JOHN A. LOGAN COLLEGE L. Bertolini SP 07 ADN 231 ADVANCED PHARMACOLOGY II 1.5 cr. (1-1) COURSE DESCRIPTION: Pharmacologic therapy plays an important

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1 JOHN A. LOGAN COLLEGE L. Bertolini SP 07 ADN 231 ADVANCED PHARMACOLOGY II 1.5 cr. (1-1) COURSE DESCRIPTION: Pharmacologic therapy plays an important role in the treatment of patients experiencing health problems. This course is designed to provide the student with further depth of study into the drugs used in treating patients experiencing metabolic, endocrine, gastrointestinal, genitalurinary, orthopedic, dermatologic, obstetric and pediatric problems. Emphasis will be placed on pharmacological classifications, major drugs under each classification, physiologic mechanism of action, usual dosages, routes of administration, expected therapeutic effect, specific nursing considerations, side effects, adverse/toxic effects and patient education. PREREQUISITES: ADN 230 COURSE OBJECTIVES: At the completion of this course, the student should be able to: 1. Identify the major classifications of drugs used in pharmacologic therapy related to patients experiencing infectious processes, metabolic-endocrine, gastrointestinal, nutritional, reproductive immune, and dermatological problems. 2. Identify the most common drugs used in each major classification related to patients experiencing infectious processes, metabolic-endocrine, gastrointestinal, nutritional, reproductive, immune, and dermatological problems. 3. Discuss the physiologic mechanism of action of common drugs used in the treatment of patients experiencing infectious processes, metabolic-endocrine, gastrointestinal, nutritional, reproductive, immune, and dermatological problems. 4. Identify and describe the desired therapeutic effect of common drugs used in the treatment of patients experiencing infectious processes, metabolic-endocrine, 5. Identify nursing considerations specific to common drugs used in the treatment of patients experiencing infectious processes, metabolic-endocrine, gastrointestinal, nutritional, reproductive, immune, and dermatological problems. 6. Identify the expected dose range and route of administration of common drugs used in the treatment of patients experiencing infectious processes, metabolic-endocrine, 7. Identify contraindications of common drugs used in the treatment of patients experiencing infectious processes, metabolic-endocrine, gastrointestinal, nutritional, reproductive, immune, and dermatological problems. 8. Discuss expected side effects and/or adverse effects of common drugs used in the treatment of patients experiencing infectious processes, metabolic-endocrine, 9. Identify important patient education needed in administering common drugs used in the treatment of patients experiencing infectious processes, metabolic-endocrine, 10. Demonstrate accuracy in the calculation of drug dosage IV drip delivery rates and infusion rates of IV push drugs in the treatment of patients experiencing infectious processes, metabolic-endocrine, gastrointestinal, nutritional, reproductive, immune, and dermatological problems.

2 11. Identify major incompatibilities of IV drugs in the treatment of patients experiencing infectious processes, metabolic-endocrine, gastrointestinal, nutritional, reproductive, immune, and dermatological problems. 12. Describe the safe and accurate administration of blood transfusions Describe the safe and accurate administration of hyperalimentation and other nutritive products. 14. Compare and contrast various central intravenous catheters. 15. Identify relevant federal and state regulations related to medication administration, including the Nurse Practice Act. COURSE OUTLINE: Pharmacology 2 Course Outline: Part Time Date Time Chapter Topic January p.m. Chapters 7, 8, 9 Medications used to treat infections January 24 January 31 February p.m. 6-8 p.m. 6-8 p.m. Chapters 7, 8, 9, 21, 22 Chapters 23, 24, 25, 26 7, 8, 9, Chapters 35, 36 Medications used to treat infections Medications used to treat anemias and hyperlipidemia Nutritive Agents Medications used to treat gastrointestinal disorders Exam #I Lecture: Medications used to treat Endocrine Disorders February p.m. 35, 36 Medications used to treat Endocrine Disorders March p.m. Chapters 37, 38 Medications used to treat the Reproductive System March p.m. Chapters 39, 40 March p.m. Chapters April p.m. Pharmacology Exam II Medications affecting Immunity Medications used to treat Dermatological Conditions

3 3 Pharmacology 2 Course Outline: Full Time Date Time Chapter Topic January 17 10:30-11:30 a.m. Chapters 7, 8, 9 Medications used to treat Infections January 24 10:30-11:30 a.m. Chapters 7, 8, 9 Medications used to treat Infections January 31 10:30-11:30 a.m. Chapters 7, 8, 9 Medications used to treat Infections February 21 10:30-11:30 a.m. Chapters 21, 22 ***February 26 Monday February 28 ***March 5 Monday 10:30-11:30 a.m. 10:30-11:30 a.m. 10:30-11:30 a.m. Chapters 23, 24, 25, 26 Chapters 24, 25, 26 Chapters 24, 25, 26 March 7 10:30-11:30 a.m. 7, 8, 9, Exam #1 Medications used to treat Anemias and Hyperlipidemia Nutritive Agents Medications used to treat Gastrointestinal Disorders Medications used to treat Gastrointestinal Disorders Medications used to treat Gastrointestinal Disorders March 21 10:30-11:30 a.m. Chapters 35, 36 Medications used to treat Endocrine Disorders March 28 10:30-11:30 a.m. Chapters 35, 36 Medications used to treat Endocrine Disorders April 11 10:30-11:30 a.m. Chapters 35, 36 Medications used to treat Endocrine Disorders April 18 10:30-11:30 a.m. Chapters 37, 38 Medications used to treat the Reproductive System April 25 10:30-11:30 a.m. Chapters 37, 38 Medications used to treat the Reproductive System May 2 10:30-11:30 a.m. Chapters 39, 40 May 9 10:30-11:30 a.m. Chapters 40, 43 COURSE REQUIREMENTS: A. Theory Requirements Medications affecting Immunity Medications used to treat Dermatological Conditions Exam #2 to be given during Finals Week No Cellular Phones. Turn off all cell phones before entering the classroom or lab. If you are in an employment situation that requires emergency contact, please put your phone on vibration mode. The ringing of phones, especially those with musical tones, is disruptive to the class. If your phone rings, leave the classroom or laboratory until the next break. Class Attendance. Students are expected to attend all classes. Students who are absent for 2 or more consecutive Pharmacology classes or miss 4 or more classes throughout the semester will be considered not attending and receive a failing grade for ADN 231. Students who are absent from class will be required to make up class with computer time in the area of pharmacology. A list of approved computer make-up programs and assignments will be provided by the instructor. One (1) make-up hour will be required for each one (1) hour of class time missed. ERI RN CAP Pharmacology Exam. Students will take the ERI RN CAP Pharmacology Exam as a diagnostic test at the beginning of this class. The exam will be used to identify the student s strengths and weaknesses to develop an educational plan to increase the student s knowledge of pharmacology therapy.

4 Students will be given the ERI RN CAP Pharmacology Exam again at the end of the next pharmacology course, ADN Pharmacology II, and are expected to achieve a score at the national average. 4 Students who do not make the minimum composite score at the national average or greater will receive an incomplete for ADN 231 Pharmacology II. The student should review their scores and seek remediation in those areas that are below the required standard. Students who do not meet the above standard will have 2 more opportunities to pass the ER Pharmacology RN Exam. The second time the student will be allowed to take the exam is one (1) week after the initial test. If a third attempt to pass the Pharmacology RN Exam is required, the student must take it by august 8, If the student on the third attempt does not meet the standard of 3 points above the national average, then the student will receive a failing grade (E) for ADN 231 Pharmacology II. Blackboard and ERI Website. Students are required to register on the Blackboard and ERI website as supplements to this course. It is best to use Internet Explorer 6 for Blackboard. Blackboard Select: Distance Learning Select: Blackboard Select: Blackboard Login Logon Select: Courses Select: Course Catalog Select: Nursing Select: ADN Advanced Pharmacology II Select: Enroll PowerPoint slides will be available to you on the Blackboard website. Students are not to print PowerPoint handouts on the ADN Lab (G211) printer or in the Career Assistance Lab (room 238). Students are to print their material either from their personal printer or use the printers located in the JALC Library. ERI Website Select: Registration Establish: your username and password School Code: YIL017 Fill: in blank fields Type: your address Select: Submit Academic Honesty. Individuals are expected to demonstrate integrity in their academic endeavors throughout their college careers. Practices such as cheating on examinations, plagiarism, fraud, misrepresentation or falsification of data, theft, destruction of examinations or papers, alteration of records and/or communication of examination questions and other acts of academic dishonesty are not acceptable behavior. Any of these practices will result in failure of the course and may result in dismissal from the Nursing Program for 1 year. Application procedure for re-entry will then be required. Professional Behavior. Students are expected to conduct themselves in a professional manner in the classroom setting that is conducive to a learning environment. Medication errors are the number one cause of errors in hospitals. The study of pharmacology is an important aspect of nursing and the student should strive to obtain as much knowledge as they can about pharmacology. Drugs not only can cause side effects, but in some cases may severely harm patients when not given at its proper time, location, dose, route and patient. Therefore, the student should strive for maximum effort in understanding pharmacology. A minimum of 75% must be maintained in this course. Less than a 75% is a failing grade. If students are not comprehending course information or are concerned about their progress in the class, it is the responsibility of the student to keep the instructor informed. The use of a calculator is strongly encouraged and will be permitted on all quizzes and exams.

5 5 B. Lab Requirements A concurrent lab experience is required. These labs will provide an opportunity to integrate theory with practice and refine psychomotor skills. Topics will include, but not be limited to the following: blood product administration, IV therapy management and patient controlled analgesia set up and management. A list of reading assignments and lab activities will be provided within the first 2 weeks of class. There are no make-ups for missed labs. Labs will be held in G211 on: Full Time: April 12, 8-4 p.m. April 19, 8-4 p.m. Part Time: March 22, 8-4 p.m. April 26, 8-4 p.m. Student Success Center. Tutors may be obtained through the Student Success Center. Contact the staff in C219 if this service is desired. John A. Logan College will make reasonable accommodations for students with documented disabilities under Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of Any student with a disability that may have some impact on work in this class, who feels she/he needs an accommodation, should make an appointment with the Coordinator of Services for Students with Disabilities on campus, Jennifer Frost, Room C219B, Ext Before services can be provided, this advisor must determine eligibility and arrange appropriate academic adjustments. It is the student=s responsibility to register in advance of a school term with this office and to turn in a schedule each term to ensure that there is every opportunity for success in this class. English Writing Center/Tutoring. For assistance with writing assignments in any college course, students are encouraged to visit The Write Place in Room E109. English instructors are available for one-on-one tutoring each semester during hours posted at the center. Financial Aid. Students who receive financial assistance and completely withdraw from classes prior to 60% of the semester being completed (approximately 2-3 weeks after midterm) could be responsible to return a portion of their Federal Pell Grant award. Prior to withdrawing from courses, students should contact the Financial Aid Office. Course Withdrawal Information. It is expected that you will attend this class regularly. If you stop attending for any reason, you should contact your advisor and withdraw officially to avoid the posting of a failing grade (an E) to your transcript. It is also advisable to discuss the situation with your instructor before dropping. METHODS OF EVALUATION: Exams, Case Studies, Class and Lab Participation, Lab Assignments ADN 231 Pharmacology II is a Pass/Fail class. There will be two exams. Students must receive a minimum of 75% on each exam in order to pass. Grading Scale Pass = 75% or more Fail = 74% or more The final grade for ADN 231 Pharmacology II will be computed and assigned only if: 1. Students attend all Labs and meet course attendance requirements as specified in syllabus. 2. Class and Lab assignments are completed. 3. Class computer make up assignments are turned in by the end of the semester. 4. All educational contracts have been completed for ADN 231.

6 6 METHODS OF PRESENTATION: Lecture, class discussion, PowerPoint presentations, applicable handouts, computerized instruction, pharmacological websites, Education Resources, Inc. website, Educational Resources, Inc. pharmacologic audio remediation, medication videos, chalkboard, case studies, professional nursing journal, newspaper articles, and Blackboard. TEXT: Required Texts Broyles, B., Reiss, B., Evans, M. (2007) Pharmacological Aspects of Nursing Care. (7 th edition). Clifton Park, NY: Delmar. Otto, S. (2005) Pocket Guide Series: Infusion Therapy. (5 th edition). St. Louis: Mosby, Inc. Recommended Texts LeMone, P. and Burke, K. M. (2004) Medical Surgical Nursing: Critical Thinking in Client Care. (3 rd edition) Menlo Park: Prentiss Hall. Pagana, J., Pagana, D. & Pagana, T. (2006) Diagnostic and Laboratory Test Reference (7 th edition) St. Louis: Mosby. Deglin, J. H. and Vallerand, A. H. (2006) Davis Drug Guide for Nurses (10 th edition) Philadelphia: F. A. Davis Company. DISCLAIMER: The purpose of this class is to provide the student nurse with a better understanding of the purpose, action and rationale of medications that are being administered in the clinical setting. The nursing student can gather more comprehensive information on specific drugs by referring to the drug s pharmaceutical insert or the Physician s Desk Reference (PDR). However, at no time is this class, medication administration inserts, PDR, journal articles, etc., to be used for self-medication or in the advising of medication therapy to other individuals which is outside the parameters of the nursing profession. The student and/or any other individual are to always seek their own professional health care provider for all medication prescription, information and advice. INSTRUCTOR: Theory: Leslie Bertolini, RN, MSN Office: G218D Phone: , Ext Home phone: Lab DATE: Spring, 2007 Leslie Bertolini, RN, MSN Donna Farris, RN, MSN Barbara Patchett, RN, MSN, PhD Susan Winters, RN, MS, PhD

7 7 John A. Logan College Telephone Numbers Carterville and Williamson County (operator) (direct extension access) Carbondale and Jackson County (operator) (direct extension access) Du Quoin West Frankfort Crab Orchard, Gorham, & Trico areas TTY (hearing-impaired access) John A. Logan College does not discriminate on the basis of race, religion, color, national origin, disability, age, or gender d

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