Maricopa Community Colleges  NUR204   19886-19935 
Official Course Description: MCCCD Approval: 05/31/88
NUR204 19886-19935 LEC 3 Credit(s) 3 Period(s)
Pharmacologic Therapeutics for Nursing
Drug classifications and prototypes. Psychophysiologic principles of drug action. Knowledge basic to safe administration in nursing practice. Prerequisites: BIO 202 or equivalent; BIO 205; and NUR 119.
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MCCCD Official Course Competencies:
 
NUR204   19886-19935 Pharmacologic Therapeutics for Nursing
1. Describe how drugs are developed, standardized, and controlled by law. (I)
2. State principles of drug actions and their effects on the client's wellness/illness state. (I)
3. Identify internal and external environmental factors that influence drug effects. (I)
4. Relate pharmacokinetics to drug administration in clients of various ages and developmental levels. (I)
5. Describe the importance of drug education in discharge planning. (I)
6. Examine the interaction of selected drugs and food and their effects on nutritional status. (I)
7. Identify the roles and responsibilities of health team members and theclient in drug therapy. (I)
8. Apply the nursing process to clients receiving drug therapy in order to promote, maintain, and restore health. (I)
9. Describe select prototype drugs, including drug names, actions and effects, interactions, routes of administration, and nursing implications in specific classifications. (II, III, IV, V, VI, VII, VIII, IX, X, XI, XII)
10. State principles of management in accidental toxic dose exposure. (XIII)
11. Utilize research findings and critical thinking in identifying nursing actions that promote therapeutic drug administration. (XIV)
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MCCCD Official Course Outline:
 
NUR204   19886-19935 Pharmacologic Therapeutics for Nursing
    I. Introduction to the Study of Drugs
        A. Historical Perspective
          1. Drug use
          2. Drug abuse
        B. Legal Control
          1. Drug use
          2. Drug abuse
        C. Use of Drugs in Therapy
          1. Patient's rights and responsibilities
          2. Health team members rights and responsibilities
        D. Action and Effects of Drugs in the Body
          1. Theories of drug action
          2. Processes mediating drug action
          3. Factors influencing drug action/effects
          4. Adverse effects of drugs
          5. Drug/food interactions
        E. Nursing Implications in Drug Therapy
          1. Assessment
            a. Ages
            b. Developmental levels
            c. Pathological states
          2. Diagnosis
          3. Planning
          4. Intervention
            a. Promote health
            b. Maintain health
            c. Restore health
          5. Evaluation
          6. Client education
            a. Hospital/agency
            b. Home
      II. Anti-Infectives/Antimicrobial Agents
          A. Topical Anti-Infectives
          B. Systemic Anti-Infectives/Antimicrobials
          C. Related Nursing Management
        III. Immunological Agents
            A. Principles of Immunization Therapy
            B. Active Immunization Agents
            C. Passive Immunization Agents
          IV. Drugs Affecting Central Nervous System Function
              A. Overview of CNS Function and Physiology
              B. Depressants
                1. Anesthetics
                2. Analgesics
                3. Anticonvulsants
                4. Sedatives/hypnotics/anti-anxiety agents
                5. Psychotropic agents/antipsychotics
              C. Stimulants
                1. Overview
                2. Analeptics
                3. Xanthine stimulants
                4. Amphetamines and related drugs
                5. CNS stimulants as drugs of abuse
            V. Drugs Affecting Autonomic Nervous System Function
                A. Parasympathetic Nervous System Function Stimulants
                  1. Direct acting cholinergic stimulants
                  2. Cholinesterase inhibitors
                  3. Effect of Cholinergic stimulation
                  4. Adverse effects
                  5. Related nursing management
                B. Parasympathetic Nervous System Function Blockers
                  1. Atropine-like drugs
                  2. Pharmacologic action and effects
                  3. Therapeutic kuses and effects
                  4. Adverse effects
                  5. Related nursing management
                C. Parkinsonian Syndrome Drugs
                D. Sympathetic Nervous System Function Stimulants
                  1. Catecholamines
                  2. Noncatecholamines
                  3. Mechanisms of action/effects
                  4. Therapeutic indications
                  5. Adverse effects
                  6. Related nursing implications
                E. Sympathetic Nervous System Function Blockers
                  1. Alpha adrenergic blocking agents
                  2. Beta adrenergic blocking agents
              VI. Drugs Affecting Cardiovascular Function
                  A. Overview of Neurophysiology of Cardiac Function
                  B. Cardiotonic Drugs: Digitalis Glycosides
                    1. Action and effects
                    2. Pharmacokinetics
                    3. Adverse effects
                    4. Related nursing management
                  C. Anti-Arrhythmic Agents
                    1. General principles of therapy
                    2. Classification of agents
                    3. Action and effects
                    4. Pharmacokinetics
                    5. Adverse effects
                    6. Related nursing management
                  D. Anti-Anginal Agents
                    1. Therapeutic indications for nitrates and nitrites
                    2. Action and effects
                    3. Pharmacokinetics
                    4. Adverse effects
                    5. Related nursing management
                  E. Calcium Blockers
                    1. Therapeutic indications
                    2. Action and effects
                    3. Adverse effects
                    4. Related nursing management
                  F. Antihypertensive Agents
                    1. Overview
                    2. Centrally acting agents
                    3. Agents altering sympathetic activity
                    4. Direct acting vasodilators
                    5. Angiotension inhibitor
                    6. General nursing guidelines
                  G. Drugs Affecting Blood Coagulation
                    1. Overview of mechanisms of coagulation
                    2. Antiplatelet or antithrombolic agents
                    3. Anticoagulant agents
                    4. Thrombolytic agents
                    5. Hemostatics
                VII. Drugs Affecting Respiratory Function
                    A. Overview of Respiratory Physiology
                    B. Bronchodilators
                      1. Overview of factors leading to bronchospasm and constriction
                      2. Therapeutic guidelines for use
                      3. Sympathomimetics
                      4. Xanthines
                      5. Other adjunctive agents
                      6. Related nursing management
                    C. Antihistamines
                      1. Overview of allergic response and histamine release
                      2. Antihistamines
                      3. Related nursing management
                    D. Expectorants, Antitussives, Mucolytic Agents
                      1. Overview of physiology of respiratory secretions and cough
                      2. Expectorants
                      3. Antitussives
                      4. Mycolytic agents
                      5. Indications for use
                      6. Related nursing management
                    E. Nasal Decongestants
                      1. Agents commonly used
                        a. Mechanisms of action
                        b. Indications for use
                      2. Methods of administration
                        a. Advantages
                        b. Disadvantages
                      3. Adverse effects
                      4. Related nursing management
                  VIII. Drugs Affecting Fluid and Electrolyte Balance
                      A. Parenteral Fluids
                        1. Hypo-, hyper-, isotonic
                        2. Parenteral nutrition and caloric agents
                        3. Related nursing management
                        4. Blood and blood products and substitutes
                      B. Electrolyte Supplements
                        1. Overview/introduction
                        2. Potassium salts
                        3. Sodium chloride
                        4. Calcium
                        5. Magnesium sulfate
                        6. Acidifying agents
                        7. Alkalinizing agents
                        8. Potassium removing resin
                        9. Related nursing management
                    IX. Drugs Affecting Renal Function
                        A. Overview of Renal Physiology
                        B. Diuretic Agents
                          1. General properties of diuretic agents
                          2. General principles of diuretic therapy
                          3. General principles of nursing management
                      X. Drugs Affecting Gastrointestinal Function
                          A. Emetics/Anti-Emetics
                            1. Physiology of vomiting
                            2. Emetics
                            3. Anti-emetics
                            4. Absorbent agent; activated charcoal
                          B. Drug Therapy for Disorders Associated with Hyperacidity
                            1. Physiology and pathophysiology of hyperacidity
                            2. Therapeutic goals
                            3. Antacids
                            4. Drugs to decrease acid production
                            5. Other agents
                          C. Drugs Affecting Fecal Elimination
                            1. Overview of physiology and pathophysiology
                            2. Laxatives
                            3. Antidiarrheals
                            4. Antiflatulents
                        XI. Drugs Affecting Hormonal Balance
                            A. Introduction to Hormones As Drugs
                              1. Overview of neuro-hormonal regulation of hormone secretion
                              2. Classification of hormones
                              3. Therapeutic indications
                              4. Related nursing management
                            B. Pituitary Hormones
                              1. Anterior pituitary preparations
                              2. Posterior pituitary preparations
                            C. Adrenal Preparations
                              1. Adrenal physiology and preparations
                              2. Adrenocortical steroids, glucocorticoids
                              3. Mineral corticoids
                            D. Thyroid/Antithyroid Preparations
                              1. Overview of physiology/thyroid gland/related pathophysiology
                              2. Thyroid preparations
                              3. Antithyroid agents
                            E. Drugs Used in Treatment of Diabetes Mellitus
                              1. Overview of glucose metabolism and regulation
                              2. Oral hypoglycemic agents
                              3. Insulin
                              4. Glucagon
                            F. Drugs Used in Treatment of Diabetes Mellitus
                            G. Drugs Affecting Female Reproductive System
                              1. Overview of hormones involved in female reproduction
                              2. Estrogens
                              3. Progestins
                              4. Pharmacological contraceptives
                            H. Drugs Affecting Male Reproductive System
                              1. Overview of physiology of androgens
                              2. Androgens
                              3. Anabolic steroids
                          XII. Drugs Affecting Aberrant Cellular Growth
                              A. Phase of Cell Cycle
                                1. Normal
                                2. Abnormal
                              B. Principles of Cancer Chemotherapy
                                1. Cell Cycle
                                  a. Specificity
                                  b. Nonspecificity
                                2. Resistance and combination therapy
                                3. Patient status
                                4. Pharmacokinetics
                                5. Adverse effects
                              C. Chemotherapeutic Effects
                                1. Alkylating agents
                                2. Antimetabolites
                                3. Natural products
                                4. Miscellaneous agents
                                5. Hormones and antihormones
                              D. Related Nursing Management
                            XIII. Toxicology
                                A. Introduction
                                  1. Scope
                                  2. Legal aspects
                                  3. Available resources
                                  4. Epidemiology
                                B. General Principles of Management
                                  1. Initial evaluation
                                  2. Terminate toxic exposure
                                  3. Support respirations/circulation
                                  4. Symptomatic treatment
                                  5. Antidotal treatment
                                  6. Minimize absorption of toxin
                                  7. Promote elimination of toxin
                              XIV. Research Findings and Critical Thinking
                                  A. Identifying Nursing Actions
                                  B. Promoting Therapeutic Drug Administration
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