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NURS 3424 Pharmacology Nursing Implications

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					                  NURS 3424 Pharmacology: Nursing Implications



COURSE DESCRIPTION: This course will focus on the fundamental principles of
pharmacology and investigation of the major classifications of drugs with emphasis on
pharmacotherapeutic actions and nursing implications. Previously learned skills and
concepts as well as prerequisite science courses are integrated into the discussions.
Students will be required to take an assessment exam (ATI) at the end of this course;
however it will not be a part of the course grade.

CREDIT: 4 Credit hours (6 clock per week)

PROGRAM LEVEL: I

TEXTBOOKS:

LeFever Kee, J, Hayes, E.R., McCuistion, L.E., (2006). Pharmacology : A Nursing
      Process Approach 5th ed. St. Louis: Saunders.
LeFever Kee, J, Hayes, E.R., McCuistion, L.E. , (2006). Pharmacology : A Nursing
      Process Approach 5th Ed Study Guide. St. Louis: Saunders.

OPTIONAL TEXT BOOK:

Wissmann, J., Knippa, A., Lawler, K.M., Brant, L.S., (2006). Pharmacology for Nursing.
     Version 4.0. Overland Park, Kansas. WWW.ATITESTING.COM

Course Coordinator:          Wanda R. Sparks RN, MSN

Office Hours:         Monday and Wednesday 0800-0900 and 1300-1600
                      Tuesday                 0700- 0800 and 1700-1800
                      Please make and appointment outside the above hours
Office Phone:         210-826-7595 x 256

Office Number:         109

Email:                 Wanda.Sparks@wbusa.wbu.edu




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COURSE OBJECTIVES:

At the end of the course, the student will be able to:
    1. Recognize pharmacokinetics and pharmacodynanamics of selected agents, and be
        able to administer medications according to current and approved standards.
    2. Select and prioritize nursing interventions based on differentiating side effects
        from adverse reactions in clients.
    3. Identify specific client responses influenced by pharmacodynamic interactions of
        categories of drugs.
    4. Utilize the nursing process and critical thinking skills to assist clients with
        management of drug therapy.
    5. Identify key elements to be included in client teaching programs related to
        medications.

EVALUATION AND GRADING:

       A = 90-100
       B = 80-90
       C = 75-80
       D = 70-74
       F = 69 and below

Class Participation    5%
Exam 1                20%
Exam 2                20%
Exam 3                20%
Exam 4                20%
Final Exam            15%

Class Attendance
   1. The student must attend the class (es) for which he/she is enrolled.
   2. A student enrolled at Wayland Baptist University should make every effort to
      attend all class meetings. All absences must be explained to the satisfaction of the
      instructor, who will decide whether the omitted work may be made up.
   3. A student who misses twenty-five percent (25%) or more of the regularly
      scheduled class meetings will receive a grade of “F” for that class.
   4. When a student reaches a number of absences considered by the instructor to be
      excessive, the instructor will so advise the student and file an Unsatisfactory
      Progress Report at the San Antonio Campus.
   5. The instructor may count three tardies as one absence.
   6. If an instructor fails to appear or fails to send notification of arrival within the first
      ten minutes of a class period, the student may leave without incurring an absence.




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   Disability Statement
Wayland Baptist University adheres to a policy of providing equal opportunity
to students with disabilities. Disability is defined by the University as any
condition that falls under the purview of the Rehabilitation Act of 1973.
Wayland will strive to achieve optimum opportunity for participation in the
University experience for all students, regardless of their circumstance. The
University encourages any student who has a disability, as defined by the
Rehabilitation Act of 1973, to inform the University of any Special Requirements
or needs by reporting these to the Dean of Students or the Vice
President for Academic and Student Services. The University will strive to
meet these needs in accordance with applicable federal guidelines and
Christian ethical considerations.

Student Conduct

 (This is a statement of conduct standards. It is enforced in conjunction with
the Discipline Policy and Substance Abuse Policy found elsewhere in this
handbook.)
Wayland proudly adheres to high standards of intellectual, moral, ethical,
and spiritual values. Convinced that self-discipline is more desirable than outside
force and that the truly educated person must pursue what is right under
all circumstances, Wayland entrusts each student with the solemn obligation
of preserving these standards.
However, in the light of revelation, reason, and the custom of the
Christian community from which Wayland has sprung, certain practices are
evaluated:
1. Personal integrity in keeping with New Testament standards is expected of
all students.
2. Respect for the property, knowledge, and rights of other people must prevail.
3. The use or possession of alcoholic beverages and/or illegal drugs is forbidden.
4. Gambling, hazing, and the on-campus possession of firearms or deadly
weapons are prohibited. BB Guns and Paint Ball Guns are also prohibited.
5. The use of tobacco by students is discouraged, though permitted in certain
designated areas of the campus. In consideration of the rights of others and
the requirements of safety, such areas are designated. Usage of all forms of
tobacco is strictly prohibited in dormitories.
THESE STANDARDS APPLYTO ALL STUDENTS AS LONG AS THEY ARE
ENROLLED IN WAYLAND, AND THE UNIVERSITY ASSUMES THAT THE ACT
OF REGISTERING AS A STUDENT IMPLIES FULL ACCEPTANCE OF THESE
STANDARDS OF CONDUCT.
The authority of the University is exercised over all student groups or
organizations bearing the name of the university, or any student enterprises to
the extent necessary to safeguard the good name and well being of Wayland.
Specifically, each student is expected to conduct himself in such a manner as
to uphold, not detract from, the good name of Wayland Baptist University. If


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one feels that he/she cannot subscribe to the moral and social practices of the
University, he/she will find greater acceptance elsewhere

Testing

Test dates and content will be published in the course syllabi downloaded from Black
Board. A test blueprint will be prepared by the faculty and distributed to the student at
least one week prior to the exam. The blueprint will provide the student with the subject
content of the exam, the number of questions in that subject area and the type of question.
The type of question will be categorized two ways. First the question will be categorized
by the areas of the nursing process; assessment, planning, implementation and evaluation.
The question will also be categorized by cognitive level; knowledge, analysis,
application, and comprehension. In the event a faculty must change a test date, they must
notify the students at least one week before the scheduled exam. If the student must miss
an exam, they must notify the faculty that they will not be present for the exam and
schedule a date for the make-up exam within one week of the date of the exam.

Make-up Tests

Only ONE make up exam is permitted per course. A student should contact his/her
instructor to arrange the make-up test. The make-up test may be administered by the staff
at the IH 35 location on Tuesday, Wednesdays, or Thursday. Both the instructor and the
individual student must contact the office to schedule the make-up test. Tests begin at
either 9:00 a.m. or 1:00 p.m. and must be completed before the close of business at 5:00
p.m. Failure to take the make up exam within one week from the original exam date
results in a zero for the exam.

COURSE OUTLINE:

Unit 1: A Nurse’s Perspective of Pharmacology
Unit 2: Medications and Calculations
Unit 3: Contemporary Issues in Pharmacology
Unit 4: Nutrition and Electrolytes
Unit 5: Autonomic Nervous System Agents
Unit 6: Neurological and Neuromuscular Agents
Unit 7: Psychiatric Agents
Unit 8: Anti-inflammatory and Antiinefetive Agents
Unit 9: Immunologic Agents
Unit 10: Cancer Agents
Unit 11: Respiratory Agents
Unit 12: Cardiovascular Agents
Unit 13: Gastrointestinal Agents
Unit 14: Eye, Ear, and Skin Agents
Unit 15: Endocrine Agents
Unit 16: Reproductive and Gender-Related Agents
Unit 17: Emergency Agents


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                                    Unit 1: A Nurses Perspective of Pharmacology
            Unit Objectives                    Student Assignments        Learning Activities          Date
1. Discuss basic terms used in               Kee, Hayes, McCuistion     Lecture and Discussion   25 February 2008
    pharmaceutic, pharmacokinetic, and       Ch. 1,2,3                                              Room 112
    pharmacodynamic phases.                                             Complete study guide
2. Understand the meaning of                                            Pg 1-13
    pharmacodynamics.
3. Describe the deterrence between half-                                Define Terms at the
    life therapeutic range and side effects                             beginning of each
    of medications.                                                     chapter.
4. Identify the steps in the Nursing
    Process as they apply to the use of
    pharmacology in the care of the
    patient.
5. State the nurse’s role in the patient
    drug therapy plan.
6. Describe the principals of health
    teaching as it relates to the use of
    Pharmacology.
7. Compare and contrast cultural issues
    associated with medication
    administration.
8. Differentiate the “five-plus-five
    rights” of medication administration.
9. List reasons that modify drug
    response.
10. Identify routs of medication
    administration.
11. State the equipment and methods
    used in parenteral therapy.
12. List the sites for parenteral therapy.
13. State the nursing interventions
    associated medication administration
    by each route.




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                                      Unit 2: Medication and Calculations
           Unit Objectives                   Student Assignments           Learning Activities          Date
 1. State the metric, apothecary, and      Kee, Hayes, Mc Cuistion      Lecture and discussion     27February2008
    household system terms and             Ch 4                                                    Room 112
    measurements.                                                  Complete study Guide Pg
 2. Compare and contrast the three         Bring a calculator and 15-54
    systems of measurement.                scratch paper to class.
 3. Convert measurements within the                                Define terms at the
    metric system. Small to large and                              beginning of each chapter.
    large to small.
 4. Convert measurements within the
    apothecary system. Small to large
    and large to small.
 5. Convert measurements within the
    household system. Small to large
    and large to small.
 6. Convert measurements within the
    metric, apothecary, and house hold
    systems. Small to large and large to
    small as applicable.
 7. Perform math calculations using all
    three measurement systems coupled
    with safe mediation administration.

                                     Unit 3: Contemporary Issues in Pharmacology
           Unit Objectives                     Student Assignments        Learning Activities           Date
1.   Compare and contrast the various        Kee, Hayes, McCuistion    Lecture and discussion      3 March 2008
     federal legislation acts related to      Ch 5,6,7,8                                           Room 112
     Food and Drug Administration as                                   Study Guide Pg 55-66
     they apply to drug use approvals.
2.   Describe the role of the Nurse                                    Define Terms at the
     Practice Act.                                                     beginning of each chapter
3.   Distinguish between chemical,
     generic, and brand names.
4.   Assess clients for use of medical,
     herbal, and folk therapies.
5.   Describe the implications of culture
     on the use of drug therapy.
6.   Define the concept drug interaction.
7.   Compare and contrast the four
     processes related to drug
     interaction.
8.   Identify the effect of drug—food
     interactions.
9.   Discuss the use of over the counter


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    drugs.
10. Define drug induced
    photosensitivity.
11. Compare and contrast the terms
    substance abuse, substance misuse,
    addiction, dependence, tolerance,
    detoxification, withdrawal, and
    abstinence.
12. Name specific nursing interventions
    appropriate during the management
    of pain in clients who are have
    surgeries.
13. Describe the nursing process in the
    care of clients who abuse drugs.
                                                                                                    5 March 2008
1. State four herbs associated with          Kee, Hayes, McCuistion     Lecture and discussion      Room 112
    toxicity.                                Ch 9,10,11,12
2. Discuss 17 common herbal                                             Complete study Guide Pg
    therapies and describe one situation                                67-78
    where they may be consider
    helpful.
3. Discuss the nurses role included          * Note Chapter 13 has been Define Terms at the
    patient teaching, associated with        moved to the next Unit.    beginning of each chapter
    working with a patient using herbs.
4. Distinguish specific pharmacology
    unique to pediatric clients.
5. Discuss the nurse’s role as they
    relate to safe pediatric mediation
    administration.
6. Determine the pharmacokinetics
    and pharmcodynamics of the older
    adult that relate to drug
    administration.
7. State the nurses’ role as it relates to
    safe drug administration in the older
    adult.
8. Discuss the nursing process as it
    applies to drug administration in the
    older adult.
9. Identify ways to teach the client
    about medication administration
    from a community nurse
    perspective.
10. Compare and contrast specific
    medication administration in the
    home, school, and work site.



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11. Discuss the nursing process as it
    applies to the medication
    administration in the community
    setting.

                                           Unit 4: Nutrition and Electrolytes
           Unit Objectives                     Student Assignments          Learning Activities          Date
1. Describe the role of the nurse in        Kee, Hayes, McCuistion       Lecture & Discussion        10 March 2008
    basic drug trials.                      Ch 13,14, 15, 16                                         Room 112
2. State the three basic ethical                                         Complete study guide
    principles governing informed                                        Pg 79-92                    EXAM ONE
    consent.
                                                                                                     50 Questions
3. List four reasons for the use of                                      Define Terms at the
                                                                                                     Ch 1-12
    vitamins.                                                            beginning of each chapter
4. Distinguish between water and fat
    soluble vitamins.
5. List foods high in iron.
6. Describe the nurse’s role including
    client teaching related to vitamin
    and mineral use.
7. Describe the iso-osmolality range
    for serum.
8. Differentiate between the different
    isotonic states of intravenous fluids.
9. State the four classifications of
    intravenous fluids.
10. Lest methods used to correct
    potassium, calcium, and magnesium
    deficits, and excesses.
11. Describe the assessments, nursing
    interventions, and client teaching
    for fluid, potassium, sodium,
    calcium, and magnesium
    imbalances.
12. Compare and contrast the
    differences between enteral
    nutrition and parenteral nutrition.
13. List the routes for enteral feedings.
14. State some types of enteral
    solutions and explain the
    differences.
15. Describe the nursing interventions
    for handling complications that may
    occur with the use of enteral
    nutrition and parenteral nutrition.




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                                      Unit 5: Autonomic Nervous System Agents
            Unit Objectives                    Student Assignments      Learning Activities        Date
1.   Discuss physiology of the CNS and Kee, Hayes, McCuistion        Lecture and Discussion    12 March 2008
     the therapeutic effects of CNS         Ch 17, 18                                          Room 112
     drugs                                                           Complete study guide
2.   Describe the difference between                                 Pg 93-100
     selective and nonselective
     adrenergic drugs.                                               Define Terms at the
3.   Stat the names of selective and                                 beginning of each chapter
     nonselective adrenergic drugs and
     list their side effects.
4.   List drugs that are selective and
     nonselective adrenergic blockers.
5.   Describe the use of alpha blockers
     and beta blockers and their side
     effects.
6.   Describe nursing interventions,
     including client teaching associated
     with adrenergics and adrenergic
     blockers.
7.   Differentiate the uses of
     cholinergics and anticholinergics.
8.   Describe the side effects of
     cholinergic and anticholinergic
     drugs.
9.   Incorporate the nursing process
     including client teaching associated
     with cholinergics and
     anticholinergics.




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                                    Unit 6: Neurologic and Neuromuscular Agents
           Unit Objectives                    Student Assignments        Learning Activities         Date
1. Discuss the effects of stimulants on Kee, Hayes, McCuistion       Lecture and discussion      24 March 2008
    the central nervous system.             Ch 19, 20, 21                                        Room 112
2. Define attention deficit                                          Complete Study Guide
    hyperactivity disorder.                                          Pg 101-113
3. List commonly used amphetamines,
    anorexants, analeptics, doxapram                                 Define Terms at the
    and discuss their side effects.                                  beginning of each chapter
4. Define: hangover, dependence,
    tolerance, withdrawal symptoms.
5. List drugs that cause the preceding
    adverse effects.
6. List barbiturates and
    benzodiazepines used as hypnotics.
7. Describe nursing interventions
    including patient teaching
    associated with the treatment of
    patients taking barbiturates and
    benzodiazepines.
8. Differentiate between acute,
    chronic, superficial, visceral, and
    somatic pain.
9. Describe the use of non-narcotic
    and narcotic analgesic use in the
    treatment of pain.
10. Give the nursing interventions,
    including client teaching related to
    non-narcotic and narcotic
    analgesics.                             Kee, Hayes, McCuistion   Complete Study guide        26 March 2008
                                            Ch 22,23,24              Pg 114-124                  Room 112
1. Describe both the classifications
    and types of seizures.                                           Define Terms at the
2. Describe the uses of Dilantin,                                    beginning of each chapter
    barbiturates, succinimides,
    oxazolidones, benzodiazepines,
    carbamazepines, and valproate.
3. Incorporate the nursing
    interventions, including client
    teaching related to the use of
    hydantoins and anticonvulsants.
4. Describe the use and side effects
    anticholinergics, dopaminergics,
    dopamine receptors, MAO~B
    inhibitors, and COMT inhibitors in
    the treatment of parkinsonism.



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5. List the drugs used to treat
   Alzheimers.
6. Describe the nursing process to
   include patient teaching at it applies
   to the treatment of parkinsonism
   and Alheimers.
7. Compare and contrast myasthenia
   gravis, and multiple sclerosis.
8. Identify drugs used to treat
   myasthenia gravis and multiple
   sclerosis.
9. Describe nursing interventions
   including patient teaching for drugs
   used to treat myasthenia gravis.


                                             Unit 7: Psychiatric Agents
            Unit Objectives                   Student Assignments         Learning Activities           Date
1.   Compare and contrast                   Kee, Hayes, McCuistion     Lecture and Discussion      2 April 2008
     antipsychotics and anxiolytics.        Ch 25, 26                                              Room 112
2.   State the side effects associated                                 Study Guide Pg 125- 135
     with antipsychotics.
3.   Give the nursing interventions                                    Define Terms at the
     including client teaching fro                                     beginning of each chapter
     antipsychotics and anxiolytics.
4.   List the categories of
     antidepressants.
5.   Describe the side effects and
     adverse reactions of
     antidepressants.
6.   Explain the use of lithium and the
     therapeutic serum range.
7.   Give the nursing interventions
     including patient teaching for
     antidepressants.




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                                           Unit 17: Emergency Agents
          Unit Objectives                   Student Assignments       Learning Activities              Date
1. List the emergency drugs used in       Kee, Hayes, McCuistion   Lecture and Discussion         2 April 2008
   cardiac, neurosurgical, poisoning,     Ch 57                                                   Room 112
   shock, hypertensive crisis and                                  Study Guide Pg 284-289
   pulmonary edema.
2. Describe the indications for use of                               Define Terms at the
   the previously stated drugs.                                      beginning of each chapter
3. State significant adverse effects of
   each drug previously listed.



                                 Unit 8: Anti-inflammatory and Antiinfective Agents
           Unit Objectives                    Student Assignments         Learning Activities          Date
1. Compare and contrast nonsteriodal Kee, Hayes, McCuistion           Lecture and Discussion      7 April 2008
    anti-inflammatory drugs (NSAIDs) 27,28,29                                                     Room 112
    and antirheumatic drugs                                           Study Guide Pg 136-149
   (DMARDs).                                                                                      Exam Two
2. State the side effects of NSAIDs.                                  Define terms at the
                                                                                                  50 Questions
3. Apply the nursing process to                                       beginning of each chapter
                                                                                                  Ch 13--26
    include patient teaching as it applies
    to the use of NSAIDs and
    DMARDs.
4. Compare and contrast between
    bacteria that are naturally resistant
    and those that have acquired
    resistance to antibiotic therapy.
5. Differentiate between antibacterial,
    antibiotics, penicillin’s, and
    cephalosporins.
6. Describe the major side effects
    associated with the use of
    antibiotics.
7. Apply the use of the nursing
    process in caring for clients
    receiving penicillin’s and
    cephalosporins.
8. Describe the mechanism of action
    for erythromycin, and tetracycline
    including the side effects.
9. Discuss the purpose of peak and
    trough levels.
10. Identify signs and symptoms of
    ototoxicity and nephrotoxicity.
11. Apply the nursing process including


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   patient teaching to patient care
   involving the use of tetracyclines,
   and macrolides.


1. Describe the use and side effects of Kee, Hayes, McCuistion   Lecture and Discussion      9 April 2008
    sulfonamides.                        Ch 30, 31, 32, 33                                   Room 112
2. Apply the nursing process including                           Study Guide Pg 150-165
    teaching to patients using
    sulfonamides.                                                Define terms at the
3. Compare and contrast the use of                               beginning of each chapter
    antifungals, polyenes,
    antitubercular, and peptide drugs.
4. List the adverse reactions of the
    previously stated drugs.
5. Apply the nursing process including
    patient teaching to patient care
    involving the use of antifungals,
    polyenes, antitubercular, and
    peptide drugs.
6. List antiviral and antimalarial drugs
    and explain their use and side
    effects.
7. Apply the nursing process including
    patient teaching to patient care
    involving the use of antimalarial
    and antifungal drugs.
8. Discuss the use, side effects and
    adverse reactions of antiseptics and
    antiinfectives used to treat urinary
    tract disorders.
9. List examples of urinary analgesics,
    urinary stimulants, and urinary
    antispasmodics.
10. Apply the nursing process including
    patient teaching to patient care
    involving the use of urinary
    analgesics, urinary stimulants, and
    urinary antispasmodics.




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                                          Unit 9: Immunologic Agents
          Unit Objectives                   Student Assignments      Learning Activities                Date
1. Discuss the types and treatments of    Kee, Hayes, McCuistion  Lecture and Discussion           14 April 2008
   opportunistic infections.              Ch 34, 35                                                Room 112
2. Describe human immunodeficiency                                Study Guide Pg 166-174
   virus (HIV)
3. Apply the nursing process including
   patient teaching to patient care                                    Define Terms at the
   involving the use opportunistic                                     beginning of each chapter
   infections.
4. Compare and contrast active,
   passive, active natural, and active
   acquired immunity.
5. State current vaccines and the
   disease in which they prevent.
6. List vaccines routinely given to
   adults.
7. Discuss the contradictions to giving
   specific vaccines.
8. Apply the nursing process
   including patient teaching to
   vaccine administration.



                                              Unit 10: Cancer Agents
            Unit Objectives                  Student Assignments          Learning Activities           Date
1.   Describe general side effects and     Kee, Hayes, McCuistion      Lecture and Discussion      16 April 2008
     adverse reactions to anticancer       36,37                                                   Room 112
     drugs.                                                            Study Guide Pg 175-184
2.   Compare and contrast cell-cycle
     specific and cell-cycle nonspecific
     drugs.                                                            Define Terms at the
3.   Illustrate client education specifics                             beginning of each chapter
     associated with receiving both
     anticancer drugs and chemotherapy.
4.   Apply the nursing process to patient
     care involving the use of anticancer
     drugs and chemotherapy.
5.   Discuss the actions of the biologic
     response modifiers.
6.   List common side effects of
     interferons, and colony-stimulating
     factors.




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                                           Unit 11: Respiratory Agents
          Unit Objectives                    Student Assignments       Learning Activities            Date
1. Discuss the drugs used for colds.       Kee, Hayes, McCuistion   Lecture and Discussion       16 April 2008
2. Compare antihistamine,                  Ch 38, 39                                             Room 112
   decongestant, antitussives, and                                  Study Guide Pg 185-192
   expectorants.
3. Review the pathophysiology of                                     Define Terms at the
   rhinitis, sinusitis, and pharyngitis.                             beginning of each chapter
4. Explain the side effects of nasal
   decongestants.
5. Differentiate the drugs used to treat
   asthma.
6. Discuss the side effects of the
   above listed drugs.
7. Discuss therapeutic versus a toxic
   lithium level.


                                          Unit 12: Cardiovascular Agents
           Unit Objectives                   Student Assignments         Learning Activities          Date
1. Identify and list side effects of       Kee, Hayes, McCuistion    Lecture and Discussion      21 April 2008
    nitrates, beta-blockers, and calcium Ch 40, 41,42, 43 44                                     Room 112
    channel blockers.                                                Study Guide Pg 193-223
2. Explain signs/ symptoms of                                                                    Exam Three
    digitalis toxicity.                                              Define Terms at the         50 Questions
3. List the various groups/ names of                                 beginning of each chapter   Ch 27-39, & 57
    diuretics.
4. State the action and use of diuretics.
5. Apply the nursing process
    including patient teaching to
    patients receiving diuretics.
6. Describe the pathophysiology of
    hypertension.
7. List the categories of anti-
    hypertensives and their side effects.
8. Describe non-pharmacological
    methods for treating hypertension.
9. Describe the pathophysiology of
    clot formation.
10. Compare anticoagulants,
    antiplatelets, and thrombolytics.
11. Describe the pathophysiology of
    hyperlipidemia along with
    associated abnormal labs.
12. Describe the action/side effects of
    antilipidemics, peripheral


             ws/2/5/08                                 15
     vasodilators


                                           Unit 13: Gastrointestinal Agents
            Unit Objectives                   Student Assignments          Learning Activities           Date
1.   Explain the action and side effects    Kee, Hayes, McCuistion      Lecture and Discussion      23 April 2008
     of antiemetics, emetics,               Ch 45, 46                                               Room 112
     antidiarrheals and laxatives.                                      Study Guide Pg 224-235
2.   Identify contraindications to the use
     of antiemetics, emetics,                                           Define Terms at the
     antidiarrheals, and laxatives.                                     beginning of each chapter
3.   Apply the nursing process including
     patient teaching to the use of
     antiemetics, emetics, antidiarrheals,
     and laxatives.
4.   State the predisposing factors for
     peptic ulcers.
5.   Describe the pathophysiology of
     GERD.
6.   Describe the actions of antiulcer
     drugs.
7.   Identify and describe
     anticholinergics, antacids, and
     histamine2 blockers.
8.   Apply the nursing process including
     patient teaching to the use of the
     above drugs.

                                         Unit 14: Eye, Ear, and Skin Agents
            Unit Objectives                   Student Assignments        Learning Activities         Date
1.   Identify and describe the drugs used Kee, Hayes, McCuistion      Lecture and Discussion    23 April 2008
     to treat eye and ear infections.      Ch 47,48                                             Room 112
2.   List the side effects and adverse                                Study Guide Pg 236-242
     reactions for each drug.
3.   Apply the nursing process including                              Define Terms at the
     patient teaching to the patient                                  beginning of each chapter
     receiving eye or ear medications.
4.   Compare acne vulgaris, psoriasis,
     drug-induced dermatitis and contact
     dermatitis.
5.   List nonpharmacologic treatments
     for acne vulgaris.
6.   Describe drugs used to treat acne
     vulgaris and their side effects.
7.   List drugs and their side effects
     used to treat psoriasis.


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                                            Unit 15: Endocrine Agents
           Unit Objectives                   Student Assignments      Learning Activities               Date
1.   Differentiate between hypo-           Kee, Hayes, McCuistion   Lecture and Discussion        28 April 2008
     thyroidism and hyperthyroidism.       Ch 49,50                                               Room 112
2.   Describe adenophpophysis and                                   Study Guide Pg 243-256
     neurohypophysis.
3.   Explain the purpose of thyroxine,
     hypophysis, and glucocorticoids.                                 Define Terms at the
4.   Compare type I and type 2 diabetes                               beginning of each
     mellitus and describe their                                      chapter
     symptoms.
5.   Describe the use, and side effects
     of insulin.
6.   Describe a hypoglycemic reaction
     and the symptoms.



                                   Unit 16: Reproductive and Gender-Related Agents
            Unit Objectives                    Student Assignments        Learning Activities           Date
1.   Describe substances that may have       Kee, Hayes, McCuistion   Lecture and Discussion       30 April 2008
     detrimental effects if ingested by a    51,52,                                                Room 112
     pregnant woman.                                                  Study Guide Pg 257-269
2.   Describe drugs used during pre-
     term labor.                                                      Define Terms at the
3.   Describe drugs used to control                                   beginning of each chapter
     nausea and pain during labor, their
     action and side effects.
4.   Discuss drugs used to promote
     uterine contractility during labor,
     their action and side effects.
5.   Discus drugs used to control
6.   Describe the use and side effects of
     magnesium sulfate.
7.   Describe signs and symptoms of the
     patient addicted to illicit drugs.



1. Discuss the use, action, side effects   Kee, Hayes, McCuistion     Lecture and Discussion       5 May 2008
   and nursing implications of the         53,54, 55, 56                                           Room 112
   drugs administered to the newborn.                                 Study Guide Pg 270-283
2. Discuss the use, action, side effects
   and nursing implications of the                                    Define Terms at the
   drugs administered to                                              beginning of each chapter


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    patient/mother during the
    postpartum period.
3. Apply the nursing process including
    patient teaching to both the mother
    and new born receiving medication
    immediately following delivery.
4. Describe the types and side effects
    of oral contraceptives.
5. Contrast premenstrual syndrome,
    endometriosis, menopausal
    symptoms, dysfunctional uterine
    bleeding and osteoporosis.
6. Compare common conditions for
    which androgen therapy and
    antiandrogen therapy are indicated.
7. Describe both therapeutic and
    adverse effects of androgen therapy.
8. Apply the nursing process including
    patient teaching to patient care
    involving the use of androgen
    therapy.
9. Discuss the types and transmission
    of various STD’s
10. Discuss the pathophysiology of
    STD’s.
11. Discuss the use, and side effects of
    drugs used to treat STD’s.
12. Apply the nursing process
    including patient teaching to patient
    care involving the use of drugs used
    to treat STD’s.


                                                                7 May 2008
                                                                Room 112

                                                                EXAM FOUR
                                      FINAL EXAM REVIEW         50 Questions
                                      Question/Answer session   Ch 40-56


             Comprehensive            Kee, Hayes, Mc Cuistion     12 May 2008
             Final Exam               Ch 1-57                      Room 112
             100 questions                                      FINAL EXAM



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