King Saud bin Abdul-Aziz University for Health Sciences

College of Nursing

CLINICAL PHARMACOLOGY
ASSIGNMENT PART- 2 (COVER SHEET)

Course: Clinical Pharmacology (NURS 314)

Due Date: On or before 4/112020
Academic Year: Fall 2020/2021

Student Name:

𝒍𝒂𝒎𝒂 𝒂𝒍𝒔𝒉𝒆𝒉𝒓𝒊 𝒏𝒐𝒖𝒇 𝒂𝒍𝒏𝒂𝒔𝒉𝒓𝒊

Student ID No: 𝟑𝟗𝟏𝟐𝟐𝟎𝟔𝟐𝟏/𝟑𝟗𝟏𝟐𝟐𝟎𝟔𝟒𝟐

Instructions:
( Flash cards are one of the methods of studying to improvise your memory. Hence this
assignment is based on Flash card preparation, to overcome anxiety related to many drugs
and their parameters.
( Please follow the instructions. Sample Flash card is given as an example. At the end try
gather all flash cards from your friends to ease your preparation and put in ring holder as
given in picture.
( Entire assignment should be written (both in ENGLISH and ARABIC) by you neatly
and legibly. Highlight important points wherever needed underline in different color.
Draw pictures if required.
( Write the references clearly using APA STYLE (2-5 references) and quote the number at
the text.
( REFERENCES SHOULD BE FROM ANY TEXT BOOK.WEB REFERENCES shall
not be marked.
( Textbooks are available in the Library.
( Submit the copies of completed assignments with your name on/before 4/11/2020.
( Assignment will be graded as per the rubric attached at the end.
( If you have any questions regarding the assignment please visit me in my office after an
appointment through email (yasmeenn@ksau-hs.edu.sa)
Good Luck.
Name Signature Date
1.Course Instructor Ms.Yasmeen Nusrath
 Epinephrine
Therapeutic class :Is based on use\ bronchodilator, vasopressor,cardiac stimulant , local
anesthetic(adjunct),topical antihemorrhagic,antiglaucoma drug.

Pharmacologic class : adrenaline

Mechanism of action : acts directly on both alpha and beta receptors; it is the most potent activator of alpha
receptors.

Use : relief acute asthmatic attack , restore cardiac rhythm in cardiac arrest , relief hypersensitivity and anaphylactic
reactions, Used topically to control superficial bleeding .

Adverse effects : Nasal burning or stinging, dryness of nasal mucosa, sneezing , fear, anxiety, tremors, severe
headache , Bronchial and pulmonary edema , Metabolic acidoses.

Administration route :1-Inhalation 2- Instillation (Nasal) 3- Instillation (Ocular) 4- Subcutaneous 5- intravenous

therapy (IV)

Side effects : 1- difficulty breathing 2- vomiting 3- nausea 4-warmth.

Black box warning : Tissue injury with extravasation due to IV and can lead to death- black box warning.

Contraindications : Hypersensitivity to sympathomimetic amines , traumatic , arrhythmias , organic heart or brain

disease

Drug interaction : 1- The risk or severity of hypertension can be increased when Epinephrine is combined
with Aceclofenac. 2- The serum concentration of Acenocoumarol can be increased when it is combined
with Epinephrine. 3- The therapeutic efficacy of Acetohexamide can be decreased when used in
combination with Epinephrine.

Food interaction : No interactions found.

Nursing interventions : 1- Check BP repeatedly when epinephrine is administered IV during first 5 min
then q3–5min until stabilized 2- Monitor BP, pulse,respiration
and urinary output and observe patient closely following IV administration 3- Keep prescriber informed of
any changes in intake-output ratio. 4- Advise patient to report bronchial irritation, nervousness, or
sleeplessness
 ‫اﺑﻨﻔﺮاﯾﻦ‪.‬‬
‫اﻟﻔﺌﺔ اﻟﻌﻼﺟﯿﺔ‪ :‬ﯾﻌﺘﻤﺪ ﻋﻠﻰ اﺳﺘﺨﺪام \ ﻣﻮﺳﻊ ﻗﺼﺒﻲ ‪ ،‬ﺿﺎﻏﻂ ﻟﻸوﻋﯿﺔ ‪ ،‬ﻣﻨﺒﮫ ﻟﻠﻘﻠﺐ ‪ ،‬ﻣﺨﺪر ﻣﻮﺿﻌﻲ )ﻣﺴﺎﻋﺪ( ‪ ،‬ﻣﻀﺎد ﻣﻮﺿﻌﻲ ﻣﻀﺎد‬
‫ﻟﻠﻨﺰف ‪ ،‬دواء ﻣﻀﺎد ﻟﻠﺰرق‪.‬‬

‫ﻓﺌﺔ اﻟﺪواﺋﯿﺔ‪:‬اﻻدرﯾﻨﺎﻟﯿﺔ‪.‬‬

‫آﻟﯿﺔ اﻟﻌﻤﻞ‪ :‬ﯾﻌﻤﻞ ﻣﺒﺎﺷﺮة ﻋﻠﻰ ﻣﺴﺘﻘﺒﻼت أﻟﻔﺎ وﺑﯿﺘﺎ ؛ إﻧﮫ اﻟﻤﻨﺸﻂ اﻷﻛﺜﺮ ﻓﺎﻋﻠﯿﺔ ﻟﻤﺴﺘﻘﺒﻼت أﻟﻔﺎ‪.‬‬

‫اﻻﺳﺗﺧدام‪ :‬ﺗﺧﻔﯾف ﻧوﺑﺔ اﻟرﺑو اﻟﺣﺎدة ‪ ،‬واﺳﺗﻌﺎدة إﯾﻘﺎع اﻟﻘﻠب ﻓﻲ اﻟﺳﻛﺗﺔ اﻟﻘﻠﺑﯾﺔ ‪ ،‬وﺗﺧﻔﯾف اﻟﺣﺳﺎﺳﯾﺔ واﻟﺗﻔﺎﻋﻼت اﻟﺗﺄﻗﯾﺔ ‪ ،‬ﯾﺳﺗﺧدم ﻣوﺿﻌﯾًﺎ‬
‫‪.‬ﻟﻠﺳﯾطرة ﻋﻠﻰ اﻟﻧزﯾف اﻟﺳطﺣﻲ‬

‫اﻟﺗﺄﺛﯾرات اﻟﺿﺎﺋرة‪ :‬ﺣرﻗﺔ أو ﻟﺳﻌﺔ ﺑﺎﻷﻧف ‪ ،‬ﺟﻔﺎف ﻓﻲ اﻟﻐﺷﺎء اﻟﻣﺧﺎطﻲ ﻟﻸﻧف ‪ ،‬ﻋطس ‪ ،‬ﺧوف ‪ ،‬ﻗﻠق ‪ ،‬رﻋﺷﺔ ‪ ،‬ﺻداع ﺷدﯾد ‪ ،‬وذﻣﺔ‬
‫رﺋوﯾﺔ وﺷﻌﺑﯾﺔ ‪ ،‬ﺣﻣﺎض اﺳﺗﻘﻼﺑﻲ‪.‬‬

‫طرﯾق اﻹﻋطﺎء واﻵﺛﺎر اﻟﺟﺎﻧﺑﯾﺔ إن وﺟدت‪ -١ :‬اﻻﺳﺗﻧﺷﺎق ‪ -٢‬اﻟﺗﻘطﯾر )اﻷﻧف( ‪ -٣‬اﻟﺗﻘطﯾر )اﻟﻌﯾن( ‪ -٤‬ﺗﺣت اﻟﺟﻠد ‪ -٥‬ﻋن طرﯾق اﻟورﯾد‬

‫‪.‬اﻵﺛﺎر اﻟﺠﺎﻧﺒﯿﺔ‪ -١ :‬ﺻﻌﻮﺑﺔ ﻓﻲ اﻟﺘﻨﻔﺲ ‪ -٢‬ﻗﻲء ‪ -٣‬ﻏﺜﯿﺎن ‪ -٤‬ﺳﺨﻮﻧﺔ‬

‫اﻟﺘﺤﺬﯾﺮات ‪ :‬أﺻﺎﺑﮫ اﻻﻧﺴﺠﮫ ﻣﻊ اﻟﺘﺴﺮب ﺑﺴﺒﺐ اﻟﻮرﯾﺪ وﯾﻤﻜﻦ ان ﯾﺆدي اﻟﻰ اﻟﻤﻮت‬

‫ﻣﻮاﻧﻊ ‪ :‬ﻓﺮط اﻟﺤﺴﺎﺳﯿﺔ ﻟﻸﻣﯿﻨﺎت اﻟﻮدي ‪ ،‬اﻟﺼﺪﻣﺔ ‪ ،‬ﻋﺪم اﻧﺘﻈﺎم ﺿﺮﺑﺎت اﻟﻘﻠﺐ ‪ ،‬أﻣﺮاض اﻟﻘﻠﺐ أو اﻟﺪﻣﺎغ اﻟﻌﻀﻮﯾﺔ‪.‬‬

‫اﻟﺘﻔﺎﻋﻞ اﻟﺪواﺋﻲ‪ -١ :‬ﯾﻤﻜﻦ زﯾﺎدة ﺧﻄﺮ أو ﺷﺪة ارﺗﻔﺎع ﺿﻐﻂ اﻟﺪم ﻋﻨﺪ دﻣﺞ اﻹﺑﯿﻨﻔﺮﯾﻦ ﻣﻊ أﺳﯿﻜﻠﻮﻓﯿﻨﺎك‪ -٢ .‬ﯾﻤﻜﻦ زﯾﺎدة ﺗﺮﻛﯿﺰ‬
‫اﻷﺳﯿﻨﻮﻛﻮﻣﺎرول ﻓﻲ اﻟﺪم ﻋﻨﺪ دﻣﺠﮫ ﻣﻊ اﻹﺑﯿﻨﻔﺮﯾﻦ‪ -٣ .‬ﯾﻤﻜﻦ ﺗﻘﻠﯿﻞ اﻟﻔﻌﺎﻟﯿﺔ اﻟﻌﻼﺟﯿﺔ ﻷﺳﯿﺘﻮھﯿﻜﺴﺎﻣﯿﺪ ﻋﻨﺪ اﺳﺘﺨﺪاﻣﮫ ﻣﻊ اﻹﺑﯿﻨﻔﺮﯾﻦ‪.‬‬

‫اﻟﺘﻔﺎﻋﻞ اﻟﻐﺬاﺋﻲ‪ :‬ﻟﻢ ﯾﺘﻢ اﻟﻌﺜﻮر ﻋﻠﻰ ﺗﻔﺎﻋﻼت‪.‬‬

‫اﻟﺘﺪﺧﻼت اﻟﺘﻤﺮﯾﻀﯿﺔ‪ -١ :‬اﻓﺤﺺ ﺿﻐﻂ اﻟﺪم ﺑﺸﻜﻞ ﻣﺘﻜﺮر ﻋﻨﺪ إﻋﻄﺎء اﻹﺑﯿﻨﻔﺮﯾﻦ ﻋﻦ طﺮﯾﻖ اﻟﻮرﯾﺪ ﺧﻼل أول ‪ ٥‬دﻗﺎﺋﻖ ﺛﻢ رﺑﻊ ‪ ٥-٣‬دﻗﺎﺋﻖ‬
‫ﺣﺘﻰ ﺗﺴﺘﻘﺮ ‪ -٢‬ﻣﺮاﻗﺒﺔ ﺿﻐﻂ اﻟﺪم واﻟﻨﺒﺾ واﻟﺘﻨﻔﺲ وإﺧﺮاج اﻟﺒﻮل وﻣﺮاﻗﺒﺔ اﻟﻤﺮﯾﺾ ﻋﻦ ﻛﺜﺐ ﺑﻌﺪ إﻋﻄﺎء اﻟﻮرﯾﺪ‪ -٣ .‬إﺑﻘﺎء اﻟﻮاﺻﻒ ﻋﻠﻰ‬
‫ﻋﻠﻢ ﺑﺄي ﺗﻐﯿﯿﺮات ﻓﻲ ﻧﺴﺒﺔ اﻟﻤﺪﺧﻼت واﻟﻤﺨﺮﺟﺎت‪ -٤ .‬ﺗﻘﺪﯾﻢ اﻟﻤﺸﻮرة ﻟﻠﻤﺮﯾﺾ ﻟﻺﺑﻼغ ﻋﻦ ﺗﮭﯿﺞ اﻟﺸﻌﺐ اﻟﮭﻮاﺋﯿﺔ أو اﻟﻌﺼﺒﯿﺔ أو اﻷرق‪.‬‬
 References:

1-Wilson, B. A., Shannon, M., & Shields, K. (2015). Pearson Nurse’s Drug Guide 2015.
Hoboken, NJ: Pearson Education.


2-Adams, M., Holland, N., & Urban, C. (2014). Study Guide for Pharmacology for
Nurses: A Pathophysiologic Approach (4th ed.). Pearson Education.

 Rubric for Group Project
Name of the student: lama / nouf ID number391220621/391220642
Item 0 1 2 Student
Score N/A
Not achieved Unsatisfactory Satisfactory score
Objectives / Outlines Clear, complete and
None identified. Clear, missing items relevant.
x Not organized x Fairly organized, • Well-formulated
(both overall and some points are Includes title,
Overall within paragraphs) used weakly or introduction, and
Organization missing. statement of main
idea, transitions
and conclusion.
x GroXp memberV¶ x Group members • Group members
contributions were occasionally completed an equal
absent and their task contributed share throughout
Overall product was poor towards the the assignment and
C on trib u tion quality assignment, and their task product
their task product was always
was occasionally complete and of
incomplete high quality
x Content is not x Content is relevant; • Exceptionally well-
relevant. ideas are present presented and
x Fewer than 80% of but not particularly argued; ideas are
facts in the developed. detailed, well-
Content assignment are x 80% of facts in the developed. 100% of
accurate and assignment are facts in the
correct accurate and assignment are
correct accurate and
correct
x Group member did x Group member • Group member
not complete all of often did not completed assigned
the assigned tasks complete assigned tasks on time
Time management on time and forced tasks on time and
the group to make asked for
last minute extension(1 -2
adjustments days)
x Group member did x Group members • Group member
not share the shared the shared the
Teamwork
workload fairly. workload fairly. workload very
collaboration
well.
Item 0 1 2 Student
Score N/A
Not achieved Unsatisfactory Satisfactory score
x No evidence x Primarily from x Variety of
based sources text book but also professional
Evidence based
used. a few evidence major evidence
based sources. based sources.
x Poor quality of x Fair quality of x Good quality
professional professional professional
writing. writing. writing.
x Fails to follow x To some extent x Meets all format
format margins, meets format and; and; all margins,
Professional Writing spacing and generally correct spacing and
indentation; margins, spacing, indentations are
neatness of essay and indentations; correct; essay is
needs attention. essay is neat but neat and correctly
may have some assembled with
assembly errors. professional look.
x No references. x Few references x Multiple and
are used. valid citations.
References x Citation format is x Citation format is
not correct and correct and up-to-
not up-to-date. date.
Total
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