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  • 8/10/2019 Revised Syllabus Pharmacology

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    DOA REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATIONTACLOBAN CITY

    COLLEGE OF NURSING

    PHARMACOLOGY ( PETITION)

    COURSE DESCRIPTION: 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, calculating

    medication dosages based on given setting, assessing drug effects, intervening to make a

    drug more tolerable, and providing teaching about drugs and the drug regimen.

    COURSE CREDIT: 3 UNITS LECTURE

    CONTACT HOURS/ SEM: 54 LECTURE HOURS

    PREREQUISITE: Math 1 Basic Mathematics, General Chemistry, Anatomy and Physiology, NCM 102

    Fundamentals of Nursing

    PLACEMENT: 2ND YEAR, 2ND SEMESTER

    TERMINAL COMPETENCY: At the end of the course and given relevant actual or simulated

    situations/conditions, the student will be able to:

    1.

    Apply concept and principles of pharmacology to ensure safe and proper use of

    drugs

    2.

    Explain the action, therapeutic use, preparation, dosage, mode ofadministration 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

    5.

    Interpret medication orders.

    6.

    Calculate medication orders based on the given setting.

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME

    INSTRUCTOR

    Upon completion of this chapter,the students will be able to:

    1.

    Define the word

    pharmacology.

    2.

    Outline the steps

    involved in developing

    and approving a new

    drug in the United States.

    3.

    Describe the federal

    controls on drugs that

    have abuse potential.

    4.

    Differentiate between

    generic and brand-name

    drugs, over-the-counter

    and prescription drugs

    5.

    Explain the benefits and

    risks associated with the

    use of over-the-counter

    drugs.

    I. INTRODUCTION TO PHARMACOLOGY

    1. Pharmacology

    2. Pharmacology and Therapeutics

    3. Classification of therapeutic Agents as

    Drugs, Biologics, and alternative

    Therapies

    4. Prescription and Over the Counter

    Drugs

    5. Drug Regulations and Standards

    6. Sources and Evaluation of Drugs

    7. Legal Regulation of Drugs

    8. Drug Classes and Schedules

    A. DRUG AND THE BODY

    1. Pharmacokinetics

    2. Pharmacodynamics

    3. Factors Influencing Drug Effects

    B. TOXIC EFFECTS OF DRUGS

    1. Adverse Effects

    June26*

    1:30 -

    3:00

    4:30

    6:00

    June

    27

    1:30 -

    3:00

    MRS. ALFONSO

    MRS. ALFONSO

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    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME

    INSTRUCTOR

    Upon completion of this chapter,

    the students will be able to:

    1.

    List the responsibilities of

    the nurse in drugtherapy.

    2.

    Explain what is involved

    in each step of the

    nursing process as it

    relates to drug therapy.

    3.

    Describe key points that

    must be incorporated

    into the assessment of a

    patient receiving drug

    therapy.

    4.

    Describe the essential

    elements of a medication

    order.

    5.

    Calculate the correct

    dose of a drug when

    given examples of drug

    orders and available

    forms of the drugsordered.

    6.

    Outline the important

    points that must be

    assessed and considered

    before administering a

    drug, combining

    knowledge about the

    drug with knowledge of

    the patient and theenvironment.

    7.

    Describe the role of the

    nurse and the patient in

    preventing medication

    errors.

    2. Drug Allergy

    3. Drug-Induced Tissue and Organ

    Damage

    C. NURSING MANAGEMENT

    THE NURSING PROCESS

    a. ASSESSMENT

    Subjective data

    a. History

    - Health History Assessment Questions

    Pertinent to Drug Administration

    Objective Data

    a. Physical Assessment

    b. Laboratory Values

    c. Medication Effects

    b. NURSING DIAGNOSIS

    c. PLANNING

    d. IMPLEMENTATION

    - Principles of Drug Administration

    - Proper Drug Administration

    - Comfort Measures

    - Patient and Family Education

    e. EVALUATION

    D. DOSAGE CALCULATIONS

    E. DRUG ADMINISTRATION THROUGHOUT

    THE LIFESPAN

    PHARMACOTHERAPY ACROSS THE LIFESPAN

    1. PREGNANT CLIENT

    2. LACTATING CLIENT

    3. PEDIATRICS

    4. ADULTHOOD

    F. MEDICATION ERRORS AND RISKREDUCTION

    1. Medication Errors

    July 3

    1:30 -

    3:00

    July 4

    1:30 -

    3:00

    MR. NICOLAS

    MRS. ALFONSO

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    3INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

    Upon completion of this chapter,

    the students will be able to:

    1. List four natural body

    defenses against

    infection.

    2. Describe the cells

    associated with thebodys fight against

    infection and their basic

    functions.

    3. Outline the sequence

    of events in the

    inflammatory response.

    4. Correlate the events in

    the inflammatory

    response with the clinical

    picture of inflammation.

    5. Outline the sequence

    of events in an antibody-

    related immune reaction

    and correlate these

    events with the clinical

    presentation of such a

    reaction.

    6.

    Describe the sites of

    action of the various anti-

    inflammatory agents.

    7.

    Describe the therapeutic

    actions, indications,pharmacokinetics,

    contraindications, most

    common

    8.

    adverse reactions, and

    important drugdrug

    interactions associated

    with each class of

    anti-inflammatory

    agents.

    9.

    Discuss the use of anti-

    inflammatory drugs

    across the lifespan.

    10.

    Compare and contrast

    the prototype drugs for

    each class of anti-

    inflammatory drugs with

    the other drugs in that

    class.

    11.

    Outline the nursing

    considerations and

    teaching needs for

    patients receiving each

    class of antiinflammatoryagents.

    II. CONCEPT OF IMMUNOLOGY ANDINFLAMMATORY PROCESSES

    THE IMMUNE SYSTEM

    - Nonspecific Body Defenses and

    Immune Responses

    - Humoral Immunity and Antibodies- Cell mediated Immunity and Cytokines

    - Nursing Process

    A. IMMUNE SYSTEM MODULATORS

    1. Vaccines

    2. Immunostimulants

    3. Immunosuppresants

    CONCEPT ON INFLAMMATION

    - Function of Inflammation

    - Role of Histamine in Inflammation

    - Histamine Receptors

    - Nursing Process

    B. ANTIINFLAMMATORY AGENTS

    1. Nonsteroidal anti-inflammatory drugs

    2. Systemic Glucocorticoids3. Antipyretics

    - Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    a. NSAIDS

    JULY 10

    1: 303:00

    July 11*

    1:303:00

    4:306:00

    MR. NICOLAS

    MR. NICOLAS

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

    Upon completion of this chapter, C. ANTIINFECTIVE AGENTS

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    the students will be able to:

    1. Explain what is meant

    by selective toxicity and

    discuss its importance in

    anti-infective therapies.

    2. Differentiate betweenbroad-spectrum and

    narrow-spectrum drugs.

    3. Define bacterial

    resistance to antibiotics

    and discuss the

    emergence of resistant

    strains.

    4. Explain three ways to

    minimize bacterial

    resistance.

    5. Describe three

    common adverse

    reactions associated with

    the use of antibiotics

    6.

    Explain how an antibiotic

    is selected for use in a

    particular clinical

    situation.

    7.

    Describe therapeutic

    actions, indications,

    pharmacokinetics,

    contraindications, mostcommon adverse

    reactions, and important

    drugdrug interactions

    associated with each of

    the classes of antibiotics.

    8.

    Discuss use of antibiotics

    as they are used across

    the lifespan.

    9.

    Compare and contrast

    prototype drugs for each

    class of antibiotics withother drugs in that class.

    10.

    Outline nursing

    considerations for

    patients receiving each

    class of antibiotic.

    1. Pathogenenicity and Virulence

    2. Description and Classification of

    Bacteria

    3. Antiinfective Drugs

    4. Acquired Resistance

    5. Selection of effective antibiotics6. Host Factors

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    7. Antibacterial Agents

    - Penicillins

    - Cephalosporins

    - Tetracyclines

    - Macrolides

    - Aminoglycosides

    - Fluoroquinolones- Sulfonamides

    - Antituberculosis Agents

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process- Patient Teaching List

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

    Upon completion of this chapter,

    you will be able to:

    D. ANTIVIRAL AGENTS July 17 MR. NICOLAS

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    1.

    Discuss problems with

    treating viral infections

    in humans and the use

    of antivirals across the

    lifespan.

    2.

    Describe the therapeuticactions, indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and important

    drugdrug interactions

    associated with each of

    the types of antivirals

    discussed in the chapter.

    3.

    Compare and contrast

    the prototype drugs for

    each type of antiviral

    with the other drugs

    within that group.

    4.

    Outline the nursing

    considerations for

    patients receiving each

    class of antiviral agent.

    5.

    Describe the

    characteristics of a

    fungus and a fungalinfection.

    6.

    2. Discuss the

    therapeutic actions,

    indications,

    pharmacokinetics,

    contraindications,

    proper administration,

    most common adverse

    reactions, and important

    drugdrug interactions

    associated with systemicand topical antifungals.

    7.

    Compare and contrast

    the prototype drugs for

    systemic and topical

    antifungals with the

    other drugs in each

    class.

    8.

    Discuss the impact of

    using antifungals across

    the lifespan.

    9.

    Outline the nursing

    considerations for

    patients receiving a

    systemic or topical

    antifungal.

    1. Characteristics of Viruses

    2. HIV/AIDS

    3. General Principles of HIV

    Pharmacotherapy

    4. Classification of Drugs for HIV/ AIDS

    - Reverse Transcriptase Inhibitors

    - Protease Inhibitors5. Pharmacotherapy

    a. Herpes Virus Infections

    b. Influenza

    c. Viral Hepatitis

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    E. ANTIFUNGAL AGENTS

    1. Characteristics of Fungi

    2. Classifications of Mycoses3. Mechanism of Action

    4. Nursing Process

    5. Antifungal Agents

    - Systemic

    - Superficial

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects- Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    1:303:00

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

    Upon completion of this chapter, F. ANTIPROTOZOAL AGENTS July 18 MR. NICOLAS

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    the students will be able to:

    1.

    Outline the life cycle of

    the protozoan that

    causes malaria.

    2.

    Describe the therapeutic

    actions, indications,pharmacokinetics,

    contraindications,

    proper administration,

    most common adverse

    reactions, and important

    drugdrug interactions

    associated with drugs

    used to treat malaria.

    3.

    Describe other common

    protozoal infections,

    including cause and

    clinical presentation.

    4.

    Compare and contrast

    the antimalarials with

    other drugs used to treat

    protozoal infections.

    5.

    Outline the nursing

    considerations for

    patients receiving an

    antiprotozoal agent

    across the lifespan

    6.

    Describe the therapeutic

    actions, indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and important

    drugdrug interactions

    associated with the

    anthelmintics and

    antineoplastic drugs.

    7.

    Discuss the use ofanthelmintics and

    antineoplastic drugs

    across the lifespan.

    8.

    Outline the nursing

    considerations, including

    important teaching

    points to stress, for

    patients receiving an

    anthelmintic and

    antineoplastic drugs.

    a. Malarial Drugs

    b. Nonmalarial Drugs

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions- Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    G. ANTIHELMINTIC DRUGS

    H. ANTINEOPLASTIC AGENTS

    1. Characteristic of Cancer: Uncontrolled

    Cell Growth

    2. Causes of Cancer

    3. Treatment of Cancer

    4. Growth Fraction and Success of

    Chemotherapy

    5. Special Pharmacotherapy Protocols

    and Strategies for Cancer Chemotherapy

    6. Toxicity of Antineoplastic Agents7. Classification of Antineoplastic Agents

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    1:303:00

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

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    Upon completion of this chapter,

    the students will be able to:

    1.

    Describe the anatomy

    and physiology of the GI

    system.

    2.

    Describe thepathophysiology of

    Peptic Ulcer Disease.

    3.

    Describe the therapeutic

    actions, indications,

    pharmacokinetics,

    contraindications and

    cautions, most common

    adverse reactions, and

    important drugdrug

    interactions associated

    with laxatives,

    antidiarrheal drugs,

    antispasmodics and

    antiemetics

    4.

    Discuss the use of

    laxatives, antidiarrheal

    drugs, antispasmodics

    and antiemetics

    across the lifespan.

    5.

    Outline the nursing

    considerations, including

    important teaching

    points to stress, forpatients receiving an

    laxatives, antidiarrheal

    drugs, antispasmodics

    and antiemetics drugs.

    Upon completion of this chapter,

    the students will be able to:

    1.

    Label a diagram showing

    the glands of the

    traditional endocrinesystem and list the

    hormones produced by

    each and its functions

    2.

    Describe the

    pathophysiology of

    diabetes mellitus,

    including alterations in

    metabolic pathways and

    changes to basement

    membranes.

    3.

    Describe the therapeutic

    actions, indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and important

    drugdrug interactions

    III. CONCEPT ON METABOLIMFUNCTIONAL HEALTH PATTERN

    NUTRITION AND METABOLIC PATTERN

    1. Overviewa. GI System

    b. Acid Production by the stomach

    c. Peptic Ulcer Disease

    2. Drug Therapy

    a. Antiulcer Drugs

    b. Laxatives

    c. Antispasmodics

    d. Antiemetics

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    IV. THE ENDOCRINE SYSTEM ANDHOMEOSTASIS

    a. Drugs acting on the Endocrine System

    - Hypothalamic and Pituitary Agents

    - Hypothalamic Releasing Agents

    - Anterior Pituitary Hormones

    b. Drug Therapy

    - Growth Hormone

    - Growth Hormone Antagonist- Posterior Pituitary Hormones

    - Adrenocortical Agents

    - Thyroid and Parathyroid Hormones

    - Antidiabetic Agents

    a. Glucose regulation

    b. Diabetes Mellitus

    c. Drug Therapy

    - Insulin

    - Oral Antidiabetic Agents

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    July 24*

    1:303:00

    4:306:00

    July 25

    1:303:00

    July 31

    1:303:00

    August 1

    1:303:00

    MRS. ALFONSO

    MRS. ALFONSO

    MR. NICOLAS

    MR. NICOLAS

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

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    associated with insulin and other

    antidiabetic and glucose-

    elevating agents.

    Upon completion of this chapter,

    the students will be able to:

    1.

    Review the anatomy andphysiology of the kidney,

    including the structure

    of the nephron

    2.

    Describe the

    pathophysiology of

    Renal failure and other

    renal pathology.

    3.

    Describe the therapeutic

    actions, indications,

    pharmacokinetics,

    contraindications and

    cautions, most common

    adverse reactions, and

    important drugdrug

    interactions associated

    with the various classes

    of diuretic drugs and

    other urinary tract

    agents.

    4.

    Outline the nursing

    considerations, including

    important teaching

    points to stress, forpatients receiving

    diuretic drugs and other

    urinary tract agents .

    Upon completion of this chapter,

    the students will be able to:

    1.

    Review the anatomy

    and physiology of

    nervous system.

    2.

    2. Describe the

    therapeutic actions,

    indications,

    pharmacokinetics,

    contraindications and

    cautions, most common

    adverse reactions, and

    important drugdrug

    interactions associated

    with the various classes

    of drugs affecting the

    nervous system.

    V. CONCEPT OF FLUID ANDELECTROLYTES FUNCTIONAL HEALTH

    PATTERN

    ELIMINATION PATTERN

    1. Overview of the Renal System

    a. Renal absorption and Secretion

    b. Fluid and Elctrolyte Balance

    c. Renal Failure

    2. Drug Acting on the Renal System

    a. Diuretics

    b. Urinary Tract Agents

    c. Parenteral Fluids and Electrolytes

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    VI. CONCEPT ON PERCEPTION ANDCOORDINATION

    THE NERVOUS SYSTEM

    a. Central Nervous System

    b. Peripheral Nervous System

    b.1 Autonomic Nervous System- Sympathetic

    - Paraympathetic

    A. DRUGS AFFECTING THE ANS

    a. Adrenergic Agents

    b. Adrenergic Blocking Agents

    c. Cholinergic Agents

    d. Cholinergic Blocking Agents

    Aug 7

    1:303:00

    August 8

    1:303:00

    Aug. 14*

    1:303:00

    4:30- 6:00

    MRS. ALFONSO

    MRS. ALFONSO

    MRS. ALFONSO

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    3. Outline the nursing

    considerations, including

    B. DRUGS ACTING ON THE CNS AND PNS

    A. ANXIOLYTICS AND HYPNOTIC AGENTS

    August 15

    1:30- 3:00

    MRS. ALFONSO

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    important teaching points, for

    patients receiving

    and adrenergic agent.

    Upon completion of this chapter,

    the students will be able to:

    1.

    Describe the therapeutic

    actions, indications,

    pharmacokinetics,

    contraindications and

    cautions, most common

    adverse reactions, and

    important drugdrug

    interactions associated

    with the various classes

    of psychotherapeutic

    and antiepileptic agents.

    2.

    Outline the nursing

    considerations, including

    important teaching

    points, for patients

    receiving

    psychotherapeutic and

    antiepileptic drugs

    Upon completion of this chapter,

    the students will be able to:

    1.

    Describe the therapeuticactions, indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and important

    drugdrug interactions

    associated with

    antiparkinsonism and

    muscle relaxant drugs.

    1. States affected by anxiolytic and

    hypnotic drugs

    2. Drug Therapy

    a. Benzodiazepines

    - Antidote

    b. Barbiturates

    MIDTERM EXAMINATION

    B. ANTIDEPRESSANT DRUGS

    1. Depression and Antidepressant

    2. Drug Therapy

    3. Tricyclic Depressants

    4. MAOIs

    5. SSRIs

    C. PYCHOTHERAPEUTIC AGENTS

    1. Mental Disorders and their

    Classification

    2. Psychotherapeutic Drugs

    a. Antipsychotic Neuroleptic Drugs

    b. Antimanic Drugs

    c. CNS Stimulants

    D. ANTIEPILEPTIC DRUGS

    1. Nature of Epilepsy

    2. Drugs for treating Tonic-Clonic

    Seizures3. Drugs for Treating Absence Seizures

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    DEGENERATIVE DISEASES OF THE CENTRALNERVOUS SYSTEM

    E. ANTIPARKINSONISM AGENTS

    1. Parkinsonism

    2. Drug Therapy

    a. Anticholinergics

    b. Dopaminergics

    - Adjuncts to Levodopa Therapy

    August 18-

    23

    Aug 28*

    1:30- 3:00

    4:306:00

    August 29

    1:30- 3:00

    Sept 4

    1:303:00

    MR. NICOLAS

    MR. NICOLAS

    MRS. ALFONSO

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

    2.

    Discuss the use of

    antiparkinsonism and

    F. MUSCLE RELAXANTS

    1. Nerves and Movements

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    muscle relaxant drugs

    across the lifespan.

    3.

    Outline the nursing

    considerations, including

    important teaching

    points to stress, forpatients receiving an

    antiparkinsonism and

    muscle relaxant drugs.

    Upon completion of this chapter,

    the students will be able to:

    1.

    Describe the therapeutic

    actions, indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and important

    drugdrug interactions

    associated with

    narcotics, antimigraine

    and general and localanesthetic and

    neuromuscular drugs.

    2.

    Discuss the use of

    narcotics, antimigraine

    and general and local

    anesthetic and

    neuromuscular drugs

    across the lifespan.

    3.

    Outline the nursing

    considerations, including

    important teachingpoints to stress, for

    patients receiving an

    narcotics, antimigraine

    and general and local

    anesthetic and

    neuromuscular drugs.

    2. Neuromuscular Abnormalities

    3. Drug Therapy

    - Centrally Acting Skeletal Muscle

    Relaxants

    - Direct Acting Skeletal Antispasmodic

    Mechanism of Action- Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    G. NARCOTICS AND ANTIMIGRAINE

    DRUGS

    1. Pain Perception

    2. Migraine Headache

    3. Drug Therapy

    a. Narcotics

    b. Opiod Receptors

    c. Narcotic Agonists

    d. Narcotic Agonist Antagonist

    e. Narcotic Antagonist

    f. Ergot Derivatives

    g. Triptans

    H. GENERAL AND LOCAL ANESTHETICS

    1. Local Anesthesia

    2. General Anesthesia

    3. Drug Therapy

    I. NEUROMUSCULAR AGENTS

    1. Neuromuscular Junction

    2. Drug Therapy

    a. Nondepolarizing Neuromuscular

    Junction Blockers

    b. Depolarizing Neuromuscular JunctionBlockers

    Sept 5

    1:30 -3:00

    Sept 11

    1:30- 3:00

    Sept 12

    1:303:00

    MRS. ALFONSO

    MRS. ALFONSO

    MR. NICOLAS

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

    Upon completion of this chapter,

    the students will be able to: VII. CONCEPTS ON OXYGENATION, Sept 18 MR. NICOLAS

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    1.

    Review the anatomy and

    physiology of

    cardiovascular system.

    2.

    Describe the

    pathophysiology of

    hypertension.

    3.

    Describe the therapeuticactions, indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and important

    drugdrug interactions

    associated with

    antihypertensive drugs.

    4.

    Outline the nursing

    considerations in using

    antihypertensive drugs.

    5.

    Describe the

    pathophysiology of

    cardiac arrhythmias and

    angina.6.

    Describe the therapeutic

    actions, indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and important

    drugdrug interactions

    associated with

    antiarrhythmic and

    antianginal drugs.

    7.

    Outline the nursingconsiderations in using

    antiarrhythmic and

    antianginal drugs

    PERFUSION FUNCTIONAL HEALTH PATTERN

    A.

    DRUGS ACTING ON THE

    CARDIOVASCULAR SYSTEM

    1.

    Overview : Cardiovascular System

    2.

    ANTIHYPERTENSION

    a. Renin-Angiotensin System

    b. Blood Pressure Control

    c. Hormonal and Nervous System

    Factors Influencing Blood Pressure

    d. Primary Factors affecting BP

    e. Drug Therapy

    A. ANTIHYPERTENSIVE DRUGS

    1. ACE Inhibitors

    2. Angiotensin II Receptor Blocker

    3. Calcium Channel Blockers

    4. Vasodilators

    5. Diuretics

    6. Beta Blockers

    7. Hypotensive Agents

    B. ANTIARRHYTHMIC AGENTS

    1. Overview

    a. Cardiac Conductionb. Automaticity of the heart

    c. Cardiac Arrhythmias

    2. Drug Therapy

    a. Class I: Sodium Channel Blockers

    b. Class II : Beta Adrenergic Antagonist

    c. Class III: Potassium Channel Blockers

    d. Class IV: Calcium Channel Blockers

    C. ANTIANGINAL AGENTS

    1. Overviewa. Blood Supply to Myocardium

    b. Coronary Artery Disease

    2. Drug Therapy

    a. Nitrates

    b. Beta-Adrenergic Blockers

    c. Calcium Channel Blockers

    1:30- 3:00

    Sept 19

    1:303:00

    MR. NICOLAS

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

    Upon completion of this chapter, Sept. 26 MRS. ALFONSO

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    the students will be able to:

    1.

    Describe the

    pathophysiology of

    congestive heart failure

    and coronary artery

    disease.

    2.

    Describe the therapeuticactions, indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and important

    drugdrug interactions

    associated with

    cardiotonic and lipid

    lowering agents.

    3.

    Outline the nursing

    considerations in using

    cardiotonic and lipid

    lowering agents.

    4.

    Describe the coagulation

    process.

    5.

    Describe the

    pathophysiology of

    anemia.

    6.

    Describe the therapeuticactions, indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and important

    drugdrug interactions

    associated with drugs

    affecting blood

    coagulation and

    antianemic agents.

    7.

    Outline the nursingconsiderations in using

    drugs affecting blood

    coagulation and

    antianemic agents

    D. CARDIOTONIC AGENTS

    1. Overview

    a. Cardiac Muscle Function

    b. Congestive Heart Failure

    2. Drug Therapy

    a. Vasodilatorsb. Diuretics

    c. Beta-Adrenergic Agonists

    d. Cardiotonic Agents

    - Cardiac Glycosides

    e. Phophodiesterase Inhibitors

    E. LIPID LOWERING AGENTS

    1. Overview

    a. Metabolism of Fats

    b. Coronary Artery Disease

    2. Drug Therapy

    a. HMG-COA Reductase Inhibitors

    b. Bile Acid Binding Agents

    c. Fibric Acid Agents

    d. Other Agents

    F. DRUG AFFECTING BLOOD

    COAGULATION

    1. Overview

    a. Blood Coagulation

    b. Clot Resolution and Anticlotting

    2. Drug Therapy: Hematopietic Growth

    Factor

    a. Epoetin Alfa

    b. Colony Stimulating Factor

    c. Platelet Enhancers

    - Vitamin K: Reversing Warfarin Effects

    - Protamine Sulfate: Antidote for

    Heparin Overdose

    - Lepirudin: Treating Heparin Allergy

    G. DRUGS USED TO TREAT ANEMIA

    1. Overview

    a. Blood Components

    b. Erythropoiesis

    c. Anemia

    2. Drug Therapy

    a. Iron Supplement

    1:303:00

    Oct. 2

    1:303:00

    Oct 3

    1:303:00

    Oct 9

    1:303:00

    MRS. ALFONSO

    MR. NICOLAS

    MR. NICOLAS

    INTERMEDIATE COMPETENCIES CONTENT DATE/TIME INSTRUCTOR

    Upon completion of this chapter,

    the students will be able to:

    H. DRUG AFFECTING THE RESPIRATORYSYSTEM

    Oct. 10

    1:303:00

    MRS. ALFONSO

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    TOTAL OF 54 hrs( 3hrs per week except those where * ( Thursdays: 1:303:00 and 4:306:00 pm) is indicated tocomplete the total number of hours [ 54hours] in 18 weeks. )

    SCHEDULE:

    LECTURE DAYS: MRS.LOURADEL U. ALFONSO/ MR. HERMAN NICOLAS

    THURDAYS: 1: 303: 00 pm * ( 4:306:00 pm)

    FRIDAYS: 1: 303 :00 pm

    REFERENCES:

    1. Karch, A,. Focus on Nursing Pharmacology. 6thEd.

    2. Kee, Joyce, E. Hayes, L. McCuistion, Pharmacology: A Nursing Process Approach. 7thEd.

    3. Clayton, Bruce and Y. Stock, Basic Pharmacology for Nurses. 16thEd.

    4. Linda Skidmore-Roth RN MSN NP. Mosby's 2014 Nursing Drug Reference. 27thEd.

    5. Richard A. Lehne. Pharmacology for Nursing Care. 8

    th

    Ed.6. Gloria D. Pickar and Amy Pickar-Abernethy. Dosage Calculations. 9

    thEd.

    PREPARED BY: APPROVED BY:

    MRS. LOURADEL U. ALFONSO, MAN, RN DR. SOCORRO S. GASCO, RN, DMHRMClinical Instructor Dean, College of Nursing

    1.

    Review the anatomy

    and physiology of the

    respiratory system.

    2.

    Describe different

    respiratory pathology.

    3.

    Describe thetherapeutic actions,

    indications,

    pharmacokinetics,

    contraindications, most

    common adverse

    reactions, and

    important drugdrug

    interactions associated

    with respiratory drugs.

    4.

    Outline the nursing

    considerations in using

    respiratory drugs.

    1. Overview

    a. Respiratory System

    b. Respiratory Pathology

    2. Drug Therapy

    a. Bronchodilatorsb. Antiinflammatory Drugs for Asthma

    c. Epectorants

    d. Mucolytics

    e. Antitussive Drugs

    Mechanism of Action

    - Therapeutic actions and indication

    - Pharmacokinetics

    - Contraindications and Cautions

    - Adverse Effects

    - Clinically important drug-drug

    interaction

    - Nursing Process

    - Patient Teaching List

    FINAL EXAMINATION

    Oct. 16

    1:303:00

    Oct. 17

    1:303:00

    Oct. 20-25

    MR. NICOLAS

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