Health Careers. Course Syllabus and Outline. PHARMACOLOGY FOR NURSES Nursing 220 ONLINE COURSE

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1 HACC Central Pennsylvania s Community College Health Careers Course Syllabus and Outline PHARMACOLOGY FOR NURSES Nursing 220 ONLINE COURSE Professor: Margaret Gingrich

2 I. Course Pharmacology for Nurses; CRN: A. Credit Allotment 3 credit hours. No laboratory B. Catalog Description An introduction to the concepts of pharmacology and how they relate to the safe administration of drugs. Emphasis will be placed upon the study of drug classifications, their actions and side effects. A special focus will be placed upon the nursing implications and pharmacokinetics of drug classifications. Prerequisites: Completion of Nursing 140 and 141 with a grade of C or better or the completion of an RN or an LPN program. C. Course Overview The course focuses on the study of drugs and how they interact with the human body. Much of the focus will be on the nursing implications and responsibilities related to administration and evaluation of drugs. This course is formatted as an online class. You will have time limits in which to complete scheduled exams and to complete the course. It is formatted to be self-directed, along with one on one mentoring from faculty. The study of drugs is a fascinating science. Along with readings from the text, you will be challenged and stimulated to apply the theory to actual settings. You will learn to apply the theoretical knowledge to the clinical setting. Students are encouraged to submit questions and discuss topics presented in the lessons. The course is appropriate for undergraduate nursing students in an AD or BSN program. D. Instructor Contact information The student will contact the instructor through D2L for most communications. Questions received by will be answered within two business days; however, I will make every effort to answer you within twenty four hours. Outside of D2L, I can be reached at HYPERLINK "mailto:mmgingri@hacc.edu" mmgingri@hacc.edu. Or my office phone: Please note I am in the hospital clinical setting on most Tuesdays and Thursdays so if a message is left on my office phone on those days, I will not be responding to it until the following day. E. Discrimination Policy The Pennsylvania Human Relations Act ( PHRAct ) prohibits discrimination against prospective and current students because of race, color, sex, religious creed, ancestry, national origin, handicap or disability, record of a handicap or disability, perceived handicap or disability, relationship or association with an individual with a handicap or disability, use of a guide or support animal, and/or handling or training of support or guide animals.

3 The Pennsylvania Fair Educational Opportunities Act ( PFEOAct ) prohibits discrimination against prospective and current students because of race, religion, color, ancestry, national origin, sex, handicap or disability, record of a handicap or disability, perceived handicap or disability, and a relationship or association with an individual with a handicap or disability. Information about these laws may be obtained by visiting the Pennsylvania Human Relations Commission website at www. phrc.state.pa.us. F. EEOC/PHRC Syllabus Requirement STUDENTS IN NEED OF ACCOMMODATIONS: Students with disabilities who are in need of accommodations should contact the campus disability coordinator listed below. Coordinators for each campus are listed here: EEOC POLICY 005: It is the policy of Harrisburg Area Community College, in full accordance with the law, not to discriminate in employment, student admissions, and student services on the basis of race, color, religion, age, political affiliation or belief, gender, national origin, ancestry, disability, place of birth, General Education Development Certification (GED), marital status, sexual orientation, gender identity or expression, veteran status, genetic history/information, or any legally protected classification. HACC recognizes its responsibility to promote the principles of equal opportunity for employment, student admissions, and student services taking active steps to recruit minorities and women. The Pennsylvania Human Relations Act ( PHRAct ) prohibits discrimination against prospective and current students because of race, color, sex, religious creed, ancestry, national origin, handicap or disability, record of a handicap or disability, perceived handicap or disability, relationship or association with an individual with a handicap or disability, use of a guide or support animal, and/or handling or training of support or guide animals. The Pennsylvania Fair Educational Opportunities Act ( PFEOAct ) prohibits discrimination against prospective and current students because of race, religion, color, ancestry, national origin, sex, handicap or disability, record of a handicap or disability, perceived handicap or disability, and a relationship or association with an individual with a handicap or disability. Information about these laws may be obtained by visiting the Pennsylvania Human Relations Commission website at

4 HACC Lebanon Campus and Virtual Learning Deborah Bybee Coordinator, Disability Services 104R 735 Cumberland Street Lebanon, PA Phone: If an accommodation is needed, please contact the disability coordinator for your campus: HACC Gettysburg Campus HACC Harrisburg Campus Peggy Violette - Carole Kerper - Counselor/Disability Services Director, Disability Services G 101I Cooper Old Harrisburg Road One HACC Drive Gettysburg, PA Harrisburg PA Phone: ext Phone: Fax: Fax: HACC Lancaster Campus Vicki Van Hise - Coordinator, Disability Services Main Old Philadelphia Pike Lancaster, PA Phone: Fax: HACC Lebanon Campus Deborah Bybee - Coordinator, Disability Services 104K 735 Cumberland Street Lebanon, PA Phone: HACC York Campus Lori Shoemaker, MSS, LSW - Coordinator, Disability Services Office for Disability Services Phone: ext 3576 Fax:

5 II. Course Objectives At the completion of the course, the student will be able to: Identify basic concepts of pharmacology and common drug terminology; Define the steps involved in administering drugs safely. Explain the pharmacological actions of major drugs used to treat common disease conditions. Identify the commonly used drugs within each Drug Classification. Discuss significant nursing responsibilities for each Drug Classification. Explain methods used for evaluating the efficacy of a drug. III. Textbook Lilley, LL, Collins, SR, et al. (2014). Pharmacology and the Nursing Process. 7 th edition Mosby Elsevier. ISBN: There is a workbook that accompanies this text and I would highly recommend using this if you find you are having a lot of difficulty with the course and/or you would like additional practice. The ISBN for the Workbook is: Your text also contains many online learning resources, including audio glossary, animations, and NCLEX review questions which I urge you to take advantage of. I will not duplicate these in the course since they are already available to you, but I may reference them at times in the supplemental lessons. IV. Policies Academic Dishonesty Academic honesty is one of the fundamental principles upon which the College was founded and upon which it must operate to continue to perform its most important function. Students are expected to be honest in all of their academic endeavors. The College views academic dishonesty as a serious breach of conduct. Depending upon the nature and severity of the dishonesty act, the faculty and the College may discipline a student for verifiable acts of dishonesty occurring in or out of the classroom. This regulation shall be implemented according to procedures and guidelines approved by the President. Attendance Students are responsible for all class-related work and assignments. As an on-line course, you may proceed at your own pace, but will have assignment, posting and test deadlines. Failure to meet the deadlines will result in 0 points for that specific posting, assignment, or test. If two successive tests are missed, the student may be dropped from the course for non-attendance. If you foresee difficulty in completing assignments or tests you need to notify me prior to the deadline. An on-line attendance policy will be posted at the beginning of the course under announcements.

6 Withdrawal Students considering withdrawing from the course may do so following the end of the refund period up to the midpoint of the course as defined in the College calendar. The student must request the withdrawal from the instructor and obtain permission via or obtain the instructors written signature. A grade of W is recorded to indicate the student has withdrawn. In order to be eligible for a W grade, the student must have participated in the course on a consistent basis and has not exhibited any dishonest behavior. From the midpoint of the course through conclusion of the course, which is the last week of classes before finals, the student may receive a grade of W or F, depending on instructor s assessment of the student s performance, which may take into account extenuating circumstances. A W grade will not be granted when the final period commences. Refund policy The last day to withdraw without a grade ends prior to the completion of 20% of the course instructional time. This date also corresponds to the 50% refund deadline for the respective part of the term. For specific dates go to HYPERLINK "javascript:dowindowopen(' menubar=1,toolbar=1,scrollbars=1,status=1,location=1,resizable=1',0)" Student Services Registration, Refunds. Discrimination policy The Pennsylvania Human Relations Act ( PHRAct ) prohibits discrimination against prospective and current students because of race, color, sex, religious creed, ancestry, national origin, handicap or disability, record of a handicap or disability, perceived handicap or disability, relationship or association with an individual with a handicap or disability, use of a guide or support animal, and/or handling or training of support or guide animals. The Pennsylvania Fair Educational Opportunities Act ( PFEOAct ) prohibits discrimination against prospective and current students because of race, religion, color, ancestry, national origin, sex, handicap or disability, record of a handicap or disability, perceived handicap or disability, and a relationship or association with an individual with a handicap or disability. Information about these laws may be obtained by visiting the Pennsylvania Human Relations Commission website at www. phrc.state.pa.us. Students with a documented disability that will require accommodations in the

7 course, please note the following: It is the students sole responsibility to present his/her accommodation letter to the instructor unless the student specifically requests, in writing or via , that ODS, Office of Disability Services, assist the student in notifying his/her instructor. V. Grading A letter grade will be given based on points accumulated. Tests will be given on a bi-weekly basis for a total of 5 tests in addition to a cumulative final. All tests will be given online at home. You will not need a proctor for these tests. The tests will be timed and will be available to take on designated dates (you will be notified of release dates for the tests and final). Discussion postings Topics for discussion will be posted every week. You will be required to respond to these in order to earn the points allocated to the postings. This will also provide an avenue for you discuss the current content with fellow classmates. In addition to your own posting, you are required to respond to at least one other response of a classmate in order to earn the full points. Topics will be available for discussion for one week. Responses to the topic must be made during the week of the posting. These dates will be noted within the class calendar. Bonus points In addition to these postings, I will occasionally offer pharmacology challenges, for which bonus points are given. These will be provided in my supplemental lessons and should only be answered via private mail. These must be submitted within the time frame for each quiz. For example, the first exam covers weeks 1,2 and 3, so any challenges that are provided in those weeks must be submitted by the end date for exam 1. Assignments Assignments, which correspond to the current content, will be given every week. These will involve short exercises involving selected drugs or brief essays to explain understanding of a given topic. As opposed to the discussion topics, these will only be submitted to the instructor and not shared with the entire class. Completion of assignments will also be part of the total points for the course. Plagiarism With the ease of access to content on line, google, etc., copying and pasting has become increasingly popular, but this is a form of plagiarism. Assignments and discussions are meant to be thought provoking and an expression of your own work. Although you may need to research information prior to answering some of the assignments, you need to put

8 the information in your own words and context. It is okay to reference a site utilized, but your answer needs to reflect your understanding of the material, and often, in the case of assignments, reflect your understanding of the application of the material. Late work All assignments, discussion postings, and exams will be listed in the calendar with corresponding dates of availability. Points will not be given for lateness of assignments and discussion postings. When the availability period for an exam is expired, the exam cannot be accessed. Make-up work or alternate times for exams may be given at the discretion of the instructor, provided arrangements are made prior to the scheduled exam or assignment. Cumulative Grading for the Course Point value Exams (50 points each) Final Discussion Postings Assignments A = points B = points C = points D = points Note: these points correspond to the following percentages: A = % B = 84-92% C = 75-83% D = 67-74% 540 VI. Examinations All exams and the final will be a combination of multiple choice, true and false, matching and short answer items. All exams will be provided on-line. Each exam will be available to take for a selected time period, which is usually 3 days. I have included a combination of a week-end and week days on most of the exams in an effort to accommodate the various schedules of students taking on-line courses. These time periods are noted below as well as in the course calendar.

9 Make up exams, if necessary, will be determined on an individual basis. Please communicate any concerns that may arise with the instructor prior to the exam! Exam 1 includes the content covered in Weeks 1and 2. It will be available 2/01/15 through 2/03/15 Exam 2 includes the content covered in Weeks 3 and 4. It will be available 1/15/15 through 2/17/15. Exam 3 includes the content covered in Weeks 5and 6. It will be available 3/01/15 through 3/03/15. Exam 4 includes the content covered in Weeks 7,8 and 9. It will be available 3/29/15 through 3/31/15. Exam 5 includes the content covered in Weeks 10 and 11. It will be available 4/12/15 through 4/14/15. Exam 6 includes the content covered in Weeks 12, 13, and 14. It will be available 5/03/15 through 5/05/15. Final - Cumulative will be available 5/06/15 through /5/08/15. The exams will be available at 0000 (midnight) of the starting date and end at 2355 (11:55pm) of the last available date. Exams may be adjusted as needed. You will be notified of any changes in content. A calendar with all appropriate/ significant dates for the semester will be posted once the course begins. Instructor information I have been teaching pharmacology for several years and I find the content to be absolutely fascinating. It is always amazing to learn how a drug is altering or affecting the physiology of the human body. Many drugs have very interesting histories as well and I will try to share those facts with you. I can only hope that some of my excitement will be contagious. It is a subject matter that is also constantly changing as new drugs are developed every day and so the content should never be boring. Please review the attendance and withdrawal policies noted previously. Should you encounter personal or otherwise difficulties and need an extension on an exam or assignment, I encourage you keep communication open with me and inform me of problems as soon as possible.

10 Pharmacology for Nurses Topical Outline * DATE TOPIC TEXT Weeks 1 and 2 January 20 February 1 UNIT I Concepts of Pharmacology 1. Drug Sources Pharmacognosy Chapter 2 2. Drug names 3 Drug Preparations and pharmaceutics 4. Drug Classifications and Legislation 5. Principles of Drug Action Chapter 4 Chapter 2 Pharmacokinetics Pharmacodynamics Pharmacotherapeutics pp pp pp

11 DATE Week 1 and 2 continued TOPIC UNIT II Principles of Drug Administration 1. Routes of Administration TEXT Chapter 2 2. Nursing Process a. Implications for Teaching Chapter 1 3. Implications for Pediatrics and Geriatrics Chapter 3 4. Psychosocial, Gender and Culture Chapter 4 5. Herbal and Alternative Therapies Chapter 8 6. Reduction of Medication Errors Chapter 6

12 DATE TOPIC TEXT WEEK 3 February 2-8 UNIT III Drugs Affecting the Autonomic Nervous System I. Overview of A & P A. Sympathetic Nervous System 1. Adrenergic Agents (agonists) 2. Adrenergic Blocking Agents (antagonists) a. Alpha blockers b. Beta blockers B. Parasympathetic Nervous System 1. Cholinergic Agents (agonists) 2. Cholinergic Blocking Agents (antagonists) Chapter 18 Chapter 19 Chapter 20 Chapter 21 Week 4 February 9-15 UNIT IV Drugs Affecting the Central Nervous System Overview of Central Nervous System A. Analgesics B. Anesthetics Chapter 10 Chapter 11

13 DATE TOPIC TEXT Unit IV (Central Nervous System continued) Week 5 February C. Treatment of Emotional and Mood Disorders, Psychoses 1. Anxiety and Insomnia 2. Depression and Bipolar disorder Chapter12, Psychoses Chapter 16 Week 6 February 23 March 1 D. Treatment of Seizures and Degenerative Diseases 1. Seizures 2. Parkinson s Disease 3. Alzheimer s Disease Chapter 14 Chapter 15 Chapter 20

14 DATE TOPIC TOPIC TOPIC TEXT Week 7 March 2-8 UNIT V Cardiovascular System Overview of A & P A. Cardiac Stimulants and Depressants Chapters 24,25 Note: Midterm Break is the week of March 8-15 B. Antihypertensives 1. ACE Inhibitors 2. Angiotensin Receptor Antagonists Chapter Beta Blockers 4. Calcium Channel Blockers 5. Alpha Antagonists 6. Central Acting Antagonists 7. Peripheral Acting Adrenergic Agents 8. Diuretics Chapter 28 Week 8 March C. Vasodilators 1. Nitrates 2. Peripheral Agents D. Coagulation Modifying Agents 1. Hemostatics 2. Anticoagulants 3. Antiplatelets 4. Fibrinolytics Chapter 23 Chapter 26

15 DATE TOPIC TEXT Week 9 March E. Treatment of Anemias 1. Hematinics F. Treatment of Hyperlipidemia 1. HMG COA Reductase Inhibitors 2. Bile Acid Sequestrants 3. Fibric Acid Derivatives 4. Niacin Chapter 54 Chapter 27 DATE TOPIC TEXT Week 10 March 30 April 6 UNIT VI GI System Overview of A & P A. Treatment of gastric hyperacidity and gastric motility B. Treatment of constipation and diarrhea C. Emetics and Antiemetics Chapter 50 Chapter 51 Chapter 52

16 DATE TOPIC TEXT Unit VI (Continued) Week 10 cont. Respiratory System Overview of A & P Chapters 36,37 A. Bronchodilators 1. Sympathomimetic Agents 2. Methylxanthines 3. Anticholinergics 4. Leukotriene Receptor antagonists 5. Combination Products B. Respiratory Antiinflammatory Agents C. Mucokinetic Agents 1. Expectorants 2. Mucolytics D. Cough Preparations 1. Antitussives E. Allergy and Cold Preparations 1. Antihistamines

17 2. Decongestants 3. Combination Products DATE TOPIC TEXT Week 11 UNIT VII April 6-12 Renal and Urinary System Overview of A & P A. Diuretics 1. Carbonic Anhydrase Inhibitors Chapter Methylxanthines 3. Loops 4. Thiazide 5. Potassium Sparing 6. Osmotic 7. Indolines 8. Combination B. Uricosurics Chapter 44

18 DATE TOPIC TEXT UNIT VIII Endocrine System Week 12 April Overview of A & P A. Thyroid medications B. Treatment of diabetes mellitus C. Adrenal steroids Chapter 31 Chapter 32 Chapter 33

19 DATE TOPIC TEXT UNIT IX Weeks 13 and 14 April 20 May 5 Anti-infectives Overview of microbial sources A. Antibacterial agents B. Antiviral agents C. Antitubercular agents D. Antifungal agents E. Antiparasitic and antimalarial agents Chapters 38,39 Chapter 40 Chapter 41 Chapter 42 Chapter 43

20 Finals Week Final exam available April 6-8, 2015 * Subject to change