Introduction to: Pharmacology VN 225

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Introduction toPharmacology VN 225 ADN 225

• Instructor Cynthia Bartlau, RN, PHN, MSN
• cbartlau_at_lbcc.edu
• 562-938-3038

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Course Description

• 3 unit lecture (letter grade)
• Introduction to pharmacology
• Drug classification according to body systems
• Principles of drug
• Actions interactions (therapeutic
  undesirable)
• Nursing responsibilities
• Emphasis on drug classifications

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Course Description (cont.)

• Math skills for calculation of drug dosages
  (Technology Center in MM building may be used for
  math tutoring)

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Course Description (cont.)

• Required
• Course syllabus
• Text Roach, S. Scherer, J. (2000).
  Introductory Clinical Pharmacology (6th ed.).
  Philadelphia Lippincott.

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Course Description (cont.)

• Recommended
• Curren Munday (2000). Math for Meds (8th ed.).
  Walcor Publisher.
• Degler, J. H. Vallerand, A. H. (2007). Daviss
  Drug Guide for Nurses (10th ed.). Philadelphia
  F. A. Davis Company.

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Methods of Instruction

• Lecture using PPT presentation
• Group discussion
• Computer assisted learning
• Independent/group learning
• Tutorial services

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Quiz Standards

• Quizzes final exam will begin on time
• You must be at your desk ready (or you will be
  using your own test time)
• You will be provided 1 - 1.5 minutes per test
  question (I will let you know at the beginning of
  the test how much time is allotted)
• Persons requiring extra time for tests must bring
  a DSP form
• All personal items are to be deposited at a
  prescribed area before the test will begin
  nothing but pencil scantron
• All required information must be completed on
  scantron for full credit
• You are required to double check scantron for
  completion of all questions (once test is turned
  in you may not request your test be returned)
• If you are caught looking at another persons
  quiz, using notes, or any other form of cheating,
  you will receive a 0 grade and the VN
  Department Head will be notified (see VN
  handbook)

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Grading

• 12 quizzes x 25 pts 300 pts
• Final exam 100 pts
• Pass 1 of 3 dosage calculation tests with 86
• 3 attempts offered
• At 3rd fail, student will be dropped from course
• Must be passed irrespective of theory grade or
  extra credit points
• Total point structure subject to change

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Grading (cont.)

• A 91 100 of total points available
• B 84 90
• C 75 83
• D lt 74
• Extra Credit
• 10 points for minimum of 10 drug cards from 10
  different classifications (if not completed
  according to direction, 0 points or partial
  points at discretion of instructor - awarded)

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Drug Card Requirements

• Use Daviss Drug Guide for Nurses for Reference
• 4 X 6 Index Cards
• Trade-Generic Names Classification
• Indication(s) for use
• Action
• Contraindications
• Route Dosage (for adult not IV dosage)
• Adverse Reactions/Side Effects (significant not
  all)
• Nursing Implication
• Assessment
• Teaching
• Evaluation

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• Drug nitroglycerin (Nitro-Bid, Nitrostat)
• Classification antianginal, nitrate
• Indication acute long-term management of
  angina pectoris controlled hypotension during
  surg tx of CHF (unlabeled use)
• Action Relaxes smooth muscles, dilates
  arterioles capillaries
• Contraindication hypersensitivity, severe
  anemia, pericardial tamponade, constrictive
  pericarditis, ETOH intolerance
• Side Effects Toxicities Headache with
  throbbing, dizziness, weakness, blurred vision,
  dry mouth, tachycardia, postural hypotension
• Route Sublingual, topical, by mouth (PO), or IV
• Dosage Sublingual, one tablet under tongue or in
  buccal pouch, may be repeated x3 if necessary
  timed-release capsule, two or three times a day
  at 8-12hr intervals ointment, apply to any
  convenient skin area spread in thin, uniform
  layer 1-2 inches, may be applied every 3-4 h PRN
• Nursing Implications Assessment pain, P BP
  before after administration. Implementation
  do not crush sustained release tabs SL buccal
  to be held until dissolved rotate topical sites
  remove patches before cardioversion or
  defibrillation. Patient/family teaching take as
  directed go to ER if 3 doses in 15 minutes are
  ineffective severe headache may occur flushing,
  dizziness, or weakness is usually transient if
  blurred vision or dry mouth occurs, discontinue
  use change position slowly avoid ETOH do not
  expose tabs to air, moisture, light, or heat.
  Evaluation decreased angina.

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• EXAMPLE
• Tagamet cimetidine Anti-ulcer
• INDICATIONS Treatment of active duodenal ulcers.
  Prophylaxis of duodenal ulcers.
• ACTION Inhibits gastric acid secretion
• ROUTE DOSAGE 300 mg QID/Q6h PO/IM
• CONTRAINDICATIONS Hypersensitivity
• ADVERSE REACTIONS Confusion, dizziness,
  drowsiness, nausea, agranulocytosis, aplastic
  anemia
• NURSING IMPLICATIONS Assessment monitor for
  abdominal pain, frank or occult blood in
  stool/emesis. Monitor for confusion, especially
  in the elderly, check CBC Teaching Smoking
  interferes with cimetidine action. Encourage
  patient to quit smoking. Caution patient to avoid
  activities requiring alertness. Avoid alcohol
  meds that may increase gastric irritation. Pt. to
  report black stools, confusion to Dr. Evaluation
  Decrease in abdominal pain or prevention of
  gastric irritation bleeding. Decreased sx of
  esophageal reflux

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Course Calendar

• Monday afternoons 1500-1815
• August 20 December 17, 2007
• See handout for subject matter and test dates

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Classroom Standards

• Cell phones silenced please!
• (All socialization is to be done on your time
  not ours)
• Water only in classroom
• Raise hand for questions
• No tardiness
• Tidy area before leaving
• Office hours /or tutor times will be provided
• You are only responsible for your own behavior
• Be the best student you can possibly be

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Questions???