Foothill CollegeApproved Course Outlines

Biological and Health Sciences Division
RSPT 50CTHERAPEUTICS & INTRODUCTION TO MECHANICAL VENTILATIONSummer 2013
2 hours lecture, 2 hours laboratory, 10 hours clinic, 1.5 hours lecture-laboratory.4.5 Units

Total Quarter Learning Hours: 186 (Total of All Lecture, Lecture/Lab, and Lab hours X 12)
 
 Lecture Hours: 2 Lab Hours: 12 Lecture/Lab: 1.5
 Note: If Lab hours are specified, see item 10. Lab Content below.

Repeatability -
Statement: Not Repeatable.

Status -
 Course Status: ActiveGrading: Letter Grade Only
 Degree Status: ApplicableCredit Status: Credit
 Degree or Certificate Requirement: AS Degree
 GE Status: Non-GE

Articulation Office Information -
 Transferability: CSUValidation: 12/5/12

1. Description -
Practice of skills in the clinic setting. Topics to be covered include respiratory failure, introduction to invasive and non-invasive mechanical ventilation. Intended for students in the respiratory therapy program.
Prerequisites: RSPT 50B and 53A.
Co-requisite: None
Advisory: None

2. Course Objectives -
The student will be able to:
  1. Define acute respiratory failure.
  2. Discuss the causes of respiratory failure.
  3. Differentiate between Type I, Type II and Type I and Type II respiratory failure.
  4. Discuss the indications for ventilatory support.
  5. Classify ventilators and describe how they work.
  6. Classify and define different modes of ventilation.
  7. Identify the physiologic effects of ventilatory support.
  8. Initiating and adjusting invasive ventilatory support.
  9. Discuss application of noninvasive ventilation (NIV).
  10. Discuss the principle of monitoring the patient in the intensive care unit.
  11. Describe discontinuing ventilatory support.
3. Special Facilities and/or Equipment -
Ventilators, ventilator tubing, and lung simulators.

4. Course Content (Body of knowledge) -
  1. Define acute respiratory failure
    1. Definition
    2. Sign and symptoms
    3. Arterial blood gas analysis
  2. Discuss the causes of respiratory failure
    1. Hypoxemic respiratory failure (Type I)
    2. Hypercapneic respiratory failure (Type II)
    3. Chronic respiratory failure (Type I and Type II)
  3. Differentiate between Type I, Type II and Type I and Type II respiratory failure
    1. Hypoxemic respiratory failure (Type I)
      1. Ventilation/perfusion mismatch
      2. Shunt
      3. Alveolar hypoventilation
      4. Diffusion impairment
      5. Perfusion/diffusion impairment
      6. Decreased inspired oxygen
      7. Venous admixture
      8. Differentiating the causes of acute hypoxemic respiratory failure
    2. Hypercapneic respiratory failure (Type II)
      1. Insidious exposure
      2. Increased carbon dioxide production
      3. Impairment in respiratory control
      4. Impairment in respiratory effectors
    3. Chronic respiratory failure (Type I and Type II)
      1. Acute-on-chronic respiratory failure
      2. Complications of acute respiratory failure
      3. Clinical presentation
  4. Indications for ventilatory support
    1. Inadequate alveolar ventilation
    2. Inadequate lung expansion
    3. Inadequate muscle strength
    4. Increased work of breathing
    5. Hypoxemia
  5. Ventilators
    1. How they work
      1. Input power
      2. Power transmission and conversion
      3. Control system
    2. Output waveforms
      1. Pressure
      2. Volume
      3. Flow
    3. Operator interface
      1. Input displays
      2. Output displays
    4. Types of ventilators
      1. Critical care
      2. Conventional
      3. Subacute care
      4. Home care
      5. Transport
      6. Noninvasive
  6. Modes of ventilation
    1. Control variables
      1. Pressure control
      2. Volume control
    2. Breath sequence
      1. Spontaneous breaths
      2. Mandatory breaths
      3. Continuous mandatory ventilation (CMV)
      4. Intermittent mandatory ventilation (IMV)
      5. Continuous spontaneous ventilation (CSV)
      6. Breathing pattern
    3. Targetting scheme
      1. Open loop control
      2. Closed loop control
  7. Physiologic effects of ventilatory support
    1. Pressure and pressure gradients
    2. Effects of mechanical ventilation on ventilation
    3. Effects of mechanical ventilation on oxygenation
    4. Effects of mechanical ventilation on lung mechanics
    5. Minimizing adverse pulmonary effects of positive pressure mechanical ventilation
    6. Physiologic effects of ventilatory modes
    7. Cardiovascular effects of positive pressure mechanical ventilation
    8. Effects of positive pressure mechanical ventilation on other body systems
    9. Complications of mechanical ventilation
  8. Initiating and adjusting invasive ventilatory support
    1. Goals
    2. Initial ventilator settings
    3. Adjusting ventilatory support
    4. Oxygenation
    5. Ventilation
  9. Application of noninvasive ventilation (NIV)
    1. History and development of NIV
    2. Indications for NIV
    3. Patient selection
    4. Equipment selection
    5. Management of NIV
    6. Complications of NIV
  10. Monitoring the patient in the intensive care unit
    1. Respiratory monitoring
    2. Cardiac monitoring
    3. Neurologic monitoring
    4. Renal and Liver function monitoring
    5. Nutritional monitoring
    6. Global monitoring indices
  11. Discontinuing ventilatory support
    1. ventilator dependance
    2. Patient evaluation
    3. Methods
    4. Monitoring the patient during weaning
    5. Extubation
5. Repeatability - Moved to header area.
 
6. Methods of Evaluation -
  1. Based on clinical evaluation, lab performance, and written exams.
  2. May include: quizzes, midterm, final exam, laboratory performance, and laboratory final.
7. 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
Butler. Laboratory Exercises for Competency in Respiratory Care. 2nd edition. F.A. Davis Co., 2009. ISBN: 9780803613782


8. Disciplines -
Respiratory Technologies
 
9. Method of Instruction -
  1. Lecture
  2. Discussion
  3. Laboratory
  4. Demonstration
  5. Lab competencies demonstrated in skills
 
10. Lab Content -
  1. Ventilators
    1. How they work
      1. Input power
      2. Power transmission and conversion
      3. Control system
    2. Output waveforms
      1. Pressure
      2. Volume
      3. Flow
    3. Operator interface
      1. Input displays
      2. Output displays
    4. Types of ventilators
      1. Critical care
      2. Conventional
      3. Subacute care
      4. Home care
      5. Transport
      6. Noninvasive
  2. Modes of ventilation
    1. Control variables
      1. Pressure control
      2. Volume control
    2. Breath sequence
      1. Spontaneous breaths
      2. Mandatory breaths
      3. Continuous mandatory ventilation (CMV)
      4. Intermittent mandatory ventilation (IMV)
      5. Continuous spontaneous ventilation (CSV)
      6. Breathing pattern
    3. Targetting scheme
      1. Open loop control
      2. Closed loop control
  3. Initiating and adjusting invasive ventilatory support
    1. Goals
    2. Initial ventilator settings
    3. Adjusting ventilatory support
    4. Oxygenation
    5. Ventilation
  4. Application of noninvasive ventilation (NIV)
    1. History and development of NIV
    2. Indications for NIV
    3. Patient selection
    4. Equipment selection
    5. Management of NIV
    6. Complications of NIV
  5. Monitoring the patient in the intensive care unit
    1. Respiratory monitoring
    2. Cardiac monitoring
    3. Neurologic monitoring
    4. Renal and Liver function monitoring
    5. Nutritional monitoring
    6. Global monitoring indices
  6. Discontinuing ventilatory support
    1. ventilator dependance
    2. Patient evaluation
    3. Methods
    4. Monitoring the patient during weaning
    5. Extubation
 
11. Honors Description - No longer used. Integrated into main description section.
 
12. Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Reading assignments
  2. Workbook assignments
  3. Competencies related to course content
13. Need/Justification -
This course is required core course for the A.S. degree in Respiratory Therapy.


Course status: Active
Last updated: 2014-03-20 17:12:26


Foothill CollegeApproved Course Outlines