VNSG 1331 400 - PHARMACOLOGY

Introduction

Syllabus

Course Syllabus

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NORTH CENTRAL TEXAS COLLEGE                 

COURSE SYLLABUS

 

Course Name & Number

VNSG 1331 Pharmacology

Semester

 & Year

 
   Spring 2017

 

Instructor’s Name

Mrs. S. Taylor

Office Phone Number

     (940) 498-6228

Office Hours

 Thursday 2-4

 

 

Grading Policy & Procedures

Course grade calculations are listed on each course information sheet. Grades will be determined by paper and pencil exams, assignments, quizzes and a final examination. The grading scale for all courses, except clinical courses which are Pass/Fail only, is as follows:

                      90-100…………..A

                      80-89……………B

                      77-79……………C*

                      65-76……………D

                      64 and below……F

*Students must make a minimum of 77 in each course to continue in the Vocational Nursing Program.

 

Unit exams and the final exam consist of multiple types of  questions that reflect the NCLEX-PN test plan and items. Exam questions may be developed from all required textbooks and other sources utilized for coursework. Tests will be answered on scantron answer sheets provided by the student or online. 

 

Students have 2 (two) weeks from the scheduled date of the exam to challenge test questions as outlined in the Vocational Nursing Student Handbook. After the 2-week period, all exam grades will stand and no appeal will be allowed.

 

If a student is unable to take an exam at the scheduled time, one opportunity to make up the exam is allowed. Only one exam per course per semester is allowed to be made up. Make-up time will be announced by the individual instructor, and it is the student’s responsibility to take the make-up exam at the announced time. Any student not completing a unit exam within this time will receive a grade of “0” for the missed unit exam.

 

Daily grades for homework, computer assignments, and outside assignments are due as scheduled. Quizzes may be given without advanced notice and count as daily grades. No late work will be allowed. A grade of “0” will be recorded for missed homework, assignments, or quizzes.

 

 

 

Catalog Description

VNSG 1331 – Pharmacology: Fundamentals of medications and their diagnostic, therapeutic, and curative effects.  Includes nursing interventions associated with the various pharmacotherapeutic agents.

 

Textbooks &  Materials

 

See individual course information sheets.

Course Competencies

The Texas Board of Nursing (BON) has developed competencies for nursing programs to meet in educating nursing students.  The Differentiated Essential Competencies (DEC), upon which all course objectives are based, describe the expected outcomes for vocational nursing students at the time of graduation. The competencies that reflect knowledge and clinical behaviors/judgments encompassing the following areas of nursing education: Member of the Profession, Provider of Patient-Centered Care, Patient Safety Advocate, and   Member of the Health Care Team. The matrix in the VN Student Handbook indicates which courses meet the specific competency criteria.

 

Likewise, the Texas Higher Education Coordinating Board has developed competencies (SCANS) for basic skills necessary for successful entry into the workforce. A matrix in the VN Student handbook indicates how vocational nursing courses integrate these competencies.

 

Attendance Policy

All policies in the Vocational Nursing Student Handbook will be in effect.

  • Students must attend class regularly.
  • More than two (2) absences will result in dismissal.
  • Three (3) tardies equals one absence. No one will be allowed into class if (s)he is tardy.
  • Leaving early is considered an absence for the whole day.
  • Last day to withdraw from class with a “W” is

April 6, 2017.

 

Scholastic Integrity

Scholastic dishonesty shall include, but not be limited to cheating on a test, plagiarism, and collusion.  See Student Handbook “Student Rights & Responsibilities: [FLB-(LOCAL)]” #20 and in the Vocational Nursing Handbook.

WARNING: use of copyright materials (such as test banks) without proper authorization, even when purchased online, is considered scholastic dishonesty and will result in immediate dismissal.

 

Disability Services (OSD)

The Office for Students with Disabilities (OSD) provides accommodations for students who have a documented disability.  A disability is anything that can interfere with learning, such as a learning disability, psychological challenge, physical illness or injury. Accommodations may include extra time on tests, tests in a distraction reduced environment, volunteer note taker in class, etc.

On the Corinth Campus, go to room 170 or call 940-498-6207. On the Gainesville Campus, go to room 110 in the Administration (100) Building or call 940-668-4209.  Students on the Bowie, Graham, Flower Mound, and online campuses should call 940-668-4209 to arrange for an intake appointment with OSD.

North Central Texas College is on record as being committed to both the spirit and letter of federal equal opportunity legislation, including the Americans with Disabilities Act (ADA) of 1990, ADA Amendments Act of 2009, and Section 504 of the Rehabilitation Act of 1973 (P.L. 93-112).

http://www.nctc.edu/StudentServices/SupportServices/Disabilityservices.aspx

Early Alert and CARES

The NCTC Early Alert program has been established to assist students who are at risk of failing or withdrawing from a course. Your instructor may refer you to this program if you are missing assignments, failing tests, excessively absent, or have personal circumstances impacting your academic performance. If submitted as an Early Alert you will be notified via your NCTC e-mail address and then contacted by a Counseling and Testing advisor or counselor to discuss possible strategies for completing your course successfully.

 The NCTC CARES (Campus Assessment Response Evaluation Services) Team addresses behavior which may be disruptive, harmful or pose a threat to to the health and safety of the NCTC community-such as stalking, harassment, physical or emotional abuse, violent or threatening behavior, or self-harm. As a student, you have the ability to report concerning behavior which could impact your own safety or the safety of another NCTC student. Just click the NCTC CARES Team logo posted on MyNCTC, or send an e-mail to CARESTeam@nctc.edu.  As always, if you feel there is an immediate threat to your own safety or welfare (or to another student), please call 911 immediately.

Support Services

Counseling and Testing staff offer a variety of services to current and prospective students, such as College 101, placement testing, academic advising and course registration, transfer assistance, and College Success seminars (Time Management, Study Skills, Test Anxiety, Choosing a Major, Learning Style Strategies, Career Exploration), and much more.  http://www.nctc.edu/StudentServices/CounselingTesting.aspx

 

Student Success offers academic coaching, tutoring, including a Writing Center, a Math Lab, free 24/7 online tutoring through Grade Results and assist new students acclimate to college by providing computer lab services for prospective students.   First generation students can also participate in TRIO which offers specialized support services.

http://www.nctc.edu/StudentServices/SupportServices.aspx

 

Financial Aid offers financial resources for students that qualify, visit the financial aid offices for more information.  http://www.nctc.edu/FInancialAidHome.aspx

 

 

EEOC Statement

North Central Texas College does not discriminate on the basis of race, color, national origin, gender, religion, age, or disability in the employment or the provision of services.

 

Web Page

Visit the North Central Texas College web page for information on registration, financial aid, counseling/advising, and cost of tuition and fees.  You will also find information on the catalog and semester schedules as well as courses of study.  You can keep up with what is happening on campus by checking the calendar of events and the sports news.  The web has information on the library as well as links to other areas of interest.  Check out our web page at http://www.nctc.edu

 

 

VNSG 1331 – PHARMACOLOGY

 

INSTRUCTORS:

Sherrie Taylor, RN; Toni Perkins, RN; Cathy Carney, RN

 

TEXTBOOKS

Lilley, L.L., et. al.  Pharmacology and the Nursing Process  7th ed. (2014)  St Louis, Mosby 

ISBN # 978-0-323-08789-6

 

Evolve Website: http://evolve.elsevier.com/Lilley

 

 

COURSE GRADING CRITERIA:

            Average of 6 units exams………………………70%

            Average of daily grades………………………..  5%

            Final exam……………………………………...25%

 

STUDENT LEARNING OUTCOMES: (DEC 1,4, 5, 7, 8, 10, 14, 21, 24) (SCANS 1,3,5,8)

  1. Identify properties, effects, and principles of pharmacotherapeutic agents
  2. List nursing interventions associated with the various pharmacotherapeutic agents

 

 

UNIT I – Drugs Affecting the Central Nervous System

Chapter 10 – Analgesic Drugs

LEARNING OBJECTIVES: After completing Chapter 11 the student will:

  1. Define acute pain and chronic pain.
  2. Contrast the signs, symptoms, and management of acute and chronic pain.
  3. Describe pharmacologic and nonpharmacologic approaches for the management and treatment of acute and chronic pain.
  4. Discuss the use of nonopioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and opioids (opioid agonists, opioids with mixed actions, opioid agonists-antagonist and antagonists) and miscellaneous drugs in the management of pain, including acute and chronic pain, cancer pain and special pain situations.
  5. Identify examples of drugs classified as nonopioids, nonsteroidal anti-inflammatory drugs, opioid agonists, opioids with mixed actions, opioid antagonists, as well as any miscellaneous drugs.
  6. Briefly describe the mechanisms of action, indications, dosages, routes of administration, adverse effects, toxicity, cautions, contraindications, and drug interactions of nonopioids, NSAIDs, opioid agonists, opioids with mixed actions, antagonists, and miscellaneous drugs.
  7. Contrast the pharmacologic and nonpharmacologic management of acute and chronic pain with the management of pain associated with cancer and pain experienced in terminal conditions.
  8. Briefly describe special pain situations as well as specific standards of pain management as defined by the World Health Organization (WHO) and the Joint Commission.
  9. Develop a nursing care plan based on the nursing process related to the use of nonopioid and opioid drug therapy for patients in pain.
  10. Identify various resources, agencies, or professional groups that are involved in establishing standards for the management of all types of pain and for promotion of a holistic approach to the care of patients with acute or chronic pain and those in special pain situations.
  11. Define the terms in the glossary in this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Pain
  2. Opioid Analgesics
  • Nonopioid Analgesics
  1. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter11 – General and Local Anesthetic Drugs

LEARNING OBJECTIVES: After completing Chapter 12 the student will:

  1. Define anesthesia.
  2. Discuss the basic differences between general and local anesthesia.
  3. List the most commonly used general and local anesthetics and associated risk.
  4. Discuss the differences between depolarizing neuromuscular blocking drugs and nondepolarizing blocking drugs and their impact on the patient.
  5. Compare the mechanism of action, indications, adverse effects, routes of administration, cautions, contraindications, and drug interactions for general and local anesthesia as well as drugs used for moderate or conscious sedation.
  6. Develop a nursing care plan for patients before anesthesia (preanesthesia), during anesthesia, and after anesthesia (postanesthesia) related to general anesthesia.
  7. Develop a nursing care plan for patients undergoing local anesthesia and/or moderate or conscious sedation.
  8. Define the terms in the glossary in this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Anesthetics
  2. General Anesthetics

III.          Local Anesthetics

  1. Neuromuscular Blocking Drugs
  2. Moderate Sedation
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 12 – Central Nervous System Depressants and Muscle Relaxants

LEARNING OBJECTIVES: After completing Chapter 13 the student will:

  1. Briefly describe the functions of the (CNS) central nervous system.
  2. Contrast the effects of central nervous system depressant drugs and central nervous system stimulant drugs as relates to their basic actions.
  3. Define the terms hypnotics, rapid eye movements, rapid eye movement sleep interference, rapid eye movement rebound, sedatives, sedatives-hypnotics, sleep and therapeutic index.
  4. Briefly discuss the problem of sleep disorders.
  5. Identify the specific drugs within each of the following category of central nervous system depressant drugs: benzodiazepines, nonbenzodiazepines, muscle relaxants, and miscellaneous drugs.
  6. Contrast the mechanisms of action, indications, adverse effects, toxic effects, cautions, contraindications, dosage forms, routes of administration, and drug interactions of the following medications: benzodiazepines, nonbenzodiazepines, muscle relaxants and miscellaneous drugs.
  7. Discuss the nursing process as it relates to the nursing care of a patient receiving and central nervous system depressants and/or muscle relaxant.
  8. Develop a thorough nursing care plan related to the use of pharmacologic and nonpharmacologic approaches to the treatment of sleep disorders.
  9. Define the terms in the glossary in this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Sleep
  2. Benzodiazepines
  • Barbiturates
  1. Musle Relaxants
  2. Miscellaneous Drugs
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 13-Central Nervous System Stimulants and Related Drugs

LEARNING OBJECTIVES: After completing Chapter 14 the student will:

  1. Briefly review the anatomy, physiology and functions of the central nervous system with attention to stimulant effects on its function.
  2. Review the glossary terms as they relate to the central nervous system and stimulant drugs.
  3. Identify the various central nervous system stimulant drugs.
  4. Discuss the mechanisms of action, indications, dosages, routes of administration, contraindications, cautions, drug interactions, adverse effects, and any related toxicity for the various central nervous system stimulants.
  5. Develop a nursing care plan based on the nursing process for patients using central nervous system stimulant drugs.
  6. Define the terms in the glossary in this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of CNS
  2. Attention Deficit Hyperactivity Disorder (ADHD)

III.          Narcolepsy

  1. Obesity
  2. Migraine
  3. Analeptic-Responsive Respiratory Depression Syndromes
  • Drug Profiles for Treatment
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 14 – Antiepileptic Drugs

LEARNING OBJECTIVES: After completing Chapter 15 the student will:

  1. Briefly describe the pathophysiology of epilepsy.
  2. Discuss the rationale for the use of the various classes of antiepileptic drugs (AEDs) administered for management ofthe different types of epilepsy.
  3. Identify the various drugs in each of the following drug classes: iminostilbenes, benzodiazepines, barbiturates, hydantoins, and miscellaneous drugs.
  4. Identify the mechanisms of action, indications, cautions, contraindications, dosages, routes of administration, adverse effects, toxic effects, related therapeutic blood levels, and drug interactions for the drugs in each AED class.
  5. Develop a nursing care plan, including patient education, based on the nursing process for patients receiving AEDs.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Epilepsy
  2. Antiepileptic Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 15 – Antiparkinson Drugs

LEARNING OBJECTIVES: After completing Chapter 16 the student will:

  1. Briefly discuss the impact of acetylcholine and dopamine on the brain.
  2. Describe the pathophysiology of Parkinson’s disease.
  3. Identify the different classes of medications used to manage Parkinson’s disease, including first- and second- line drugs used in therapy.
  4. Discuss the mechanisms of action, dosages, indications, routes of administrations, contraindications, cautions, drug interactions, adverse effects, and toxic effects associated with the use of antiparkinsonian drugs.
  5. Develop a nursing care plan that includes all phases of the nursing process for patients taking antiparkinsonian drugs.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Parkinson’s disease
  2. Selected MonoAmine Oxidase Inhibitor Therapy
  • Dopaminergic Therapy
  1. AntiCholinergic Therapy
  2. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips
 
Chapter 16 – Psycho-therapeutic Drugs

LEARNING OBJECTIVES: After completing Chapter 17 the student will:

  1. Briefly discuss the various mental illnesses.
  2. Identify the various psychotherapeutic drugs, such as anxiolytic drugs, antidepressants, mood stabilizing drugs, and antipsychotics.
  3. Discuss the mechanism of action, indications, therapeutic effects, adverse effects, toxic effects, drug interactions, contraindications, and cautions associated with the various psychotherapeutic drugs.
  4. Develop a nursing care plan that includes all phases of the nursing process for patients taking psychotherapeutic drugs.
  5. Develop patient educations guidelines for patients receiving psychotherapeutic drugs.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Mental Disorders
  2. Anxiolytic Drugs
  • Mood Stabilizing Drugs
  1. Antidepressant Drugs
  2. Tricyclic Antidepressants
  3. Monomine Oxidase Inhibitors

VII.         Antipsychotic Agents

VIII.       Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

CHAPTER 17 – Substance Abuse

                Will be covered in addition to the individual chapters of Unit !

 

UNIT II – Drugs Affecting the Autonomic Nervous System

Chapter 18 – Adrenergic Drugs

LEARNING OBJECTIVES: After completing Chapter 18 the student will:

  1. Briefly describe the functions of the sympathetic nervous system and the specific effects of adrenergic stimulation.
  2. List the various drugs classified as adrenergic agonists or sympathomimetics.
  3. Discuss the mechanism of action, therapeutic effects, indications, adverse and toxic effects, cautions, contraindications, drug interactions, and available antidotes to overdosage for the various adrenergic agonists or sympathomimetic drugs.
  4. Develop a nursing care plan that includes all phases of the nursing process for patients taking adrenergic agonists.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Sympathetic Nervous System
  2. Adrenergic Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 19 – Adrenergic-Blocking Drugs

LEARNING OBJECTIVES: After completing Chapter 19 the student will:

  1. Briefly describe the functions of the sympathetic nervous system and the specific effects of adrenergic blocking.
  2. List the various drugs classified as adrenergic antagonists (blockers) or sympatholytics.
  3. Discuss the mechanism of action, therapeutic effects, indications, and adverse and toxic effects, cautions, contraindications, drug interactions, dosages, routes of administration, and any antidotal management for the various alpha antagonists (blockers), beta nonselective blockers and the beta1 and beta 2 blockers.
  4. Develop a nursing care plan that includes all phases of the nursing g process for patients taking adrenergic antagonists.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Autonomic Nervous System
  2. Alpha-Blockers

III.          Beta-Blockers

  1. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 20 – Cholinergic Drugs

LEARNING OBJECTIVES: After completing Chapter 20 the student will:

  1. Briefly review the functions of the autonomic nervous system and the impact of the parasympathetic division.
  2. List the various drugs classified as cholinergic agonists or parasympathomimetics.
  3. Discuss the mechanisms of action, therapeutic effects, indications, adverse and toxic effects, drug interactions, cautions, contraindications, dosages, routes of administrations and any antidotal management for the various cholinergic agonists or parasympathomimetics.
  4. Develop a nursing care that includes all phases of the nursing process for patients taking cholinergic agonists.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Parasympathetic Nervous System
  2. Cholinergic Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 21 – Cholinergic-Blocking Drugs

LEARNING OBJECTIVES: After completing Chapter 21 the student will:

  1. Briefly discuss the functions of the sympathetic nervous system and the specific effects of blocking cholinergic receptors (parasympatholytic effects).
  2. List the various drugs classifiedas cholinergic antagonists (blocking) sympatholytics.
  3. Discuss the mechanisms of action, therapeutic effects, indications, adverse and toxic effects, drug interactions, cautions, contraindications, dosages, routes of administration, andany antidotal management for the various cholinergic antagonists (blockers).
  4. Develop a nursing care that includes all phases of the nursing process for patients taking cholinergic antagonists.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Parasympathetic Nervous System
  2. Cholinergic-Blocking Drugs

III.          Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

UNIT III – Drugs Affecting The Cardiovascular and Renal Systems

Chapter 22 – Antihypertensive Drugs

LEARNING OBJECTIVES: After completing Chapter 25 the student will:

  1. Briefly discuss the normal anatomy and physiology of the autonomic nervous system, including the events that take place within the sympathetic and parasympathetic divisions and how they relate to long-term and short-term control of blood pressure.
  2. Define hypertension with a comparison between primary and secondary hypertension and related manifestations.
  3. Describe the protocol for treating hypertension as detailed in the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure(JNC-7), including the rationale for its use.
  4. List the criterion pressure values (in millimeters of mercury) for the new hypertension categories of normal pressure, prehypertension, hypertension stage 1, and hypertension stage 2 as defined in JNC-7
  5. Using the most recent guidelines, compare the various drugs used in the pharmacologic management of hypertension with regard to mechanism of action, specific indications, adverse effects, toxic effects, cautions, drug interactions, contraindications, dosages, and routes of administration.
  6. Discuss the rationale for the nonpharmacologic management of hypertension.
  7. Develop a nursing care plan that includes all phases of the nursing process for patients receiving antihypertensive drugs.
  8. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Hypertension
  2. Review of Autonomic Neurotransmission
  • Adrenergic Drugs
  1. Angiotensin-Converting Enzyme Inhibitors
  2. Angiotensin II Receptor Blockers
  3. Calcium Channel Blockers
  • Diuretics
  • Vasodilators
  1. Miscellaneous Antihypertensive Drugs
  2. Nursing process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 23 – Antianginal Drugs

LEARNING OBJECTIVES: After completing Chapter 24 the student will:

  1. Briefly describe the pathophysiology of myocardial ischemia and the subsequent occurrence of angina.
  2. Describe the various factors that may precipitate angina as well as measures that decrease its occurrence.
  3. Contrast the major classes of antianginal drugs (nitrates, calcium channel blockers, and beta-blockers) with regard to their mechanisms of action, dosage forms, routes of administration, cautions, contraindications, drug interactions, adverse effects, patient tolerance, toxicity, and patient education requirements.
  4. Develop a nursing care plan incorporating all phases of the nursing process related to the administration of antianginal drugs.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Heart with Disease Overview
  2. Nitrates/Nitrites
  • Beta-Blockers
  1. Calcium Channel Blockers
  2. Miscellaneous Antianginal Drugs
  3. Summary of Antianginal Pharmacology

VII.         Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 24 – Heart Failure Drugs

LEARNING OBJECTIVES: After completing Chapter 22 the student will:

  1. Differentiate between the terms inotropic, chronotropic, and
  2. Briefly discuss the pathophysiology of heart failure.
  3. Identify the approach to treatment of heart failure as outlined by the 2005 American Heart Association and American College of Cardiology treatment guidelines.
  4. Compare the mechanisms of action, pharmacokinetics, indications, dosages, dosage forms, routes of administration, cautions, contraindications, adverse effects, and toxicity of the following drugs used in treatment of heart failure: lisinopril, valsartan, carvedilol, metoprolol, dobutamine, nesiritide, hydralazine/isosorbide dinitrate, milrinone, and digoxin.
  5. Briefly discuss the process of rapid versus slow digitalization as well as the use of the antidote digoxin immune Fab.
  6. Identify significant drug-drug, drug-laboratory test, and drug-food interactions associated with digoxin and other heart failure drugs.
  7. Develop a nursing care plan that includes all phases of the nursing process for patients undergoing treatment for heart failure and that complies with the 2005American Heart Association and American College of Cardiology guidelines.
  8. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Heart and Heart Failure
  2. Angiotensin-Converting Enzyme Inhibitors
  • Angiotensin II Receptor Blockers
  1. Beta-Blockers
  2. Miscellaneous Heart Failure Drugs
  3. B-Type Natriuretic Peptide
  • Phosphodiesterase Inhibitors
  • Cardiac Glycosides
  1. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 25 – Antidysrhythmic Drugs

LEARNING OBJECTIVES: After completing Chapter 23 the student will:

  1. Describe the anatomy and physiology of the heart as well as cardiac electrophysiology including normal conduction patterns, rate, and rhythm.
  2. Briefly discuss the various disorders of cardiac electrophysiology and consequences to the patient.
  3. Define the terms dysrhythmia and
  4. Identify the various causes of abnormal heart rhythms and their impact on the patient’s health and activities of daily living.
  5. Identify the most commonly encountered dysrhythmias.
  6. Compare the various dysrhythmias with regard to their basic characteristics, impact on the structures of the heart, and related symptoms.
  7. Contrast the various classes of antidysrhythmics, citing prototypes in each class and describing their mechanism of action, indications, routes of administration, dosing, any related drug protocols, adverse effects, cautions, contraindications, drug interactions, and any toxic reactions.
  8. Develop a nursing care plan that includes all phases of the nursing process for patients receiving each class of antidysrhythmic drug.
  9. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Normal Cardiac Electrophysiology and Dysrhythmias
  2. Antidysrhythmic Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Evolve website chapter worksheet
  5. Review Patient Teaching Tips

 

 

Chapter 26 –  Coagulation Modifier Drugs

LEARNING OBJECTIVES: After completing Chapter 28 the student will:

  1. Briefly review the coagulation process and the impact of coagulation modifiers, including anticoagulants, antiplatelets, antifibrinolytics, and thrombolytics.
  2. Compare the mechanism of action, indications, cautions, contraindications, drug interactions, adverse effects, routes of administration, and dosages of the various anticoagulants, antiplatelets, antifibrinolytics, and thrombolytics.
  3. Discuss the administration procedures and techniques as well as related standards of care for the various coagulation modifiers.
  4. Identify any available antidotes for the coagulations modifiers.
  5. Compare the laboratory tests used in conjunction with treatment with the various coagulation modifiers and their implicationsfor therapeutic use of these drugs and monitoring for adverse reactions.
  6. Develop a nursing care plan that includes all phases of the nursing process for patients receiving anticoagulants, antiplatelets, antifibrinolytics, and thrombolytics.
  7. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Hemostasis
  2. Anticoagulants

III.          Antiplatelet drugs

  1. Antifibrinolytic drugs
  2. Thrombolytic drugs
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 27 – Antilepemic Drugs

LEARNING OBJECTIVES: After completing Chapter 29 the student will:

  1. Explain the pathology of primary and secondary hyperlipidemia, including causes and risk factors.
  2. Discuss the different types of lipoproteins and their role in cardiovascular disease and hyperlipidemia.
  3. List the overall drug classes with specific drugs that are used to treat hyperlipidemia.
  4. Compare the various drug classes used to treat hyperlipidemia, including the rationale for treatment, indications, mechanism of action, dosages, routes of administration, adverse effects, toxicity, cautions, contraindications, and associated drug interactions.
  5. Develop a nursing care plan that includes all phases or the nursing process for patients receiving antilipemic drugs.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Lipids and Lipid Abnormalities
  2. Atherosclerotic Plaque Formation

III.          Link Between Cholesterol and Coronary Artery Disease

  1. Hyperlipidemias and Treatment Guidelines
  2. Hydroxymethylglutaryl-Coenzyme A Reductase Inhibitors
  3. Bile Acid Sequestrants

VII.         Niacin

VIII.       Fibric Acid Derivatives and Cholesterol Absorption Inhibitor

  1. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 28 – Diuretic Drugs

LEARNING OBJECTIVES:After completing Chapter 26 the student will:

  1. Describe the normal anatomy and physiology of the renal system.
  2. Briefly discuss the impact of the renal system on blood pressure regulation.
  3. Describe how diuretics work in the kidneys and how they lower blood pressure.
  4. Distinguish among the different classes of diuretics with regard to mechanisms of action, indications, dosages, routes of administration, adverse effects, toxicity, cautions, contraindications, drug interactions.
  5. Develop a nursing care plan that includes all phases of the nursing process for patients receiving diuretics.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology Overview of the Kidneys
  2. Carbonic Anhydrase Inhibitors
  • Loop Diuretics
  1. Osmotic Diuretics
  2. Potassium-Sparing Diuretics
  3. Thiazide and Thiazide-Like Diuretics
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 29 – Fluids and Electrolytes

LEARNING OBJECTIVES: After completing Chapter 27 the student will:

  1. Review the function of fluid volume and compartments within the body as well as the role each of the major electrolytes plays in maintaining homeostasis.
  2. Identify the various electrolytes and give normal serum values for each.
  3. Briefly discuss the various fluid and electrolyte disorders that commonly occur in the body with attention to fluid volume and/or electrolyte deficits and excesses.
  4. Identify the fluid and electrolyte solutions commonly used to correct states of deficiency or excess.
  5. Discuss the mechanism of action, indications, dosages, routes of administration, contraindications, cautions, adverse effects, toxicity, and drug interactions of the various fluid and electrolyte solutions.
  6. Compare the various solutions used to expand and/or increase a patient’s fluid volume electrolytes with regard to how they work, why they are used, and specific antidotes available to counter any toxic effects.
  7. Develop a nursing care plan that includes all phases of the nursing process for patients receiving fluid and electrolyte solutions.
  8. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Fluid and Electrolyte Balance
  2. Crystalloids

III.          Colloids

  1. Blood Products
  2. Physiology of Electrolyte Balance
  3. Potassium

VII.         Sodium

  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

UNIT IV – Drugs Affecting The Endocrine System

Chapter 30 – Pituitary Drugs

LEARNING OBJECTIVES: After completing Chapter 30 the student will:

  1. Describe the normal function of the anterior and posterior lobes of the pituitary gland and the impact of the pituitary gland on the human body.
  2. Compare the various pituitary drugswith regard to their indications, mechanism of action, dosages, routes of administration, adverse effects, cautions, contraindications, and drug interactions.
  3. Develop a nursing care plan that includes all phases of the nursing process for patients receiving pituitary drugs, such as desmopressin, octreotide, somatropin, and vasopressin.
  4. Define the terms in the glossary for this chapter.

CONTENT OUTLINE

  1. Anatomy and Physiology of the Endocrine System
  2. Pituitary Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 31– Thyroid and Antithyroid Drugs

LEARNING OBJECTIVES: After completing Chapter 31 the student will:

  1. Briefly describe the normal anatomy and physiology of the thyroid gland.
  2. Discuss the various functions of the thyroid gland and related hormones.
  3. Describe the difference in the diseases resulting from hyposecretion and hypersecretion of the thyroid gland hormones.
  4. Identify the various drugs used to treat the hyposecretion and hypersecretion states of the thyroid gland.
  5. Discuss the mechanism of action, indications, dosages, routes of administration, contraindications, cautions, drug interactions, and adverse effects of the various drugs used to treat hypothyroidism and hyperthyroidism.
  6. Develop a nursing care plan that includes all phases of the nursing process for patients receiving thyroid replacement therapy as well as for patients receiving antithyroiddrugs.
  7. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Thyroid Function
  2. Hypothyroidism
  • Thyroid Replacement Drugs
  1. Hyperthyroidism
  2. Antithyroid drugs
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 32 – Antidiabetic Drugs

LEARNING OBJECTIVES: After completing Chapter 32 the student will:

  1. Discuss the normal actions and functions of the pancreas.
  2. Contrast type 1 and type 2 diabetes mellitus with regard to age of onset, signs and symptoms, pharmacologic and nonpharmacologic treatment, incidence, and etiology.
  3. Discuss the various factors influencing the blood glucose levels nondiabetic individuals and in patients with either type of diabetes mellitus.
  4. Identify the various drugs used to manage type 1 and type 2 diabetes mellitus.
  5. Discuss the mechanism of action, indications, contraindications, cautions, drug interactions and adverse effects of insulin, traditional oral hypoglycemic drugs, and newer antidiabetic drugs.
  6. Compare rapid-, short-, intermediate-, and long-acting insulins with regard to their onset of action, peak effects, duration of action.
  7. Compare the signs and symptoms of hypoglycemia and hyperglycemia and their related treatments.
  8. Develop a nursing care plan that includes all phases of the nursing process for patients with type 1 or type 2 diabetes with a focus on drug therapies.
  9. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Pancreas
  2. Diabetes Mellitus
  • Antidiabetic Drugs
  1. Insulins
  2. Traditional Oral Antidiabetic Drugs
  3. New Antidiabetic Drugs
  • Glucose-Elevating Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 33 – Adrenal Drugs

LEARNING OBJECTIVES: After completing Chapter 33 the student will:

  1. Discuss the normal anatomy, physiology and related functions of the adrenal glands, including specific hormones relaeased from the glands.
  2. Briefly compare the hormones secreted by the adrenal medulla with those secreted by the adrenal cortex.
  3. Contrast Cushing’s syndrome with Addison’s disease, and addisonian crisis.
  4. Compare the glucocorticoids and mineralocorticoids with regard to what roles they perform in normal bodily functions, what diseases alter them, and how they are used in pharmacotherapy.
  5. Contrast the mechanism of action, indications, dosages, routes of administration, cautions, contraindications, drug interactions,and adverse effects of glucocorticoids, mineralocorticoids, and antiadrenal drugs.
  6. Develop a nursing care plan that includes all phases of the nursing process for patients taking adrenal and antiadrenal drugs.
  7. Define the terms in the glossary for this chapter.

CONTENT OUTLINE

  1. Anatomy and Physiology of the Adrenal System
  2. Adrenal Drugs
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 34 – Women’s Health Drugs

LEARNING OBJECTIVES: After completing Chapter 34 the student will:

  1. Discuss the normal anatomy and physiology of the female reproductive system.
  2. Discuss the normal hormonally mediated feedback system and how it regulates the female reproductive system.
  3. Describe the variety of disorders affecting women’s health and the drugs used to treat them.
  4. Describe the rationale for use, indications, adverse effects, cautions, contraindications, drug interactions, dosages, and routes of administration for estrogen, progestin, uterine motility-altering drugs, and osteoporosis drugs.
  5. Develop a nursing care plan that includes all phases of the nursing process for patients receiving any of the drugs related to women’s health.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Female Reproductive System
  2. Female Sex Hormones
  • Estrogens
  1. Pregestins
  2. Contraceptive Drugs
  3. Drugs for Osteoporosis
  • Drugs Related to Pregnancy, Labor, Delivery, and Postpartum
  • Fertility Drugs
  1. Uterine Stimulants
  2. Uterine Relaxants
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 35 – Men’s Health Drugs

LEARNING OBJECTIVES: After completing Chapter 35 the student will:

  1. Discuss the normal anatomy, physiology, and functions of the male reproductive system.
  2. Compare the various male reproductive drugs, with discussion of their rationale for use, dosages, and dosage forms.
  3. Describe the mechanisms of action, dosages, adverse effects, cautions, contraindications,drug interactions, and routes of administration for various men’s health drugs.
  4. Develop a nursing care plan that includes all phases of the nursing process for patients receiving men’s health drugs for treatment of benign prostatic hyperplasia, sexual dysfunction, hormone deficiency, or prostate cancer.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Male Reproductive System
  2. Androgens and Other Drugs Pertaining to Men’s Health
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 36 – Antihistamines, Decongestants, Antitussives, and Expectorants

LEARNING OBJECTIVES: After completing Chapter 36 the student will:

  1. Provide specific examples of the drugs categorized as antihistamines, decongestants, antitussives, and expectorants.
  2. Discuss the mechanisms of action, indications, contraindications, cautions, adverse effects, dosage ranges, and various dosage forms for the use of antihistamines, decongestants, antitussives, and expectorants.
  3. Develop a nursing care plan that includes all phases of the nursing process for patients taking any of the antihistamines, decongestants, antitussives, and expectorants.
  4. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Upper Respiratory Tract with Disease Overview
  2. Antihistamines

III.          Decongestants

  1. Antitussives
  2. Expectorants
  3. Nursing process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

CHAPTER 37 – Bronchodilators and Other Respiratory Drugs

LEARNING OBJECTIVES: After completing Chapter 37 the student will:

  1. Describe the anatomy and physiology of the respiratory system.
  2. Discuss the impact of respiratory agents on various lower and upper respiratory tract diseases and conditions.
  3. List the various classifications of drugs used to treat diseases and conditions of the respiratory system and provide specific examples.
  4. Discuss the mechanism of action, indications, contraindications, cautions, drug interactions, dosages, routes of administration, adverse effects and toxic effects of the bronchodilators and other respiratory drugs.
  5. Develop a nursing care plan that includes all phases of the nursing process for patients who use bronchodilators and other respiratory drugs.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Respiratory System
  2. Diseases of the Respiratory System

III.          Treatment of Diseases of the Lower Respiratory Tract

  1. Bronchodilators
  2. Beta-Adrenergic Agonists
  3. Anticholinergics
  • Xanthine Derivatives
  • Nonbronchodialating Respiratory Drugs
  1. Leukotriene Receptor Antagonists
  2. Corticosteroids
  3. Monoclonal Antibody Antiasthmatic
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

UNIT V – Antinfective and Antiflammatory Drugs

Chapter 38 – Antibiotics Part 1

LEARNING OBJECTIVES: After completing Chapter 38 the student will:

  1. Discuss the general principles of antibiotic therapy.
  2. Explain how antibiotics work to rid the body of infection.
  3. Briefly compare the characteristics and use of antiseptics and disinfectants.
  4. List the most commonly used antiseptics and disinfectants.
  5. Discuss nursing considerations associated with the use of antiseptics and disinfectants.
  6. Discuss the pros and cons of antibiotic use with attention to overuse or abuse of antibiotics and development of drug resistance.
  7. Classify the various antibiotics by general category, including sulfonamides, penicillins, cephalosporins, macrolides, and tetracyclines.
  8. Discuss the mechanism action, indications, cautions, contraindications, routes of administration, and drugs interactions for the sulfonamides, penicillins, cephalosporins, macrolides, and tetracyclines.
  9. Identify drug-specific adverse effects and toxic effects of each of the antibiotic classes listed and cite measures to decrease their occurrence.
  10. Briefly discuss superinfection, including etiology and prevention.
  11. Develop a nursing care plan that includes all phases of the nursing process for the patients receiving drugs in each of the following classes of antibiotic: sulfonamides, penicillins, cephalosporins, macrolides, and tetracyclines.
  12. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Microbial Infection with Overview
  2. General Principles of Antibiotic Therapy
  • Antibiotics
  1. Sulfonamides
  2. Beta-lactam Antibiotics
  3. Penicillins
  4. Cephalosporins
  5. Carbapenems
  6. Monobactams
  7. Macrolides and Ketolides
  8. Tetracyclines
  9. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 39 – Antibiotics Part 2

LEARNING OBJECTIVES: After completing Chapter 39 the student will:

  1. Review the general principles of antibiotic therapy and review all of the antibiotics covered previously in Chapter 38 in preparation for discussion of the following antibiotics or antibiotic classes: aminoglycosides, quinolones,

clindamycin, metronidazole, nitrofurantoin, vancomycin, and several other miscellaneous antibiotics.

  1. Describe the advantages and disadvantages associated with use of antibiotics, including overuse and abuse of antibiotics,

development of drug resistance, superinfections, and antibiotic-associated colitis.

  1. Discuss the indications, cautions, contraindications, mechanisms of action, adverse effects, toxic effects, routes of

administrations and drug interactions for the aminoglycosides, fluoroquinolones, clindamycin, metronidazole, nitrofurantoin, vancomycin, and miscellaneous antibiotics.

  1. Develop a nursing care plan that includes all phases of the nursing process for the patient receiving antibiotics.
  2. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Multidrug Resistance
  2. Aminoglycosides

III.          Quinolones

  1. Miscellaneous Antibiotics
  2. Nursing process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 40 – Antiviral Drugs

LEARNING OBJECTIVES: After completing Chapter 40 the student will:

  1. Discuss the effects of the immune system with attention to the various types of immunity.
  2. Discuss the effects of viruses on the human body.
  3. List specific drugs categorized as non-human immunodeficiency virus (HIV) antivirals and HIV antivirals or antiretrovirals.
  4. Discuss the process of immunosuppression in patients with viral infections, specifically those with human immunodeficiency virus (HIV).
  5. Describe the stages of AIDS and various drugs used to manage/treat the illness.
  6. Discuss the mechanism of action, indications, contraindications, cautions, routes, adverse effects, and toxic effects of the various non-HIV antiviral and HIV antiviral drugs.
  7. Develop a nursing care plan that includes all phase of the nursing process for patients receiving non-HIV and HIV antiviral drugs.
  8. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. General Principles of Virology
  2. Overview of the Viral Illnesses and Their Treatment

III.          Herpes Simplex Virus and Varicella-Zoster Virus Infections

  1. Antivirals
  2. Overview of HIV Infection and AIDS
  3. Treatment for HIV

VII.         Overview of Other Viral Infections

VIII.       Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 41 – Antitubercular Drugs

LEARNING OBJECTIVES: After completing Chapter 41 the student will:

  1. Identify the various first-line and second-line drugs used for the treatment of tuberculosis.
  2. Discuss the mechanism of action, dosages, and adverse effects, routes of administration, special dosing considerations, cautions, contraindications, and drug interactions of the various antitubercular drugs.
  3. Develop a nursing care plan that includes all phases of the nursing process for patients receiving antitubercular drugs.
  4. Develop a comprehensive teaching guide for patients and families impacted by the diagnosis and treatment of antitubercular drugs.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Tuberculosis
  2. Antitubercular Drugs
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 42 – Antifungal Drugs

LEARNING OBJECTIVES: After completing Chapter 42 the student will:

  1. Identify the various antifungal drugs.
  2. Describe the mechanisms of action, indications, contraindications, routes of administration, adverse and toxic, effects, and the drug interactions of the various antifungal agents.
  3. Develop a nursing care plan that includes all phases of the nursing process for patients receiving antifungal drugs.
  4. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy, Physiology, and Overview of Fungal Infections
  2. Antifungal Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 43 – Antimalarial, Antiprotozoal, and Antihelmintic Drugs

LEARNING OBJECTIVES: After completing Chapter 43 the student will:

  1. Briefly discuss the infectious process associated with malaria, other protozoal infestations, and helminths.
  2. Compare the signs and symptoms of malarial, other protozoal, and helminithic infection processes.
  3. Identify the more commonly used antimalarial, antiprotozoal and antihelmintic drugs.
  4. Discuss the mechanisms of action, indications, cautions contraindications, adverse effects, dosages, drug interactions, and routes of administration of the antimalarial, antiprotozoal, and anthelimiatic drugs.
  5. Develop a nursing care plan that includes all phases of the nursing process for patients receiving antimalarial, antiprotozoal, or antihelminetic drugs.
  6. Define the terms in the glossary for this chapter.

CHAPTER OUTLINE

  1. Anatomy and Physiology of Protozoans
  2. Malaria
  • Antimalarial Drugs
  1. Other Protozoal Infections
  2. Antiprotozoal Drugs
  3. Helminthic Infections
  • Antihelmintic Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 44 – Antiinflammatory and Antigout Drugs

LEARNING OBJECTIVES: After completing Chapter 44 the student will:

  1. Discuss the inflammatory response and the part it plays in the generation of pain,
  2. Compare the disease processes or pathologies that are inflammatory in nature with those of gout.
  3. Discuss the mechanisms of action, indications, adverse effects, dosage ranges, routes of administration, cautions, contraindications, drug interactions, and toxicities of the various anti-inflammatory and antigout drugs.
  4. Develop a nursing care plan that includes all phases of the nursing process for patients receiving anti-inflammatory and/or antigout drugs.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy, Physiology, and Overview of Inflammation
  2. Nonsteroidal Antiinflammatory Drugs (NSAIDS)
  • Antigout Drugs
  1. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 45 – Antineoplastic Drugs Part 1

LEARNING OBJECTIVES: After completing Chapter 47 the student will:

  1. Briefly describe the concepts related to carcinogenesis.
  2. Define the different types of malignancy.
  3. Discuss the purpose and role of the various treatment modalities in the management of cancer.
  4. Define antineoplastic.
  5. Discuss the role of antineoplastic therapy in the treatment of cancer.
  6. Contrast the cell cycle of normal cells and malignant cells with regard to growth, function, and response of the cell to chemotherapeutic drugs and other treatment modalities.
  7. Compare the characteristics of highly proliferating normal cells (including cells of the hair follicles, gastrointestinal tract, and bone marrow) with the characteristics of highly proliferating cancerous cells.
  8. Briefly describe the specific differences between cell cycle-specific and cell cycle-nonspecific antineoplastic drugs (cell cycle-nonspecific drugs and miscellaneous other antineoplastics are discussed in Chapter 48).
  9. Identify the drugs that are categorized as cell cycle specific, including mitotic inhibitors, topoisomerase inhibitors, and antineoplastic enzymes.
  10. Describe the common adverse effects and toxic reactions associated with the various antineoplastic drugs, including the causes for their occurrence and methods of treatment, such as antidotes for toxicity.
  11. Discuss the mechanisms of action, indications, dosages, routes of administration, cautions, contraindications, and drug interactions of cell cycle-specific drugs, including mitotic inhibitors, topoisomerase inhibitors, and antineoplastic enzymes.
  12. Apply knowledge about the various antineoplastic drugs to the development of a comprehensive nursing care plan for patients receiving cell cycle-specific drugs, including mitotic inhibitors, topoisomerase inhibitors, and antineoplastic enzymes.
  13. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of Cancer
  2. Etiology of Cancer

III.          Cancer Drug Nomenclature

  1. Cell Cycle-Specific Antineoplastic Drugs
  2. Anti metabolites
  3. Mitotic Inhibitors
  • Alkaloid Topoisomerase II Inhibitors
  • Topoisomerase I Inhibitors
  1. Antineoplastic Enzymes
  2. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 46 – Antineoplastic Drugs Part 2

LEARNING OBJECTIVES: After completing Chapter 48 the student will:

  1. Review the concepts related to carcinogenesis, the types of malignancies and related terminology, and the different treatment modalities, including the use of cell cycle-nonspecific and miscellaneous antineoplastic drugs.
  2. Identify the various drugs that are classified as cell cycle nonspecific or hormonal, or that are considered miscellaneous

drugs.

  1. Discuss the common adverse effects and toxic effects of the cell cycle-nonspecific and miscellaneous antineoplastic drugs, including the reasons for their occurrence and methods of treatment, such as antidotes.
  2. Describe the mechanisms of action, indications, dosages, routes of administration, cautions, contraindications, and drug interactions of the cell cycle-nonspecific drugs, hormonal drugs, and miscellaneous antineoplastic drugs.
  3. Apply knowledge about the cell cycle-nonspecific, hormonal agonist-antagonist, and other miscellaneous antineoplastic drugs and their characteristics in the development of a comprehensive nursing care plan fo patients with cancer who are receiving these drugs.
  4. Briefly describe extravasation and other major adverse effects associated with the antineoplastics discussed in this chapter, including discussion of protocols and antidotes.

 

  1. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Cell-Cycle Nonspecific Antineoplastic Drugs
  2. Alkylating Drugs

III.          Cytotoxic Antibiotics

  1. Miscellaneous Antineoplastics
  2. Nursing process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 47 – Biologic Response Modifying Drugs and Antirheumatoid Drugs

LEARNING OBJECTIVES: After completing Chapter 49 the student will:

  1. Describe the basic anatomy, physiology, and functions of the immune system.
  2. Compare the two major classes of biologic response-modifying drugs: hematopoietic drugs and immunomodulating drugs.
  3. Discuss the mechanisms of action, indications, dosages, routes of administration, adverse effects, cautions, contraindications, and drug interactions of the different antirheumatoid drugs.
  4. Describe the pathology associated with rheumatoid arthritis.
  5. Discuss the mechanisms of action, indications, dosages, routes of administration, adverse effects, cautions, contraindications, and drug interactions, of the different antirheumatoid drugs.
  6. Develop a nursing care plan that includes all phase of the nursing process for patients receiving biologic response-modifying drugs and for those receiving antirheumatoid drugs.
  7. Define the terms in the glossary on for this chapter.

CONTENT OUTLINE:

  1. Anatomy, Physiology, and Overview of Immunomodulators
  2. Immune System

III.          Hematopoietic Drugs

  1. Interferons
  2. Monoclonal Antibodies
  3. Interleukins and Related Drugs
  4. Miscellaneous Immunomodulating Drugs
  • Disease-Modifying Antirheumatiod Arthritis Drugs
  1. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 48 – Immunosuppressant Drugs

LEARNING OBJECTIVES: After completing Chapter 45 the student will:

  1. Discuss the role of immunosuppressive therapy in organ transplantation and in the treatment of autoimmune diseases.
  2. Discuss the mechanisms of action, contraindications, cautions, adverse effects, routes of administration, drug interactions and toxicity of the most commonly used immunosuppressives.
  3. Develop a nursing care plan that includes all phases of the nursing process for patients receiving immunosuppressants after organ transplantation or for the treatment of autoimmune disease.
  4. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Immune System
  2. Immunosuppressant Drugs

III.          Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 49 – Immunizing Drugs and Biochemical Terrorism

LEARNING OBJECTIVES: After completing Chapter 46 the student will:

  1. Discuss the importance of immunity as it relates to the various immunizing drugs and their use in patients of all ages.
  2. Identify the diseases that are treated or prevented with toxoids and vaccines.
  3. Compare the mechanisms of action, indications, cautions, contraindications, adverse effects, toxicity, drug interactions and routes of administration for various toxoids and vaccines.
  4. Develop a nursing care plan that includes all phase of the nursing process related to the administration of immunizing drugs across the life span.
  5. Develop a nursing care plan covering aspects of the nursing process related to bioterrorism, with emphasis on the nurse’s role.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy, Physiology, and Overview of Immunity and Immunization
  2. Active Immunization
  3. Passive Immunization
  • Immunizing Drugs
  • Biologic and Chemical Terrorism
  1. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

UNIT VI – Drugs Affecting The Gastrointestinal System and Nutrition and Miscellaneous Therapies

Chapter 50 – Acid Controlling Drugs

LEARNING OBJECTIVES: After completing Chapter 50 the student will:

  1. Discuss the physiologic influence of various pathologies, such as peptic ulcer disease, gastritis, spastic colon, gastroesophageal reflux disease (GERD), and hyperacidic states, on the health of patients and their gastrointestional tracts.
  2. Describe the mechanisms of action, indications, cautions, contraindications, drug interactions adverse effects, dosages, and routes of administration for the following classes of acid-controlling drugs: antiacids, histamine 2 (H2)-blocking drugs (H2 receptor antagonists), proton pump inhibitors, and acid suppressants.
  3. Develop a nursing care plan that includes all phases of the nursing process for patients receiving acid-controlling drugs.
  4. Define the terms in the glossary on for this chapter.

CONTENT OUTLINE:

  1. Acid-Related Pathophysiology
  2. Antacids
  • H2Antagonists
  1. Proton Pump Inhibitors
  2. Miscellaneous Acid-Controlling Drugs
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 51 – Bowel Disorder Drugs

LEARNING OBJECTIVES: After completing Chapter 51 the student will:

  1. Discuss the anatomy and physiology of the GI tract, including the process of peristalsis.
  2. Identify the various factors affecting bowel elimination and/or bowel patterns.
  3. List the various groups of drugs used to treat alterations in bowel elimination, specifically diarrhea, constipation, and irritable bowel syndrome (IBS).
  4. Discuss the mechanisms of action, indications, cautions, contraindications, drug interactions, dosages, routes of administration, and adverse effects of the various antidiarrheals, laxatives, and IBS drugs.
  5. Develop a nursing care plan that includes all phases of the nursing process for patients taking antidiarrheals, laxatives, and IBS drugs.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:   

  1. Antidiarrheals
  2. Laxatives
  • Drugs For Irritable Bowel Syndrome
  1. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 52 – Antiemetic and Antinausea Drugs

LEARNING OBJECTIVES: After completing Chapter 52 the student will:

  1. Discuss the pathophysiology of nausea and vomiting, including precipitating factors and/or diseases.
  2. Identify the various antiemetic and antinausea drugs and their drug classification groupings.
  3. Identify the mechanisms of action, indications for use, contraindications, cautions, and drug interactions of the various categories of antiemetic and antinausea drugs.
  4. Develop a nursing care plan that includes all phases of the nursing process for patients taking antiemetic and antinausea drugs.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy, Physiology, and Overview of Nausea and Vomiting
  2. Antiemetic Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 53 – Vitamins and Minerals

LEARNING OBJECTIVES: After completing Chapter 53 the student will:

  1. Discuss the importance of the various vitamins and minerals to the functioning of the human body.
  2. Briefly describe the various acute and chronic disease states and conditions that may lead to various imbalances in vitamin and mineral levels.
  3. Discuss the pathologies that result from vitamin and mineral imbalances.
  4. Describe the treatment of the various vitamin or mineral imbalances.
  5. Identify mechanisms of action, indications, cautions, contraindications, drug interactions, dosages, recommended daily allowance (RDA’s), routes of administration of each of the vitamins and minerals.
  6. Develop a nursing care plan related to the use of vitamins and minerals that include all phases of the nursing process.
  7. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Vitamins
  2. Fat-Soluble Vitamins
III           Water-Soluble Vitamins    
  1. Minerals
  2. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 54– Anemia Drugs

LEARNING OBJECTIVES: After completing Chapter 55 the student will:

  1. Discuss the importance of iron, vitamin B12 and folic acid in the formation of blood cells.
  2. Describe the various types of anemia-related drug treatments.
  3. Discuss the mechanisms of action, cautions, contraindications, drug interactions, uses, dosages, and special administration techniques of the various drugs used to treat anemia as well as measures to enhance the effectiveness and decrease the adverse effects of these drugs.
  4. Develop a nursing care plan that includes all phases for patients taking drugs used to treat anemia.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy, Physiology, and Overview of Erythropoiesis
  2. Types of Anemia
  • Other Anemia Drugs
  1. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 55 – Nutritional Supplements

LEARNING OBJECTIVES: After completing Chapter 54 the student will:

  1. Describe the pathophysiology processes and/or disease states that may lead to nutritional deficiencies and require nutritional supplemental support.
  2. Discuss the various enteral and parenteral nutritional supplements used to treat the various deficiencies, including specific ingredients.
  3. Describe the nurse’s role in the process of initiating and maintaining continuous and intermittent enteral feedings, total parenteral nutrition (TPN), and other forms of nutritional supplementation.
  4. Compare the various enteral feeding tubes, including specific uses, and detail the special needs of patients requiring this nutritional support.
  5. Discuss the mechanisms of action, cautions, contraindications, routes of administration, drug interactions, adverse effects, and complications associated with enteral and parenteral nutritional supplementation.
  6. Develop a nursing care plan that includes all phases of the nursing process for patients receiving enteral and parenteral supplemental feedings.
  7. Discuss the various lab values related to nutritional deficits or altered nutritional status and their impact on monitoring the therapeutic effects of the therapy.
  8. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Enteral Nutrition
  2. Parenteral Nutrition
  • Peripheral Total Parenteral Nutrition
  1. Trace Elements
  2. Central Total Parenteral Nutrition
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 56 – Dermatologic Agents

LEARNING OBJECTIVES: After completing Chapter 56 the student will:

  1. Discuss the normal anatomy, physiology, and functions of the skin.
  2. Describe the different disorders, infections and other conditions commonly affecting the skin.
  3. Identify the various dermatologic drugs used to treat these disorders, infections, and other conditions and describe the various classifications of these drugs.
  4. Discuss the mechanisms of action, indications, contraindications, cautions, other drug interactions, application techniques, and adverse effects of various topical dermatologic drugs.
  5. Develop a nursing care plan that includes all phases of the nursing process for patients using topical dermatologic drugs.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Skin
  2. General Antibacterial Drugs
  • Antiacne Drugs
  1. Antifungal Drugs
  2. Antiviral Drugs
  3. Topical Anesthetics
  • Topical Antipruritics and Antiinflammatories
  • Antipsoriatic Drugs
  1. Miscellaneous Dermatologic Drugs
  2. Wound Care Drugs
  3. Skin Preparation Drugs
  • Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

Chapter 57 – Ophthalmic Agents

LEARNING OBJECTIVES: After completing Chapter 57 the student will:

  1. Discuss the anatomy and physiology of the structures of the eye and the impact of glaucoma and other disorders and disease processes on these structures.
  2. List the various classifications of ophthalmic drugs, with examples of specific drugs in each class.
  3. Discuss the mechanisms of action, indications, dosage forms with application techniques, adverse effects, cautions, contraindications, and drug interactions of the various ophthalmic drugs.
  4. Develop a nursing care plan that includes all phases of the nursing process for patients receiving ophthalmic drugs.
  5. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Ocular Anatomy and Physiology
  2. Antiglaucoma Drugs
  • Cholinergic Drugs
  1. Sympathomimetics
  2. Beta-Adrenergic Blockers
  3. Carbonic Anhydrase Inhibitors
  • Osmotic Diuretics
  • Prostaglandin Agonists
  1. Antimicrobial Drugs
  2. Antiinflammatory Drugs
  3. Topical Anesthetics
  • Diagnostic Drugs
  • Antiallergic Drugs
  • Nursing Process

 

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

Chapter 58 – Otic Drugs

LEARNING OBJECTIVES: After completing Chapter 58 the student will:

  1. Describe the anatomy of the ear including external, middle, and inner ear.
  2. Cite the various categories of ear disorders and describe their causes and signs and symptoms.
  3. List the various types of otic preparations and their indications.
  4. Discuss the mechanisms of action, dosage, cautions, contraindications, drug interactions, and specific applications techniques of each of the otic drugs.
  5. Develop a nursing care plan that includes all phases of the nursing process for patients taking otic drugs.
  6. Define the terms in the glossary for this chapter.

CONTENT OUTLINE:

  1. Anatomy and Physiology of the Ear
  2. Treatment of ear disorders
  3. Nursing Process

LEARNING ACTIVITIES:

  1. Lilley Textbook – Review questions and Critical Thinking Activities
  2. Drug Guide– Research drugs in this chapter
  3. Review NCLEX questions and content for this chapter
  4. Review Patient Teaching Tips

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assignments Summary:

Date
 
Details
Fri Mar 17, 2017
Safe medication administration. due by 11:59pm
 
Exam 1  
Exam 2  
Exam 3  
Exam 4  
Exam 5  
Exam 6  
Final Exam  
Quiz 1  
Quiz 2  
Quiz 3  

Syllabus File(s)

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