houston community college system - southeast …1 houston community college system – coleman...

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HOUSTON COMMUNITY COLLEGE SYSTEM – COLEMAN COLLEGE

HEALTH INFORMATION TECHNOLOGY PROGRAM

Pharmacology – HITT 1349

Summer, 2014 (crn 12945)

INSTRUCTOR

Dr. Carla Tyson-Howard, RHIA office hours: Mon & Tue 2pm–4pm

phone: (713)718-7347 Skype: carla.tyson.howard Thr 4-5pm

COURSE DESCRIPTION

Overview of the basic concepts of the pharmacological treatment

of various diseases affecting major body systems.

Notice: Students who repeat a course for a third or more times

may soon face significant tuition/fee increases at HCC and

other Texas public colleges and universities. Please ask your

instructor/counselor about opportunities for tutoring/other

assistance prior to considering course withdrawal or if you are

not receiving passing grades.

PREREQUISITES CREDIT

HITT 1305, HITT 1445, BIOL 2402 3 semester hours

TEXTBOOK/REFERENCES

Pharmacology for Health Professionals, Acosta, Renee W.

Understanding Lab & Diagnostic Test, Moisio

Online handouts and videos

Respondus Lockdown Browser

Eagle Online at http://eo2.hccs.edu

COURSE GOALS

1. Describe the role and process of pharmaceuticals on various diseases.

2. Interpret laboratory and diagnostic test.

COURSE OBJECTIVES

1. Given information on the major drug categories, the student will identify the following for each

category: the different classes of drugs, the standard

http://eo2.hccs.edu/

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types of drugs, the normal drug dosages, uses, side

effects, and interactions.

2. Given information on ophthalmics, otics, and topicals, the student will identify and describe the various types,

their uses, side effects, and interactions.

3. Given information on toxicology, the student will identify and describe processes, treatments, and the

drugs/chemicals related to toxicology.

4. Given specialized patients such as: pediatric, prenatal, and geriatric, the student will identify and describe how

to prevent problems associated with drugs used in these

specialized cases.

5. Given information on drug therapy, the student is able to understand the use and side effects of prescription and

nonprescription drugs used to treat common disease states.

SCANS Competencies

C5 Acquires and evaluates information, F8 Decision Making, F1

Reading, F2 Writing, F9 Problem Solving, F5 Listening, F12

Reasoning

COURSE REQUIREMENTS

1. Course is taught via Eagle Online. 2. Students are to be prepared for class by answering

objectives to lessons and completing weekly quizzes.

3. Students are required to read all textbook assignments and work all problems.

EQUAL EDUCATIONAL & EMPLOYMENT OPPORTUNITY

HCCS seeks to provide equal education opportunities without

regard to race, color, religion, national origin, sex, age or

handicap.

ABILITY CHALLENGED STUDENTS

Any student with a documented disability (e.g. physical,

learning, psychiatric, vision, hearing, etc.) who needs to

arrange reasonable accommodations must contact the Disability

Services Office at the respective college at the beginning of

each semester. Faculty are authorized to provide only the

accommodations requested by the Disability Support Services

Office. For questions, contact Donna Price at 713-718-5165 or

the Disability Counselor at each college. Also visit the ADA

web site at: http://www.hccs.edu/students/disability/index.htm

http://www.hccs.edu/students/disability/index.htm

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ATTENDANCE POLICY

Students taking Internet courses complete weekly assignments at

their own computers and communicate with their instructor by

electronic mail and other provided web-based technologies.

Students complete assignments, take tests, and complete all

other coursework just as they would in an on-campus class.

Instructor will have weekly on-line chats with students. Course

work will be submitted via the internet. Students must be in

attendance on campus for appointed times and major exams.

GRADING POLICY

Tests 20%

Group Assignments 5%

Individual Video Reviews 5%

Comprehensive Final exam 70%

Students absent from the class during the time of a major

examination for test will have NO MAKE-UP EXAMINATIONS, except

upon the discretion of the instructor. Students late for the

exam will be allowed to take the exam with the remaining

scheduled time. The percentage of each activity will weight in

the final grade regardless if the student participated in the

activity or test.

GRADING SCALE

90 - 100 A

80 - 89 B

75 - 79 C

74 and below F (No Ds will be given)

SYLLABUS

Syllabus is subject to change at the discretion of the

instructor.

Student is responsible for reading and understanding syllabus.

Student will send instructor an email stating,

“Dr. Tyson-Howard has reviewed the syllabus with me. I

understand all components therein. Should I choose to

withdraw from this course, I understand that it is my

responsibility to process the paperwork by the official

drop date”.

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ASSIGNMENTS

Individual

Video Reviews

On various weeks, student will be assigned a webcast video to

watch. Student will prepare a one page double spaced typed

written summation of the video. Summation must include at least

the following:

1. Name of video

2. Condition(s) discussed

3. Methodology for diagnosing condition(s)

3. Treatment modalities including drugs and procedures

4. Implications for health information coding

Reports must be submitted in an MSWord document utilizing Eagle

Online assignment drop box. Assignments are due the Sunday

following corresponding lesson at 11pm.

Group Assignments

In your groups, complete the group assignments on by due date.

Upload to Eagle Online. These will be counted as quizzes. See

schedule for 11pm Sunday due dates.

Abbreviations

Medicare Top Drug Classes

Medication Errors

Common Drug Reference

Common Diagnoses

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PHARMACOLOGY OUTLINE

The instructor will be in GoToMeeting from 5-6pm every Tuesday.

All assignments and tests are due Sunday at 11pm.

Week of May 12

Lesson 1

Foundation of Clinical Pharmacology

Acosta Chapter 1

Define the chapter’s key terms.

Identify the different names assigned to drugs.

Distinguish between prescription drugs, non-prescription

drugs and controlled substances.

Identify factors that influence drug action.

Discuss the types of drug interactions that may occur.

Discuss the use of herbal medicines.

Acosta Chapter 2

Define the chapter’s key terms.

List the various routs by which a drug may be given.

Describe the administration of drugs through the skin and

mucous membranes.

Blood Cell & Blood Chemistry Tests

Moisio Chapter 1

Identify the major components of blood and describe the basic function of each component.

Compare the two types of blood collection procedures.

Identify and describe commonly performed blood cell tests.

Differentiate between red blood cell, white blood cell and platelet tests.

Relate specific blood cell tests to appropriate diagnoses.

Moisio Chapter 2

Identify and define blood chemistry tests.

Organize blood chemistry tests according to defined categories.

Explain the effects of increased or decreased serum electrolyte levels.

Compare the diagnostic significance of various blood sugar and related tests.

Test 1 (Lesson 1)

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Week of May 19

Lesson 2

Neurologic System

Acosta Chapters 4-14

1. Define the chapters’ key terms. 2. Recognize the uses, generic name, and trade name of the

following drugs:

a. Chapter 4

Dopamine

Ephedrine

sulfate

Epinephrine

Isoproterenol

Levalbuterol

Metaraminol

Midodrine

Norepinephrine

Metoprolol

Phentolamine

Acebutolol HCl

Atenolol

Betaxolol Hcl

Bisoprolol

Carteolol

Penbutolol

Pindolol

Propranolol

Carvedilon

labetalol

Clonidine HCl

Methyldopa

Prazosin

Terazosin

Ambenonium

Bethanechol

chloride

Carbachol

Edprophonium

Pilocarpine HCl

Atropine

Belladonna

Methantheline

bromide

b. Chapter 5

Butabarbital

Phenobarbital

Chloral hydrate

Zaleplon

Zolpidem

Temazepam

Triazolam

Alprazolam

Chlordiazepoxide

Diazepam

Lorazepam

Oxazepam

Hyroxyzine

Meprobamate

Amitriptyline

Amoxapine

Cholmipramine

Desipramine

Protriptyline

Citrlopram

Fluoxetine

Parozetine

Sertraline

Bupropion HCl

Chlorpromazine

HCl

Haloperidol

Lithium

Olanzapine

Pimozide

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c. Chapter 6

Caffeine

Amphetamine

sulfate

Dexmathylphenidate

Methamphetamine

Diethylpropion HCl

Sibutramine HCl

Mephenytonin

Phenytoin sodium

Ethosuximide

Methsuximide

Carbamazepine

Felbamate

Magnesium sulfate

Zonisamide

Levadopa

Ropinirole HCl

Pramipexole

d. Chapter 7

Donepezil HCl

Galantamine hydrobromide

Tacrine HCl

e. Chapter 8

Chlorpromazine HCl

Dimenhydrinate

Diphenhydramine

Dolasetron mesylate

Meclizine

Ondansetron HCl

Promethazine HCl

f. Chapter 9

Describe the four stages of general anesthesia.

Differentiate between local, preanesthetic drugs and

general anesthetics.

g. Chapter 10

Aspirin and

buffered aspirin

Diflunisal

Magnesium

salicylate

Salsalate

Acetaminophen

Celebrex

Fenoprofen

flubiprofen

Ibuprofen

Ketorolac

Meloxicam

Naproxen

Oxaprozin

Rofecoxib

Codeine

Hydromorphone

Meperidine

Oxycodone

Propoxyphene

Buprenorphine

Butorphanol

Naloxone

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h. Chapter 11

Adrenergic Drugs

i. Chapter 12

Adrenergic

Blocking Drugs

j. Chapter 13

Cholinergic Drug

k. Chapter 14

Cholinergic

Blocking Drugs

Anticholinergic

Coagulation Studies

Moisio chp 4

For each test listed, state it's purpose and possible

reasons for deviation in normalcy:

Platelet aggregation

Clot reaction

Prothrombin time

APTT

Thrombin time

Fibrinogen assay

Factor assay test

Test 2 (Lessons 1-2)

Week of May 26 No GoToMeeting Memorial Holiday Lesson 3

Respiratory System


1. Define the chapters’ key terms. 2. Recognize the uses, generic

name, and trade name of the following drugs:

a. Chapter 15

Albuterol sulfate

Epinephrine

Isoproterenol HCl

Metaproterenol sulfate

Pirbuterol acetate

Theophylline

Ipratropium bromide

Group Assignment

Abbreviations

Due 11pm Sunday

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Fluticasone propionate

Montelukast sodium

Zileuton

b. Chapter 16

Chlorpheniramine maleate

Clemastine fumarate

Desloratadine

Fexofenadine

Hydroxyzine

Loratadine

Promethazine HCl

Oxymetazoline HCl

Pseudoephedrine HCl

c. Chapter 17

Codeine

Benzonatate

Dextromethorphan HBr

Benzocaine

Diphenhydramine

Guaifenesin

Radiology Studies

Nuclear Medicine Studies

Moisio chp 10 & 11

For each test listed, state it’s purpose and possible reasons

for deviation in normalcy:

Chapter 10

Chest x-ray

Mammography

KUB

Long bone, skull and spinal radiography

Angiography

Digital subtraction angiography

Cholecystography

Percutaneous transhepatic cholangiography

T-tube cholangiography

Barium swallow

UGI

Barium enema

Lower GI

Intravenous urography

Retrograde pyelography

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Arthrography

Myelography

CAT scan

MRI

Chapter 11

Single-photon emission computed tomography

PET

Brain scan

Iodine 131 scan

Radioactive iodine uptake test

Thyroid stimulating hormone

Parathyroid scan

Thallium stress test

Multigated acquisition

Lung, gallbladder and biliary scans

Gastric emptying and GI bleeding scans

Kidney, liver, spleen scans

Scrotal, bone, gallium-67 scans

For each of the following, describe the diagnosis(es), state

the method(s) for diagnosing (lab and diagnostic tests), the

method(s) of treating including drug usage along with other

treatment modalities.

Pneumonia

COPD

Chronic Lung Disease

Asthma

Cystic Fibrosis

Multiple sclerosis

Depression

Alcohol/drug dependence


Week of June 2

Lesson 4

Cardiovascular System


1. Define the chapters’ key terms.

2. Recognize the uses, generic name, and trade name of the

Group Assignment

Medicare Top Drug Classes

Part 1 and 2

Due 11pm Sunday

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following drugs:

a. Chapter 18

Digoxin

Inamrinone lactate

Milrinone lactate

Disopyramide

Lidocaine HCl

Procainamide HCl

b. Chapter 19 – Antiarrhythmic Drugs

Disopyramide

Quinidine

Lidocaine

Flecainide

Acebutolol

Aminodarone

c. Chapter 20

Amyl nitrite

Isosorbide dinitrate

Nitroglycerin

Diltiazem HCl

Nicardipine HCl

Nifedipine

Verpamil HCl

d. Chapter 21

Hydralazine

HCl

Betaxolol HCl

Carvedilol

Metoprolol

Penbutolol

sulfate

Pindolol

Propranolol

HCl

Clonidine HCl

Methyldopa

Prazosin

Benazepril

HCl

Captopril

Fosinopril

sodium

Quinapril HCl

Diazoxide

e. Chapter 22

Atorvastatin

Fluvastatin

Lovastatin

Simvastatin

Gemfibrozil

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Niacin

f. Chapter 23

Wafarin sodium

Heparin

Alteplase

Streptokinase

Ferrous

Leucovorin calcium

g. Chapter 24 -Antianemia Drugs

Iron salts (ferrous sulfate or gluconate)

Epoetin alfa

Darbepoetin alfa

Leucovorin

Vitamin B12

Ultrasound and Special Organ Studies

Moisio chp 13 & 14



Chapter 13

Sonography

Ultrasonography

Chapter 14

ABR

Diffusion capacity

Electromyoneurography

EEG

EKG

EMG

EP

EPS

Exercise Stress Test

Holter Monitor

Lung volume capacity

SAE

SER

Spirometry

Sweat test

VER

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For each of the following, describe the diagnosis(es), state

the method(s) for diagnosing (lab and diagnostic tests), the



Hypertension

Hypertensive heart disease

Renal disease

Heart failure

Cardiomyopathy

Myocardial infarction

CVA (stroke)

Coronary artherosclerosis


Week of June 9

Lesson 5

Gastrointestinal and Urinary Systems



following drugs:

a. Chapter 25

Acetazolamide

Furosemide

Isosorbide

Torsemide

Mannitol

Urea

Chlorothiazide

b. Chapter 26

Cinoxacin

Nitrofurantoin

Oxybutynin

Tolterodine tartrate

Trimethoprim

c. Chapter 28

Exomeprazole magnesium

Lansoprazole

Omeprazole

Magnesia hydroxide

Cimetidine

Ranitidine

Group Assignment

Medication Errors

Due 11pm Sunday

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Loperamide HCl

Charcoal

Simethicone

Magnesium laxative

Docusate calcium

Docusate calcium

Glycerin

Lactulose

Polyethylene

d. Chapter 29 – Gallbladder and Intestines

Ursodiol

Chenodiol

Imodium

Urine and Fecal Studies

Endoscopy Studies

Moisio chp 6 & 12



Chapter 6

Physical, chemical and microscopic analysis of urine

Human chorionic gonadotropin

PKU urine test

Physical, chemical and microscopic analysis of feces

Chapter 12

Bronchoscopy

Mediastinoscopy

Thoracoscopy

Transesophageal echocardiography

Laparoscopy

Endoscopic retrograde cholangiopancreatography

Esophagoastroduodenoscopy

Protoscopy, sigmoidoscopy, proctosigmoidoscopy

Cystoscopy

Urodynamic studies

Pelviscopy, gynecologic laparascopy

Colposcopy

Culdoscopy

Arthroscopy, fetoscopy, aminoscopy

For each diagnosis, describe the diagnosis(es), state the

method(s) for diagnosing (lab and diagnostic tests), the

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Inflammatory bowel disease

Glaucoma

Hypertension

Electrolyte imbalances

UTI

Crohn’s disease

Ulcerative colitis

Chronic kidney disease

Diarrhea


74 or below, see instructor. June 13th last day to drop with

grade of “W”. See syllabus page 3, Grading Policy for

weighted averages.

Week of June 16

Lesson 6

Endocrine and Reproductive Systems



2. Recognize the uses, generic name, and trade name of the following drugs:

a. Chapter 30

Chlorpropamide

Glipizide

Tolazamide

Tolbutamide

Acarbose

Metformin

Glucagon

b. Chapter 31-33 – Pituitary and Adrenocortical Hormones

Somatropin

Somatrem

Lypressin

Vasopressin

Group Assignment

Common Drug Reference

Due 11pm Sunday

16

Betamethasone

Budesonide

Prednisolone acetate

Corticosteroid

Levothyroxine

Methimazole

Fluoxymesterone

Testosterone

Estrogen

Estrone

Estropipate

Medroxyprogesterone

c. Chapter 34

Ergotrate

Oxytocin

Ritodrine HCl

Blood Chemistry Test

Moisio chp 3



Acid phosphate, prostatic acid phosphatase

Prostate specific antigen

Alanine aminotransferase (ALT), Serum glutamic pyruvic transaminase (SGPT)

Alkaline phosphatase (ALP)

Asparate amniotransferase (AST), Serium glutamic oxaloacetic transaminase (SGOT)

Creatine kinase (CK), also called creatine phosphokinase (CPK)

Lactic acid dehydrogenase (LD, LDH)

Lipase

Antidiuretic hormone (ADH)

Human chorionic gonadotropin (HCG)

Cortisol

Gastrin

Growth hormone, somatotropin, somatotropic hormone (STH)

Testosterone

Thyroid stimulating hormone (TSH)

Ferritin

Total iron binding capacity (TIBC)


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Acidosis

Alkalosis

Diabetes mellitus and insipidus

Cushing’s syndrome

Goiter

Hypothyroidism

Hyperthyroidism

Hypogonadism

BPH

Amenorrhea

Contraceptives to prevent pregnancy


Week of June 23

Lesson 7

Immune System



2. Recognize the uses, generic name, and trade name of the following drugs:

a. Chapters 35-38

Sulfadiazine

Trimethoprimma-

fenide

Silver

sulfadiazine

Penicillin

Oxacillin

sodium

Amoxicillin

Ampicillin

Piperacillin

Cefadroxil

Cephalexin

Cefaclor

Cefotetan

Loracarbef

Cefixime

Demeclocycline

Doxycycline

Monocycline

Tetracycline

Clarithromycin

Erythromycin

Clindamycin

Lincomycin

Ciprofloxacin

Norfloxacin

Ofloxacin

Streptomycin

Ethambutol

Pyrazinamide

Capreomycin

sulfate

Group Assignment

Common Diagnoses

Due 11pm Sunday

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Clofazimine

Dapsone

Chloramphenicol

Metronidazole

Vancomycin

b. Chapter 39

Abacavir sulfate

Acyclovir

Docosanol

Famciclovir

Foscarnet

Ribavirin

Rimantadine HCl

Ritonavir

Valacyclovir

Zidovudine (AZT)

Amphotericin

Caspofungin acetate

Fluconazole

Amphotericin B

Miconazole nitrate

Tioconazole

Quinine sulfate

Metronidazole

c. Chapter 40

Familiarity with various vaccines and immunity

d. Chapter 41

Familiarity with antineoplastic drugs

Infectious Disease and Immunodiagnostic Blood Test

Moisio chp 5



Agglutination test

Fluorescent and enzyme immunoassays, radioimmunoassay

Syphilis detection tests

Lyme disease tests

Western blot assay test

Legionnaires disease tests

Chalmydia antibody tests

Streptococcal antibody tests

Infectious mononucleosis tests

Rubella antibody tests

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Hepatitis tests

HIV and AIDS test

Herpes simplex

Cytomegalovirus (CMV) antibody test

TORCH test

C-reactive protein (CRP) test

Rheumatoid factor (RF) test

Anti-nuclear antibody (ANA) test

Blood group

Rh typing





Colorectal cancer

Breast cancer

Lymphoma

Lung cancer

HIV

Sexually transmitted diseases

Infections


Week of June 23

Lesson 8

Other Body Systems



following drugs:

a. Chapter 42

Alendronate sodium

Etidronate

Auranofin

Allopurinol

Carisoprodol

Cyclobenzaprine HCl

Diazepam

Methocarbamol

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Orphenadrine citrate

b. Chapter 43

Bacitracin

Benzoyl peroxide

Clindamycin

Oxiconazole

Terbinafine HCl

Acyclovir

Triclosan

Hydrocortisone

Alclometasone dipropionate

Benzocaine

c. Chapter 44

Familiarity with otic and ophthalmic

preparations

d. Chapter 45

Familiarity with electrolytes

Culture and Sensitivity Test

Amniotic Fluid and Cerebrospinal Fluid Test

Other Body Fluid Test

Moisio chp 7, 8 & 9



Chapter 7

Blood culture

Cerebrospinal fluid (CSF) culture

Genitalia and anal, nose and throat, skin, sputum, stool, urine, and wound cultures

Chapter 8

Amniotic and cerebrospinal fluid test Chapter 9

Effusion tests, gastric secretion, and semen tests





Arthritis

Gout

Herpes genitalis

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** July 1st On campus HITT lab room 538 for 2hours 20 minutes

between 3pm-8pm **

Final Exam – Lessons 1-8

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