29225 - Clinical Nutrition and Pharmacology
229 - Facultad de Ciencias de la Salud y del Deporte
441 - Degree in Human Nutrition and Dietetics
Compulsory
5.1. Methodological overview
Clinical Nutrition
The learning process that has been designed for this course is based on the following:
The subject is divided into 30 theoretical lectures of one hour, and 10 thematic seminars/workshops of one to two hours and clinical practices in the hospital. The content of the lectures will be based on a book or manual recommended previously and adapted to the level of knowledge of the students. In the Seminar students work on cases related to the subject and must resolve problems through personal effort and teamwork. In Workshops the teacher will present the basic knowledge for the development of a medical history with the knowledge of the basic physical examination and the main signs of the disease using audiovisual methods.
Pharmacology
The subject aims to be a correspondence between the theoretical sessions and the practice sessions, so that these practice sessions to reinforce and support the contents of the subject, to achieve meaningful learning of the student that you can use in the exercise of their future professional work in the field of Dietetics and Nutrition
The theoretical sessions will take place through interactive lectura class, explanatory or demonstrative content sessions, using the blackboard and audiovisual material with computer support.
The practical sessions will be made by:
-discussion of seminars taught by the teacher. Active participation of the student
- laboratory session
- problem‐based learning. Resolution and discussion
- assessment and resolution of clinic cases
course portfolio: collected reports relating to the control of the previous practical activities (individual work)
- realization of a monographic review work, in small groups, on a suggested topic. Presentation and defense. During the realization of the same, corresponding teachers will have various interviews with the working groups for academic orientation and supervisión.
As teaching support will be provided in the web: literature recommendations, program of the course, guide teaching, hours of theoretical and practice sessions, as well as summaries of theoretical subjects or supplementary material of the practices in some cases, if necessary. The address where this material will appear is: http://www.unizar.es/dvirtual.htm (Teaching Digital Ring)
5.2. Learning tasks
The program offered to students to assist in achieving the expected results includes the following activities
Clinical Nutrition
Learning tasks
The course includes 8.4 ECTS organized according to:
Lectures 45% 2.60 ECTS (67,50 hours)
Large groups: (50%) 1.20 ECTS (30 hours)
Practice sessions; seminars / workshops (and tutorial) 0.7 ECTS
Practice clinics (in small groups) 0,5 ECTS
Autonomous work (on-line) 3.4 ECTS
1 ECTS= 10 onsite hours
Pharmacology: 4 ECTS
Lecture
Pratice Session:
. seminar
. problem‐based learning.
. clinic cases
. laboratory session
. group work and presentation
5.3. Syllabus
CLINICAL NUTRITION PROGRAM
THEORICAL PROGRAM
General indications for nutritional support
Evaluation of artificial nutrition nutritional requirements.
Enteral nutrition. Selection criteria for enteral nutrition formulas.
Dietary fiber. Its application in enteral nutrition.
Parenteral nutrition. Indications. Types of parenteral nutrition.
Nutrients in artificial nutrition. Metabolic complications of artificial nutrition. Artificial nutrition in Pediatrics.
Nutritional support in surgery.
Peripheral parenteral Nutrition.
Nutritional support in digestive diseases.
Nutritional support in surgical diseases.
Nutritional support in special circumstances: fasting, aggression, and critical situations (Polyraumatized, Sepsis, multiple organ difunction syndrom and burned patients).
Nutritional support and cancer.
Nutritional support in organ transplantation.
Home artificial nutrition.
Nutritional assessment in the elderly: scales and differences. Malnutrition in the elderly, consequences. Ethical aspects of malnutrition in the elderly.
Nutritional supplements.
PRACTICAL WORKSHOPS
Pathways to Artificial Nutrition
Enteral Nutrition
Parenteral nutrition
Pharmacy and Nutrition. Preparation of parenteral formulas.
PHARMACOLOGY
THEORICAL PROGRAM
GENERAL PRINCIPLES OF PHARMACOLOGY
Topic 1. Concept of Pharmacology. Definition and contents. Division of Pharmacology.
Topic 2. Drug Absorption. Routes of drug administration.
Topic 3. Drug Distribution.
Topic 4. Elimination: Drug Metabolism. Drug Excretion.
Topic 5. Pharmacodynamics.
Topic 6. Adverse drug reactions (ADR).
DRUGS ACTING ON AUTONOMIC NERVOUS SYSTEM AND PERIPHERAL NERVOUS SYSTEM
Topic 7. Cholinergic Transmission. Cholinergic agent ( Parasympathomimetics)
Topic 8. Anticholinergic agents (Antimuscarinic agents). Neuromuscular blocking drugs
Topic 9. Adrenergic Transmission. Adrenergic Drugs (Sympathomimetics)
Topic 10. Adrenergic-receptor antagonists block the effects of sympathetic stimulation: Alpha blocker and Beta blockers
SPECIFIC PHARMACOLOGICAL GROUPS
Topic 11. Pharmacology of gastric secretion. Medical and dietary treatment of peptic ulcer.
Topic 12. Pharmacology of gastrointestinal motility. Medical and dietary treatment of constipation and diarrhea.
Topic 13. Hypertension: medical treatment and diet
Topic 14. Plasma lipid modifying agents.
Topic 15. Nutritional anemia: iron deficiency anemia, vitamin B12 and folic acid deficiency anemia. Nutricional and therapeutic aspects
Topic 16. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Topic 17. Steroids antiinflammatory drugs (Corticosteroids)
Topic 18. Diabetes Mellitus. Medical and dietary treatment of Diabetes Mellitus
Topic 19. Anti-obesity drugs and treating of eating disorders (anorexia and bulimia)
DRUG- NUTRIENTS INTERACTIONS
Topic 20. Influence of diet, nutrients and nutritional status on the eficacy and safety pharmacological response
Topic 21. Influence of drugs on nutrients utilization and nutritional status
Topic 22. Frequently Drug-Nutrients Interactions
PRACTICE PROGRAM
- Seminar
- Problem-bases learning
- Clinic cases
- Laboratory
- Group work and presentation