Veidlapa Nr. M-3 (8)
Study Course Description

Clinical Pharmacology and Pharmacologically Assisted Care in Obstetrics

Main Study Course Information

Course Code
FFK_001
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Midwifery
LQF
Level 6
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Pharmacology and Pharmacotherapy
Contacts

Department of Pharmacology and Pharmacotherapeutics, Konsula street 21, 2nd floor, room 211, Riga, LV-1007; liva.vanaga@rsu.lv, linda.rugele@rsu.lv, tel. +37167409213

About Study Course

Objective

According to the chosen specialty , to promote students' ability to orient themselves in the pharmacotherapy of the most common chronic diseases and the most characteristic complaints during pregnancy and breastfeeding. To provide knowledge of the most characteristic side effects and contraindications, taking into account the choice of the method of administration. To ensure understanding of the possibilities of using medicines necessary for the course of childbirth and potential risks. To create an idea of the use of medicines in the pediatric population.

Preliminary Knowledge

In physiology, biochemistry, pharmacology, gynaecology and obstetrics, neonatology.

Learning Outcomes

Knowledge

1.Students will be able to describe the effect of medicines on the functions of organ systems, will be able to define the basic indications, most common side effects and contraindications.

2.Students are expected to gain knowledge about the medications used in termination of pregnancy, preservation of pregnancy and delivery, their realized effect, possible side effects and risks of administration.

3.Students will be able to describe the essence of the pregnancy prevention program.

Skills

1.Be able to classify medicines according to their use in chronic diagnoses, emergency situations or pregnancy-related situations.

2.Be able to describe the purpose and risks of regularly prescribed medicines during pregnancy and lactation.

3.Describe the basic principles of pharmacotherapy of indications related to termination of pregnancy, pregnancy and delivery.

4.Be able to differentiate the risks associated with the use and administration of medicines according to their severity.

5.Be able to calculate the dose to be administered according to the prescription.

6.Be able to evaluate the risks of teratogenicity and breast-feeding according to officially available information.

Competences

1.Be able to recommend medicines to alleviate complaints typical of pregnancy.

2.Be able to educate patients about the correct use of medicines, their indications and adverse effects.

3.Be able to explain the purpose and therapeutic effectiveness of medicines in terms understandable to the patient.

4.As a result of multidisciplinary cooperation, according to professional specifics, will be able to participate in the evaluation of pharmacotherapy and the introduction of corrections.

5.Will be able to analyse the medicines indicated in the anamnesis and orders according to the expected clinical effect, will be able to assess their therapeutic effectiveness and the development of side effects in the work environment.

6.Promote the reduction of the risk of medication errors and inappropriate prescription.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
Test

Analysis of the prescriptions received and fulfilled during the clinical practice according to the requirements of the report protocol (placed in E-studies). The form of submission of the work done (electronically or in paper format) is done by mutual agreement between the lecturer and the students. The protocol is submitted within the specified deadline before the individual interview. Submission of the protocol is mandatory. The independent work is evaluated with a test.

Examination

Title
% from total grade
Grade
1.

Colloquia I

50.00% from total grade
10 points

30-question examination consisting of multiple-choice questions, clinical case studies and calculation tasks in varying proportions.

2.

Colloquium II

50.00% from total grade
10 points

30-question examination consisting of multiple-choice questions, clinical case studies and calculation tasks in varying proportions.

3.

Individual interviews

-
Test

At the end of the study course, on the scheduled dates, each student must have an individual interview with the lecturer, during which feedback is given on the course and an analysis of the independent work is carried out. The interview is a mandatory event, without which the student cannot obtain a positive final assessment in the course.

4.

Examination

-
-

The accumulated exam assessment is awarded in the study course regardless of the value obtained, but the condition of individual discussions with the course lecturer is mandatory. The final assessment is calculated as the average grade from both mid-semester examinations taken during the semester.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Antihypertensive therapy in pregnancy.
Antithrombotic and hypolipidaemic therapy during pregnancy.
Antianginal and antiarrhythmic agents.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Principles of asthma therapy during pregnancy.
Use of anti-allergy medicines during pregnancy.
Respiratory infection treatment in pregnancy.
Management of anaphylactic shock during pregnancy.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Treatment of gastroesophageal reflux during pregnancy.
Management of pregnancy toxicosis.
Options for preventing constipation and hemorrhoids during pregnancy.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Medications used in the treatment of type 1 diabetes. Treatment options for gestational diabetes.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Pain management during pregnancy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Antihypertensive therapy in pregnancy.
Antithrombotic and hypolipidaemic therapy during pregnancy.
Antianginal and antiarrhythmic agents.
Basic principles of heart failure management.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Principles of asthma therapy during pregnancy.
Use of anti-allergy medicines during pregnancy.
Respiratory infection treatment in pregnancy.
Management of anaphylactic shock during pregnancy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Treatment of gastroesophageal reflux during pregnancy.
Management of pregnancy toxicosis.
Options for preventing constipation and hemorrhoids during pregnancy.
Treatment options for gastroenteritis in pregnancy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Medications used in the treatment of type 1 diabetes. Treatment options for gestational diabetes.
Drugs for the treatment of type 2 diabetes.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Guideline-based wound care solutions.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Computer room
2

Topics

Colloquium 1: Therapeutic options for cardiovascular diseases, respiratory diseases, gastrointestinal diseases and diabetes.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Pain management during pregnancy.
Management of autoimmune conditions in pregnancy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Treatment options for urinary tract infection and nephritis in pregnancy.
Management of bacterial vaginosis and candidiasis in pregnancy.
Antimicrobial therapy for sexually transmitted infections in pregnancy.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Pharmacological treatment of infertility.
Prevention of preterm birth.
Medications used in childbirth.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Prevention and termination of unwanted pregnancy.
Management of Emergencies in Pregnancy.
Teratogenic drugs. Pregnancy prevention program.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Computer room
2

Topics

Colloquium 2: Management of urogenital diseases and pain management during pregnancy. Prevention of premature birth. Drugs used during childbirth. Medical abortion.
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Ainsworth, Sean B. Neonatal Formulary: Drug Use in Pregnancy and the First Year of Life. John Wiley & Sons, Incorporated, 2014. ProQuest Ebook CentralSuitable for English stream

2.

Rebar, Cherie R., et al. Pharmacology Made Incredibly Easy, Wolters Kluwer, 2022. ProQuest Ebook CentralSuitable for English stream

3.

Briggs, Gerald G; Freeman, Roger K; Yaffe, Sumner J. Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk. Lippincott Williams & Wilkins, 2011, 1728 p. (akceptējams izdevums)Suitable for English stream

4.

Basic & Clinical Pharmacology. Bertram G. Katzung. McGraw-Hill Professional, 2021, 1179 lpp.Suitable for English stream

5.

Lekciju materiāls RSU E-studijas

Additional Reading

1.

Ford, Susan M. Roach's introductory clinical pharmacology / Susan M. Ford, Sally S. Roach. 9th ed. Philadelphia : Wolters Kluwer Health/Lippincott Williams & Wilkins, c2010

2.

Drugs During Pregnancy and Lactation: Treatment Options and Risk Assessment. edited by Christof Schaefer, et al. Elsevier Science & Technology, 2007. ProQuest Ebook Central

3.

Goodman & Gilman's: The Pharmacological Basis of Therapeutics. 14th Ed. Laurence L. Brunton, et al. New York: McGraw-Hill, 2022

4.

Barbara G Wells. Pharmacotherapy Handbook. McGraw-Hill Professional, 2021

5.

British National Formulary. BNF 2019

6.

Dzemdniecība. Daces Rezebergas redakcijā. Medicīnas apgāds, 2016, 448 lpp.

Other Information Sources

1.

www.vm.gov.lv

2.

www.EMCDDA.europa.eu/

3.

www.euphix.org/

5.

http://www. haiweb.org/

6.

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