Print Version

Effective: Summer 2015

Prerequisites: Prerequisite: RSPT 50A.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
3 hours lecture, 6.5 hours laboratory, 3 hours clinical laboratory. (150 hours total per quarter)

Student Learning Outcomes -
  • Explain the indications, contraindications and hazards for invasive and noninvasive respiratory procedures administered.
  • The student will be able to demonstrate both invasive and noninvasive respiratory procedures as lab competencies, and must complete all lab competencies with a score of 70% or higher.
Description -
Introduction to hospital and patient care, administration of hyperinflation therapy, airway pharmacology, bronchial hygiene therapy with chest physiotherapy techniques, introduction to non-invasive ventilation, basic and advanced airway care, infection control procedures of equipment, nutrition assessment. Intended for students in the Respiratory Therapy Program; enrollment is limited to students accepted in the program.

Course Objectives -
The student will be able to:
  1. Describe how to safely perform endotracheal and nasotracheal suctioning
  2. Assess the need for and select an artificial airway
  3. Indications for a tracheostomy and bronchoscopy
  4. Perform hyperinflation therapy
  5. Perform bronchial hygiene and chest physiotherapy
  6. Discuss aerosol drug therapy and medications used for airway pharmacology
  7. Explain the indications for non-invasive ventilation
  8. Discuss the effects on nutrition on the body from a respiratory standpoint
Special Facilities and/or Equipment -
Hyperinflation therapy equipment, humidity and aerosol therapy equipment, MDI's and spacers, adult intubation models, intubation equipment, suctioning equipment, hospital bed, disinfection equipment.

Course Content (Body of knowledge) -
  1. Endotracheal and nasotracheal suctioning
    1. Causes of secretion retention
    2. Indication for a suctioning
    3. Hazards of suctioning
    4. Methods of evaluating effectiveness
    5. Oropharyngeal, nasopharyngeal, endotracheal and tracheostomy suctioning procedures
    6. Adult vs child vs infant suctioning
  2. Selecting an artificial airway
    1. Endotracheal tube
    2. Tracheostomy tube
    3. Hazards and complications
  3. Tracheostomy and bronchoscopy
    1. Prolonged intubation
    2. Aspiration of secretions
    3. Tissue and secretion samples
  4. Hyperinflation Therapy
    1. Incentive spirometry equipment
    2. Incentive spirometry administration procedure
    3. CPAP therapy
    4. Indications, contraindications, and hazards for therapy
    5. Methods of evaluating therapy effectiveness
  5. Perform bronchial hygiene and CPT
    1. Normal airway clearance mechanisms
    2. Pulmonary diseases and abnormal clearance of secretions
    3. Goals of bronchial hygiene therapy
    4. Bronchial hygiene techniques
      1. postural drainage
      2. directed cough and expulsion techniques
      3. PEP therapy
      4. high frequency and oscillation methods
      5. mobilization and exercise
    5. Patient's response to bronchial hygiene therapy
  6. Aerosol drug therapy and medications used for airway pharmacology
    1. Definition of aerosol
    2. Aerosol deposition
    3. Drug delivery systems
    4. Bronchodilator therapy
    5. Exposure to aerosolized drugs
    6. Classes of drugs
    7. Aerosol route
    8. Mode of action
    9. Indication
    10. Dosages
    11. Outcome of each drug therapy
  7. Indications for non-invasive ventilation
    1. Concept of non-invasive positive pressure ventilation
    2. Goals of NPPV
    3. Selecting patients for NPPV
    4. Types of ventilators used and modes to deliver NPPV
    5. Complications associated with NPPV
  8. Effects of nutrition
    1. Malnutrition
    2. Observation of malnourished patient
    3. Calorimetry
    4. Energy expenditure
    5. Effects of malnutrition on respiratory system
    6. Nutritional guidelines and pulmonary diseases
    7. Effects of respiratory medications on nutrition
Methods of Evaluation -
Methods of evaluation may include quizzes, midterm, final exam, clinical evaluation, lab performance, lab competencies, and lab final.
Representative Text(s) -
Kacmarek, Stoller & Heuer. Egan's Fundamentals of Respiratory Care. 10th edition. St Louis: Elsevier, 2012. ISBN: 9780323082037
Kacmarek & Wehrman. Workbook for Egan's Fundamentals of Respiratory Care. 10th edition. St Louis: Elsevier, 2012. ISBN: 9780323082020
Hinski. Respiratory Care Clinical Competency Lab Manual, St Louis: Elsevier, 2014. ISBN:9780323100571

Disciplines -
Respiratory Technologies
Method of Instruction -
  1. Lecture
  2. Laboratory
  3. Clinicals
Lab Content -
  1. Aerosol drug therapy
    1. MDI
    2. DPI
    3. Spacers
    4. SVN
    5. Aerosolized medication
  2. Providing and maintaining artificial airways
    1. Endotracheal tubes
    2. Tracheostomy tubes
    3. Intubation models and equipment
    4. Resuscitation bags/masks
    5. Suction equipment
    6. Endotracheal and tracheostomy care
  3. Infection control
    1. Sterilization procedures
    2. Sterilization equipment
  4. Hyperinflation therapy
    1. Hyperinflation equipment
    2. Bronchial hygiene procedures
  5. Arterial blood gases
    1. Perform arterial blood gas sampling
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Chapter reading assignments
  2. workbook competencies related to course content.