A model didactic and clinical substance abuse curriculum developed for schools of nurse anesthesia



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MODULE 3

DIDACTIC UNIT A: Multisystem physiology in SA - Level III

Total Time: 2 hours


Overview: This unit will discuss the detailed physiology related to the central nervous system, maternal and the neonatal patient, fetal and newborn addiction, and SA in children addiction. The unit will serve to assist the student in the assessment and diagnostic skills of SA.
Terminal Objective: The student will understand the physiologic basis of maternal and fetal addiction, neonatal and newborn addiction, and SA in children. Enhanced knowledge will provide a foundation for supporting the assessment and diagnostic skills of the student.
Recommended Teaching Methods:

Group Process

Lecture

Discussion



Readings

Case examples

Course Outline:

LIV. Central nervous system

A. Neuroanatomy and physiology

B. Neural cell

C. Neural synapse and transmitters

D. Brain


1. Physiology

2. Function

a. cognitive

b. psychomotor

c. affective

3. Gerontologic changes

4. Substance abuse

a. specific agents of abuse

(1) sites of action

b. mechanism of action

c. effects

5. SA related Behavior

6. Nutrition

E. Psychiatric disorders

LV. Maternal and neonatal

A. Substance use, misuse, and abuse

1. During pregnancy

2. Post partum

3. Nursing mothers

B. Fetal physiological effects of SA

C. Neonate drug effects

1. Alcohol syndrome

2. Maternal SA

3. Withdrawal

4. Drugs and fetal development

LVI. Children and SA

A. Growth and development related to SA

B. Substances commonly abused by children

1. Inhalants

2. Tobacco

3. Alcohol

4. Marijuana

5. Cocaine

6. Caffeine


References:

Abel, E.L. (1984). Pharmacology of alcohol relating to pregnancy and lactation. New York: Plenum Press.


Acker, D., Sachs, M.D., Tracy, K.J. & Wise, W.E. (1983). Abruptio placenta associated with cocaine use. American Journal of Obstetrics and Gynecology. 146(2), 120-221.
Arif, A., & Westermeyer, J. (Eds.) (1988). Manual of drug and alcohol abuse. New York: Plenum Medical Books Co.
Anspaugh, D.J., Hamrick, M.H. & Rosato, F.D. (1991). Wellness: Concepts and applications. St. Louis, MO: Mosby-Year Book.
Barten, J. & Talbott, S. (Eds.). (1989). Primary prevention in psychiatry: The state of the art. Washington, D.C.: American Psychiatric Press.
Beauvais, F. & Oetting, E.R. (1988). Inhalant abuse by young children. research Monograph, No. 85. (DHHS Publication No. ADM 88-1577). Washington, D.C.: National Institute for Drug Abuse.
Bonagura, J.A., Rhonehouse, M. & Bonagura, E.W. (1988). Effectiveness of four school health education projects upon substance use, self-esteem, and adolescent stress. Health Education Quarterly. 15(1), 81-92.
Burns, E.M., Thompson, A. & Ciccone, J.K. (Eds.). (1993). An addictions curriculum for nurses and other helping professionals. (Vol. 1 & 2). New York: Springer Publishing Co.
Burton, A.C. (1972). A physiology and biophysics of the circulation. Chicago: Year Book Medical Pub.
Chasnoff, I.J., Burens, W.J., Schroll, S.H. & Burns, K.A. (1985). Cocaine use in pregnancy. The New England Journal of Medicine. 313(11), 666-669.
Chasnoff, I.J., Schroll, S.H., Burns, W.J., & Burns, D. (1984). Maternal non-narcotic substance abuse during pregnancy: Effects on infant development. Neurobehavioral Toxicology and Teratology. 6(4), 277-280.
Clark, W.G. et al. (1988). Goth's medical pharmacology. St. Louis, MO: C.V. Mosby Co.
Clarren, S.K. (1982). The diagnosis and treatment of fetal alcohol syndrome. Comprehensive Therapy. 8, 41.
Cohen, S. & Callahan, J. (Eds.). (1986). A specific approach to the treatment of alcohol abusing patients. New York: Hayworth Press.
Coles, C.D., Smith, I.E., Lancaster, J.S. & Flaek, A. (1987). Persistence over the first month of neurobehavioral differences in infants exposed to alcohol prenatally. Infant Behavior and Development. 10(1), 23-37.
Fox, N.L., Sexton, M.J. & Hebel, R.J. (1987). Alcohol consumption among pregnant smokers: Effects of smoking cessation intervention program. American Journal of Public Health. 77(2), 211-213.
Fried, P.A., Buchingham, M. & Von Kuloniz, P. (1983). Marijuana use during pregnancy and perinatal risk factors. American Journal of Obstetrics and Gynecology. 146(8), 992-994.
Frances, R.J. & Miller, S.L. (Eds.). (1991). Clinical textbook of addictive disorders. New York: Guilford Press.
Ganong, W.F. (1989). Review of medical physiology. Los Altos: Lange Medical Publications.
Goodman, L.S. & Gilman, A. (1975). The pharmacologic_basis of therapeutics. New York: Macmillan Publishing Co.
Golden, N.L., Kuhnert, B.R., Sokol, R.J., Martier, S. & Bagby, M.S. (1984). Phencyclidine use during pregnancy. American Journal of Obstetrics and Gynecology. 148(3), 254-259.
Goldstein, D.B. (Ed.). (1983). Pharmacology of Alcohol. New York: Oxford University Press.
Goudsouzian, N.G. Karamanian, A. (1984). Physiology for the anesthesiologist. New York: Appleton-Century-Crofts.
Guyton, A.C. (1986). Textbook of medical physiology. Philadelphia: W.B. Saunders Co.
Horowitz, J. (1988). Anesthetic implications of substance abuse in the parturient. Journal of the American Association of Nurse Anesthetists. 56, 510.
James, J.E. & Paul, I. (1985). Caffeine and human reproduction. Reviews on Environmental Health. 5(2), 151-167.
Lee, M.I., Stayker, J.C. & Sokol, R.J. (1985). Perinatal care for narcotic-dependent gravidas. Perinatology-Neonatology. 9(6), 135-140.
Kinney, J. & Leaton, G. (1991). Loosening the grip: A handbook of alcohol information. St. Louis, MO: Mosby-Year Book.
Michenfelder, J.D et al. (1969). Neuroanesthesia. Anesthesiology. 30, 65.
Miller, R.D. (1990). Anesthesia. New York: Churchill Livingstone.
National Institute on Drug Abuse. (1990). NIDA Capsules: CAP01-CAP38. Rockville, MD: National Clearinghouse for Alcohol and Drug Information.
Project Cork Institute of Dartmouth Medical School. (1981). Alcohol use and its medical consequences: A comprehensive slide teaching program for biomedical education. Timonium, MD: Milner-Fenwick.
Rementeria, J.L. (1977). Drug abuse in pregnancy and neonatal effects. St. Louis, MO: C.V. Mosby.
Rogers, M.C., Tinker, J.H., Covino, B.G., & Longnecker, D.E. (Eds.). (1993). Principles and practice of anesthesiology. St. Louis, MO: Mosby Year Book.
Rosett, H.L. & Weiner, L. (1984). Alcohol and the fetus: A clinical perspective. New York: Oxford University Press.
Stoelting, R.K. (1987). Pharmacology and physiology in anesthetic practice. Philadelphia: J.B. Lippincott Co.
Waugaman, W.R., Rigor, B.M., Katz, L.E., Bradshaw, H.W. & Garde, J.F. (1988). Principles and practice of nurse anesthesia. Norwalk, Conn.: Appleton and Lange.

Substance Abuse Curriculum: MODULE 3

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