STANDARD COMPETENCIES:

 

 1. Describe an appropriate stepwise approach to drug therapy for the management of asthma.

 2. Use beta-receptor selectivity and duration of action differences to select a beta-agonist bronchodilator.

 3. Describe the appropriate technique for administration of metered dose inhalers.

 4. Describe the mechanism of action of cromolyn sodium, corticosteroids, theophylline, zafirlukast, zileuton, montelukast, and ipratropium in the treatment of asthma.

 5. Describe the role in asthma treatment of IV steroids, oral steroids, and inhaled steroids.

 6. Identify the side effects of corticosteroids and describe the taper of their use.

 7. List the target serum level for theophylline.

 8. List selected theophylline drug interactions and side effects.

 9. List medications to be avoided in patients with asthma.

 10. Identify the types of hormonal contraceptives available.

 11. Describe the advantages and disadvantages for combination oral contraceptives and progestin only contraceptive products.

 12. Choose appropriate oral contraceptive therapy, if it is indicated

 13. List common adverse effects of the oral contraceptives and describe a management strategy for these adverse effects.

 14. Name at least three drug interactions that occur with hormonal contraceptives and tell how to manage them.

 15. Describe emergency contraception and list several options for emergency contraception.

 16. Describe the benefits of hormone replacement therapy in menopause.

 17. List the risks of hormone replacement therapy.

 18. Choose an appropriate hormone replacement product for a woman in menopause.

 19. Describe the mechanism of action of the various products used to prevent osteoporosis in the post-menopausal woman.

 20. List the advantages and disadvantages of hormone replacement therapy, biphosphonate therapy and selective estrogen receptor modulator therapy in the prevention of post-menopausal osteoporosis.

 I. Allergic Reactions

  A.        Hypersensitivity

  B.        Treatment

  1.        First- and second-generation antihistamines

  2.        Decongestants

  3.        Intranasal corticosteroids

  4.        Intranasal cromolyn

  II.       Peripheral Nervous System

  A.        Sympathetic

  1.        Parasympathetic

  B.        Cholinergic

  1.        Adrenergic

  a)        Sympathomimetics

  III.      Analgesics

  A.        Local Anesthetics

  B.        Pain / Inflammation

  C.        Narcotics

  D.        NSAIDs

  IV.      Psychotropic

  A.        Serotonin Blockers / Agonists

  B.        Tricyclics

  C.        Oncology / Pain Management

  D.        Depression

  E.        Anxiety

  F.        Schizophrenia

  G.        Eating Disorders

  H.        Obsessive / Compulsive

  I.         Sleep Disorders

  J.        Alcohol

  K.        Seizures

  L.        Migraines

  M.       Geriatrics (Alzheimer’s, Parkinson’s)

  V.       Infectious Disease

  A.        Antibiotics

  B.        Viral

  C.        Protozoal

  D.        Fungal

  E.        Antimicrobial Therapy in Pregnancy

  VI.      HIV

  A.        Protease Inhibitors

  B.        Reverse Transcriptase

  C.        Antimicrobial Therapy in Prophylaxis

  VII.     Renal

  A.        Dosage Adjustment

  B.        Gout

  C.        Edema

  D.        Effects of Dialysis

  E.        Drug-induced Renal Diuretics

  F.        Diuretics

  G.        Uricosurics

  H.        Potassium

  VIII.   Pulmonary

  A.        Asthma

  B.        COPD

  C.        Emphysema

  D.        Cough and Cold

  E.        Beta-agonists

  F.        Corticosteroids

  G.        Mast Cell Stabilizers

  H.        Methylxanthines

  IX.      Gastrointestinal

  A.        Diarrhea

  B.        Constipation

  C.        GERD

  D.        Peptic / Duodenal Ulcers

  E.        Antacids

  F.        Blockers

  G.       Proton Pumps

  H.       Prokinetic Drugs

  I.        Anti-emetics

  J.        Prostaglandins

  X.       Female

  A.        Reproductive

  B.        Pregnancy

  C.        STDs

  D.        Hormone Replacement Therapy

  E.        Osteoporosis

  F.        Over-the-Counter

  XI.      Male

  A.        Prostate

  B.        Erectile Dysfunction

  XII.     Endocrine

  A.        Thyroid

  B.        Diabetes

  C.        Corticosteroids

  D.        Insulin

  E.        Glucogen

  F.        Sulfonylureas

  G.        Glucosidage Inhibitors

  H.        Thyroid Replacement

  XIII.    Nervous System

  A.        Transient Ischemic Attacks

  B.        Multiple Sclerosis

  XIV.    Musculoskeletal

  A.        Muscle Relaxants

  B.        Incontinence