117 outline2010

NEWH Nursing ConsortiumNursing 117

Pharmacology

Table of ContentsNUR 117Fall 2010

Page

Course Description and Objectives 1

Unit I – Introduction to Pharmacology 4

Unit II – Drug Calculation 6

Unit III – Drug Administration 7

Unit IV – Administration of Antimicrobial Agents 11

Unit V – Administration of Antipyretics, Analgesics and Anti-inflammatory Agents 14

Unit VI – Administration of the Respiratory Drugs 17 Unit VII – Administration of the Cardiovascular Drugs 20

Unit VIII – Administration of Gastrointestinal Medications 23

Unit IX – Administration of Drugs that Affect the Central Nervous System 26

Unit X – Administering Medications for Diabetes Mellitus 29

NEWH Nursing ConsortiumNUR 117

Pharmacology

Course: NUR 117 – Pharmacology

Placement: First Semester

Credit: 2 credit hours 1 class hour and 3 lab hours

Prerequisites: Enrollment in Practical Nursing Education program

Corequisities: NUR 101,BIO 106, and ACA 111* (*ECC, HCC and WCC only)

Course Description: The course introduces information concerning sources, effects, legalities, and the safe use of medications as therapeutic agents. Emphasis is placed on nursing responsibility, accountability, pharmacokinetics, routes of medication administration, contraindications and side effects. Upon completion, students should be able to compute drug dosages and administer medications safely.

Course Objectives: At the completion of NUR 117, the student will be able to demonstrate the following behaviors:

1. Describes primary legislation affecting the regulation of drugs in the United States.

2. Identifies the practical nurse’s ethical and legal responsibility in the administration of medications. 3. Within the scope of practice for a LPN, utilizes the nursing process in the safe administration of medications for client centered care.

4. Collects data for quality improvement in the administration of medications.

5. Applies teaching/learning principles to implement an established education plan for the client taking medications.

6. Explains the influence of the client’s developmental level on medication administration.

7. Communicates with the interdisciplinary team data collected in administration of medications.

8. Prioritizes sequence of individual medications to be administered.

9. Utilizes information to communicate and access information in the administration of medication.

1

Grading/Evaluation: To successfully complete NUR 117 and progress to the next semester, the student must achieve a minimum grade of C in theory and a satisfactory on the lab portion of the course.

Medication Calculation: The student must make a 90 on the medication calculation test to successfully complete the course. The student that does not make a 90 on the first test will be allowed two additional attempts to achieve a 90. The test grade will not be averaged in the test average, but will be considered a lab competencies. If the student is unable to achieve an 90 on the calculation test after three attempts, the student will be dismissed from the course.

Lab Performance: The student will be required to successfully demonstrate a lab competency for NUR 117. The student will have up to three attempts to master the lab competency. The first opportunity will be provided during scheduled lab time. Additional opportunities must be scheduled with an instructor outside of scheduled lab time. If the student is unsuccessfully on the lab competency after three attempts the student will be dismissed from the course.

A. Theory 1. Tests 75% 2. Final Exam 25%

B. Lab competencies Satisfactory/Unsatisfactory

1. Medication Administration check-off

2. Pharmacology Calculation Test

Evaluation of Course: The student will evaluate the course at the end of the semester to aid the instructors in assessing the course. Evaluations or suggestions are welcomed at any time.

Textbooks:Adams, Michael et al. (2008). Pharmacology for Nurses: A Pathophysiologic Approach, 2 nd ed . Pearson Prentice Hall: Upper Saddle River, New Jersey. (With workbook)

Ramount, Roberta and Neidringhaus, Dolores (2008). Fundamentals of Nursing Care, 2 nd ed. Pearson Prentice Hall: Upper Saddle River, New Jersey.

Library Sources: Texts and articles that are 5 years old are considered out of date material and should not be used as a reference except by permission of a nursing instructor.

Online Resources: Online resources must be reliable, valid and current.

2

Student’s Guide to Course Outline

Column One- Objectives

This column describes the objectives for each unit. The objectives should be used as a study guide for the student. The faculty use the objectives to develop their lecture and for test and exam development.

Column Two- Content

The content column delineates what information the student will be held accountable for in relation to the unit objectives. The information in this column further defines what the student needs to focus on when readying and studying.

The instructor may not cover each item of content; however the instructor has provided a mean for the student to master the content.

Column Three- Teaching Learning Tools

This column provides the reading list for each unit from the primary textbooks. Students are encouraged to read the material before class and be prepared to discuss the content.

A number of web-sites have been included in this column. The web-sites have been reviewed by faculty to determine if the content is appropriate. These sites will assist the student with an understanding of the objectives and content. The web-sites are governmental, educational or professional and are updated on a regular basis. The information contained in the web-site will help guide students in obtaining this most recent information about the content being discussed in the classroom.

If students do not have internet access at home, students will have access in a computer lab at the college or library.

Column Four- Evaluation

This column describes how faculty will evaluate the student’s progress. A variety of tools will be used to evaluate progress.

Rev 08/10

3

NUR 117 PharmacologyUnit I Introduction to Pharmacology

Objectives Content Teaching/Learning Tools EvaluationDefines pharmacology.

Discusses the four subdivisions of pharmacology.

Describes the medical uses of drugs.

Explains the three names given to each drug.

Lists the sources of drugs.

Identifies the significance of each of the drug acts as they pertain to the administration of medications.

Describes the LPN’s responsibility with drug counts and security of controlled substances.

Discusses the LPN’s legal responsibilities with the administration of drugs.

I. Pharmacology A. Pharmacodynamics B. Pharmacokinetics C. Pharmacotherapeutics D. Toxicology

II. Drugs A. Drug Uses 1. Therapeutic use 2. Diagnostic use 3. Curative use 4. Replacement 5. Prophylactic B. Drug Names 1. Chemical 2. Generic 3. Trade C. Sources of Drugs 1. Plants 2. Animals 3. Minerals 4. Synthetic 5. Genetically engineered

III. Legalities and Drugs A. United States Drug Legislation 1. Pure Food and Drug Act 1906 2. Food, Drug, and Cosmetic Act of 1938 3. Durham-Humphrey Amendment 4. Kefauver-Harris Amendment 5. Controlled Substance Act of 1970 a. Drug schedules b. Drug counts c. Security B. Nurses’ Legal Responsibility 1. Federal and state law 2. State Nursing Practice Act 3. Health care institution policies

Adams- Chpt. 1, 5, and 6

Adams: Chpt. 2

Ramont-Pgs. 626-627

www.ncbon.com

http://www.usp.org/aboutUSP/

Progression Quizzes

Unit Test

Homework

4

http://www.usp.org/aboutUSP/

Differentiates between the drug references.

Demonstrates how to use the Physician’s Desk Reference.

List the forms of drug preparations.

Describes how medications are classified according to the therapeutic effect and physiological action.

Describes the desirable actions of drugs.

Explains the undesirable action of drugs.

Explains factors that affect drug actions.

IV. Drug References A. United States Pharmacopeia (USP) B. National Formulary (NF) C. Physician’s Desk Reference (PDR) 1. Contents 2. How to use D. Facility Drug Formulary E. Product Insert F. Drug Books/Cards

V. Drug Preparations A. Solids/Semisolids 1. Tablets 2. Capsules 3. Caplets 4. Troches 5. Suppositories B. Liquids 1. Syrups 2. Suspensions 3. Tinctures 4. Elixirs C. Transdermal D. Implantable

VI. Classification of Drugs A. Therapeutic Effect B. Physiological Actions 1. Selective action 2. Agonist action 3. Local action 4. Systemic action C. Undesirable Actions 1. Side effects 2. Adverse reaction 3. Interaction

VII. Factors Affecting Drug Action A. Absorption B. Distribution C. Metabolism D. Elimination

Adams:Pgs. 32-42

http://www.globalrph.com/druglist.htm

5

http://www.globalrph.com/druglist.htm

NUR 117 PharmacologyUnit II Drug Calculation

Objectives Content Teaching/Learning Tools EvaluationDifferentiates among the basic units of measurement used in healthcare.

Converts pounds to kilograms and kilograms to pounds.

Converts a given measurement within the measurement system.

Converts a given measurement from one measurement system to another measurement system.

Selects a formula for drug calculation.

Calculates drug dosages using the correct formula.

I. Measurement Systems A. Metric B. Apothecary C. Household

II. Conversions A. Weight

B. Same System

C. System to System

III. Formulas A. Ratio and Proportion B. Dimensional Analysis IV. Drug Calculation A. Tablets B. Capsules C. Liquids D. Parenteral

Adams-Chpt. 4

Ramont-Pgs. 633-634

http://home.sc.rr.cum/nurdosacal/

www.manuelsweb.com

Progression Quizzes

Unit Test

Homework

6

http://home.sc.rr.cum/nurdosacal/

NUR 117 PharmacologyUnit III Drug Administration

Objectives Content Teaching/Learning Tools EvaluationIdentifies approved standard abbreviations used with medication administration.

Describes the essential information that is included in a medication order.

Describes the process of transcription of the medication order.

Identifies the LPN’s responsibility in clarification of orders.

Discusses the rationale for verifying the medication order prior to administration.

Defines the types of medication orders.

Describes the appropriate method for taking a verbal or telephone order.

Discusses the data that needs to be collected on the client prior to medication administration.

I. Medication Order A. Standard abbreviations B. Parts of Medication Order 1. Client name 2. Date and time 3. Drug name 4. Route of administration 5. Dosage 6. Time and frequency 7. Signature of physician C. Transcription of Order

D. Verification of Order 1. Clarity of order 2. Compare to original order 3. Safety factors a. Client allergies b. Type of drug c. Therapeutic intent d. Usual dose e. Client tolerance of dosage form f. Developmental considerations E. Types of Orders 1. PRN order 2. Routine order 3. Single order 4. Standing order 5. Stat order 6. Written order 7. Verbal order 8. Telephone order

II. Medication Administration A. Assessment 1. Nursing history a. Medication history

Ramont-Chpt. 29

www.jointcommission.org/PatientSafety/DoNotUseList/

Adams: Page 30

Adams: Page 30

Adams: Chpt. 7

Adams:Chpt. 11

Progression Quizzes

Unit Test

Homework

Calculation Test

Medication Administration Check-off

7

Describes rationale for reviewing lab values prior to the administration of medications.

Reviews common nursing diagnoses from the established plan of care for the client receiving medications.

Discusses the care plan of the client that is receiving medications with the RN.Describes infection control interventions that are employed with medication administration.

Discusses safety issues that are used with medication administration.

Identifies the information that the LPN needs to know prior to the administration of medications.

Identifies the routes of administration for medications.

Describes the signs and symptoms of drug hypersensitivity.

Implements plan of care for a client receiving medication.

Discusses how to give medications to a child.

b. Allergies c. Herbal and dietary supplements 2. Baseline physical assessment 3. Developmental considerations 4. Lab values 5. Client’s knowledge of medication 6. Physician’s order

B. Nursing Diagnoses 1. Diagnoses related to disease process 2. Knowledge Deficit 3. Noncompliance C. Planning 1. Expected outcomes 2. Nursing interventions a. Infection control 1) Hand washing 2) Environmental 3) Standard Precautions b. Safety 1) Proper lighting 2) Avoid distractions 3) Knowledge of medications a) Therapeutic effect of medication b) Safe dose c) Common side effects d) Nursing implications for medications e) clinical decision making 4) Proper route

5) Signs of hypersensitivity D. Implementation 1. Developmental considerations a. Pediatric 1) Approach to child 2) Role of parent 3) Method of administration

Adams: Chpt. 8

Adams: Page 29

8

Explains “Six Rights of Medication Administration.”

Discusses look/sound alike alerts.

Identifies the proper equipment for medication administration.

Identifies proper sites for the administration of parenteral medications.

Identifies proper measures for the administration of controlled substances.

Discusses the proper disposal of syringes and equipment.

Assigns the task of medication administration to the appropriate caregiver.

Explains information on the educational plan to the client and family.

Discusses evidence based practices in medication administration.

Collects data for quality improvement o assist in the evaluation of the expected outcomes.

Reports and records data collected, client response, care given, and effectiveness for a client receiving medication.

2. Six rights of medication administrationa. Right doseb. Right timec. Right routed. Right medicatione. Right clientf. Right documentation

3. Look/Sound alike alerts

4. Proper equipment

5. Mapping for parenteral medications

6. Controlled substances a. Recording b. Wasting c. Counting d. Automatic stop orders e. Security 7. Proper disposal of syringes and equipment 8. Assignment a. LPN b. Medication Aide

9. Client/family education 10. Evidenced based practice

E. Evaluation 1. Documentation a. Medication record b. Drug response c. Drug effect d. Specific drug implications

http://www.medipharm.ie/Patient%20Resources.html

Adams: Chapter 9www.nccmerp.org

9



Defines medication errors.

Discusses common causes of errors with medication administration.

Discusses methods to prevent medication errors.

Identifies appropriate member of the interdisciplinary to be notified when a medication error occurs.

Describes how to complete a variance report for medication error.

Describes how to properly record the medication error in the client’s chart.

Describes the ethical responsibility of the PN with a medication error.

2. Client education 3. Expected outcome

III. Medications ErrorsA. Definition

B. Common Causes

C. Prevention

D. Ethical Responsibility

E. Interdisciplinary Team1.Primary care provider

2. Registered nurse

F. Variance ReportG. Proper Documentation

10

NUR 117 PharmacologyUnit IV Administration of Antimicrobial Agents

Objectives Content Teaching/Learning Tools EvaluationDescribes the classification systems for antimicrobial medications.

Describes classes of antimicrobial agents.

Describes the therapeutic effect for the antimicrobial medications.

Identifies common medications for each type of antimicrobial agents.

Lists indications of use for each of the antimicrobials.

Discuss evidence based practices with antimicrobial use.

Discusses the data that needs to be collected on the client receiving antimicrobial medications.

Discusses the importance of reviewing the client’s allergies prior to the administration of antimicrobials.

Describes common signs and symptoms of infection.

Identifies common lab data that is collected prior to administration of antimicrobial medications.

Describes the rationale for automatic

I. Classification of Antimicrobial Agents A. Bacteriostatic/Bactericidal B. Mechanism C. Narrow Spectrum/Broad Spectrum

II. Classes of Antimicrobials A. Antibiotics 1. Penicillins 2. Sulfonamides 3. Cephalosporions 4. Tetracyclines 5. Aminoglycosides 6. Quinolones 7. Macrolides 8. Miscellaneous B. Antifungals C. Antivirals

III. Nursing Assessment with Antimicrobials A. Health History 1. Chief complaint 2. Allergies 3. Medication history 4. Herbal and dietary supplements

B. Physical assessment 1. Vital signs 2. Signs/symptoms of infectious process

C. Lab Data 1. CBC 2. Culture and sensitivity 3. Gram stain 4. Liver function 5. Cardiac function 6. Liver functions D. Developmental Considerations E. Automatic Stop Orders

Adams: Chpt. 34

http://www.nlm.nih.gov/medlineplus/antibiotics.html

Adams: Pages 513- 522Adams: Chpt. 36

Progression Quizzes

Unit Test

Homework

11

http://www.nlm.nih.gov/medlineplus/antibiotics.html

stop orders on antimicrobial medications.Reviews common nursing diagnoses from the established plan of care for the client that is receiving antimicrobial medications.

Discusses the care plan with the RN for a client on antimicrobial medications.

Discusses the dietary implications for the client on antimicrobial medications.

Discusses the hydration implications for the client on antimicrobial medications.

Discusses safety measures that need to be considered for the client receiving antimicrobial medications.

Describes the importance of collecting peaks and troughs at the appropriate time.

Implements plan of care for a client taking antimicrobial agents.

Discusses the preparation of the antimicrobial medications for administration.

Identifies the implications for the administration of the antimicrobial medications in relationship to mealtime and culture collection.

Discusses the rotation of IM injection sites for the administration of the antimicrobial agents.

IV. Nursing Diagnoses A. Infection B. Risk for Infection C. Diarrhea D. Knowledge Deficit E. Noncompliance

V. Planning A. Expected Outcomes B. Nursing Interventions 1. Dietary Implications 2. Hydration a. I&O b. Force fluids c. Weigh daily 3. Safety measures a. Adverse reactions b. Hypersensitivity c. Culture collection d. Photosensitivity 4. Peaks and troughs

VI. Implementation A. Preparation of Drugs 1. Dilution 2. Stability of drug 3. Compatibility with IV fluids/meds 4. Food-drug interactions 5. Storage considerations

B. Timing of Administration 1. Culture collection 2. Meal time

C. Selection of Site for Administration

12

Explains information on the educational plan to the client /family that is taking an antimicrobial agent.

Collects data for quality improvement to assist in the evaluation of the expected outcomes.

Collects data to document and report the client’s response to antimicrobial therapy.

Discusses factors to evaluate and document to determine the effectiveness of the antimicrobial agents.

Describes factors to evaluate and document to determine if the client had an adverse reaction following the administration of antimicrobial therapy.

Informs appropriate interdisciplinary team member of data collected.

D. Client/family education

VII. Evaluation A. Expected Outcomes

B. Client’s Response

C. Medication Effectiveness

D. Adverse Reactions

E. Interdisciplinary Team

13

NUR117 PharmacologyUnit V Administration of Antipyretics, Analgesics and Antiinflammatory Agents

Objectives Content Teaching/Learning Tools EvaluationDefines the different types of analgesics and anti-inflammatory agents.

Describes the therapeutic effect for the analgesics and anti-inflammatory agents.

Identifies common medications for each type of analgesic/anti-inflammatory classifications.

Lists indications of use for each of the analgesics and anti-inflammatory agents.

Discusses the data that needs to be collected for the client on analgesic/anti-inflammatory medications.

Discusses the importance of reviewing the client’s allergies prior to the administration of analgesics/anti-inflammatory agents.

Discusses evidenced based practices in the use of analgesics.

Describes the signs and symptoms of pain.

Discusses the lab data that should be monitored for a client that is on analgesics/anti-inflammatory drugs.

Describes the rationale for automatic stop orders on narcotics and the LPN’s responsibility when this occurs.

I. Analgesics A. Narcotic Analgesics 1. Opioid agonist 2. Agonist-antagonist 3. Narcotic antagonist B. Nonopioid Analgesics/Antipyretics C. Anti-inflammatory Agents 1. Salicylates 2. Nonsteroidal anti-inflammatory drug (NSAIDS) 3. Corticosteroids

II. Assessment A. Health History 1. Chief complaint

2. Allergies

3. Medication history

4. Herbal and dietary supplements

B. Physical Assessment 1. Vital signs 2. Pain level/pain scale 3. Signs/symptoms of pain C. Lab Data 1. Glucose level (Corticosteroids) D. Developmental Considerations E. Automatic Stop Orders

III. Nursing Diagnoses A. Pain B. Chronic Pain C. Risk for Injury D. Constipation

Adams-Chpt. 18http://www.nlm.nih.gov/medlineplus/ency/article/002123.htm

AdamsChpt 33

http://www.merck.com/mmhe/sec06/ch078/ch078d.html

Progression Quizzes

Unit Test

Homework

14



http://www.nlm.nih.gov/medlineplus/ency/article/002123.htm

http://www.nlm.nih.gov/medlineplus/ency/article/002123.htm

Reviews common nursing diagnoses from the established plan of care for the client receiving analgesics/anti-inflammatory drugs.

Discusses the care plan of a client that needs analgesics or anti-inflammatory medications with the RN.

Discusses the dietary implications for the clients taking analgesics or anti-inflammatory agents.

Discusses the hydration implications for the client that is taking analgesics or anti-inflammatory agents.

Discusses safety measures that need to be considered with the administration of analgesics or anti-inflammatory agents.

Implements plan of care for a client taking analgesics or anti-inflammatory agents.

Discusses the preparation of the analgesics or anti-inflammatory agents for administration.

Explains information on the educational plan to the client/family that is taking an analgesics or anti-inflammatory agents.

Collects data to assist in the evaluation of the expected outcomes.

Collects data to document and report the client’s response to analgesics or anti-inflammatory agents.

E. Knowledge Deficit F. Noncompliance

IV. Planning A. Expected Outcomes B. Nursing Interventions 1. Dietary implications a. High fiber b. Low sodium (Corticosteroids)

2. Hydration a. Adequate fluids b. I&O

3. Safety measures a. Adverse reactions b. Hypersensitivity c. Environmental safety d. Respiratory rate/status e. Gastrointestinal complications f. Orthostatic hypotension g. Infection control h. Narcotic count V. Implementation A. Preparation of Drugs 1. Dilution 2. Stability of drug 3. Compatibility with IV fluids/meds 4. Food-drug interactions 5. Storage considerations B. Timing of Administration C. Client/family education 1. Safety measures a. Storage at home b. Overdose c. Poison control numbers d. Aspirin use in children

15

Discusses factors to evaluate and document to determine the effectiveness of the analgesics or anti-inflammatory agents.

Describes factors to evaluate and document to determine if the client had an adverse reaction following the administration of analgesics or anti-inflammatory agents.

VI. Evaluation A. Expected Outcomes B. Client’s Response


D. Adverse reactions

16

NUR 117 PharmacologyUnit VI Administration of Respiratory Drugs

Objectives Content Teaching/Learning Tools EvaluationDefines the different classifications of medications used for the client with a respiratory disorder.

Describes the therapeutic effect for the respiratory medications.

Identifies common medications for each type of classification of respiratory medications.

Lists indications for use for each of the respiratory medications.

Discusses data that needs to be collected from a client that needs a respiratory medication.

Discusses the importance of reviewing the client’s allergies prior to the administration of respiratory medication.

Discusses evidence based practices with the use of respiratory medications.

Discusses the lab data that should be monitored for a client that is on respiratory medications.

Reviews common nursing diagnoses from the established plan of care for client taking a respiratory medication.

I. Respiratory Medications A. Antihistamines B. Decongestants C. Antitussives D. Expectorants E. Bronchodilators 1. Sympathomimetics 2. Methylxanthines 3. Anticholinergics F. Leukotriene Antagonist G. Anti-inflammatory

II. Assessment A. Health History 1. Chief complaint 2. Allergies 3. Medication history 4. Herbal and dietary supplements

B. Physical Assessment 1. Vital signs 2. Breath sounds 3. Signs and symptoms of respiratory disorder a. Adventious breath sounds b. Sputum production c. Cough C. Developmental Considerations D. Lab Data 1. Theophylline level III. Nursing Diagnoses A. Ineffective Airway Clearance B. Alterations in Breathing Patterns C. Impaired Gas Exchange D. Knowledge Deficit E. Noncompliance

Adams-Chpts. 38 and 39

http://familydoctor.org/online/famdocen/home/common/allergies/treatment/262.html

http://familydoctor.org/online/famdocen/home/otc-center/otc-medicines/859.html



http://www.kidshealth.org/PageManager.jsp?dn=familydoctor&lic=44&cat_id=20564&article_set=38153&ps=104

http://www.singulair.com/montelukast_sodium/singulair/consumer/allergies/for_adults/i_have_seasonal_allergies/index.jsp?WT.srch=1&WT.mc_id=S2220http://www.advair.com/

Progression Quizzes

Unit Test

Homework

17

http://www.advair.com/

http://www.singulair.com/montelukast_sodium/singulair/consumer/allergies/for_adults/i_have_seasonal_allergies/index.jsp?WT.srch=1&WT.mc_id=S2220














Discusses the care plan for the client on respiratory medications with the RN.

Discusses the dietary implications for the clients taking a respiratory medication.

Discusses the hydration implications for the client taking respiratory medications.

Discusses safety measures that need to be considered with the administration of a respiratory medication.

Discusses the sleep and rest issues associated with taking some of the respiratory medications.

Implements plan of care for a client taking a respiratory medication.

Discusses the preparation of a respiratory medication.

Explains information on the educational plan to the client/family that is taking a respiratory medication.


Collects data to document and report the client’s response to a respiratory medication.

IV. Planning A. Expected Outcomes B. Nursing Interventions 1. Dietary implications 2. Hydration a. Adequate fluids b. I&O 3. Safety measures a. Adverse reactions b. Hypersensitivity c. Environmental safety d. Respiratory rate/status e. Gastrointestinal complications f. Infection control 4. Sleep/rest

V. Implementation A. Preparation of Drugs 1. Dilution 2. Stability of drug 3. Compatibility with IV fluids/medications 4. Food-drug interactions 5. Drug-drug interactions 6. Storage considerations B. Timing of Administration C. Use of Inhalers D. Client/family education 1. Use of inhalers 2. Hypertensive clients

VI. Evaluation A. Expected Outcomes


18

Discusses factors to evaluate and document to determine the effectiveness of a respiratory medication.

Describes factors to evaluate and document to determine if the client had an adverse reaction following the administration of a respiratory medication.



19

NUR117 PharmacologyUnit VII Administration of the Cardiovascular Drugs

Objectives Content Teaching/Learning Tools EvaluationDefines the different classifications of medications used for the client with a cardiovascular disorder.

Describes the therapeutic effect for the cardiovascular medications.

Identifies common medications for each category of cardiovascular medications.

Lists indications of use for each of the cardiovascular medications.

Discusses evidence based practices with the use of cardiovascular medications.

Discusses data that needs to be collected from the client data on cardiovascular medications.

Discusses the importance of reviewing the client’s allergies prior to the administration of cardiovascular medication.

Discusses the lab data that should be monitored for a client that is taking cardiovascular medications.

I. Cardiovascular Medications A. Cardiac Glycosides B. Antiarrhythmics 1. Calcium channel blockers 2. Beta adrenergic blockers C. Coronary Vasodilators D. Anticoagulants E. Thrombolytics Agents F. Antiplatelets Agents G. Diuretics 1. Loop diuretics 2. Thiazides diuretics 3. Potassium sparing 4. Osmotic diuretics H. Antihypertensive Agents


2. Allergies

3. Medication history 4. Herbal and dietary supplements B. Physical Assessment 1. Vital signs 2. Signs and symptoms of cardiovascular alterations a. Heart sounds b. Adventitious breath sounds c. Weight gain d. Shortness of breath e. Chest pain f. Edema C. Developmental Considerations D. Lab Data 1. Digoxin level 2. Electrolytes 3. Coagulation panel

Adams-Chpts. 23,24,25,26,27,and 30

http://americanheart.org/presenter.jhtml?identifier=3038846#digitalis

Progression Quizzes

Unit Test

Homework

20



Discusses the cardiovascular drugs that would have an automatic stop order.

Reviews common nursing diagnoses from established plan of care fro the client on a cardiovascular medication.

Discusses the nursing care plan for the client taking cardiovascular medications with the RN.

Discusses the dietary implications for the clients taking a cardiovascular medication.

Discusses the hydration implications for the client taking cardiovascular medications.

Discusses safety measures that need to be considered with the administration of a cardiovascular medication.

Implements plan of care for a client taking a cardiovascular medication.

Discusses the preparation of a cardiovascular medication for administration.

E. Automatic Stop Orders

III. Nursing Diagnoses A. Alteration in Cardiac Output B. Alteration in Tissue Perfusion C. Activity Intolerance D. Fluid Volume Excess E. Pain F. Alteration in Gas Exchange G. Knowledge Deficit H. Noncompliance

IV. Planning A. Expected Outcomes B. Nursing Interventions 1. Dietary implications a. Low sodium diets b. Diet low in vitamin K c. Foods high in potassium

2. Hydration a. I&O b. Weigh daily 3. Safety measures a. Adverse reactions b. Hypersensitivity c. Environmental safety d. Check apical pulse e. Orthostatic hypotension f. Positioning g. Photosensitivity V. Implementation A. Preparation of Drugs 1. Dilution 2. Stability of drug 3. Compatibility with IV fluids/medications 4. Food-drug interactions 5. Drug-drug interactions 6. Storage considerations

21

Explains information on the educational plan to the client /family that is taking a cardiovascular medication.


Collects data to document and report the client’s response to a cardiovascular medication.

Discusses factors to evaluate and document to determine the effectiveness of a cardiovascular medication.

Describes factors to evaluate and document to determine if the client had an adverse reaction following the administration of a cardiovascular medication.

B. Timing of Administration C. Application of Transdermal Medications D. Sublingual Nitroglycerine E. Antidotes F. Client/family education 1. Nitroglycerine precautions 2. Anticoagulants precautions 3. Sexuality-antihypertensives





22

NUR 117 PharmacologyUnit VIII Administration of Gastrointestinal Medications

Objectives Content Teaching/Learning Tools EvaluationDefines the different classifications of medications used for the client with a gastrointestinal disorder.

Describes the therapeutic effect for the gastrointestinal medications.

Identifies common medications for each type of classification.

Lists indications of use for each of the classification.

Discusses evidence based practices with the use of gastrointestinal medications.

Discusses the data that needs to be collected from the client taking gastrointestinal medications.

Discusses the importance of reviewing the client’s allergies prior to the administration of gastrointestinal medication.

Discusses the lab data that should be monitored for a client that is on gastrointestinal medications.

Reviews common nursing diagnoses from the established plan of care for a client taking gastrointestinal medications.

I. Gastrointestinal Medications A. Antacids 1. Magnesium base 2. Aluminum base B. Laxatives 1. Saline 2. Stimulants 3. Bulk forming 4. Lubricant C. Antiemetics D. Emetics E. Anti-ulcer 1. Histamine H2 Receptor Antagonists 2. Proton Pump Inhibitors 3. Others F. Antidiarrheals II. Assessment A. Health History 1. Chief complaint 2. Allergies 3. Medication history 4. Herbal and dietary supplements B. Physical Assessment 1. Vital signs 2. Signs and symptoms of gastrointestinal disorder a. Abdominal pain b. Change in bowel habits c. Dehydration C. Developmental Considerations D. Lab Data

III. Nursing Diagnoses A. Constipation B. Diarrhea C. Alteration in Nutrition


http://health.howstuffworks.com/understanding-gastrointestinal-medications-ga.htm

Progression Quizzes

Unit Test

Homework

23



Discusses the care plan for the client that is on gastrointestinal medications with the RN.

Discusses the dietary implications for the client taking a gastrointestinal medication.

Discusses the hydration implications for the client that is taking a gastrointestinal medication.

Discusses safety measures that need to be considered with the administration of a gastrointestinal medication.

Implements plan of care for a client taking a gastrointestinal medication.

Discusses the preparation of a gastrointestinal medication for administration.

Explains information on the educational plan to the client/family that is taking a gastrointestinal medication.


Collects data to document and report the client’s response to a gastrointestinal medication.

D. Fluid Volume Deficit E. Knowledge Deficit F. Noncompliance

IV. Planning A. Expected Outcomes B. Nursing Interventions 1. Dietary implications

2. Hydration

3. Safety measures a. Adverse reactions b. Hypersensitivity c. Environmental safety

V. Implementation A. Preparation of Drugs 1. Dilution 2. Stability of drug 3. Compatibility with IV fluids/ medications 4. Food-drug interactions 5. Drug-drug interactions 6. Storage considerations B. Timing of administration C. Client/family education




24

Discusses factors to evaluate and document to determine the effectiveness of a gastrointestinal medication.

Describes factors to evaluate and document to determine if the client had an adverse reaction following the administration of a gastrointestinal medication.


25

NUR 117 PharmacologyUnit IX Administration of Drugs that Affect the Central Nervous System

Objectives Content Teaching/Learning Tools EvaluationDefines the classifications of central nervous system medications.

Describes the therapeutic effect for the drugs that affect the central nervous system.

Identifies common medications for each type of central nervous system medication.

Lists indications of use for each of the central nervous system medications.

Discusses evidence based practices with the use of central nervous system medications.

Discusses the data that needs to be collected from the client that needs a central nervous system medication.

Discusses the importance of reviewing the client’s allergies prior to the administration of medications affecting the central nervous system.

Discusses the lab data that should be monitored for a client that is on a central nervous system medication.

Reviews common nursing diagnoses from the established plan of care for a client that is taking a central nervous system medication.

I. Central Nervous System Medications A. Sedative-Hypnotic B. Anxiolytics C. Anti-Epileptics D. Anti-Parkinson's

II. Assessment A. Health History 1. Chief complaint 2. Allergies 3. Medication history 4. Herbal and dietary supplements B. Physical Assessment 1. Vital signs 2. Anxiety 3. Inability to sleep 4. Agitation C. Developmental Considerations D. Lab Data

III. Nursing Diagnoses A. Anxiety B. Sleep Pattern Disturbance C. Ineffective Individual Coping D. Risk for Injury


http://health.howstuffworks.com/understanding-central-nervous-system-medications-ga.htm

Progression Quizzes

Unit Test

Homework

26



Discusses the nursing care plan for the client receiving central nervous system medications with the RN. Discusses the dietary implications for the clients taking a central nervous system medication.

Discusses the hydration implications for the client that is taking a central nervous system medication.

Discusses safety measures that need to be considered with the administration of a central nervous system medication.

Implements plan of care for a client taking a central nervous system medication.

Discusses the preparation of a central nervous system medication for administration.

Explains information on the educational plan to the client /family that is taking a central nervous system medication.

E. Knowledge Deficit F. Noncompliance

IV. Planning A. Expected Outcomes B. Nursing Interventions 1. Dietary implication

2. Hydration

3. Safety Measures a. Adverse reactions b. Hypersensitivity c. Environmental safety d. Ambulation e. Operating motor vehicles f. Avoid alcohol g. Photosensitivity

V. Implementation

A. Preparation of Drugs 1. Dilution 2. Stability of drug 3. Compatibility with IV fluids/medications 4. Food-drug interactions 5. Drug-drug interactions 6. Storage considerations B. Timing of Administration C. Client/family education

27


Collects data to document and report the client’s response to a central nervous system medication.

Discusses factors to evaluate and document to determine the effectiveness of a central nervous system medication.

Describes factors to evaluate and document to determine if the client had an adverse reaction following the administration of a central nervous system medication.





28

NUR 117 PharmacologyUnit X Administration of Medications For Diabetes Mellitus

Objectives Content Teaching/Learning Tools EvaluationDefines the classifications of medications used for diabetes mellitus.

Describes the therapeutic effect of drugs that are used in the treatment of diabetes mellitus.

Identifies common medications for each type of hypoglycemic agent.

Lists indications of use for each of the hypoglycemic agents.

Discusses evidence based practices in the use of diabetic medications.

Discusses the data that needs to be collected from the client that is taking a hypoglycemic medication.

Discusses the importance of reviewing the client’s allergies prior to the administration of medications for diabetes.

Discusses the lab data that should be monitored for a client that is on hypoglycemic medications.

Reviews common nursing diagnoses from the established plan of care for a client taking medications for diabetes.

I. Medications for Diabetes Mellitus A. Oral Hypoglycemic Agents 1. Sulfonylureas 2. Biguanides 3. Meglitinide 4. Thiazolidinediones 5. Alpha-glucosidase inhibitors B. Insulin 1. Rapid acting 2. Intermediate acting 3. Long-acting 4. Combination


2. Allergies 3. Medication history 4. Herbal and dietary supplements B. Physical Assessment 1. Vital signs 2. Signs and symptoms of hypoglycemia 3. Signs and symptoms of hyperglycemia C. Developmental Considerations D. Lab Data 1. Glucose level

III. Nursing Diagnoses A. Ineffective Health Maintenance B. Risk for Fluid Volume Deficit C. Risk for Injury D. Risk for Impaired Skin Integrity E. Knowledge Deficit

Adams-Chpt. 44

http://www.diabetesnet.com/diabetes_treatments/diabetes_insulins.php

http://diabetes.org/for-parents-and-kids/diabetes-care/insulin-medications.jsp

http://diabetes.org/type-2-diabetes/oral-medications.jsp

Progression Quizzes

Unit Test

Homework

29







Discusses the care plan of the client with diabetes with the RN.

Discusses the dietary implications for the client taking a medication for diabetes.

Discusses the hydration implications for the client with diabetes.

Discusses safety measures that need to be considered with the administration of a medication for diabetes.

Implements plan of care for a client taking a medication for diabetes.

Discusses the preparation of a medication for diabetes.

Explains information on the educational plan to the client/family that is taking a medication for diabetes


Collects data to document and report the client’s response to medications for diabetes.

IV. Planning A. Expected Outcomes B. Nursing Interventions 1. Dietary implication

2. Hydration 3. Safety measures a. Adverse reactions b. Hypersensitivity c. Hypoglycemia d. Hyperglycemia

V. Implementation

A. Preparation of Drugs 1. Dilution 2. Stability of drug 3. Compatibility with IV fluids/medications 4. Food-drug interactions 5. Drug-drug interactions 6. Storage considerations B. Timing of Administration with Meals C. Client/family education 1. Administration of insulin 2. Glucose monitoring 3. Treating hypoglycemia 4. Avoid alcohol 5. Timing of medications with meals



30

Discusses factors to evaluate and document to determine the effectiveness of medications for diabetes.

Describes factors to evaluate and document to determine if the client had an adverse reaction following the administration of medications for diabetes.



revised 08/10 117Outline2010

31

117 outline2010

Education

administration of drugs

drug administration

unit vi administration

pharmacology course

unit x

completion of nur

complete nur

course objectives