HOUSTON COMMUNITY COLLEGE SYSTEM - SOUTHEAST …

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HOUSTON COMMUNITY COLLEGE SYSTEM – COLEMAN COLLEGE HEALTH INFORMATION TECHNOLOGY PROGRAM

Pharmacology – HITT 1349 Summer, 2016 (crn 16913)

INSTRUCTOR Dr. Carla Tyson-Howard, RHIA office hours: Mon & Tue 2pm–4pm phone: (713)718-7347 Skype: carla.tyson.howard Thr 4-5pm COURSE DESCRIPTION Overview of the basic concepts of the pharmacological treatment of various diseases affecting major body systems. IMPORTANT DATES

Start Date June 6, 2016

End Date August 14, 2016

GoToMeeting Day and Time Tuesdays 5-6pm

Last day to drop with WP July 18, 2016 4pm

On Campus Final Exam August 9th at 5pm

Notice: Students who repeat a course for a third or more times may soon face significant tuition/fee increases at HCC and other Texas public colleges and universities. Please ask your instructor/counselor about opportunities for tutoring/other assistance prior to considering course withdrawal or if you are not receiving passing grades. PREREQUISITES HITT 1305, HITT 1345, BIOL 2404 3 semester hours TEXTBOOK/REFERENCES Pharmacology for Health Professionals, Acosta, Renee W. Understanding Lab & Diagnostic Test, Moisio Online handouts and videos Respondus Lockdown Browser Eagle Online at http://eo2.hccs.edu COURSE GOALS

1. Describe the role and process of pharmaceuticals on various diseases. 2. Interpret laboratory and diagnostic test.

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COURSE OBJECTIVES 1. Given information on the major drug categories, the student will identify the following

for each category: the different classes of drugs, the standard types of drugs, the normal drug dosages, uses, side effects, and interactions.

2. Given information on ophthalmics, otics, and topicals, the student will identify and describe the various types, their uses, side effects, and interactions.

3. Given information on toxicology, the student will identify and describe processes, treatments, and the drugs/chemicals related to toxicology.

4. Given specialized patients such as: pediatric, prenatal, and geriatric, the student will identify and describe how to prevent problems associated with drugs used in these specialized cases.

5. Given information on drug therapy, the student is able to understand the use and side effects of prescription and nonprescription drugs used to treat common disease states.

SCANS Competencies C5 Acquires and evaluates information, F8 Decision Making, F1 Reading, F2 Writing, F9 Problem Solving, F5 Listening, F12 Reasoning COURSE REQUIREMENTS 1. Course is taught via Eagle Online. 2. Students are to be prepared for class by answering objectives to lessons and completing

weekly quizzes. 3. Students are required to read all textbook assignments and work all problems. EQUAL EDUCATIONAL & EMPLOYMENT OPPORTUNITY HCCS seeks to provide equal education opportunities without regard to race, color, religion, national origin, sex, age or handicap. ABILITY CHALLENGED STUDENTS Any student with a documented disability (e.g. physical, learning, psychiatric, vision, hearing, etc.) who needs to arrange reasonable accommodations must contact the Disability Services Office at the respective college at the beginning of each semester. Faculty are authorized to provide only the accommodations requested by the Disability Support Services Office. For questions, contact Donna Price at 713-718-5165 or the Disability Counselor at each college. Also visit the ADA web site at: http://www.hccs.edu/students/disability/index.htm ATTENDANCE POLICY Students taking Internet courses complete weekly assignments at their own computers and

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communicate with their instructor by electronic mail and other provided web-based technologies. Students complete assignments, take tests, and complete all other coursework just as they would in an on-campus class. Instructor will have weekly on-line chats with students. Course work will be submitted via the internet. Students must be in attendance on campus for appointed times and major exams. GRADING POLICY Tests 20% Group Assignments 5% Individual Video Reviews 5% Comprehensive Final exam 70% Students absent from the class during the time of a major examination for test will have NO MAKE-UP EXAMINATIONS, except upon the discretion of the instructor. Students late for the exam will be allowed to take the exam with the remaining scheduled time. The percentage of each activity will weight in the final grade regardless if the student participated in the activity or test. SYLLABUS Syllabus is subject to change at the discretion of the instructor. Student is responsible for reading and understanding syllabus.

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ASSIGNMENTS Individual Video Reviews On various weeks, student will be assigned a webcast video to watch and complete quiz. Group Assignments In your groups, complete the group assignments on by due date. Upload to Eagle Online. These will be counted as quizzes. See schedule for 11pm Sunday due dates.

Abbreviations

Medicare Top Drug Classes

Medication Errors

Common Drug Reference

Common Diagnoses

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PHARMACOLOGY OUTLINE

The instructor will be in GoToMeeting from 5-6pm every Tuesday. All assignments and tests are due Sunday at 11pm. Week of June 6 Lesson 1 Foundation of Clinical Pharmacology Acosta Chapter 1

Define the chapter’s key terms. Identify the different names assigned to drugs. Distinguish between prescription drugs, non-prescription drugs and controlled

substances. Identify factors that influence drug action. Discuss the types of drug interactions that may occur. Discuss the use of herbal medicines.

Acosta Chapter 2

Define the chapter’s key terms. List the various routs by which a drug may be given. Describe the administration of drugs through the skin and mucous membranes.

Blood Cell & Blood Chemistry Tests Moisio Chapter 1

Identify the major components of blood and describe the basic function of each component.

Compare the two types of blood collection procedures. Identify and describe commonly performed blood cell tests. Differentiate between red blood cell, white blood cell and platelet tests. Relate specific blood cell tests to appropriate diagnoses.

Moisio Chapter 2

Identify and define blood chemistry tests. Organize blood chemistry tests according to defined categories. Explain the effects of increased or decreased serum electrolyte levels. Compare the diagnostic significance of various blood sugar and related tests.

Test 1 (Lesson 1)

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Week of June 13 Lesson 2 Neurologic System Acosta Chapters 4-14

1. Define the chapters’ key terms. 2. Recognize the uses, generic name, and trade name of the following drugs:

a. Chapter 4 Dopamine Ephedrine sulfate Epinephrine Isoproterenol Levalbuterol Metaraminol Midodrine Norepinephrine Metoprolol Phentolamine Acebutolol HCl Atenolol Betaxolol Hcl Bisoprolol Carteolol Penbutolol Pindolol

Propranolol Carvedilon labetalol Clonidine HCl Methyldopa Prazosin Terazosin Ambenonium Bethanechol chloride Carbachol Edprophonium Pilocarpine HCl Atropine Belladonna Methantheline

bromide

b. Chapter 5 Butabarbital Phenobarbital Chloral hydrate Zaleplon Zolpidem Temazepam Triazolam Alprazolam Chlordiazepoxide Diazepam Lorazepam Oxazepam Hyroxyzine Meprobamate Amitriptyline

Amoxapine Cholmipramine Desipramine Protriptyline Citrlopram Fluoxetine Parozetine Sertraline Bupropion HCl Chlorpromazine HCl Haloperidol Lithium Olanzapine Pimozide

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c. Chapter 6 Caffeine Amphetamine sulfate Dexmathylphenidate Methamphetamine Diethylpropion HCl Sibutramine HCl Mephenytonin Phenytoin sodium

Ethosuximide Methsuximide Carbamazepine Felbamate Magnesium sulfate Zonisamide Levadopa Ropinirole HCl Pramipexole

d. Chapter 7 Donepezil HCl Galantamine hydrobromide Tacrine HCl

e. Chapter 8

Chlorpromazine HCl Dimenhydrinate Diphenhydramine Dolasetron mesylate Meclizine Ondansetron HCl Promethazine HCl

f. Chapter 9

Describe the four stages of general anesthesia. Differentiate between local, preanesthetic drugs and general anesthetics.

g. Chapter 10

Aspirin and buffered aspirin

Diflunisal Magnesium salicylate Salsalate Acetaminophen Celebrex Fenoprofen flubiprofen Ibuprofen Ketorolac Meloxicam Naproxen Oxaprozin Rofecoxib

Codeine Hydromorphone Meperidine Oxycodone Propoxyphene Buprenorphine Butorphanol Naloxone

h. Chapter 11

Adrenergic Drugs

i. Chapter 12 Adrenergic Blocking

Drugs

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j. Chapter 13 Cholinergic Drug

k. Chapter 14

Cholinergic Blocking Drugs Anticholinergic

Coagulation Studies Moisio chp 4 For each test listed, state it's purpose and possible reasons for deviation in normalcy:

Platelet aggregation Clot reaction Prothrombin time APTT Thrombin time Fibrinogen assay Factor assay test

Test 2 (Lessons 1-2) Week of June 20 – July 3 Lesson 3 Respiratory System Acosta Chapters 15-17

1. Define the chapters’ key terms. 2. Recognize the uses, generic name, and trade name of the following drugs:

a. Chapter 15 Albuterol sulfate Epinephrine Isoproterenol HCl Metaproterenol sulfate Pirbuterol acetate Theophylline Ipratropium bromide Fluticasone propionate Montelukast sodium Zileuton

b. Chapter 16

Chlorpheniramine maleate Clemastine fumarate

Group Assignment

Abbreviations Due 11pm Sunday

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Desloratadine Fexofenadine Hydroxyzine Loratadine Promethazine HCl Oxymetazoline HCl Pseudoephedrine HCl

c. Chapter 17

Codeine Benzonatate Dextromethorphan HBr Benzocaine Diphenhydramine Guaifenesin

Radiology Studies Nuclear Medicine Studies Moisio chp 10 & 11 For each test listed, state it’s purpose and possible reasons for deviation in normalcy: Chapter 10

Chest x-ray Mammography KUB Long bone, skull and spinal radiography Angiography Digital subtraction angiography Cholecystography Percutaneous transhepatic cholangiography T-tube cholangiography Barium swallow UGI Barium enema Lower GI Intravenous urography Retrograde pyelography Arthrography Myelography CAT scan MRI

Chapter 11

Single-photon emission computed tomography

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PET Brain scan Iodine 131 scan Radioactive iodine uptake test Thyroid stimulating hormone Parathyroid scan Thallium stress test Multigated acquisition Lung, gallbladder and biliary scans Gastric emptying and GI bleeding scans Kidney, liver, spleen scans Scrotal, bone, gallium-67 scans

For each of the following, describe the diagnosis(es), state the method(s) for diagnosing (lab and diagnostic tests), the method(s) of treating including drug usage along with other treatment modalities.

Pneumonia COPD Chronic Lung Disease Asthma Cystic Fibrosis Multiple sclerosis Depression Alcohol/drug dependence

Test 3 (Lessons 1-3) 74 or below, see instructor. June 27TH last day to drop with grade of “W”. See syllabus page 3, Grading Policy for weighted averages.

Week of July 4 Lesson 4 Cardiovascular System Acosta Chapters 18-24

1. Define the chapters’ key terms. 2. Recognize the uses, generic name, and trade name of the following drugs:

a. Chapter 18 Digoxin Inamrinone lactate

Group Assignment

Medicare Top Drug Classes Part 1 and 2 Due 11pm Sunday

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Milrinone lactate Disopyramide Lidocaine HCl Procainamide HCl

b. Chapter 19 – Antiarrhythmic Drugs Disopyramide Quinidine Lidocaine Flecainide Acebutolol Aminodarone

c. Chapter 20

Amyl nitrite Isosorbide dinitrate Nitroglycerin Diltiazem HCl Nicardipine HCl Nifedipine Verpamil HCl

d. Chapter 21

Hydralazine HCl Betaxolol HCl Carvedilol Metoprolol Penbutolol sulfate Pindolol Propranolol HCl Clonidine HCl

Methyldopa Prazosin Benazepril HCl Captopril Fosinopril sodium Quinapril HCl Diazoxide

e. Chapter 22

Atorvastatin Fluvastatin Lovastatin Simvastatin Gemfibrozil Niacin

f. Chapter 23

Wafarin sodium Heparin Alteplase Streptokinase

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Ferrous Leucovorin calcium

g. Chapter 24 -Antianemia Drugs

Iron salts (ferrous sulfate or gluconate) Epoetin alfa Darbepoetin alfa Leucovorin Vitamin B12

Ultrasound and Special Organ Studies Moisio chp 13 & 14 For each test listed, state it’s purpose and possible reasons for deviation in normalcy: Chapter 13

Sonography Ultrasonography

Chapter 14

ABR Diffusion capacity Electromyoneurography EEG EKG EMG EP EPS Exercise Stress Test Holter Monitor Lung volume capacity SAE SER Spirometry Sweat test VER

For each of the following, describe the diagnosis(es), state the method(s) for diagnosing (lab and diagnostic tests), the method(s) of treating including drug usage along with other treatment modalities.

Hypertension Hypertensive heart disease Renal disease Heart failure

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Cardiomyopathy Myocardial infarction CVA (stroke) Coronary artherosclerosis

Test 4 (Lessons 1-4) Week of July 11 Lesson 5 Gastrointestinal and Urinary Systems Acosta Chapters 25-29

1. Define the chapters’ key terms. 2. Recognize the uses, generic name, and trade name of the following drugs:

a. Chapter 25 Acetazolamide Furosemide Isosorbide Torsemide Mannitol Urea Chlorothiazide

b. Chapter 26

Cinoxacin Nitrofurantoin Oxybutynin Tolterodine tartrate Trimethoprim

c. Chapter 28

Exomeprazole magnesium Lansoprazole Omeprazole Magnesia hydroxide Cimetidine Ranitidine Loperamide HCl Charcoal Simethicone Magnesium laxative Docusate calcium Docusate calcium

Group Assignment

Medication Errors Due 11pm Sunday

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Glycerin Lactulose Polyethylene

d. Chapter 29 – Gallbladder and Intestines

Ursodiol Chenodiol Imodium

Urine and Fecal Studies Endoscopy Studies Moisio chp 6 & 12 For each test listed, state it’s purpose and possible reasons for deviation in normalcy: Chapter 6

Physical, chemical and microscopic analysis of urine Human chorionic gonadotropin PKU urine test Physical, chemical and microscopic analysis of feces

Chapter 12

Bronchoscopy Mediastinoscopy Thoracoscopy Transesophageal echocardiography Laparoscopy Endoscopic retrograde cholangiopancreatography Esophagoastroduodenoscopy Protoscopy, sigmoidoscopy, proctosigmoidoscopy Cystoscopy Urodynamic studies Pelviscopy, gynecologic laparascopy Colposcopy Culdoscopy Arthroscopy, fetoscopy, aminoscopy

For each diagnosis, describe the diagnosis(es), state the method(s) for diagnosing (lab and diagnostic tests), the method(s) of treating including drug usage along with other treatment modalities.

Inflammatory bowel disease Glaucoma Hypertension Electrolyte imbalances UTI

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Crohn’s disease Ulcerative colitis Chronic kidney disease Diarrhea

Test 5 (Lessons 1-5) Week of July 18 Lesson 6 Endocrine and Reproductive Systems Acosta Chapters 30-34

1. Define the chapters’ key terms. 2. Recognize the uses, generic name, and trade

name of the following drugs: a. Chapter 30

Chlorpropamide Glipizide Tolazamide Tolbutamide Acarbose Metformin Glucagon

b. Chapter 31-33 – Pituitary and Adrenocortical Hormones

Somatropin Somatrem Lypressin Vasopressin Betamethasone Budesonide Prednisolone acetate Corticosteroid Levothyroxine Methimazole Fluoxymesterone Testosterone Estrogen Estrone Estropipate Medroxyprogesterone

Group Assignment

Common Drug Reference Due 11pm Sunday

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c. Chapter 34 Ergotrate Oxytocin Ritodrine HCl

Blood Chemistry Test Moisio chp 3 For each test listed, state it’s purpose and possible reasons for deviation in normalcy: Acid phosphate, prostatic acid phosphatase

Prostate specific antigen Alanine aminotransferase (ALT), Serum glutamic pyruvic transaminase (SGPT) Alkaline phosphatase (ALP) Asparate amniotransferase (AST), Serium glutamic oxaloacetic transaminase

(SGOT) Creatine kinase (CK), also called creatine phosphokinase (CPK) Lactic acid dehydrogenase (LD, LDH) Lipase Antidiuretic hormone (ADH) Human chorionic gonadotropin (HCG) Cortisol Gastrin Growth hormone, somatotropin, somatotropic hormone (STH) Testosterone Thyroid stimulating hormone (TSH) Ferritin Total iron binding capacity (TIBC)

For each diagnosis, describe the diagnosis(es), state the method(s) for diagnosing (lab and diagnostic tests), the method(s) of treating including drug usage along with other treatment modalities.

Acidosis Alkalosis Diabetes mellitus and insipidus Cushing’s syndrome Goiter Hypothyroidism Hyperthyroidism Hypogonadism BPH Amenorrhea Contraceptives to prevent pregnancy

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Test 6 (Lessons 1-6) Week of July 25 Lesson 7 Immune System Acosta Chapters 35-41

1. Define the chapters’ key terms. 2. Recognize the uses, generic name, and trade name of the following drugs:

a. Chapters 35-38 Sulfadiazine Trimethoprimma-

fenide Silver sulfadiazine Penicillin Oxacillin sodium Amoxicillin Ampicillin Piperacillin Cefadroxil Cephalexin Cefaclor Cefotetan Loracarbef Cefixime Demeclocycline Doxycycline Monocycline Tetracycline

Clarithromycin Erythromycin Clindamycin Lincomycin Ciprofloxacin Norfloxacin Ofloxacin

Streptomycin Ethambutol Pyrazinamide Capreomycin sulfate Clofazimine Dapsone Chloramphenicol

Metronidazole Vancomycin

b. Chapter 39 Abacavir sulfate Acyclovir Docosanol Famciclovir Foscarnet Ribavirin Rimantadine HCl Ritonavir Valacyclovir Zidovudine (AZT) Amphotericin Caspofungin acetate Fluconazole Amphotericin B

Group Assignment

Common Diagnoses Due 11pm Sunday

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Miconazole nitrate Tioconazole Quinine sulfate Metronidazole

c. Chapter 40

Familiarity with various vaccines and immunity

d. Chapter 41 Familiarity with antineoplastic drugs

Infectious Disease and Immunodiagnostic Blood Test Moisio chp 5 For each test listed, state it’s purpose and possible reasons for deviation in normalcy:

Agglutination test Fluorescent and enzyme immunoassays, radioimmunoassay Syphilis detection tests Lyme disease tests Western blot assay test Legionnaires disease tests Chalmydia antibody tests Streptococcal antibody tests Infectious mononucleosis tests Rubella antibody tests Hepatitis tests HIV and AIDS test Herpes simplex Cytomegalovirus (CMV) antibody test TORCH test C-reactive protein (CRP) test Rheumatoid factor (RF) test Anti-nuclear antibody (ANA) test Blood group Rh typing

For each diagnosis, describe the diagnosis(es), state the method(s) for diagnosing (lab and diagnostic tests), the method(s) of treating including drug usage along with other treatment modalities.

Colorectal cancer Breast cancer Lymphoma Lung cancer HIV

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Sexually transmitted diseases Infections

Test 7 (Lessons 1-7) Week of August 1 Lesson 8 Other Body Systems Acosta Chapters 42-45

1. Define the chapters’ key terms. 2. Recognize the uses, generic name, and trade name of the following drugs:

a. Chapter 42 Alendronate sodium Etidronate Auranofin Allopurinol Carisoprodol Cyclobenzaprine HCl Diazepam Methocarbamol Orphenadrine citrate

b. Chapter 43

Bacitracin Benzoyl peroxide Clindamycin Oxiconazole Terbinafine HCl Acyclovir Triclosan Hydrocortisone Alclometasone dipropionate Benzocaine

c. Chapter 44

Familiarity with otic and ophthalmic preparations

d. Chapter 45 Familiarity with electrolytes

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Culture and Sensitivity Test Amniotic Fluid and Cerebrospinal Fluid Test Other Body Fluid Test Moisio chp 7, 8 & 9 For each test listed, state it’s purpose and possible reasons for deviation in normalcy: Chapter 7

Blood culture Cerebrospinal fluid (CSF) culture Genitalia and anal, nose and throat, skin, sputum, stool, urine, and wound cultures

Chapter 8

Amniotic and cerebrospinal fluid test Chapter 9

Effusion tests, gastric secretion, and semen tests For each diagnosis, describe the diagnosis(es), state the method(s) for diagnosing (lab and diagnostic tests), the method(s) of treating including drug usage along with other treatment modalities.

Arthritis Gout Herpes genitalis

Final Exam – Lessons 1-8 August 9th on campus Final in HITT lab room 538 5pm. You have 3 hours to complete exam.