Kingwood College Respiratory Care Therapist Program

RSPT1213 Basic Respiratory Care Pharmacology

Summer 2007 Evening Class

Revised December 5, 2007

 

Instructor: 

Elizabeth Kelley Buzbee A.A.S.,  R.R.T.-N.P.S.,  R.C.P.

Email: kelley.buzbee@nhmccd.edu  phone: 281-312-1605

Office: HSB 118-V

 

Credit:  2  Credit Hour

 

Prerequisites: Departmental Approval

 

Course Description per WECM:

“A study of basic pharmacologic principles/practices of respiratory care drugs.  Emphasis on classification, routes of administration, dosages /Calculations and physiology.”

 

Learning Outcomes per WECM:

“Explain the mode of action, clinical indications, dosages, hazards and side effects of the respiratory care drugs.  Perform drug dosage calculations, and select appropriate pharmacological agents used in the practice of respiratory care.”

 

Textbooks:

·                     Egan’s Fundamentals of Respiratory Care 8th edition.

·                     Selected journals articles available off the internet

           

Scans:          

The Secretary’s commission on Achieving Necessary Skills (SCANS) has identified (1) reading, (2) writing, (3) mathematics, (4) speaking and listening, (5) thinking skills, (6) personal qualities, (7) workplace competencies, and (8) basic use of computers as competencies required to enter employment.

 

SCANS Performance Objectives:      

1.         The student will demonstrate a working knowledge of Scans competency 1 (reading).  Performance will be satisfactory if the student successfully:

a.         Completes reading assignment for each unit in both the textbook and in selected journal articles found online

b.         Completes homework assignments from the course text and handouts.

2.         The student will demonstrate a working knowledge of Scans competency 2 (writing).  Performance will be satisfactory if the student successfully:

a.         Completes required written homework assignments from textbook and other sources

b.         submits a weekly assessment of (RSPT 1160) clinical patients’ ordered drugs

3.         The student will demonstrate a working knowledge of Scans competency (mathematics).  Performance will be satisfactory if the student successfully:

a.         calculates the correct solution strength in percent, given the weight (solute) and volume (solvent) of a solution

b.         determines by calculation appropriate solution volume (dosage) to be administered to a patient.

4          The student will demonstrate a working knowledge of Scans competency 4 (speaking and listening).  Performance will be satisfactory if the student successfully:

a.         responds to verbal questions from the instructor during lecture.

b.         takes part in active classroom discussion during case study sessions

5.         The student will demonstrate a working knowledge of Scans competency 5 (thinking skills).  Performance will be satisfactory if the student successfully:

            a.         demonstrates problem solving techniques by calculating drug        dosages to be administered.

            b.         demonstrates the ability to make the proper decision when selecting drugs to be administered.

            c.         demonstrates the ability to make the proper decisions when faced with adverse side effects.

6.         The student will demonstrate a working knowledge of Scans competency (personal qualities).  Performance will be satisfactory if the student successfully:

            a.         interacts with other students during group work sessions.

            b.         exhibits professional behavior towards the instructor and fellow students.

7.         The student will demonstrate a working knowledge of Scans competency (workplace competencies).  Performance will be satisfactory if the student successfully:

            a.         demonstrates regular punctuality and attendance.

            b.         conducts their classroom affairs in a professional manner.

            c.         completes both group work and individual assignments in a timely manner

8.         The student will demonstrate a working knowledge of Scans competency 8 (basic use of computers).  Performance will be satisfactory if the student successfully:

a.         uses internet to locate pharmaceutical manufacturer’s web pages to obtain the official FDA sanctioned inserts.

b.         uses the internet to access lecture notes and other necessary documentation for this course

c.         uses the internet to access selected journal articles used as references for lecture notes

 

Class Schedule:

Tuesday 5:00PM – 7:00 PM

Attendance:          

Students are expected to attend all class, lab, and clinical sessions unless they are officially excused.  An official absence is granted when such absence is caused by official participation in a college activity and the instructor is informed in advance.   All other absences are unofficial. Absences caused by unavoidable conditions, such as illness, should be reported to the instructor by the start of class (Kelley 281.312.1605 or Fiona 281.312.1599).

 

Absences will impact the final average with the first absence counting one [1] point, the second absence two [2] points, the third absence five [5] points, and each absence following a ten [10] point reduction. 

 

Each tardy will result in the deduction of 0.33% from the final grade average for this course.  A “tardy” is inclusive of leaving class within thirty minutes before dismissal, as well as taking leave during class or labs for longer than a reasonable amount of time.   Tardies of more than thirty minutes will be considered a half-day absence. These will be deducted as 0.5% from the final grade average for this course.   Leaving a class/lab early or for extended periods will be calculated as a tardy or absence, depending on the amount of time missed.

 

No test missed may be made up.    No grades will be dropped in the computation of the final grade for this course. 

 

Homework:

Every Monday that the student has patient contact, he/she will turn in a homework assignment that includes the following information: list 3 systemic drugs that one of the students’ patients is getting. Click here for form.  Use the internet and the PDR in the school library to answer these questions.

 

 

Reviews for each unit will be assigned at the start of each unit. A key may be found online. Please try to answer the questions without looking at the key. The function of homework is to help the student clarify the information in the unit. While it is possible to pass this course without doing homework, we strongly recommend the student do each homework assignment as if it was being graded.  Exam questions will be based on review, homework and case study questions assigned with each unit.  All homework will account for 3% of the grade.

 

Although homework will not be collected under normal conditions, students who have averages of less than 75% in the course are expected to turn in homework until the grade rises. Homework will not be graded, but we will keep a record for remediation, and counseling purposes.

 

·         Unit review sheets: will be passed out at the start of each unit. Keys for each of these reviews can be found online.

 

·         Weekly drug sheet: see above

 

·         Case studies: patient care situations in which the RCP must decide on the treatment based on assessment of the patient. The RCP will also be expected to alter drugs, dosages, frequency based on the patient’s reactions. Keys for each of these case studies can be found online.

 

·         Other homework: any formulae that will be included in the exam will most likely be the subject of extra homework.

 

Policies and Procedures:        

Student may find the following information in the Respiratory Care Student Handbook.

                                                -  Withdrawal policy

                                                -  Attendance policy

                                                -  Grading scale

The Respiratory Care Therapist Program practices a non-discriminatory admissions  policy with respect to race, color, creed, sex, age, or national origin.

 

Course Structure:           

Didactic

 

Other Information:                    

Calendar and Holidays:

  • First day of class January 15, 2008
  • Midterm break March 10-16, 2008
  • Final day to withdraw with “W” March 8, 2008
  • Final exam May 6, 2008

 

Grading:

No late homework will be accepted. If notified in advance, an exam may be taken early for full credit, but exams taken late will be graded based on 75% as highest possible grade. For example: a 95% on a late test based on this formula would result in a grade of 71%. Any missed exams must be made up and the grade applied in this manner.

 

All exams that were failed (less than a 75%) must be remediated before finals’ week or the student will be given an incomplete for the course.

 

Grade division:

Unit exams             97%

Homework                3% [clinical list of 3 drugs only]

 

The following numerical ranges correspond to letter grades within the respiratory therapist program:

A         =         90 - 100

                        B         =         80 -   89

                        C         =         75 -   79

                        D         =         65 -   74

                        F         =          less than 65

 

Cell Phones & Pagers    

Students are required to turn off cell phones and pagers during class time.  If an emergency situation exists and the with instructor approval, these devices may be placed in  vibrate.”   However, leaving the classroom to answer an emergency call MUST be an infrequent occurrence. Students may not use cell phones as calculators.

                                   

 

Course Drop:         Students are required to talk with their instructor before attempting to drop this or any other respiratory care course .

 

 

Semester Schedule:  The following schedule is tentative and subject to change at the discretion of the instructor.

week

Unit Subject [click on the lecture to access the notes]

Kelley Buzbee’s notes

Reading assignments,

Case studies and other Keys

1-3

  Unit 1: Introduction to Pharmacology

  1. Legal issues, history of the FDA
  2. Basic definitions for pharmacology
  3. Key- lock theory of pharmacology
  4. CNS

Notes & handouts

 

 

Key to Unit 1 review

 

Key to unit 1 part ii review

 

Key for case studies

 

3-7

   Unit 2: Bronchodilators

  1. Mechanisms of bronchospasm at cellular level
  2. Beta II
  3. cholinergic blockers
  4. Xanthines

 

file:///G:/respcare/pharma_unit2_notes.htm

**********************************************************************

    Unit 2.1 drug calculations

  1. convert from ratio to wt/vol
  2. convert from percent solution to wt/vol
  3. calculate amount of active ingredient  when given solution & amount
  4. calculate how much drug is to be drawn up to deliver a given amount of an active agent

 

Lecture/homework for Drug Calculations

 

Egan’s pp. 164, 198, 220, 534, 630-637, 728 & 1077.

 

Unit 2 part 1 key review

 

Unit 2 part 2 key review

 

Case study unit 2 key

**********************************************************************

 

 

 

Key for drug calculations

 

7-10

 Unit 3:  anti-inflammation

  1. Mechanism of Type I anaphylactic reaction at cellular level
  2. Steroids
  3. Leukotriene modifiers
  4. mast cell stabilizers

Notes and handouts

 

 

 

Egan’s pp. 179, 478-485, 553, 608, 628-630,  637-649, 768 & 1167

 

 

Review of unit 3 key

 

Case studies unit 3

10-12

Unit 4:  anti-infective agents & Mucolytics

  1. Inhaled & systemic antibiotics
  2. Inhaled antiviral agents
  3. Inhaled antifungal/parasitic agents
  4. Mucolytics, surface active agents & cough control

Notes and handouts

 

 

Egan’s pp. 620, 645-649, 649, 794 & 1171.

 

Key for case studies for Unit 4

 

Review for unit 4 key

12-14

Unit 5:  Sedation & Induced paralysis & surface active agents

1.       Role of sedation in the ICU

2.      Reversible & irrevocable paralytic drugs

  1. surface active agents

 

Notes and handouts

 

Egan’s pp. 285, 677, 873,  993-994, 1005-1007,  1016-1117

 

Key for unit 5 Review sheet

 

Case study for Unit 5 Key

15

Final exam

May be comprehensive ; TBA

Study all reviews, all notes  & all case studies

 

ACKNOWLEDGMENT

 

I have received a copy and have read the course document for RSPT 1213, Basic Respiratory Care Pharmacology.  By signing, I indicate my understanding and willingness to comply with these regulations and requirements.

 

 

Student Signature: ________________________________________________

 

Date: ___________________________________________________________