Mohawk Valley Community College s14

Mohawk Valley Community College Center for Life and Health Sciences

NU 111 Nursing Pharmacotherapeutics Fall 2012

Faculty

1 3/2012

Course Number: NU 111

Course Title: Nursing Pharmacotherapeutics 1

Course Credit: 1 Credit

Placement in Curriculum: Fall (Time Block: 7.5 Weeks)

Corequisite: NU 101 Nursing 1 (Fundamentals of Nursing)

COURSE DESCRIPTION

This course introduces the concepts pertaining to the pharmacodynamics and pharmacokinetics of medications and dosage calculation for medication administration.

Disclaimer Statement: The content of this syllabus is subject to change in the event of extenuating circumstances or at the discretion of the course instructor.

TABLE of CONTENTS Accommodation for Students With Disabilities Statement p. 4 Sustainability Statement Academic Affairs DGV Statement Disclaimer-Academic Affairs

Student Learning Outcomes p.5 Teaching Strategies

2 Academic Integrity Policy

Email p.6 MVCC AND Nursing Program Essential Functions

Required Texts p.7 Required Materials Calculations Dates to Remember

Course Outline p.8

Evaluation Method p.9

NU 111 Assignments p.10

Rounding Rules for Dosage Calculation and IV Infusion p.11 Accommodations for Students with Disabilities  Students are expected to contact the instructor with any information pertinent to success in this class. Please read the Disabilities Statement located under Institution Services on the MVCC Blackboard Welcome Page. Also see the information below: I would appreciate hearing from anyone in the class who has any type of disability (e.g., physical, learning, psychiatric, vision, hearing, etc.) which may require some special accommodation. Please see me during my office hours so that we can discuss your needs. Before services can begin, you must also contact Lynn Igoe, Coordinator of Disability Services, 792-5413, or Tamara Mariotti, the Learning Disabilities and Assistive Technology Specialist, 731-5702; both are located in Room 153 of the Academic Building on the Utica Campus. (For classes on the Rome Campus, the contact person can be reached at, PC A30, 334-7718). They are the staff members who review documentation, determine eligibility for accommodations, and decide what those accommodations will be. Sustainability Statement Mohawk Valley Community College is committed to development and implementation of a comprehensive sustainability plan. To that end, we are beginning by asking students, faculty, and staff to actively participate in energy conservation measures and proper recycling on campus. The blue bins located in classrooms, and offices are for paper and paper products only. All plastic, metal and glass containers should be placed in the proper recycling bins located in the hallways. Please remember to empty them before depositing them. Any materials that cannot be recycled should be place in garbage cans. It is also important to turn off lights and computers when leaving a room. Together we can make an impact on conserving our resources. Remember to reduce, reuse and recycle! Academic Affairs DGV Statement: A few years ago, MVCC initiated a program titled “Diversity –Global View” (DGV), which gave each of our graduates a chance to participate in educational experiences

3 designed to increase awareness of intercultural perspectives. Our goal in doing so was to enhance our students’ understanding of the realities faced by individuals as a result of their race, ethnicity, cultural background, gender, sexual orientation, socioeconomic status, academic abilities and interests, age, religious beliefs, and physical ability. To that end, all graduates who matriculated into programs in the fall 2008 or more recently, or who have changed their major since 2008, are now required to complete the DGV components associated with the degree or certificate program in which they are enrolled. For more information please visit http://www.mvcc.edu/students/registration/dgvrequirement.cfm.

Disclaimer-Academic Affairs “The above procedures and policies are subject to change, in the event of extenuating circumstances or at the discretion of the instructor.”

STUDENT LEARNING OUTCOMES

After completion of this course, the student will be able to: 1. describe the pharmacological concepts, terminology, and basic processes associated with medication therapy. 2. discuss the legal regulation of medications. 3. utilize components of basic mathematics, systems of measurement and conversions in the calculation of medications. 4. use information from medication orders, medication labels, and medication administration records in the calculation of medications. 5. perform calculations necessary for safe preparation and administration of medications. 6. apply the nursing process related to medication administration.

TEACHING STRATEGIES

Lecture, discussion, case studies and scenarios, critical thinking exercises, and multimedia.

ACADEMIC INTEGRITY POLICY

The College is committed to a spirit of intellectual inquiry rooted in the ethical behavior of its participants. This means that certain acts which affect the integrity of learning are not permissible. Engaging in dishonest or unethical behavior may result in disciplinary action taken against the student by the instructor, department or other appropriate College official. The following are examples, but not the full range of prohibited behavior in the classroom, studio, laboratory, library, computer center, or at internship or other college learning sites. Students cannot:  Ask for, give or receive help during tests, examinations, or quizzes or other evaluations without permission of the instructor  Utilize books, papers, computer-based media or other materials and equipment during tests, examinations, quizzes or other evaluations without permission of the instructor  Engage in plagiarism by submitting or using as their own another person's oral, written or computer-based work. All sources of material must be credited.  Use another person's data, solutions, computer account, or calculations without the appropriate authorized permission.

4  Steal, mutilate, alter or deface library materials, computer-based media or other academic materials.  Illegally copy materials (print, audiovisual or computer-based media) that are protected under provisions of the copyright laws of the United States or foreign countries. (See the MVCC Copyright Policy). NOTE: MVCC complies with Federal regulations with regard to nondiscrimination and equal opportunities for the person with disabilities. Portions of this policy will be waived to meet those regulations as stated in Section 504 of the Rehabilitation Act of 1973.

The primary method of communication is transmitted through MVCC email. All students have email accounts through MVCC. Please check email accounts frequently. To access email: 1. Go to www.mvcc.edu 2. Choose “email: Student Access” from drop down box 3. Log in a. User Name: first initial, last name, day of your birth (ex. sjones09) b. Password: last 4 digits of your social security number

MVCC ADN NURSING PROGRAM ESSENTIAL FUNCTIONS

MVCC seeks to provide equal access to its programs, services and activities for people with disabilities. Therefore, the College will make a reasonable accommodation for an applicant with a disability who is otherwise qualified.

The essential function of a student enrolled into the ADN program requires that the student, with or without reasonable accommodations, must be able to:

1. demonstrate the ability to perform essential functions for a maximum of a 10 hour shift. 2. demonstrate the ability to protect a patient when the patient is standing and ambulating on all surfaces with or without the use of assistive devices, including canes, crutches and walkers. 3. demonstrate the ability to safely move a patient over 100 pounds from one surface to another using the appropriate level of help. 4. demonstrate safe body mechanics in the process of all patient treatments, including lifting and carrying small equipment (under 50 pounds) and moving large equipment (over 50 pounds). 5. demonstrate the ability to manipulate dials on equipment. 6. demonstrate the ability to coordinate simultaneous motions. 7. demonstrate the ability to perform occasional overhead extension 8. demonstrate the ability to hear blood pressure, heart and lung sounds with or without corrective devices. 9. demonstrate the ability to palpate soft tissue including pulse, muscle and bones. 10. demonstrate the ability to perform nursing interventions such as sterile procedures, dressing changes and administer medications (including dosage calculations when necessary) following infection control procedures. 11. display adaptability to change. 12. establish effective relations with others.

5 13. communicate effectively, safely and efficiently in English by: a. explaining procedures. b. receiving information from others. c. receiving information from written documents. d. exhibiting appropriate interpersonal skill (refer to ANA Code for Nurses). e. analyzing and documenting assessment findings and interventions. 14. distinguish color changes. 15. detect an unsafe environment and carry out appropriate emergency procedures including: a. detecting subtle environment changes and odors including, but not limited to, the smell of burning electrical equipment, smoke and spills. b. Detect high and low frequency sounds, including but not limited to, alarms, bells, and emergency signals.

These are the Essential Functions of the Health Services Department. If there are any reasons why you may not be able to perform these functions with or without reasonable accommodations, you should notify the Department Head as soon as possible.

REQUIRED TEXTS

1. Pickar, G. D. (2011). Dosage calculations: A ratio-proportion approach (3rd ed.). Clifton Park, NY: Delmar.

2. Deglin, J.,Vallerand, A. & Sanoski, C. (2011). Davis’s Drug Guide for Nurses + Resource Kit CD-ROM (12th ed.). Philadelphia, PA: F.A. Davis.

3. Lynn, P. (2011). Clinical nursing skills: A nursing process approach (3rd ed). Philadelphia: Lippincott, Williams, & Wilkins.

4. Taylor, C., Lillis, C. & Le Mone, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Lippincott, Williams, & Wilkins.

REQUIRED MATERIALS

Students are only permitted to use the designated Nursing calculator for testing (purchased in MVCC Bookstore).

CALCULATIONS

Dosage calculation answers must be written in the approved format and labeled appropriately according to the standardized rounding rules in order to be graded as a

6 correct answer. The standardized rounding rules can be found on the last page of this syllabus.

DATES TO REMEMBER

September 3 (Labor Day): No classes October 8 (Columbus Day): No classes

7 COURSE OUTLINE

Week I -Math review -Systems of measurement -Converting within the same system -Converting between systems

Week II -Basic concepts of medication administration -Medication orders -Medication administration records -Medication labels -Ratio-Proportion Method

Week III -Oral medications -Parenteral medications -Basic IV calculations

Week IV -Powdered/Reconstituted medications -Insulin -Heparin (sub-cut)

Week V -Introduction to nursing pharmacotherapeutics -Introduction to drug classifications -Pharmacodynamics -Pharmacokinetics -Legal regulation of drugs -Sources of drug information -Untoward effects of drugs on the body (adverse, allergy, tissue and organ damage) -Nursing process and medication administration -Review and practice

Week VI -Comprehensive Exam

Week VII -Re-takes for those students unsuccessful on first exam -Further practice for those students successful on first exam

8 EVALUATION METHOD

One (1) exam will be given week 6 of this course. The comprehensive exam will consist of 5 questions on pharmacotherapeutics and 15 questions on dosage calculation. The student will be given 1 hour to complete the exam. The student must obtain a minimum grade of 74.5%.

If the student receives a grade of below 74.5%, the student will be allowed one (1) retake. The retake will be given week 7. The retake exam will consist of 5 questions on pharmacotherapeutics and 15 questions on dosage calculation. The student will be given 1 hour to complete the exam. The student must obtain a minimum grade of 74.5%. Failure to obtain the minimum score will result in course failure and the student will not be allowed to progress to NU 102/103.

Please note: A student who failed the first exam will be given the opportunity to take the exam a second time in an attempt to pass the course, but will not receive higher than a final grade of C-- no matter what grade they receive on the second test.

EXAMINATION POLICY

See the MVCC Nursing Student Handbook.

GRADING CRITERIA

A = 89.5-100 B = 79.5-89.4 C = 74.5-79.4 Passing is a minimum grade of 74.5 D = 64.5-74.4 F = less than 64.5

A minimum grade of “C” is required to pass NU 111 Nursing Pharmacotherapeutics 1

9 NU 111 ASSIGNMENTS

Week Class Content Assignments Dates 1 M - 8/20 -Math review Pickar: T – 8/21 -Systems of measurement Chapters 1; W – 8/22 -Converting within the same system Chapters 3-5 Or -Converting between systems F – 8/24 2 M – 8/27 -Basic concepts of medication administration Pickar: T – 8/28 -Medication orders Chapters 2; W – 8/29 -Medication administration records Chapters 6-9 Or -Medication labels F – 8/31 -Ratio-Proportion Method 3 M - 9/10 -Oral medications Pickar: T – 9/4 -Parenteral medications Chapters 10-11; W – 9/5 -Basic IV calculations Chapter 15 Or F – 9/7 4 M - 9/17 -Powdered/Reconstituted medications Pickar: T – 9/11 -Insulin Chapter 6 pages W – 9/12 -Heparin (sub-cut) 105-107 and Or Chapter 11 pages F – 9/14 218-233

5 M – 9/24 -Introduction to nursing Lynn : T – 9/18 pharmacotherapeutics Chapter 5 W – 9/19 -Introduction to drug classifications Taylor Or -Pharmacodynamics Chapter 29 F- 9/21 -Pharmacokinetics -Legal regulation of drugs -Sources of drug information -Untoward effects of drugs on the body Bring Davis’s Drug (adverse, allergy, tissue and organ damage) Guide to class -Nursing process and medication administration -Review and practice 6 M – 10/1 -Comprehensive Exam T – 9/25 W – 9/26 Or F – 9/28 7 T - 10/9 -Comprehensive Exam Re-takes for those (Monday students unsuccessful on first exam schedule) -Further practice for those students T – 10/2 successful on first exam W – 10/3 Or F- 10/5

10 Rounding Rules for Dosage Calculation and IV Infusion

Whole Numbers: Dosages in whole numbers should never be followed with a decimal point and zero. Example: 4 mg PO (Correct) 4.0 mg PO (Incorrect) Basic Rounding: Decimals Remember:

Rounding to the nearest tenth: Round at the end of the If the last digit is equal to or > 5 round up. Ex: 1.57 mL= 1.6mL problem. If the last digit is < 5 round down. Ex: 1.54 mL= 1.5mL The exception to this rule is when Rounding to the nearest hundredth: you are converting pounds to kg. If the last digit is equal to or > 5 round up. Ex: 0.686mL=0.69mL Always convert to kilograms first If the last digit is < 5 round down. Ex: 0.543mL = 0.54mL then complete calculation.

Converting pounds to kilograms: Drops (gtt) and Units: Round to the nearest 10th Drops and units are too small to divide into parts. Always round to 1 kg = 2.2 pounds the nearest whole number . Example: 89.5 = 90 Example: 120 pounds = 54.54 kg = 54.5 kg 89.4 = 89 Milliliters: Dosage Less than 1 mL Dosage Less than 1 mL Greater than 1 mL

Calculate to three places If dosage calculation is in the If the answer is > 1mL round to then round to the 100th 10th place you must proceed the the nearest 10th. and place a zero in front of decimal with a zero. Ex: 1.57 = 1.6 mL the decimal. Ex: .4 mL= 0.4 mL Ex: 0.376 = 0.38 mL .8 mL = 0.8 mL Ex: 0.563 = 0.56 mL

Tablets: Tablets, as a rule, can be given whole or broken into halves, if scored.

Converting Apothecary to Metric: Conversion not always equal from grains to milligrams. Grains1 = 60-65mg Ex: ASA gr V = ASA 325 mg Phenobarbital gr ½ = Phenobarbital 30 mg Nitroglycerine gr 1/200 = Nitroglycerine 0.3 mg (60 divided by 200) IV Calculations: Intravenous infusions are calculated in drops per minute (gtt/min) for gravity flow and milliliters per hour (mL/h) via infusion pump. Ex: gravity flow – round to nearest whole number. (Formula: Volume of solution X Drop Factor of tubing divided by time in minutes.) 100 mL X 20 gtts divided by 60 minutes =33.33 = 33 gtt/minute Ex: IV pump – round to the nearest whole number. 1000 mL to infuse over 12 hrs. 1000 divided by 12 = 83.33 = 83 mL/hour

Revised 5/2010