NUR 104 Pharmacology for Nursing Course Syllabus PDF

William Carey University School of Nursing Winter 2024 I. COURSE NUMBER: NUR 104 II. COURSE TITLE: Pharmacology for Nursing III. CREDIT ALLOTMENT...

William Carey University School of Nursing Winter 2024 I. COURSE NUMBER: NUR 104 II. COURSE TITLE: Pharmacology for Nursing III. CREDIT ALLOTMENT 3 credit hours and 3.75 hours of class time per week IV. PLACEMENT: Pre-nursing course. Must be a declared nursing major V. PREREQUISITES: BIO 234 VI. COURSE DESCRIPTION: The purpose of this course is to examine pharmacotherapeutic agents used in the treatment of illness and the promotion, maintenance and restoration of wellness in diverse individuals across the lifespan. Emphasis is on the principles of pharmacokinetics, pharmacodynamics and pharmacogenetics in the treatment of selected illnesses. The focus is on concepts of safe administration and monitoring the effects of pharmacotherapeutic agents. VII. COURSE LEARNING OUTCOMES: Upon completion of this course, the student will be able to: 1. Describe the general principles of pharmacotherapeutics, pharmacokinetics, pharmacodynamics, and pharmacogenetics/genomics in wellness promotion, illness prevention, and treatment. 2. Describe principles of safe administration of medications. 3. Contrast the principles of pharmacotherapeutics across the lifespan, including the effects of race, gender, and ethnicity. 4. Investigate technologies and systems used for medication administration. 5. Discuss the legal and ethical parameters of medication administration. NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 1  VIII. OUTCOMES TABLE: NUR 104: PHARMACOLOGY AND DOSAGE CALCULATION FOR NURSING GRADUATE OUTCOMES BSN ESSENTIALS COURSE OUTCOMES CURRICULUM CONCEPTS I. Synthesize knowledge drawn Liberal Education for 1. Discuss the basic principles of pharmacology: Homeostasis, Metabolism, from the natural and behavioral Baccalaureate Generalist Nursing pharmacokinetics, pharmacodynamics, Clinical Reasoning, Health sciences, humanities, spiritual Practice pharmacogenetics, and pharmacotherapeutics. Care Delivery Systems, Safety domain, and nursing to assist clients in a variety of settings to Clinical Prevention and 2. Identify drug classes and their meet health care needs. Population Health pharmacotherapeutic uses, actions, interactions, associated precautions, and contraindications Baccalaureate Generalist Nursing and patient-specific implications. Practice 3. Discuss the functions of the placental barrier and blood-brain barrier and implications for pharmacotherapy. 4. Discuss general principles of growth and development, Maslow’s hierarchy, and the nursing process as they apply to patient-centered pharmacotherapy. II. Implement holistic, culturally Basic Organizational and 5. Discuss patient-specific considerations Clinical Reasoning, competent, patient-centered care Systems Leadership for Quality including, but not limited to: age, gender, Metabolism, Social Systems, that reflects an Care and Patient Safety ethnicity, weight/BMI, pregnancy, lactation, Biopsychosocial, Safety understanding of pathophysiology, lifestyle behaviors, polypharmacy, and selected pharmacology, therapeutic Clinical Prevention and disease states. modalities, and Population Health nursing management across the 6. Discuss patient-centered pharmacotherapy health-illness continuum, across Baccalaureate Generalist Nursing education needs and approaches. the lifespan, and Practice in all healthcare settings. NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 2 GRADUATE OUTCOMES BSN ESSENTIALS CURRICULUM CONCEPTS III. Incorporate inter- and Clinical Prevention and 7. Discuss pharmacotherapy-associated patient- Safety, Biopsychosocial, Life intrapersonal communication and Population Health education needs and approaches. Cycle collaborative skills to deliver evidence-based, patient- Baccalaureate Generalist Nursing centered care. Practice IV. Integrate the concepts of Scholarship for Evidence-Based 8. Discuss patient-specific considerations Clinical Reasoning, theory, practice, and research in Practice including, but not limited to: age, gender, Biopsychosocial, Life Cycle, order to demonstrate ethnicity, weight/BMI, pregnancy, lactation, Social Systems, Safety effective clinical reasoning. Clinical Prevention and lifestyle behaviors, polypharmacy, and selected Population Health disease states. Baccalaureate Generalist Nursing 9. Utilize current research-based knowledge Practice when applying the nursing process to patient- centered pharmacotherapies. V. Apply leadership concepts, Clinical Prevention and 10. Discuss patient-specific considerations Clinical Reasoning, skills, and decision making in the Population Health including, but not limited to: age, gender, Biopsychosocial, Life Cycle, provision of high ethnicity, weight/BMI, pregnancy, lactation, Social Systems, Safety quality nursing care, healthcare Baccalaureate Generalist Nursing lifestyle behaviors, polypharmacy, selected team coordination, and the Practice disease states. oversight and accountability for care delivery in a variety of settings. VI. Integrate Christian principles Professionalism and Professional 11. Apply Christian principles in the Safety, Health Care Delivery and professional values—altruism, Values management of patient-centered Systems, Clinical Reasoning autonomy, human dignity, pharmacotherapies. integrity, and social justice—into Baccalaureate Generalist Nursing service to clients. Practice NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 3 IX. REFERENCES: Required: Tucker R.G. (2023). Karch’s Focus on Nursing Pharmacology. (9th ed). New York: Wolters Kluwer. ATI RN Pharmacology 2023 Any Nursing Drug Reference Book with a current copyright date. X. TEACHING/LEARNING METHODS: Classroom lecture/activities, ATI modules, textbook readings, exams, quizzes, discussions, practice calculations, and written assignments. XI. ESSENTIAL COURSE COMPONENTS AND GRADING: Attendance: University guidelines for attendance will be followed in this course. See The Translation for details. Technology Requirements for the Undergraduate School of Nursing Undergraduate nursing courses rely heavily on technology. Therefore, to be successful, students must become familiar with the required software and learning platforms. Online education requires diligence, organization, and persistence. The student is responsible for accessing and engaging with the content to learn the material. Faculty facilitate the learning process, but students must take ownership. The following information is essential for success in the course. 1. William Carey Technology: It is imperative that students set up and access the technology offered through our IT department, including William Carey student email, Canvas, and the Indigo Student Portal. For assistance, please try these resources: a. For help setting up accounts, please go to this resource. b. For quick answers to common problems, go to THIS link. c. If problems persist, email IT at [email protected]. d. Students may download Microsoft Office at no cost by going to this link. e. Mac users must have MS Word for class & clinical assignments. Many instructors will not be able to open Mac word processing programs. Submitting assignments in formats other than Microsoft WORD may result in grading penalties. TECHNOLOGY REQUIREMENTS: Students must have access to a laptop computer for courses, clinicals, and exams. Tablets, iPads, phones, Chromebooks, and computers with detachable keyboards are incompatible with this course's required software programs. NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 4  The minimum systems requirements are listed here. Before buying a new computer or laptop, please check the ExamSoft minimum systems requirement link and any specific directions provided by course instructors for the latest requirements. The laptop computer must meet the technical requirements listed. Features: Requirements: Internet Reliable internet is required for success in hybrid and online courses. capability A minimum upload speed of 2.5 Mbps is required. Check your internet speed using www.speedtest.net Hard drive 4 GB or higher space available RAM 8 GB recommended, 4GB required Central For MACs: CPU: Intel, M1, or M2 processor. Processing Unit Devices using Apple’s M1 and M2 processors and Apple Rosetta 2 are supported. To learn more, click here. For PCs: CPU Processor: Non-ARM-based processor supported by your operating system. Operating For MACs: Monterey, Ventura, and Sonoma (12.18.23) Systems For PCs: Windows 10 22H2, Windows 11 22H2, and Windows 11 23H2 as of 12.18.23 Check your current operating system version by following these instructions for macOS and these for Windows Webcam An integrated or external USB camera must be present and supported by your operating system. The resolution should be a minimum of 320x240 VGA. Virtual cameras are not supported by testing platforms used in this course. Microphone A microphone must be present. Testing platforms will not support headphones and virtual mics. Virtual cameras, audio software, or stereo mixing devices with ExamID or ExamMonitor are not supported. Screen resolution A minimum of 1280 x 768. Scaling should be set to 100%. Web browsers Current versions of Google Chrome and Firefox are required. Software Microsoft Office 365 (package available for students through WCU): If students choose to purchase Office for a personal computer, select version 2013 or newer for Windows or 2011 or newer for Macs. Adobe Acrobat Antivirus software- installed on your personal computer, configured to update and scheduled to run regular scans automatically. Other software products when assigned as a required course resource in a course syllabus. Service and Recommended: Support Purchase a multi-year support and/or damage plan for your equipment. Due to liabilities and warranty restrictions, IT staff members do not repair hardware on personally owned equipment. NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 5  GRADING: Students are responsible for all required textbook material on tests even though not all textbook material may be covered in class. Unit Tests: 60% Comprehensive Final: 35% ATI: 5% An average grade of 77% or above is required to receive a passing grade in the Pharmacology component of this course. 91-100 A 82-90 B 77-81 C 70-76 D 69 or below F NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 6 XII. TOPIC OUTLINE 1. Introduction and Basics of Pharmacology 2. Nurse’s Role Related to Pharmacology and Medication Administration 3. Pharmacology related to Inflammation/Infection 4. Pharmacology related to the Cardiovascular System 5. Pharmacology related to the Respiratory System 6. Pharmacology related to the Gastrointestinal System 7. Pharmacology related to the Endocrine System 8. Pharmacology related to the Renal System 9. Pharmacology related to the Neurological System 10. Pharmacology related to Hematological/Immune Function 11. Pharmacology related to the Eyes, Ears, Skin NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 7 XIII. ESSENTIAL COURSE CONTENT CONCEPT: Clinical Reasoning and Safety TOPIC 1: Introduction and Basics of Pharmacology LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter 2. Explain the difference between generic and trade names of medications 3. Understand safeguards in place to promote medication safety 4. Explore laws and standards related to pharmacology 5. Develop methods for learning medications and utilizing knowledge to safety administer medications 6. Gain an understanding of regulations related to medication safety 7. Explain the basic areas of pharmacology (pharmaceutics, pharmacokinetics, and pharmacodynamics) 8. Discuss the relationship between the dose of a drug and its effectiveness in treating disease 9. Explain the four phases of pharmacokinetics (absorption, distribution, metabolism, and excretion) and apply to patient situations 10. Explore the pharmacokinetic processes that affect drug therapy 11. Differentiate between adverse drug effects, side effects, and toxic reactions 12. Identify generic medication classification. 13. Discuss laboratory monitoring. CONTENT OUTLINE: 1. Terminology 2. Drug Names 3. Medication Safety 4. Drug Laws and Standards 5. USP 800 6. Methods of Learning (Drug Classifications) 7. Medication Safety Regulations 8. Pharmaceutics, Pharmacokinetics, Pharmacodynamics 9. Dosages/Effectiveness of Medications and Disease 10. Phases of Pharmacokinetics 11. Pharmacokinetic Processes 12. Adverse Drug Effects 13. Side Effects of Medications 14. Toxic Reactions Required Reading: Karch, Chapters 1-3, Material Provided by Faculty NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 8 CONCEPT: Clinical Reasoning and Safety TOPIC 2: Nurse’s Role Related to Pharmacology and Medication Administration LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explain the Nurse’s role related to implications of Pharmacology through the application of the Nursing Process: A. Assessment B. Planning/Goals C. Nursing Diagnoses D. Implementation E. Rationales F. Evaluation G. Patient /Family Teaching 3. Examine the legal responsibilities regarding pharmacology and medication administration 4. Describe the role of the Registered Nurse related to pharmacology and medication administration: A. Medication across the lifespan B. Cultural implications C. Safety and prevention of medication errors D. Research and ethics 5. Incorporate principles of safety regarding pharmacology and the administration of medications A. Rights of Medication Administration B. Classification of medications C. Actions of medications D. Nursing care related to medication administration CONTENT OUTLINE: 1. Terminology 2. Nurse’s Role 3. Nursing Process 4. Legal Responsibilities 5. Safe Medication Administration Required Reading: Karch, Chapter 4 & material required by faculty NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 9 CONCEPT: Clinical Reasoning and Safety TOPIC 3: Pharmacology and Inflammation/Infection LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explore the pathophysiology inflammation/infection as it relates to pharmacology 3. Explore the role of prostaglandins in the inflammatory process 4. Explain the purpose and process of culture and sensitivity 5. Explore medications utilized to treat disorders related to Inflammation and Infection A. Disorders B. Medications i. Classifications ii. Actions iii. Common Side Effects iv. Adverse Effects 6. Incorporate the Nursing Process in the care of a patient with inflammation/infection: A. Assessment B. Nursing Diagnoses C. Planning/Goals D. Nursing Interventions E. Evaluation 7. Incorporate the principles of safe medication administration to patients with inflammatory and infectious disease processes. CONTENT OUTLINE: 1. Terminology 2. Pathophysiology 3. Prostaglandins 4. Culture and Sensitivity 5. Medications related to: A. Rheumatoid Arthritis B. Pain (mild-moderate) C. Infection D. Hepatitis E. Herpes Simplex Virus F. HIV 6. Classifications A. Salicylates B. Nonsteroidal Anti-Inflammatory Drugs C. Acetaminophen D. Antiarthritis Agents E. Aminoglycosides F. Cephalosporins F. Fluoroquinolones G. Penicillins NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 10  H. Sulfonamides I. Tetracyclines J. Antituberculosis K. Other Antibiotics L. Macrolides M. Antiviral Agents N. Antifungal Agents O. Anthelmintic Agents 7. Nursing Process 8. Safety Required Reading: Karch, Chapters 8, 9, 10, 11, 13, 16 & material required by faculty NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 11 CONCEPT: Clinical Reasoning and Safety TOPIC 4: Pharmacology and the Cardiovascular System LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explore the pathophysiology of diseases that affect the cardiovascular system: 3. Discuss the groups of medications utilized to treat diseases that affect the cardiovascular system: A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 4. Incorporate the Nursing Process in the care of a patient with diseases that affect the cardiovascular system: A. Assessment B. Nursing Diagnoses C. Planning/Goals D. Nursing Interventions E. Evaluation 5. Incorporate the principles of safe medication administration to patients with diseases that affect the cardiovascular system CONTENT OUTLINE: 1. Terminology 2. Hypertension A. Pathophysiology B. Classifications i. Angiotensin-Converting Enzyme Inhibitors ii. Angiotensin II Receptor Blockers iii. Calcium Channel Blockers iv. Vasodilators v. Beta Blockers vi. Diuretics 3. Heart Failure A. Pathophysiology B. Classifications i. Cardiac Glycosides ii. Phosphodiesterase Inhibitors 4. Dysrhythmias A. Pathophysiology B. Classifications of antiarrhythmics i. Sodium Channel Blockers (Class I) ii. Beta-Adrenergic Receptors (Class II) iii. Potassium Channel Blockers (Class III) iv. Calcium Channel Blockers (Class IV) 5. Angina NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 12  A. Pathophysiology B. Classifications i. Nitrates ii. Beta-Adrenergic Blockers iii. Calcium Channel Blockers 6. Nursing Process 7. Safety Required Reading: Karch 43-46 and materials from faculty NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 13 CONCEPT: Clinical Reasoning and Safety TOPIC 5: Pharmacology and the Respiratory System LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explore the pathophysiology of diseases that affect the respiratory system: 3. Discuss the groups of medications utilized to treat diseases that affect the respiratory system: A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 4. Incorporate the Nursing Process in the care of a patient with diseases that affect the respiratory system: A. Assessment B. Nursing Diagnoses C. Planning/Goals D. Nursing Interventions E. Evaluation 5. Incorporate the principles of safe medication administration to patients with diseases that affect the respiratory system. CONTENT OUTLINE: 1. Terminology 2. Upper Respiratory Tract A. Pathophysiology B. Classifications i. Antitussives ii. Decongestants (Topical & Oral) iii. Antihistamines iv. Expectorants v. Mucolytics 3. Lower Respiratory Tract A. Pathophysiology B. Classifications i. Xanthines ii. Sympathomimetcs iii. Anticholinergics iv. Inhaled Steroids v. Leukotriene Receptor Antagonists 6. Nursing Process 7. Safety Required Reading: Karch 53-55 & Material by faculty NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 14 CONCEPT: Clinical Reasoning and Safety TOPIC 6: Pharmacology and the Gastrointestinal System LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explore the pathophysiology of diseases that affect the gastrointestinal system: 3. Discuss the groups of medications utilized to treat diseases that affect the gastrointestinal system: A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 4. Discuss the groups of medications utilized to provide nutritional support, vitamins and minerals, and weight management 5. Incorporate the Nursing Process in the care of of a patient with diseases affecting the gastrointestinal system: A. Assessment B. Nursing Diagnoses C. Planning/Goals D. Nursing Interventions E. Evaluation 6. Incorporate the principles of safe medication administration to patients with diseases that affect the gastrointestinal system. CONTENT OUTLINE: 1. Terminology 2. Peptic Ulcer Disease/Gastroesophageal Disease (GERD) A. Pathophysiology B. Classifications i. Histamine-2 Receptor Antagonists ii. Antacids iii. Proton Pump Inhibitors iv. Gastrointestinal Protectant 3. Gastrointestinal Motility A. Pathophysiology B. Classifications i. Chemical Stimulants ii. Bulk Stimulants iii. Osmotic Laxatives iv. Lubricants v. Gastrointestinal Stimulants iv. Antidiarrheals 4. Nausea and Vomiting A. Pathophysiology B. Classifications NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 15  i. Phenothiazines ii. Nonphenothiazine iii. 5-HT3 Receptor Blockers 6. Vitamins A. Pathophysiology B. Classifications i. Fat-Soluble Vitamins ii. Water Soluble Vitamins 7. Nursing Process 8. Safety Required Reading: Karch, Chapters 56-60 & required material from faculty NUR 104 – Pharmacology in Nursing 5/16/20 bp, 04/2022 16 CONCEPT: Clinical Reasoning and Safety TOPIC 7: Pharmacology and the Endocrine System LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explore the pathophysiology of diseases that affect the endocrine system 3. Discuss the groups of medications utilized to treat diseases that affect the endocrine System 4. Discuss the groups of medications utilized to regulate calcium and bone metabolism 5. Incorporate the Nursing Process in the care of a patient with diseases affecting the endocrine system: A. Assessment B. Nursing Diagnoses C. Planning/Goals D. Nursing Interventions E. Evaluation 6. Incorporate the principles of safe medication administration to patient’s with diseases that affect the endocrine system. CONTENT OUTLINE: 1. Define terminology utilized in this chapter. 2. Hypothyroidism and Hyperthyroidism A. Pathophysiology B. Classifications i. Thyroid Agents ii. Antithyroid Agents 3. Hypoparathyroidism and Hyperparathyriodism (Calcium disorders) A. Pathophysiology B. Classifications i. Antihypocalcemic Agents ii. Antihypercalcemic Agents 4. Diabetes Mellitus A. Pathophysiology B. Classifications i. Insulins ii. Sulfonylureas Iii. Biguanides iv. DDP-4 inhibitors v. Glucose elevating agents NUR 104 – Pharmacology in Nursing 3/21/19 mm 17  5. Nursing Process 6. Safety Required Reading: Karch, Chapter 34, 35, 37 & 38 & required reading material by faculty NUR 104 – Pharmacology in Nursing 3/21/19 mm 18 CONCEPT: Clinical Reasoning and Safety TOPIC 8: Pharmacology and the Renal System LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explore the pathophysiology of diseases that affect the renal system 3. Explore medications and other exogenous causes of renal failure. 4. Discuss the groups of medications utilized to treat diseases that affect the renal system A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 5. Incorporate the Nursing Process in the care of a patient with diseases affecting the renal system: A. Assessment B. Nursing Diagnoses C. Planning/Goals D. Nursing Interventions E. Evaluation 6. Incorporate the principles of safe medication administration to patients with diseases that affect the renal system. CONTENT OUTLINE: 1. Define terminology utilized in this chapter. 2. Fluid Volume Excess A. Pathophysiology B. Classifications i. Thiazide Diuretics ii. Loop Diuretics iii. Potassium-Sparing Diuretics iv. Osmotic Diuretics 3. Urinary Tract Antiinfectives, Antispasmodics & Analgesics A. Pathophysiology B. Classifications i. Urinary Tract Antiinfectives ii. Urinary Tract Antispasmodic iii. Urinary Tract Analgesic 6. Nursing Process 7. Safety Required Reading: Karch Chapters 51- 52 & required material by faculty NUR 104 – Pharmacology in Nursing 3/21/19 mm 19 CONCEPT: Clinical Reasoning and Safety TOPIC 9: Pharmacology and the Autonomic and Central Nervous System LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explore the pathophysiology of diseases that affect the autonomic and central nervous system 3. Discuss medications utilized to treat diseases that affect the autonomic and central nervous system: A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 4. Discuss medications utilized for pain management and anesthesia A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 5. Discuss the groups of medications utilized to stimulate the central nervous system A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 6. Discuss the groups of medications utilized to treat substance abuse disorders A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 7. Incorporate the Nursing Process in the care of a patient with diseases affecting the autonomic and central nervous system: A. Assessment B. Nursing Diagnoses C. Planning/Goals D. Nursing Interventions E. Evaluation 8. Incorporate the principles of safe medication administration to patients with diseases that affect the autonomic and central nervous system. CONTENT OUTLINE: 1. Define terminology utilized in these chapters 2. Anxiety & Hypnotic Agents A. Pathophysiology NUR 104 – Pharmacology in Nursing 3/21/19 mm 20  B. Classifications i. Benzodiazepines 3. Depression A. Pathophysiology B. Classifications i. Selective Serotonin Reuptake Inhibitors ii. Tricyclics 4. Psychotic Disorders A. Pathophysiology B. Classifications i. Antipsychotic and Drugs for Bipolar disorders 5. Seizures A. Pathophysiology B. Classification i. Hydantoins ii. Barbiturates and similar meds 6. Parkinsonism Disease A. Pathophysiology B. Classification i. Dopaminergic Agents ii. Anticholinergics 7. Alzheimer’s Disease A. Pathophysiology B. Classification i. Cholinergic Agonists 8. Muscle Spams A. Pathophysiology B. Classification i. Centrally Acting Skeletal Muscle Relaxants 6. Narcotics, Narcotic Antagonists, and Antimigraine A. pathophysiology B. Classification i. Narcotic Agonists ii. Narcotic Agonists-antagonists iii. Narcotic Antagonists iv. Antimigraine Agents 7. General and Local Anesthetic Agents A. Background i. General Anesthetic Agents ii. Local Anesthetic Agents 8. Nursing Process 9. Safety Required Reading: Karch Chapters 19-27 & 32 and required materials from faculty NUR 104 – Pharmacology in Nursing 3/21/19 mm 21 CONCEPT: Clinical Reasoning and Safety TOPIC 10: Pharmacology and the Hematopoietic and Immune Systems LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explore the pathophysiology of disorders that affect the hematopoietic and immune system as they relate to pharmacology. 3. Discuss the groups of medication utilized to treat disorders as relate to the hematopoietic and immune systems 4. Discuss the groups of medication utilized to enhance immunity: A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 5. Discuss the groups of medication utilized for Immunizations: A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 6. Incorporate the Nursing Process in the care of a patient with disorders that affect the hematopoietic and immune systems: A. Assessment B. Nursing Diagnoses C. Planning/Goals D. Nursing Interventions E. Evaluation 7. Incorporate the principles of safe medication administration to patients with disorders related to the hematopoietic and immune system. CONTENT OUTLINE: 1. Terminology 2. Dyslipidemia A. Pathophysiology B. Classifications i. HMG-CoA Reductase Inhibitors ii. Cholesterol Absorption Inhibitors iii. Fibrates 3. Coagulation Disorders A. Pathophysiology B. Classifications i. Antiplatelet Agents ii. Anticoagulants iii. Low Molecular Weight Heparin NUR 104 – Pharmacology in Nursing 3/21/19 mm 22  4. Immunizations A. Overview B. Types: bacterial vaccines, toxoids and viral vaccinations 6. Nursing Process 7. Safety Required Reading: Karch Chapters: 47-48 & 17- 18 and required reading from faculty NUR 104 – Pharmacology in Nursing 3/21/19 mm 23 CONCEPT: Clinical Reasoning and Safety TOPIC 11: Pharmacology related to the Eyes, Ears, and Skin LEARNER OUTCOMES: Upon completion of this topic, the student will be able to: 1. Define terminology utilized in this chapter. 2. Explore the pathophysiology of disorders that affect the Eyes, Ears, and Skin as they relate to pharmacology 3. Discuss the groups of medication utilized to treat Eye Disorders: A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 4. Discuss the groups of medication utilized to treat Ear Disorders: A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 5. Discuss the groups of medication utilized to treat Skin Disorders: A. Classifications B. Actions C. Common Side Effects D. Adverse Effects 6. Incorporate the Nursing Process in the care of a patient with disorders of the Eye, Ear, and Skin: A. Assessment B. Nursing Diagnoses C. Planning/Goals D. Nursing Interventions E. Evaluation 7. Incorporate the principles of safe medication administration to patient’s with disorders of the Eyes, Ears, and Skin. CONTENT OUTLINE: 1. Terminology 2. Eye Disorders A. Pathophysiology B. Classifications i. Anticholinergic Medications ii. Local Anesthetic Medications iii. Beta-Blockers iv. Alpha2 Adrenergic Agonists v. Prostaglandin Analogs vi. Antibacterial Medications NUR 104 – Pharmacology in Nursing 3/21/19 mm 24  vii. Antiviral Medications viii. Immunosuppressants 3. Ear Disorders A. Pathophysiology B. Classifications i. Anti-infective, Antiseptic, Glucocorticoid, and Acidifying Agents ii. Fluoroquinolone: Ciprofloxacin ii. Penicillin: Amoxicillin iii. Adjuvant Medications 4. Skin Disorders A. Pathophysiology B. Classifications i. Antimicrobial Medications ii. Retinoids iii. Other Medications 5. Nursing Process 6. Safety Required Reading: Karch Appendix B, C & D and required reading from faculty NUR 104 – Pharmacology in Nursing 3/21/19 mm 25 XIV. ADA, ACADEMIC INTEGRITY, SEXUAL MISCONDUCT, AND DISASTER PLAN STATEMENTS: Statement on Academic Integrity William Carey University seeks to create an environment that encourages continued growth of moral and ethical values, which include personal honesty and mutual trust. The University places the highest value on academic integrity and regards any act of academic dishonesty as a serious offense. Academic dishonesty is considered unethical and in violation of William Carey University’s academic standards and Christian commitment. If such an incident occurs, students, faculty, and/or staff are obligated to initiate appropriate action. Depending upon the seriousness of the offense, sanctions could include failure of the assignment, failure of the course, or dismissal from the University. Complete procedural guidelines for dealing with incidents of academic dishonesty are on file in the Office of Student Services, the Office of Academic Affairs, each academic dean’s office, the vice-president of Tradition campus, and Baton Rouge academic director. ADA Statement In accordance with the Americans with Disabilities Act of 1990, William Carey University provides disability accommodations for students with identified and/or diagnosed disabilities. Students requesting accommodations should contact the Office of Disability Services or an appropriate campus/site representative to receive information on registering with the Office of Disability Services and providing appropriate documentation of their disability. Office of Disability Services contacts: Hattiesburg campus: Michael Long, Disability Services Coordinator, (601) 318- 6211, King Student Center, 345 Tradition campus: Brandi Donohoe, (228) 702-1783, Tradition campus, B-211 Baton Rouge site: Michael Long, Disability Services Coordinator, (601) 318-6211, King Student Center, 345 Online: Michael Long, Disability Services Coordinator, (601) 318-6211, King Student Center, 345 Disaster Plan Statement In the event of class cancellations or campus closures due to weather related or other emergency situations, notifications will be broadcast through SaderWatch, the university’s emergency notification system, powered by Everbridge. By default, SaderWatch will only send alerts to your WCU provided student e-mail address. For more timely alerts, it is strongly recommended that you update your default alert profile to receive text and/or voice alerts. Profile modification instructions can be found at http://wmcarey.edu/saderwatch. In addition to SaderWatch alerts, general information regarding cancellations and closures will be posted to our website http://wmcarey.edu and to the official Willaim Carey University social media accounts on Facebook and X. Specific information regarding the continuation of coursework will be communicated through Canvas. NUR 104 – Pharmacology in Nursing 3/21/19 mm 26 Sexual Misconduct Statement It is the policy of William Carey University to comply with all federal and state laws governing sexual misconduct. Further, William Carey University reaffirms its principle, as well as Title IX of the Education Amendments Act of 1972, that all students have a right to be free from sexual discrimination in the form of sexual harassment and sexual violence. Students are referred to the Student Handbook, The Translation, for policy statements regarding sexual harassment and sexual assault and for procedures for reporting and responding to sexual offenses. The policies and procedures may also be found on the university’s website under Campus Life – Security. Title IX and Sexual Misconduct | William Carey University (wmcarey.edu) Student Authentication Statement By logging in with Carey IT credentials (Carey email/password) and entering the Canvas student account, the student acknowledges the agreement to observe William Carey University policies and guidelines for falsifying or misusing identity and technologies. Access to online classes is provided through a secure and private account to ensure student identity and authenticate student work and communication. Sharing of William Carey University login credentials is prohibited. Academic Program Purpose The School of Nursing seeks to prepare individuals for self-directed practice and continuing growth in professional nursing; for formal graduate study; and for service to people as an expression of the Christian life and commitment. XV: PROGRESSION: Successful completion of this course requires a grade of 77% or better. According to the WCU Undergraduate Handbook, students must complete all prerequisite courses with a grade of C or better. XVI. POLICIES: Please refer to the University Undergraduate Catalog Indigo Portal and Canvas Account: To setup your Indigo Portal/Canvas account for the first time, please go to http://indigo.wmcarey.edu/account. If you are new to Canvas and need assistance with login or e-mail account creation information, please review our student technology guide at http://wmcarey.edu/information-technology If you need technical assistance, open a trouble ticket at http://indigo.wmcarey.edu/help. Your Canvas account has been consolidated with your Indigo Portal account. You will now log in to Canvas using your Indigo Portal username and password. NUR 104 – Pharmacology in Nursing 3/21/19 mm 27  Appendix A Faculty Contact Information Sara Purvis, MSN, RN, CNE Assistant Professor of Nursing Office: COHS 141 Email: [email protected] *Email is the best way to contact. Phone: 601-318-6513 Office hours: In-person student appointments must be made in advance to ensure the instructor is available. Drop-in visits may be made if the instructor is available. In-office appointments may be made via email or by calling the office number. You are welcome at any time to call or email (preferred). Response to your emails/calls will typically be made during the instructor’s office hours or within 48 hours during WCU business days. NUR 104 – Pharmacology in Nursing 3/21/19 mm 28  Appendix B Course Calendar NUR 104: Pharmacology in Nursing Tuesdays 8:30-1300 Date Topic Assignment Week 1 Course Orientation ATI Quiz: Introduction to November 12th Introduction and Basics to Pharmacology Pharmacology 8:30-1:00 Nurse’s Role in Medication Administration Due November 17th, 11:59 PM Week 2 Exam 1 ATI Quiz: The Endocrine November 19th Pharmacology Related to Endocrine System System 8:30-1:00 & Eyes/Ears/Skin Endocrine Ch. 36 & 38 Due November 24th 11:59 PM Eyes/Ears/Skin Appendix B & C November 25th THANKSGIVING BREAK December 1st November 25th -29th Week 3 Pharmacology Related to Cardiovascular ATI Quiz: The Cardiovascular December 3rd System System 8:30-1:00 Chapters 43-46 Due December 8th 11:59PM Week 4 Exam 2 ATI Quiz: The Respiratory December 10th Pharmacology Related to Respiratory System 8:30-1:00 System Ch. 53-55 Due December 15th 11:59 PM Week 5 Pharmacology Related to Renal System & ATI Quiz: (1) The Hematologic December 17th Hematological System/Immune System System (2) The Immune 8:30-1:00 Renal System Ch. 51 & 52 (2 quizzes) Hematological/Immune Ch. 18, 47 & 48 Due December 22nd 11:59 PM Last day to Withdraw with a “W” 12/20/2024 by 1600 December 23rd Christmas/New Year’s Break January 13th Week 6 Exam 3 ATI Quiz: Pain & Inflammation January 14th Pharmacology Related to & Infection (2 quizzes) Inflammation/Infection Due January 19th 11:59PM Ch. 8-11, 13 & 16 Week 7 Pharmacology Related to Gastrointestinal ATI Quiz: The Gastrointestinal January 21st System System Ch. 56-59 Due January 26th 11:59 PM Week 8 Exam 4 ATI Quiz: The Neurological January 28th Pharmacology Related to Neurological System (Part 1) System Due February 2nd 11:59 PM Ch. 20-27 & 32 Week 9 Neuro Unit Continued Review ATI Quiz: The Neurological February 4th System (Part 2) Due February 9thth 11:59 PM Week 10 Final Exam: Monday, February 17th @ 0900 NUR 104 – Pharmacology in Nursing 3/21/19 mm 29  Appendix C Assignment Guidelines and Grading Rubrics ATI Grading Rubric Students must complete weekly test(s) and the highest score will be recorded in the gradebook. Must be completed by Sunday night at 11:59 PM to earn grade. Signature is required. Upload document to canvas course the first week of the term. Assignment Grading Rubric Week 1 Introduction to Pharmacology Highest Score Recorded Week 2 The Respiratory System Highest Score Recorded Week 3 The Gastrointestinal System Highest Score Recorded Week 4 The Cardiovascular System Highest Score Recorded Week 5 The Hematologic System & The Highest Scores Recorded Immune System (2 quizzes due this week) Week 6 Pain & Inflammation & Infection (2 Highest Scores Recorded quizzes due this week) Week 7 The Endocrine System Highest Score Recorded Week 8 The Neurological System (Part 1) Highest Score Recorded Week 9 The Neurological System (Part 2) Highest Score Recorded Week 10 No assignments due Highest Score Recorded Total Grade Total Points averaged together. Counts as 5% overall course grade. Students are to sign the contract below and upload it into Canvas at the end of the first week of class. I, ____________________, (full name here) understand I must complete weekly ATI tests. I have made multiple attempts to take the tests, and the highest score will be recorded. I, ___________________, (full name here) understand that I must complete all assignments each week to receive credit. If I miss the assignment’s due date, I will earn a zero. I, ___________________, (full name here) understand that I will not be awarded partial grades for incomplete assignments. Signature: _________________________ Student ID: __________________ Date: _______________ NUR 104 – Pharmacology in Nursing 3/21/19 mm 30  Appendix D Late Assignment Policy Late assignments are not accepted. Students who fail to turn in an assignment will receive a grade of “0”. NUR 104 – Pharmacology in Nursing 3/21/19 mm 31  Appendix E Tardy & Absenteeism Policy As part of the preparation for a professional career, the faculty of the College of Health Sciences expects all undergraduate candidates to adhere to the highest standards of punctuality, attendance, and participation in all scheduled activities. Absences may seriously affect the work of the whole class as well as that of the individual students who are absent. In no circumstances will a student receive credit for a course if he/she has not met the WCU requirement of meeting class at least 75 % of the scheduled time. Student attendance will be evaluated based on completion of class assignments. Absenteeism – Class a) The student is expected to attend class 100% of the time. b) If an absence does occur the student will be held responsible for any announcements or materials given that day. The student is also responsible for any assignments due the day of an absence. c) Absences due to illness, death in the immediate family, or extreme circumstances will be handled on an individual basis provided the instructor is notified of the need to be absent PRIOR TO class. d) Faculty members have the right to request appropriate documentation regarding an absence. All absences will be reported to the program head on each campus. The program head has the right to intervene if he/she notes a pattern to reported absences for any student. Absenteeism – Scheduled Examinations a) The student is expected to take all scheduled examinations. b) In extreme circumstances, such as illness or death in the immediate family, a student may be allowed a make-up examination at a later time provided the instructor has been notified of the need to be absent PRIOR TO the time of the scheduled test. If the instructor is not notified, a grade of “0” will be earned. c) Students who miss scheduled make up exams will receive a grade of zero. Tardiness a) Late assignments are not accepted. Students who fail to turn in an assignment will be marked absent. b) All exams must be taken at the time posted. Class Preparation a) Students are expected to prepare for and participate appropriately in each class. b) Consistent study, preparation, and appropriate participation are required for optimal performance. c) Please see your instructor for assistance with class preparation if needed. NUR 104 – Pharmacology in Nursing 3/21/19 mm 32