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Mata kuliah ini membahas tentang farmakologi dan terapi dengan penekanan pada farnakodinamik, farmakokinetik, penggolongan obat, indikasi dan kontraindikasi pemberian obat dan efek obat yang tidak diinginkan. Proses belajar mengajar dirancang untuk memungkinkan mahasiswa dapat memahami dan menerapkan pengobatan secara rasional.
STANDAR KOMPETENSI
1. Mahasiswa mampu mengidentifikasi proses metabolism obat 2. Mengidentifikasi proses pemenuhan aman dan nyaman sesuai dosis pemebrian obat 3. Mengidentifikas proses pemenuhan istirahat dan tidur pada pasien setelah mengkonsumsi obat 4. Mengidentifikasi proses pemenuhan metabolism tubuh sesuai dosis pemberian obat
NO 1
KOMPETENSI DASAR 2
INDIKATOR 3
MATERI POKOK 4
PENGALAMAN BELAJAR 5
SUMBER/BAHAN/ALAT 6
ALOKASI WAKTU 7
100 menit
PENILAIAN 8
UTS, UAS, Tugas Ind, Tugas Klmpk, Keaktifan
Explanation about 1. Definition aboutintroduction to pharmacology forstudy introduction to skills nursing study skills concepts, 2. Overview the concepts, principles nursing process principles a. Specific healthlegal/ethical legal/ethical nursing status nursing pharmacology, b. Specific problem pharmacology, the nursing c. Plans to solve the nursing process and drug the problem therapy process and drug d. Implementatio therapy n of the plans e. Evaluation of how effective 3. Assessment a. Objective data b. Subjective data 4. Nursing diagnoses 5. Planning Goals and outcome criteria 6. Implementation a. Right drug b. Right dose c. Right time d. Right route
1. Katzung G.Bertran.2002.Far makologi Dasar dan Klinik.Buku 2 Edisi 8.Salemba Medika;Jakarta 2. Materia Medika, Depkes RI 3. Olson James, M.D.,Ph.D.2003.Bel ajar Mudah Farmakologi.EGC; Jakarta.
e. Right patient f. Medication errors 7. Evaluation Legal, ethical, and cultural considerations 1. Drug Legislation a. Pure food and drug act of 1906 b. Food, drug, and cosmetic act of 1938 c. 1952: DurhamHumphrey Amendment of the 1938 Act d. 1962: KefauverHarris Amendment of the 1938 Act. e. 1970: Comprehensi ve Drug Abuse Prevention and control act. New Drug
Development 1. Investigation al new drug application 2. Informed Consent 3. Four Phases of investigation al drug studies Nursing Implication 1. Legal Issues 2. Ethical Practice 3. Cultural Aspects
Mengidentifikasi Explanation aboutDrugs Otonomic Drug otonomic General proses 1. Definition pemenuhan amanpharmacology, 2. The kind of drug dan nyamanpharmacokinetic, otonomics pharmacodinamic 3. Mecanism sesuai dosis s 4. Side drug pemebrian obat
General Mengidentifikasi Explanation aboutGeneral lifespan pharmacology pharmacology, proses pharmacokinetics pemenuhan amanconsideration 1. Definition , dan nyaman pharmacology pharmacodinamic sesuai dosis and the word into s pharmacology pemebrian obat 2. Drug a most to used 3. Influences factor about a side drug 4. Principles therapy Pharmacokinetics
1. Definition pharmacocinetics 2. Absorption a. Process b. Route 3. Distribution 4. Metabilism 5. Excretion - Half-life - Onset, peak and duration Pharmacodynami cs 1. Definition pharmacodinamics 2. Mechanism of action a. Receptor interaction b. Enzyme
Lifespan Lifespan Mengidentifikasi Menjelaskan penggunaan obat- Consideration Consideration proses obat pemenuhan aman 1. Definition dan nyamancardiovaskuler lifespan sesuai dosisdengan benar consideration 2. Drug therapy pemebrian obat during pregnancy 3. Drug therapy during breast feeding 4. Neonatal and pediatric consideration a. Physiology and pharmacokine tics b. Pharmacodyn amics c. Dose calculation 5. Geriatric considerations a. Polypharmacy and drug use
b. Physiologic changes c. Pharmacokine tics - Absorption - Distributio n - Metabolis m - Excretion - Problemati c geriatric medicatio n The structure task Individual task
Mengidentifikasi Explanation aboutAnalgetica (anti-Analgetica (antiMathematic pain) andpain) and proses calculation, antiinflammatory antiinflammatory. pemenuhan aman drug dan nyamancalculating fraction sesuai dosisdoses, method, 1. Definition pemebrian obat
dimensional analysis analgetic, antipiretic and NSAID Drugs prototipe part of kind A new medicine kind Indication and contra-indication Physiology and psychology of pain
2. 3. 4. 5.
6. Opioid analgesics a. Chemical structure b. Mechanism of action c. Drug effects d. Therapeutic uses e. Side effects and adverse affects f. Toxicity and management of overdose g. Interactions h. Dosage The structure task Individual task Mathematic Mathematic Mengidentifikas Menjelaskan penggunaan obat-Calculation calculation, proses obat SSP dan calculating drug pemenuhan 1. Responsibility antikonvulsan doses, fraction istirahat dan and common method, tidur pada pasiendengan benar sense 2. Reading drugdimensional setelah analysis orders mengkonsumsi 3. Drug weights obat and measures a. Metric system b. Apothecary system c. Household system d. Avoirdupois
UTS, UAS, Tugas Ind, Tugas Klmpk, Keaktifan
system e. Other systems of drug measuremen t - Unit - Internation al units and miliequival ents Calculating drug doses 1. Rounding rules 2. Oral medications 3. Liquid medications 4. Intravenous medications Fraction Method 1. Examples fraction method Dimensional Analysis of
Individual task
Antibiotic, Mengidentifikas Explanation aboutAntibiotic, Drugs affectingantihistamine, antihistamin, proses the cardiovascular antitoksik, antitoksik, pemenuhan istirahat danand renal system antiparasit, antiantiparasit, anti microba, antimicroba, anti tidur pada pasien viruses, drugviruses, drug setelah hypnotic sedativehypnotic sedative mengkonsumsi and psikotropica and psikotropica obat 1. 2. 3. 4. 5. Definition Clasification Mecanism Interaction Laboratory test interaction 6. Dosages
affecting Mengidentifikas Explanation about Drugs affecting Drugs Drugs affecting the the proses the respiratory cardiovascular cardiovascular pemenuhan system and renal system and renal system istirahat dan tidur pada pasienAntihistamines, 1. Kind of positive setelah inotro decongestants, pic mengkonsumsi antitussives, and agent obat expectorants 2. 3. 4. 5. 6. 7. s Mecanism action Drug effects Therapeutic uses Side effects and adverse effects Interaction Dosages
Explanation aboutDrugs affecting Drugs affectingthe respiratory the endocrinesystem system Antihistamines, decongestants, antitussives, and expectorants 1. Mecan ism of action 2. Drug effects 3. Therapeutic
Drugs affecting the respiratory system Antihistamines, decongestants, antitussives, and expectorants
4. 5. 6. 7.
uses Side effects and adverse effects Interaction Laboratory test interactions Dosages
UTS, UAS, Tugas Ind, Tugas Klmpk, Keaktifan
Explanation about Drugs affectingDrugs affecting the endocrinethe endocrine Drugs stimulantsystem system SSP and anticonvulsion and Miscellaneous therapeutics :Pituitary agents hematologic, 1. Mechanism of dermatologic, action ophthalmic, and 2. Drug effects 3. Therapeutic uses optic agents 4. Side effects and adverse effects 5. Interaction 6. Dosages Thyroid antithyroid agents 1. 2. 3. 4. and
b. Drug effects c. Therapeutic uses d. Side effects and adverse effects e. Interaction Antidiabetic and hypoglycemic agents 1. Pancreas 2. Diabetes mellitus a. Type 1 diabetes mellitus b. Type 2 diabetes mellitus 3. Hypoglycemi a Antidiabetic agents 1. Insulin a. Mecanism of action b. Drug effects c. Therapeut ic uses d. Side effects
and adverse effects e. Interactio n f. Dosage 2. Oral antidiabetic agents a. Mechanis m of action b. Drug effects c. Therapeut ic uses d. Side effects and adverse effects e. Interactio n f. Dosage
Explanation about Drugs influence about integument and genatalia and Drugs affecting the gastrointestinal system and nutrition
Drugs stimulantDrugs stimulant SSP andSSP and anticonvulsion anticonvulsion and Definition Miscellaneous Clasification therapeutics : Mecanism hematologic, Pharmacokinetics Pharmacodinamics dermatologic, ophthalmic, and Side effect optic agents Miscellaneous therapeutics : hematologic, dermatologic, ophthalmic, and optic agents 1. Blood forming agents a. Hematopo iesis b. Types of anemia - Iron - Iron dextran - Folic acid Mecha nism of action Drug effects
Therap eutic uses Side effects and advers e effects Interac tion Dosage s 2. Other blood forming agents The task structure
Individual task Explanation about Drugs influence aboutDrugs influence integument andabout integument Generals genatalia anesthesia local and genatalia 1. Definition anesthesia and Drugs 2. The kind of affecting the drugs gastrointestinal 3. Side effects 4. Indication andsystem and contra indicationnutrition 5. Interaction 6. Laboratory test interaction 7. Dosages
UTS, UAS, Tugas Ind, Tugas Klmpk, Keaktifan
Drugs affecting the gastrointestinal system and nutrition 1. Antacids 2. H2 antagonists 3. Proton pump inhibitors 4. Nursing care plan The structure task Individual task
Explanation aboutGenerals Generals . anesthesia and anesthesia Mengidentifikasi vitamin proses mineral, hormon Local anesthesia anesthesia 1. Definition pemenuhan 2. Clasification metabolism 3. Indication and tubuh sesuai contra indication dosis pemberian 4. Mecanism obat 5. Pharmacokinetic s 6. Pharmacodinami cs 7. Side effect 8. Dosages The structure task Individual task
local
Vitamin mineral
1. Definition 2. The kind of 3. Indication 4. Side effects Hormon 1. 2. 3. 4. 5. Definition clasification Indication and contra indications Pharmacolo gy effects Clinicals use
KONTRAK PERKULIAHAN
PROGRAM STUDI SI ILMU KEPERAWATAN STIKES HANG TUAH SURABAYA TA. 2012/ 2013
: Farmakologi Keperawatan :2 : 2 sks : Okky R. N, S. Kep.,Ns : 1. Prof. Sri Agus 2. Okky R. N, S. Kep.,Ns 3. Nisha Darmayanti, S. Kep.,Ns
C. STANDART KOMPETENSI
D. STRATEGI PEMBELAJARAN
1. 2. 3. Sebelum perkuliahan mahasiswa diharuskan literature tentang pokok bahasan yang akan dipelajari Sebelum mulai perkuliahan akan dilakukan review tentang pokok bahasan yang telah disampaikan pada pertemuan sebelumnya Perkuliahan dilakukan dengan metode ceramah, Tanya jawab, penugasan, presentasi, pemahaman kasus melalui diskusi membaca
4. kelompok 5. farmakologi. 6. 7. 8. 9.
Menggunakan
metode
kooperatif
learning
dimana
mahasiswa dimotivasi untuk belajar aktif dan dapat bekerjasama dengan Membuat satu buah FREE Website/weblog tentang
Peserta didik wajib hadir dalam kegiatan pembelajaran minimal 80% termasuk kegiatan laboratorium. Jika peserta didik hadir hanya 75% atau kurang dari 80% diwajibkan menyusun makalah / tugas yang ditentukan oleh PJMK Kehadiran kurang dari 75 % mengulang kuliah. Mahasiswa wajib menyelesaikan mandiri dengan alokasi waktu 5 JP/ minggu. tugas terstruktur dan
4. Vitamin mineral dan hormon 5. Obat respirasi dan antihistamin 6. Obat cardiovaskular 7. Obat uterotonika 8. Obat psikosa 9. Obat analgetik, antipiretik, NSAID 10.Obat anestesia
F. KRITERIA PENILAIAN Sistem penilaian menggunakan system nilai huruf yang merupakan pembakuan dari nilai mentah dengan pembakuan sebagai berikut : Skore 75 70,0 74,9 65,0 69,9 60,0 64,9 55,0 59,9 40,0 54,9 < 40 Nilai Huruf A AB B BC C D E Konversi Bobot 4,0 3,5 3,0 2,5 2,0 1,0 0,0
Dalam menetukan nilai akhir, akan dilakukan pembobotan sebagai berikut : Ujian Tengah Semester (UTS) Ujian Akhir Semester (UAS) The task structure (group) Individual task Keaktifan : 25 % : 25 % : 20 % : 20 % : 10 %
G. KEPUSTAKAAN (Wajib minimal 1 text book) 1. Aucker, Lilley. 1996. Pharmacology and The Nursing Process Second edition.United States of America: St. Louis Missouri 2. Khusus di Klinik dan Djamhuri Agus,Dr.1990.Sinopsis Farmakologi dengan Terapan Perawatan. Hipokrates;Jakarta.
3. 4.
Farmakope Indonesia Ed 3 : XXXIV Joenes, NZ (2001), ARS Prescribendi Resep Yang Rasional, Airlangga University Press, Surabaya.
5.
6.
7. 8. Jakarta. 9.
H. JADWAL PERKULIAHAN PER TEM UAN I HARI/TGL KELAS 1A 19 Maret 2013 Selasa 11.00-13.00 WIB 1B 18 Maret 2013 Senin 10.00-12.00 WIB TOPIK/ BAHASAN Penjelasan silabus Introduction to study skills concepts, principles legal/ethical nursing pharmacology, The nursing process and drug therapy 1. Definition about pharmacology for nursing 2. Overview the nursing process a. Specific health status b. Specific problem c. Plans to solve the problem d. Implementation of the plans e. Evaluation of how effective 3. Assessment a. Objective data b. Subjective data 4. Nursing diagnoses 5. Planning Goals and outcome criteria 6. Implementation a. Right drug b. Right dose c. Right time d. Right route e. Right patient f. Medication errors 7. Evaluation Legal, ethical, and cultural considerations 1. Drug Legislation METODE Lecture Role Play TEAM TEACHING ORN
a. Pure food and drug act of 1906 b. Food, drug, and cosmetic act of 1938 c. 1952: Durham-Humphrey Amendment of the 1938 Act d. 1962: Kefauver-Harris Amendment of the 1938 Act. e. 1970: Comprehensive Drug Abuse Prevention and control act. New Drug Development 1. Investigational new drug application 2. Informed Consent 3. Four Phases of investigational drug studies Nursing Implication 1. Legal Issues 2. Ethical Practice 3. Cultural Aspects The structure task Individual task Drugs Otonomic 1. Definition 2. The kind of drug otonomics 3. Mecanism 4. Side drug General pharmacology 1. Definition pharmacology and the word into pharmacology 2. Drug a most to used 3. Influences factor about a side drug 4. Principles therapy Pharmacokinetics 1. Definition pharmacocinetics 2. Absorption
II
26 Maret 2013 Selasa 11.00-13.00 WIB 2 April 2013 Selasa 11.00-13.00 WIB
25 Maret 2013 Senin 10.00-12.00 WIB 1 April 2013 Senin 10.00-12.00 WIB
Speech SA Speech SA
III
c. Process d. Route 3. Distribution 4. Metabilism 5. Excretion - Half-life - Onset, peak and duration Pharmacodynamics 1. Definition pharmacodinamics 2. Mechanism of action a. Receptor interaction b. Enzyme interaction c. Nonspecific interactions The structure task Individual task Lifespan Consideration 1. Definition lifespan consideration 2. Drug therapy during pregnancy 3. Drug therapy during breast feeding 4. Neonatal and pediatric consideration a. Physiology and pharmacokinetics b. Pharmacodynamics c. Dose calculation 5. Geriatric considerations a. Polypharmacy and drug use b. Physiologic changes c. Pharmacokinetics - Absorption - Distribution - Metabolism - Excretion - Problematic geriatric medication
IV
Speech
SA
The structure task Individual task Analgetica (anti-pain) and antiinflammatory 1. Definition analgetic, antipiretic and NSAID 2. Drugs prototipe part of kind 3. A new medicine kind 4. Indication and contra-indication 5. Physiology and psychology of pain 6. Opioid analgesics a. Chemical structure b. Mechanism of action c. Drug effects d. Therapeutic uses e. Side effects and adverse affects f. Toxicity and management of overdose g. Interactions h. Dosage The structure task Individual task Mathematic Calculation 1. Responsibility and common sense 2. Reading drug orders 3. Drug weights and measures a. Metric system b. Apothecary system c. Household system d. Avoirdupois system e. Other systems of drug measurement - Unit - International units and miliequivalents Calculating drug doses 1. Rounding rules 2. Oral medications
SGD
ORN
VI
Speech
SA
3. Liquid medications 4. Intravenous medications Fraction Method 1. Examples of fraction method Dimensional Analysis 1. Examples of dimensional analysis The structure task Individual task Antibiotic, antihistamine, antitoksik, antiparasit, anti microba, anti viruses, drug hypnotic sedative and psikotropica 1. Definition 2. Clasification 3. Mecanism 4. Interaction 5. Laboratory test interaction 6. Dosages Ujian Tengah Semester 6- 17 Mei 2013 Drugs affecting the cardiovascular and renal system 1. Kind of positive inotropic agents 2. Mecanism action 3. Drug effects 4. Therapeutic uses 5. Side effects and adverse effects 6. Interaction 7. Dosages The structure task Individual task Drugs affecting the respiratory system Antihistamines, decongestants, antitussives,
VII
Speech
NDR
VIII
SGD
ORN
IX
Role Play
ORN
11.00-13.00 WIB
10.00-12.00 WIB
and expectorants 1. Mecanism of action 2. Drug effects 3. Therapeutic uses 4. Side effects and adverse effects 5. Interaction 6. Laboratory test interactions 7. Dosages Drugs affecting the endocrine system Pituitary agents 1. Mechanism of action 2. Drug effects 3. Therapeutic uses 4. Side effects and adverse effects 5. Interaction 6. Dosages Thyroid and antithyroid agents 1. Thyroid function 2. Hypothyroidism 3. Hyperthyroidsm 4. Thyroid agents a. Mechanism of action b. Drug effects c. Therapeutic uses d. Side effects and adverse effects e. Interaction Antidiabetic and hypoglycemic agents 1. Pancreas 2. Diabetes mellitus a. Type 1 diabetes mellitus b. Type 2 diabetes mellitus 3. Hypoglycemia SGD ORN
XI
Antidiabetic agents 1. Insulin a. Mecanism of action b. Drug effects c. Therapeutic uses d. Side effects and adverse effects e. Interaction f. Dosage 2. Oral antidiabetic agents 1. Mechanism of action 2. Drug effects 3. Therapeutic uses 4. Side effects and adverse effects 5. Interaction 6. Dosage Drugs stimulant SSP and anticonvulsion 1. Definition 2. Clasification 3. Mecanism 4. Pharmacokinetics 5. Pharmacodinamics 6. Side effect Miscellaneous therapeutics : hematologic, dermatologic, ophthalmic, and optic agents 1. Blood forming agents a. Hematopoiesis b. Types of anemia - Iron - Iron dextran - Folic acid Mechanism of action Drug effects Therapeutic uses
SGD
NDR
Side effects and adverse effects Interaction Dosages 2. Other blood forming agents The structure task Individual task Drugs influence about integument and genatalia 1. Definition 2. The kind of drugs 3. Side effects 4. Indication and contra indication 5. Interaction 6. Laboratory test interaction 7. Dosages Drugs affecting the gastrointestinal system and nutrition 1. Antacids 2. H2 antagonists 3. Proton pump inhibitors 4. Nursing care plan The structure task Individual task Generals anesthesia Local anesthesia 1. Definition 2. Clasification 3. Indication and contra indication 4. Mecanism 5. Pharmacokinetics 6. Pharmacodinamics
XII
SGD
ORN
XIII
Debat
ORN
XIV
7. Side effect 8. Dosages The structure task Individual task Vitamin and mineral 1. Definition 2. The kind of 3. Indication 4. Side effects Hormon 1. Definition 2. Clasification 3. Indication and contra indications 4. Pharmacology effects 5. Clinicals use The task The structure task Individual task 8 Juli 2013 (Minggu Tenang) Ujian Akhir Semester
Debat
ORN
Setiadi, M. Kep
( Okky R. N, S. Kep.,Ns )
B. KISI-KISI SOAL
JUMLAH
A. STANDAR KOMPETENSI Mahasiswa mampu mengidentifikasi proses pemenuhan kebutuhan aktivitas dan latihan sesuai dengan tumbuh kembang B. KOMPETENSI DASAR Mahasiswa mampu menjelaskan metabolism obat C. WAKTU 100 menit D. INDIKATOR Cara kerja obat E. MATERI POKOK
Introduction to study skills concepts, principles legal/ethical nursing pharmacology, The nursing process and drug therapy 8. Definition about pharmacology for nursing 9. Overview the nursing process f. Specific health status g. Specific problem h. Plans to solve the problem i. Implementation of the plans j. Evaluation of how effective 10. Assessment c. Objective data d. Subjective data 11. Nursing diagnoses 12. Planning Goals and outcome criteria 13. g. h. i. j. Implementation Right drug Right dose Right time Right route
k. Right patient l. Medication errors 14. Evaluation Legal, ethical, and cultural considerations 2. Drug Legislation f. Pure food and drug act of 1906 g. Food, drug, and cosmetic act of 1938 h. 1952: Durham-Humphrey Amendment of the 1938 Act i. 1962: Kefauver-Harris Amendment of the 1938 Act. j. 1970: Comprehensive Drug Abuse Prevention and control act. New Drug Development 4. Investigational new drug application 5. Informed Consent 6. Four Phases of investigational drug studies Nursing Implication 4. Legal Issues 5. Ethical Practice 6. Cultural Aspects The structure task Individual task
F. LANGKAH PERKULIAHAN WAKTU 5 menit LANGKAH PERKULIAHAN Salam perkenalan METODE Speech BAHAN
15 menit
Penjelasan silabus
Speech
75 menit
Perkuliahan
Speech
Literatur, PPT
2 menit 3 menit
SGD Speech
Buku Gambar