Mindanao State University ILIGAN INSTITUTE OF TECHNOLOGY COLLEGE OF NURSING Iligan City, 9200 COURSE SYLLABUS: H8

I. II.

COURSE TITLE COURSE DESCRIPTION

III.

COURSE CREDIT

IV.

CONTACT HOURS/ SEM

V. VI. VII.

PRE-REQUISITE PLACEMENT TERMINAL COMPETENCIES

VIII.

COURSE REQUIREMENT

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. MODULE 1 - 1.5 units MODULE 2- 1.5 units TOTAL 3 units MODULE 1- 27 lecture hours MODULE 2- 27 lecture hours TOTAL 54 hours Math 1, General Chemistry, Anatomy & Physiology, NCM 102 2nd year, Summer At the end of the course and given relevant actual or simulated situations/conditions, the student will be able 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 Must attend and pass quizzes, long exams, group activities, and assignments

MODULE 2: Drugs Acting on the Nervous System to Drugs Acting on the Genitourinary System
Intermediate Competencies Content TEACHING METHODOLOGIES/ STRATEGIES Classroom RLE Film Showing Lecture discussion Instructional Materials Number of Hours Lec 1 hour RLE Verbal feedback 0.5 Evaluation Time Frame (weeks)

Given relevant 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

I. CONCEPT ON PERCEPTION AND COORDINATION FUNCTIONAL HEALTH 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

PowerPoint presentation

Lecture-discussion

PowerPoint presentation

3 hours

Paper and pencil test

Lecture -discussion Case study

Workbook

1 hour

Well written nursing diagnosis with NCP

Reporting

PowerPoint presentation

30 minutes

Evaluation Criteria

mechanism of drug action, primary actions and important adverse effects

IB. Drugs Acting on the CNS AND PNS Lecture-discussion 1. Drugs Class: o Anxiolytic and Hypnotic Drugs o States affected by Anxiolytic 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

PowerPoint presentation

4 hours

Paper and pencil test

0.75

A. Antiparkinsonism Agents o Parkinsonism o Drug subclass 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 Anesthesia- types and stages o Neuromuscular Blocking Agents o Neuromuscular Junction o Drug subclass

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

9.

Nondepolarizing 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 Direct Acting Muscle Relaxant Anti-epileptic Agents Local Anesthetics

i.

Lecture-discussion Case Study

Workbook

1 hour

Well written nursing diagnosis and NCP

Reporting

PowerPoint presentation

30 minutes

Evaluation criteria

Given relevant questions, II. CONCEPT ON OXYGENATION PERFUSION FUNCTIONAL the students will be able HEALTH PATTERNS: Activity and Exercise Pattern to: The Cardiovascular System or CVS 1. Explain the Diseases of the CVS pharmacotherapy of The Respiratory System: Upper Respiratory Tract the following : and the Lower Respiratory Tract a. Hypertensive Respiratory Pathology conditions b. Lipid disorders IIA. Drugs Acting on the CVS c. Heart failure 1. Drugs Class: d. Angina o Antihypertensive Drugs pectoris o Renin-Angiotensin System e. Myocardial o BP or Blood Pressure control infarction o Factors affecting BP f. Dysrythmias o Drug subclass: g. Coagulation i. ACE Inhinitors disorders ii. Angiotensin II Receptor h. Hematopoeitic Blockers disorders iii. Calcium Channel Blockers 2. Describe the nurses iv. Vasodilators role in the v. Hypotensive Agents pharmacological o Antiarrythmic Agents management of those o Cadiac Conduction conditions. o Automaticity of the Heart 3. Categorize drugs used o Cardiac Arrythmias in the treatment of o Drug subclass: cardiovascular i. Sodium Channel Blockers disorders based on or CLASS I their classification and ii. Beta Adrenergic mechanism of actions. Antagonists or CLASS II 4. Utilize nursing process iii. Potassium Channel to care for clients Blockers or CLASS III receiving drug therapy iv. Calcium Channel Blocker or for cardiovascular CLASS IV

Film Showing Lecture discussion

PowerPoint presentation

1 hour

Verbal feedback

0.5

Lecture-discussion

PowerPoint presentation

6 hours

Paper and pencil test

disorders.

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 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 Enhancer- Vitamin K, Protamine Sulfate, Lepirudin Drugs used to treat Anemias

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

9.

Blood Components Erythropoiesis Anemia 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 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 Patient Teaching Checklist ACE Inhibitors Anti-anginal Nitrates Digoxin HMG-COA Reductase Inhibitors Oral Anticoagulants Iron Preparations

o o o o

Lecture-discussion Case Study

Workbook

2 hours

Well written nursing diagnosis and NCP

Reporting

PowerPoint presentation

1 hour

Evaluation cirteri

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 therapy for respiratory disorders.

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 4. Pharmacokinetics 5. Contraindications and Cautions 6. Adverse Effects 7. Drug-drug Interactions 8. Nursing Process Clients receiving Antihistamine Therapy Clients receiving Bronchodilator Therapy

Lecture-discussion Film Showing

PowerPoint presentation

1 hour

Paper and pencil test

0.75

Lecture-discussion Case Study

Workbook

1 hour

Well written nursing diagnosis and NCP Evaluation Criteria

9. Patient Teaching Checklist Antihistamines

Reporting

PowerPoint presentation

15 minutes

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

Film Showing Lecture discussion

PowerPoint presentation

1 hour

Verbal Feedback

0.5

Lecture-discussion

PowerPoint presentation

2 hours

Paper and pencil test

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

Renal Failure Drug subclass: i. Thiazides ii. Potassium-sparing Diuretics iii. Potassium-losing Diuretics iv. Osmotic Diuretics v. 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

o o

Lecture-discussion Case Study

Workbook

15 minutes

Well written nursing diagnosis and NCP Evaluation Criteria

9. Patient Teaching Checklist Diuretic Agents Urinary Tract Agents

Reporting

PowerPoint presentation

30 minutes

GRADING SYSTEM: Theory: Major Exam Quizzes Requirements Oral recitation Attitude and Attendance TOTAL RLE or Skills: Return Demonstration Exam Quizzes Attitude and Attendance TOTAL

40% 30% 10% 10% 10% 100%

50% 20% 20% 10% 100%

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

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

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

PROF. CLOWE JONDONERO, RN, MAN, MSci.Ed. College Dean