PODIATRIC PHARMACOLOGY AND LOCAL ANAESTHESIA

SHE Level 3
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M3B322757
Module Leader Allan Thomson
School School of Health and Life Sciences
Subject Podiatry
Trimester
  • A (September start)-B (January start)

Pre-Requisite Knowledge

Meeting University/Programme requirements for entry to level 3

Summary of Content

This module will provide students with the knowledge and understanding of local anaesthetics required for podiatric practice. This module provides an understanding of the basic principles of drug-receptor interaction, the routes of absorption and elimination of drugs and selected aspects of drug interactions. This module builds on the Fundamental Pathophysiology module in Level 2 and provides an understanding of drug action on the cardiovascular, respiratory, haemostatic and fibrinolytic systems with selected examples of their application and drugs used to control pain and inflammation, bacterial, viral and fungal infection. This module will provide students with the knowledge and understanding to administer Prescription Only Medicines available to Podiatrists.

Syllabus

Pharmacokinetics: absorption; factors affecting rate and degree of absorption, lipid solubility, surface areas, time, blood flow, and bioavailability. Distribution; plasma-protein binding, tissue distribution, apparent volume of distribution. Biotransformation. Excretion; mechanisms of renal excretion, other routes. Target molecules for drugs and the relationship between concentration/dose and response. Drugs that act as agonists and antagonists. The mechanism of action of drugs and their use in the management of pain and infection and in pathologies associated with the skin; cardiovascular system; respiratory system; inflammatory and immune system; haemostatic and fibrinolytics system. Indications, contraindications, side effects and relevance to podiatric practice and general management of patients. Medico-legal context underpinning prescription, psychology of prescribing and prescribing in the team context. Criteria for selection of patients for local anaesthesia, pharmacology of local anaesthesia. Local Anaesthetics. Applications of Local Anaesthetics. Patient Suitability for Local Anaesthetic. Calculating Maximum Safe Doses. Peripheral Nerve Blocks. First aid and basic life support.

Learning Outcomes

On successful completion of this module students should be able to:1. Demonstrate a detailed knowledge of local anaesthetic solutions and the theory of safe, effective and legal administration and appropriate patient selection2. Demonstrate the knowledge and understanding to gain access to a range of Prescription Only Medicines3. Understand the basic principles of drug action4. Appreciate how selective manipulation of endogenous chemical mediators can lead to the development of an agent5. Demonstrate an understanding of the medico-legal context which underpins supply and administration of medicines on the approved list6. Demonstrate awareness of a patient centred approach to prescribing, supply and administration of medicines7. Operate within the field of knowledge and scope of practice recognised by HCPC and SCP8. Describe and understand their role within the public health context and in the maintenance of professional relationships between medical and other prescribers as relevant to the prescription, supply and administration of approved medicines

Teaching / Learning Strategy

Classroom based keynote lectures will supply the theoretical basis of knowledge which will be enhanced by interactive tutorials, case studies and application to the clinical environment. Practical sessions to integrate and apply theoretical knowledge to clinical scenarios using the inter-professional clinical simulation centre. Directed learning will promote the enquiring mind and an ability to extract material from a variety of sources. Independent learning is encouraged in 3 rd year to prepare the student for 4 th year studies; this is part of a teaching and learning strategy in preparation for clinical reasoning and continuous professional development.

Indicative Reading

Aitkenhead A. (2007) Textbook of Anaesthesia 5th edition Churchill Livingstone Dripps R.D. et al (1988) Introduction to Anaesthesia the Principles of Safe Practice 7 th edition W.B.Saunders Metcalfe S & Reilly I (2010) Foot and Ankle Injection Techniques, Churchill Livingstone Page C.P. (2006) Integrated Pharmacology Rang H.P., Dale M.M., Ritter J.M. (2003) Pharmacology 4 th edition Churchill Livingstone Wildsmith J.A.W. (2003) Principles and Practice of Regional Anaesthesia 3 rd edition Churchill Livingstone Winstanley P., Walley T. (2002) Medical Pharmacology: A clinical core text for integrated curricula with self-assessment 2 nd edition Churchill Livingstone British National Formulary <http://www.bnf.org/bnf/index.htm>

Transferrable Skills

Communication skills Clinical reasoning skills Problem solving skills Independent study skills

Module Structure

Activity Total Hours
Independent Learning (FT) 104.00
Assessment (FT) 20.00
Lectures (FT) 48.00
Practicals (FT) 4.00
Tutorials (FT) 24.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Exams Office) 2.00 40.00 40% Summative MCQ/Short Answer (Pharmacology)
Exam (Dept) 01 n/a 20.00 40% Oral exam, Summative VIVA
Exam (Exams Office) 1.00 40.00 40% Summative MCQ/short answer (LA)