Foothill CollegeApproved Course Outlines

Biological and Health Sciences Division
RSPT 60ACARDIOLOGY FOR RESPIRATORY THERAPISTSFall 2012
2 hours lecture.2 Units

Total Quarter Learning Hours: 24 (Total of All Lecture, Lecture/Lab, and Lab hours X 12)
 
 Lecture Hours: 2 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 with P/NP option
 Degree Status: ApplicableCredit Status: Credit
 Degree or Certificate Requirement: AS Degree
 GE Status: Non-GE

Articulation Office Information -
 Transferability: CSUValidation: 11/6/11

1. Description -
Electrocardiogram and rhythm recognition. Invasive and non-invasive hemodynamic monitoring. Cardiac diagnostic and therapeutic procedures. Fluid balance. Intended for students in the respiratory therapy program.
Prerequisite: RSPT 61A.
Co-requisite: None
Advisory: None

2. Course Objectives -
The student will be able to:
  1. Identify and describe anatomic and physiologic features of the heart
  2. Identify the components of the electrocardiogram
  3. Identify Graph paper parameters
  4. Describe The electrocardiogram: normal
  5. The electrocardiogram: abnormal
  6. Identify Hemodynamic monitoring
  7. Identify Measured hemodynamic parameters
3. Special Facilities and/or Equipment -
None.

4. Course Content (Body of knowledge) -
  1. The heart
    1. Anatomy of the heart
    2. Anatomy of the conduction system
    3. Normal values for SA node, junctional and ventricle pacing
    4. Electrophysiology of the heart
  2. The electrocardiogram
    1. Multichannel vs single channel EKG machine
    2. The 12 lead EKG
    3. The 3 limb leads and the 3 augmented limb leads
    4. The precordial leads
    5. Modified chest and limb leads
    6. Lead placement
    7. Lead correlation to EKG strip
  3. Graph paper parameters
    1. Paper speed
    2. Small and large box parameters
    3. Vertical parameter, voltage
    4. Horizontal parameter, time
  4. The electrocardiogram: normal
    1. The five waves (P, Q, R, S, T)
    2. P-R interval
    3. QRS complex
    4. ST segment
    5. Assessment of rhythm
    6. Calculating cardiac rate
    7. How to read an EKGs
    8. Artifact
  5. The electrocardiogram: abnormal
    1. Causes of abnormal patterns
    2. Sinus bradycardia
    3. Sinus tachycardia
    4. Ventricular asystole and agonal rhythms
    5. Premature ventricular contraction
    6. Premature atrial contraction
    7. Atrial flutter and fibrillation
    8. Atrioventricular Block
      1. First-degree AV block
      2. Second-degree AV block
      3. Type 1 (Wenckebach)
      4. Type 2
      5. Third-degree AV clock
    9. Junctional Complexes
      1. Premature junctional
      2. Junctional escape complexes and rhythms
    10. Tachycardia
      1. Paroxysmal supraventricular
      2. Wide-complex tachycardia of uncertain type
      3. Ventricular tachycardia
    11. Axis deviation
    12. ST segment elevation and depression
    13. T wave inversion
    14. Q wave enlargement
    15. P wave abnormalities
    16. U waves
    17. Abnormalities associated with bundle branch block
  6. Hemodynamic monitoring
    1. Purpose and indications for use
    2. PAC vs CVP vs arterial line
    3. Normal wave forms
    4. Insertion techniques
    5. Side effects and hazards
    6. Troubleshooting lines
  7. Measured hemodynamic parameters
    1. Heart rate
      1. Systolic blood pressure
      2. Diastolic blood pressure
      3. Systolic pulmonary artery pressure
      4. Diastolic pulmonary artery pressure
      5. Pulmonary artery occlusion pressure
      6. Central venous pressure
      7. Cardiac output
      8. Ejection fraction
      9. Body surface area
    2. Calculated hemodynamic parameters
      1. Mean arterial pressure
      2. Mean pulmonary artery pressure
      3. Cardiac index
      4. Stroke volume
      5. Systemic vascular resistance
      6. Pulmonary vascular resistance
      7. Coronary perfusion pressure
      8. Cerebral perfusion pressure
    3. Abnormal hemodynamic parameters
      1. Abnormal arterial pressure waveforms and values
      2. Abnormal CVP waveforms and values
      3. Abnormal PAC waveforms and values
      4. Pathophysiology causing abnormal readings
      5. Relating patient condition and pathophysiology to abnormal readings
      6. Effects of mechanical ventilation
      7. Patient treatment options
    4. Cardiovascular diagnostic tests
      1. Cardiac catheterization
      2. Echocardiography and vascular ultrasound
      3. Transthoracic electrical bioimpedance
      4. Radionuclide cardiac imaging
      5. Lipid testing
      6. Holter monitor
      7. Cardiac event detection
      8. Pacemaker monitoring
      9. Heart sounds
    5. Cardiac therapeutic procedures
      1. Balloon angioplasty
      2. Intracoronary stent
      3. Coronary artery bypass graft
      4. Intraaortic balloon pump
      5. Implanted defibrillators
      6. Pacemakers
      7. Heart transplantation
      8. New treatments
    6. Effects of aging on the cardiovascular system
    7. Fluid balance
      1. Fluid intake and output
      2. Dehydration
      3. Fluid challenge
      4. Fluid overload
5. Repeatability - Moved to header area.
 
6. Methods of Evaluation -
  1. Quizzes
  2. Midterm
  3. Final Examination
7. Representative Text(s) -
Beachey, William, Respiratory Care Anatomy and Physiology, 4th ed. Elsevier, 2007. ISBN: 978-0323027403
Wilkins, Stoller and Kacmarek, Egan's Fundamentals of Respiratory Care 9th ed. St Louis, Mosby-Year Book, Inc., 2009.

8. Disciplines -
Respiratory Therapy
 
9. Method of Instruction -
Lecture, Demonstration.
 
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 -
Reading assignments related to course content.
13. Need/Justification -
This course is a required core course for the A.S. degree in Respiratory Therapy.


Course status: Active
Last updated: 2014-03-22 14:35:51


Foothill CollegeApproved Course Outlines