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Saint Louis University

School of Nursing
Baguio City

DOCUMENT: COURSE SYLLABUS SUBJECT: PHARMACOLOGY IN NURSING Page 1 of 15


SUBJECT CODE: CN - 103
DOCUMENT NO: 1 SEMESTER Summer Number of Units: 3 units
DATE OF SUBMISSION: 15 JULY 2014 SCHOOL YEAR: 2015 Time Allotment: 3 hours a week

VISION MISSION STATEMENT:


The School envisions itself as the seat of excellence in Nursing Education that is dynamic and guided by Christ-like way of living producing locally
responsive, globally competitive and value-laden nurses in service of humanity.

OBJECTIVES OF THE SCHOOL:


Christian Spirit
To develop the personal qualities that would enable the faculty, staff and students to live a wholesome, satisfying life as a Christian and instill
the values of humanitarian dedication.
Creativity
To prepare its graduates for the practice of the nursing profession in various settings by developing their critical thinking skills, innovative
potentials and research competencies so that they can adapt to real life situations.
Competence
To provide a comprehensive education necessary for cultivating the professional core competencies of a Filipino nurse.
Social Involvement
To harness the expertise and resources of the School in rendering participative and developmental services towards the improvement of the
quality of life of its clientele.

COURSE TITLE: Pharmacology in Nursing

COURSE DESCRIPTION: This course focus on concepts and responsibilities of a nurse in drug therapy to achieve quality health care. This course begins the
student nurses education on the concepts of pharmacotherapeutics, establishing a knowledge base that applies patient care and education.

PREREQUISITE/S: Anatomy and Physiology, Fundamentals in Nursing, Algebra


GENERAL OBJECTIVES: At the end of the semester, the learner will have acquired broad concepts in pharmacology in nursing. The learner is expected to have
acquired the knowledge, skills and attitudes necessary in the care of clients by using the nursing process, integrating the nursing theories, key areas of
responsibility and incorporating evidenced based practice.

COURSE OBJECTIVES: At the end of the course, the learner will be able to:
a. Apply knowledge of physical, social, natural and health sciences and humanities in the practice of pharmacology in nursing.

b. Provide safe, appropriate and holistic care in nursing to individuals, families, population group and community utilizing nursing process with pharmacology in
nursing.

c. Apply guidelines and principles of evidence-based practice in the delivery of care in nursing for clients with pharmacology in nursing.

d. Practice nursing in accordance with existing laws, legal, ethical and moral principles.

e. Communicate effectively in speaking, writing and presenting using culturally-appropriate language.

f. Report and document up-to-date client care in nursing accurately and comprehensively.

g. Work effectively in collaboration with inter-, intra- , and multi-disciplinary and multi-cultural teams.

h. Practice beginning management and leadership skills in the delivery of client care in pharmacology in nursing.

i. Apply the research process in the care of clients using concepts in pharmacology.

j. Engage in lifelong learning with a passion to keep current with national and global developments in general, and nursing and health developments in
pharmacology in nursing.

k. Demonstrate responsible citizenship and pride of being a Filipino Louisian Nurse.

l. Practice nursing based on Standards required of a Beginner/Novice Nurse.


Learning Objectives Competency Performance Content Teaching-Learning Assessment
Indicators Activities Methods

1. State the origin and A. Foundations of


definition of Pharmacology
pharmacology. 1. Definitions, Names,
Standards and Information
2. Explain the meaning of Sources
therapeutic methods.
1.1 Definitions
a. Pharmacology
b. Therapeutic Methods
c. Drug Names
d. Sources of Drug
Standards
e. Sources of Drug
Information

1.2 Drug Legislation


a. Generic Act of 1988
b. The Controlled Drugs and
Substance Act of 1997
c. Federal Food, Drug and
Cosmetic Act of 1962
d. Schedule F Prescription
Drugs
e. Nonprescription Drugs

1.3 New Drug Development


a. Pre-clinical Research and
Development Stage
b. Clinical Research and
Development Stage
1. Identify five basic
principles of drug action. B. Principles of Drug Action
and Drug Interactions
2. Explain nursing 1. Basic Principles
assessments necessary a. Absorption
to evaluate potential b. Distribution
problems associated with c. Metabolism
the absorption of d. Excretion
medications. e. Half-Life

3. Describe nursing 2. Drug Action


interventions that can
enhance drug 3. Variable Factors Influencing
absorption. Drug Action
a. Age
4. List three categories of b. Body weight
drug administration and c. Metabolic Rate
state the routes of d. Illness
administration for each e. Psychological Aspects
category. f. Tolerance
g. Dependence
5. Differentiate between h. Cumulative Effect
general and selective i. Drug Interactions
types of drug distribution
mechanisms.

6. Identify the meaning


and significance to the
nurse of the term half-
life when used in relation
to drug therapy.

1. Discuss the effects of C. Drug Actions Across the


patient age on drug Life Span
action.
1. Changing Drug Action
2. Cite major factors Across the Life Span
associated with drug a. Drug Absorption
absorption, distribution, b. Drug Distribution
metabolism, and c. Drug Metabolism
excretion in the pediatric d. Drug Excretion
and geriatric e. Therapeutic Drug
populations. Monitoring

3. Cite major factors 2. Nursing Implications when


associated with drug Monitoring Drug Therapy
absorption, distribution,
metabolism and
excretion in men and
women.
1. Demonstrate D. Medication Administration
proficiency in performing and Math Review
conversion of medication
problems using the 1. Calculations of Drugs
household and metric a. Household
systems. Measurements
b. Apothecary
2. Memorize the basic Measurements
equivalents of the c. Metric Systems
household and metric d. Conversion of Metric
systems. Units
e. Calculations with Other
3. Use formulas to forms of measure that do not
calculate intravenous require conversion.
fluid and medicine f. Calculation of Intravenous
administration rates. fluid and medication
administration rates.

1. Identify the limitations E. Principles of Medication


relating to medication Administration
administration placed on
registered nurses by the 1. Legal and Ethical
nurse practice act where Considerations
you will be practicing.
2. Patient Charts
2. Apply the policies and a. Contents of Patient
procedures of the Charts
practice setting to b. Kardex Records
identify specific
regulations concerning 3. The Drug Order
medication a. Types of Medication
administration. Orders

3. Identify the basic 4. Medication Errors


categories of information a. Nursing Responsibilities
available in a patients
chart. 5. The Rights of Drug
Administration
4. Describe patients
chart at different 6. Medical Abbreviations
practice settings to
identify the various
formats used to chart
patient data.

5. Identify specific
precautions needed to
ensure that the right
drug is prepared for the
patient.

6. Memorize and recite


standard abbreviations
associated with the
scheduling of
medications.

7. Describe specific
safety precautions the
nurse should follow to
ensure that correct drug
calculations are made.
8. Identify appropriate
nursing actions to
document the
administration and
therapeutic effectiveness
of each medication
administered.

1. Explain the action of *** Discuss drug classification


drugs that inhibit the as to:
actions of the cholinergic > Indication
and adrenergic fibers. >Mechanism of actions
>Therapeutic actions and
2. Review the actions if indications
adrenergic agents to >Pharmacokinetics
identify conditions that >Contraindications and
would be affected precautions
favorably and >Side effects/Adverse effects
unfavorably by these >Clinically important drug
medications. interactions
>Responsibilities with regards
3. List the predictable to nursing process
side effects of
cholinergic, F. Drugs Affecting the
anticholinergic agents. Autonomic Nervous System

4. Differentiate among 1. Drugs Used for Pain


the terms sedative and Management
hypnotic. a. Opiate Agonists
b. Opiate Partial Agonists
5. Cite nursing c. Opiate Antagonists
interventions that can be d. Salicylates
implemented as an e. Nonsteroidal Anti-
alternative to inflammatory Agents
administering a sedative-
hypnotic. 2. The Central and Autonomic
Nervous System
6. Name the action of a. Adrenergic agents
bromocriptine, b. Alpha- and Beta-
carbidopa, levodopa, Adrenergic Blocking Agents
entacapone, and c. Cholinergic Agents
apomorphine on d. Anti-cholinergic Agents
neurotransmitters
involved in Parkinsons 3. Sedative-Hypnotics
disease. a. Barbiturates
b. Benzodiazepines
7. Develop a health c. Nonbarbiturate,
teaching plan for an Nonbenzodiazepine,
individual being treated Sedative-Hypnotic Agents
with levodopa.
4. Drug Therapy for
8. Describe the essential Parkinsons Disease
components of a a. Dopamine Agonist
baseline assessment of a b. COMT Inhibitor
patients mental status. c. Anticholinergic agents

9. Develop a health 5. Drug Therapy for Anxiety


teaching plan for patient Disorders
education of people a. Azaspirones
taking anti-anxiety b. Selective Serotonin
medications. Reuptake Inhibitors

10. Describe signs and 6. Drug Therapy for Seizure


symptoms the patient Disorders
will display when a a. Benzodiazepines
positive therapeutic b. Hydantoins
outcome in being seen c. Succinimides
for the treatment
of a high anxiety state.

11. Cite precautions


needed when
administering phenytoin
and diazepam
intravenously.

12. Develop a teaching


plan for patient
education for people
diagnosed with a seizure
disorder.

13. Identify the


mechanisms of action
thought to control
seizure activity when
anticonvulsant are
administered.

14. Cite the desired


therapeutic outcomes for
seizure disorders.

1. Explain the major G. Antimicrobial Agents


action and effects of
drugs used to treat 1. Drug therapy for Infectious
infections. Disease
2. Identify the baseline a. Aminoglycosides
data the nurse should b. Carbapenems
collect on a continuous c. Cephalosporins
basis for comparison and d. Glycyclines
evaluation of drug e. Ketolides
effectiveness. f. Macrolides
g. Penicillins
3. Identify important h. Quinolones
nursing assessments and i. Stretogramins
interventions associated j. Sulfonamides
with the drug therapy k. Tetracyclines
and treatment of l. Antitubercular Agents
infections. m. Antiviral agents

4. Identify essential 2. Drug Therapy for Urinary


components involved in Tract Infections
planning patient
education that will a. Fosfomycin antibiotics
enhance compliance with b. Quinolone antibiotics
the treatment regimen.

5. Develop a health
teaching plan for an
individual who has
repeated infections.
1. State the oral H. Drugs Affecting
administration Cardiovascular System
instructions for
antilipemic agents. 1. Drugs to Treat
Dyslipidemias
2. Explain the major a. Bile-Acid Binding Resins
action and effects of b. Niacin
drugs used to treat c. HMG-CoA Reductase
cardiovascular diseases. Inhibitors
d. Fibric acids
2. Identify the baseline
data the nurse should 2. Drug Therapy for
collect on a continuous Hypertension
basis for comparison and a. Diuretics
evaluation of drug b. Beta-Adrenergic Blocking
effectiveness. Agents
c. Angiotensin-Converting
3. Identify important Enzyme Inhibitors
nursing assessments and d. Angiotensin II Receptor
interventions associated Blockers
with the drug therapy e. Aldosterone Receptor
and treatment of Antagonist
cardiovascular diseases. f. Calcium ion Antagonist
g. Alpha-1 Adrenergic
4. Identify essential Blocking Agents
components involved in h. Central Acting Alpha-2
planning patient Agonist
education that will i. Peripheral Acting
enhance compliance with Adrenergic Antagonist
the treatment regimen. j. Direct Vasodilators

5. Develop a health 3. Drugs Used to Treat


teaching plan for an Dysrhythmias
individual who has a. Antidysrhythmic agents
cardiovascular diseases. b. Beta-Adrenergic Blocking
Agents

4. Drugs Used to Treat Angina


pectoris
a. Nitrates
b. Beta-Adrenergic Blocking
agents
c. Calcium ion Antagonists
d. Angiotensin-Converting
enzymes
e. Fatty Oxidase Enzyme
Inhibitor

5. Drug Therapy for


Peripheral Vascular
a. Hemorrheologic agent
b. Vasodilators
c. Platelet aggregation
inhibitor

6. Drug Therapy for


Thromboembolic Diseases
a. Platelet Inhibitors
b. Anticoagulants
c. Glycoprotein IIb/IIIa
Inhibitors
d. Fibrinolytic Agents

7. Drug Therapy for Heart


Failure
a. Digitalis Glycosides
b. Phosphodiesterase
Inhibitors
c. Angiotensin-Converting
Enzyme Inhibitors
d. Beta-Adrenergic Blocking
Agents
e. Natriuretic Peptides

8. Drug Therapy with


Diuretics
a. Carbonic Anhydrase
Inhibitor
b. Methylxanthines
c. Loop Diuretics
d. Thiazide Diuretics
e. Potassium-Sparing
Diuretics
f. Combination Diuretic
Products

1. Explain the major I. Drugs Used To treat


action and effects of Disorders of the Respiratory
drugs used to treat System
respiratory diseases.
1. Drug Therapy for Upper
2. Identify the baseline Respiratory Diseases
data the nurse should a. Sympathomimetic
collect on a continuous Decongestants
basis for comparison and b. Antihistamines
evaluation of drug c. Respiratory Anti-
effectiveness. inflammatory Agents

3. Identify important 2. Drug Therapy for Lower


nursing assessments and Respiratory Diseases
interventions associated a. Expectorants
with the drug therapy b. Potassium iodide
and treatment of c. Saline solutions
respiratory diseases. d. Antitussive agents
e. Mucolytic Agents
4. Identify essential f. Beta-Adrenergic
components involved in Bronchodilating Agents
planning patient g. Anticholinergic
education that will Bronchodilating Agents
enhance compliance with h. Xanthine-derivative
the treatment regimen. Bronchodilating Agents
i. Antileukotriene Agents
5. Develop a health j. Immunomodulator Agents
teaching plan for an
individual who has
respiratory diseases.
1. Explain the major J. Drugs Affecting the
action and effects of Digestive System
drugs used to treat
digestive system 1. Drug Therapy for
disorders. Gastroesophageal Refluc and
Acid-Related Disorders
2. Identify the baseline a. Antacids
data the nurse should b. Histamine (H2) Receptor
collect on a continuous Antagonist
basis for comparison and c. Gastrointestinal
evaluation of drug Prostaglandins
effectiveness. d. Proton Pump Inhibitors
e. Coating Agents
3. Identify important f. Prokinetic Agents
nursing assessments and g. Antispasmodic Agents
interventions associated
with the drug therapy 2. Drug Therapy for Selected
and treatment of Causes of Nausea and
digestive system Vomiting
disorders. a. Dopamine Antagonist
b. Serotonin Antagonist
4. Identify essential c. Anticholinergic agents
components involved in d. Corticosteroids
planning patient e. Benzodiazepines
education that will f. Cannabinoids
enhance compliance with g. Neurokinin-1 Receptor
the treatment regimen. Antagonist

5. Develop a health 3. Drugs Used To Treat


teaching plan for an Constipation and Diarrhea
individual who has a. Laxatives
digestive system b. Antidiarrheal agents
disorders.
1. Explain the major K. Drugs Affecting the
action and effects of Endocrine System
drugs used to treat
endocrine system 1. Drug Therapy for Diabetes
disorders. Mellitus
a. Insulins
2. Identify the baseline b. Biguanide Oral
data the nurse should Antidiabetic Agents
collect on a continuous c. Sulfonylurea Oral
basis for comparison and Hypoglycemic Agents
evaluation of drug d. Meglitinide Oral
effectiveness. Hypoglycemic Agents
e. Thiazolidinedione Oral
3. Identify important Antidiabetic Agents
nursing assessments and f. Alpha-Glucosidase
interventions associated Inhibitor Agents
with the drug therapy g. Incretin-Mimetic Agent
and treatment of h. Amylinomimetic Agent
endocrine system i. Antihypoglycemic Agents
disorders.
4. Identify essential 2. Drug Therapy for Thyroid
components involved in Diseases
planning patient a. Thyroid Replacement
education that will Hormones
enhance compliance with b. Antithyroid Medicines
the treatment regimen.
3. Drug Therapy with
5. Develop a health Corticosteroids
teaching plan for an a. Mineralocorticoids
individual who has b. Glucocorticoids
endocrine system
disorders.
1. Explain the major L. Drugs Affecting Other Body
action and effects of Systems
drugs used to treat eye,
ear and muscle disorders 1. Drug Therapy for Glaucoma
a. Osmotic Agents
2. Identify the baseline b. Carbonic Anhydrase
data the nurse should Inhibitors
collect on a continuous c. Cholinergic Agents
basis for comparison and d. Cholinesterase Inhibitors
evaluation of drug e. Adrenergic Agents
effectiveness. f. Beta-Adrenergic Blocking
Agents
3. Identify important g. Prostaglandin Agonists
nursing assessments and
interventions associated 2. Drug Therapy Other
with the drug therapy Ophthalmic Agents
and treatment eye, ear a. Anti-cholinergic agents
and muscle disorders. b. Antifungal Agents
c. Antiviral Agents
4. Identify essential d. Antibacterial agents
components involved in e. Corticosteroids
planning patient f. Ophthalmic anti-
education that will inflammatory agents
enhance compliance with g. Antihistamines
the treatment regimen. h. Anti-allergic agents
i. Sodium fluorescein
5. Develop a health j. Artificial Tear Solutions
teaching plan for an k. Ophthalmic Irrigants
individual who has eye, l. Vascular endothelial
ear and muscle growth factor antagonists
disorders.
3. Drug Therapy for Muscle
Disorders
a. Centrally acting skeletal
muscle Relaxants
b. Direct-Acting Skeletal
Muscle Relaxant
c. Neuromuscular Blocking
Agents

PREPARED BY: REVIEWED BY: APPROVED BY:

FLORENCE L PULIDO, RN, MN CHERYLL BANDAAY, RN, MSN DR MARY GRACE C LACANARIA
Clinical Instructor Department Head Level 2 Dean SLU-SON

REFERENCES: