with participate in the classroom discussion. If a student requires
additional assistance, please ask as soon as difficulty is encountered, so that conference time
may be arranged.
10. TEST REVIEW: Quiz grades may take over a week to compute because of
collaboration with the three other nursing campuses. Regardless, exam review will be
done the week after the quiz. QUIZ REVIEW WILL BE DONE AFTER YOUR
CLASS IT WILL NOT BE DONE AS PART OF CLASS TIME. It is strongly
recommended that you attend the quiz reviews to go other concepts you may have
missed.
PLEASE NOTE: Personal review of quizzes will only be available for 2 weeks after
the quiz date. You will need to make an appointment with the instructor for further
review of the quiz within that 2-week period.

IMPORTANT: It is expected you will read and learn the information in the syllabus and
any handouts. There will be content on the exams that will be related to your prior
learning and previous course work. There will be content on your exams that require
critical thinking and may not be content lectured verbatim in class, found in your
textbook, Power Points or handouts. It is assumed that you have prior knowledge and a
background from your other courses, which you should utilize in answering some of the
questions found on your exams. Just as the NCLEX is not drawn from any one textbook
and faculty lecturers on fundamental topics vary across the country, information has been
compiled to give you the best thinkers and learners and to take some responsibility for your
own learning.

HESI: A comprehensive Pharmacology HESI will be planned for the last week, after the last
lecture period.
**HESI Pharmacology Week of April 14, 2014 (times subject to change)

Extenuating Circumstances: Exceptions for extenuating circumstances may be reviewed by the
faculty according to the Student Nurse Handbook

Cancellation of Classes: If class is canceled, you are still responsible for classroom materials
and assignments. You must check Blackboard for announcements, assignments, etc.

Methodology
1. Lecture/discussion
2. Cooperative learning/student participation
3. Audio/visual materials
4. Research findings
5. Computerized activities
6. Exams



Point Distribution NURS 126
Course Assignments
Number of
Assignments
Point
Value
Total
HESI Pharmacology On-line
Case Studies Post Tests 10 10 100
Prototype Drug Cards 10 10 100
Final Comprehensive Exam 1 200 200
Quizzes 10 60 600
Final Course Evaluation 1 1 1
Total 1001


*****To pass this class, you need 800 points*****
Course Schedule
Class Topics Covered
Assignments:
1. On-line Case Studies
2. Drug Cards
Quiz/Exam
Schedule
Wk 1


Review of Syllabus
Unit 6, Chapters 43-46
Pharmacology of Body Defenses
2. Drug Cards(due wk2)
Wk 2

Finish Unit 8, Chapters 58-60
HIV-AIDS, Antineoplastic Therapy
Neoplasia
1. Immunizations
2. Drug Cards (due wk3)
Quiz 1
Chapters 43-46

Wk 3


Unit 3, Chapters 16 &17
Pharmacology of ANS Overview,
Cholinergic Agonists
1. Managing Anti-cancer
Drugs
2. Drug Cards
Quiz 2
Chapters 58-60
Wk 4 Unit 3, Chapters 18-20
Cholinergic and Adrenergic
Antagonists & Adrenergic Agonists
1. Adrenergic Agonists
*(Drug cards assigned the
week before, due the day the
content covered)


Wk 5


Unit 4 - Chapters 21, 25, 26
Pharmacology of CNS - Overview,
Degenerative Diseases, Seizures
1. Anti-Seizure/Anti-epileptic
Drugs
2. Drug Card
Quiz 3
Chapters 16-20
Wk 6 Unit 4 - Chapters 27, 29, 30
Muscle Spasms/Spasticity, Pain and
Migraines, Anesthetics
1. Meds for Multiple
Sclerosis
2. Drug Cards
Quiz 4
Chapters 21, 25,
26
Class Chapters and Topics
Assignments:
1. On-line Case Studies
2. Drug Cards
Quiz/Exam
Schedule
Wk 7 Unit 4, Chapters 22,23,24
Anxiety & Sleep, Mood Disorders,
Psychoses
1. Pain Relievers and Pain
(2 modules)
2. Drug Cards
Quiz 5
Chapters 27, 29,
30


SPRING BREAK!!


Wk 8


Unit 11 Chapters 75-77
Misc: Bone and Joint, Dermatologic,
Eye and Ear
1.Osteoporosis Therapy

Quiz 6
Chapters
22,23,24
Wk 9


Unit 5, Chapters 31-32
Pharmacology of Cardiovascular
Overview, Hyperlipidemia
Quiz 7
Chapters 75-77
Wk 10

Unit 5, Chapters 33, 37, (start38)
Calcium Channel Blockers,
Hypertension
2. Drug cards
Wk 11


Unit 5, Chapters 38-40
Angina and MI, Heart Failure,
Dysrhythmias

1. Anti-anginal Medication
and Coronary Heart Disease
2. Drug Cards
Quiz 8
Chapters 31, 32,
33, 37
Wk 12


Unit 5, Chapters 34-36
Renin-Angiotensin-Aldosterone,
Diuretic/Renal Failure, Fluid,
Electrolyte and Acid Base Balance
1. Diuretics and Potassium
Imbalance
2. Drug Cards
Quiz 9
Chapters 38-40
Wk 13

Unit 5, Chapter 41,42
Coagulation and Hematopoietic
Disorders
1.Anticoagulants
2. Drug Cards
Quiz 10
34-36
Wk 14 HESI Comprehensive Pharmacology
Exam
Goal: Score 850 Location to be
announced
Wk 15 Comprehensive Final Exam
including Chapters 41,42