Foothill CollegeApproved Course Outlines

Biological and Health Sciences Division
RSPT 51BRESPIRATORY PHYSIOLOGYSummer 2013
3 hours lecture.3 Units

Total Quarter Learning Hours: 36 (Total of All Lecture, Lecture/Lab, and Lab hours X 12)
 
 Lecture Hours: 3 Lab Hours: Lecture/Lab:
 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: 12/4/12

1. Description -
Respiratory physiology, including normal and altered lung physiology. Ventilation-perfusion relationships. Control of ventilation, renal, aging, exercise, altitude, and high pressure effects on physiology. Arterial blood gas interpretation and acid-base physiology. Intended for students in the respiratory therapy program.
Prerequisite: RSPT 51A or equivalent.
Co-requisite: None
Advisory: None

2. Course Objectives -
The student will be able to:
  1. Compare and contrast elastic and static characteristics of the lung
  2. Calculate carbon dioxide transport in the blood
  3. Interpret arterial blood gases.
  4. Describe ventilation perfusion ratio differences in the lung.
  5. Identify components of the control of ventilation
  6. Apply clinically common causes of renal failure and their effects on the patient.
  7. Calculate intrapulmonary shunt
  8. Calculate Alveolar-arterial PO2 difference
  9. Describe the influence of aging on the cardiopulmonary system
  10. Describe and identify exercise, altitude, and high pressure effects on the cardiopulmonary system

3. Special Facilities and/or Equipment -
None required.

4. Course Content (Body of knowledge) -
  1. Ventilation
    1. Static characteristics of the lungs.
    2. Elastic properties of the lungs.
    3. Surface tension and its effect on lung expansion
    4. Dynamic characteristics of the lungs
    5. Airway resistance
    6. Time constants
    7. Dynamic compliance
    8. Normal ventilatory patterns
    9. Alveolar ventilation versus dead space ventilation
    10. How normal intrapleural pressure differences cause regional differences in normal lung ventilation
    11. The effect of airway resistance and lung compliance on ventilatory patterns
    12. Overview of specific ventilatory pattern
  2. Carbon dioxide transport and acid base balance
    1. Carbon dioxide transport in plasma and red blood cells
    2. Carbon dioxide elimination at the lungs
    3. Carbon dioxide dissociation curve
    4. Acid base balance
      1. the pH scale
      2. the buffer systems
      3. the Henderson Hasselbalch equation
    5. The role of the PC02/HCO3-/pH relationship in acid base balance.
  3. Interpretation of arterial blood gases
    1. Define: acidosis, alkalosis, compensated, base excess, standard bicarbonate, actual bicarbonate, respiratory, metabolic.
    2. Interpret representative blood gas analysis reports and recommend appropriate therapy.
  4. Ventilation perfusion relationships
    1. Ventilation-perfusion ratio
      1. How the ventilation-perfusion ratio affects the alveolar gases
      2. How the ventilation-perfusion ratio affects the end-capillary gases
      3. Respiratory quotient
      4. Respiratory exchange ratio
      5. How respiratory disorders affect the V/Q ratio
  5. Control of ventilation
    1. The respiratory components of the medulla
    2. Central chemoreceptors
    3. Reflexes that influence ventilation
      1. Hering-breuer inflation reflex
      2. Deflation reflex
      3. Irritant reflex
      4. Juxtapulmonary-capillary receptors
      5. Reflexes from the aortic and carotid sinus baroreceptors
      6. Other stimuli that affect ventilation
  6. Renal failure and its effects on the cardiopulmonary system
    1. The kidneys
    2. Urine formation
    3. Urine concentration and volume
    4. Regulation of Electrolyte concentration
    5. Renal failure
    6. Cardiopulmonary problems caused by renal failure
  7. Shunts
    1. Non-pulmonary factors
    2. Anatomical shunts
    3. Intrapulmonary shunts
    4. Physiologic shunts
    5. Shunt equation
    6. Clinical significance of shunts
  8. Alveolar-arterial difference
    1. FiO2 effects on P(A-a)O2
    2. Abnormal gas exchange
    3. Hypoventilation
    4. Absolute shunt
  9. Aging and its effects on the cardiopulmonary system
    1. Influence of aging on the respiratory system
    2. Pulmonary gas exchange
    3. Arterial blood gases
    4. Influence of aging on the cardiovascular system
  10. Exercise, altitude, and high pressure effects on the cardiopulmonary system
    1. Exercise and its effects on the cardiopulmonary system
      1. Ventilation
      2. Circulation
      3. Interrelationships between muscle work, oxygen consumption, and cardiac output
      4. The influence of training on the heart and on cardiac output
      5. Stroke volume versus heart rate in increasing the cardiac output
      6. Body temperature/cutaneous blood flow relationship
    2. High Altitude and its Effects on the Cardiopulmonary System
      1. High altitude
      2. ventilation
      3. polycythemia
      4. acid-base status
      5. oxygen diffusion capacity
      6. alveolar-arterial P02 difference
      7. Ventilation-perfusion relationship
      8. Cardiac output
      9. Pulmonary vascular system
      10. Other physiologic changes
      11. sleep
      12. myoglobin concentration
      13. acute mountain sickness
      14. high altitude pulmonary edema
      15. high altitude cerebral edema
      16. chronic mountain sickness
    3. High Pressure Environments and Their Effects on the Cardiopulmonary System
      1. Diving
5. Repeatability - Moved to header area.
 
6. Methods of Evaluation -
Quizzes, midterms, and final examination, consisting of problem-solving and application of principles at the level of the respiratory therapist.
7. Representative Text(s) -
Beachey, Respiratory Care Anatomy and Physiology, 3rd edition, Elsevier, Philadelphia,: 2012. ISBN: 9780323078665
Kacmarek, Stoller and Heuer. Egan's Fundamentals of Respiratory Care. 10th edition. St Louis: Elsevier., 2013. ISBN: 9780323082037

8. Disciplines -
Respiratory Technologies
 
9. Method of Instruction -
  1. Lecture presentations and classroom discussion on the topic of respiratory physiology, acid base physiology and ventilation perfusion ratios.
  2. In class demonstration and practical application of respiratory calculations.
 
10. Lab Content -
Not applicable.
 
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 -
Assigned reading from required textbooks and lab manual competencies relevant to course content. Reading assignments will average 20-40 pages per week.
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 17:13:43


Foothill CollegeApproved Course Outlines