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Effective: Fall 2012
RSPT 60CPULMONARY DIAGNOSTICS3 Unit(s)

Prerequisites: Prerequisite: RSPT 51C.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
2.5 hours lecture, 2 hours laboratory. (54 hours total per quarter)

Student Learning Outcomes -
  • Relate results to disease process and recommends appropriate therapy.
  • Perform selected cardio-pulmonary diagnostic tests.
Description -
Selection, performance, and interpretation of tests used to diagnose cardiopulmonary abnormalities. Intended for students in the respiratory therapy program.

Course Objectives -
The student will be able to:
  1. Identify and describe Pulmonary function testing fundamentals
  2. Interpret Blood gases and related tests
  3. Describe the uses and limitations of Cardiopulmonary exercise testing
  4. Describe uses and limitatios of Cardiac diagnostics
  5. Describe Metabolic studies and discuss their uses and limitations
  6. Identify important aspects of Bronchoscopy related to the diagnosis of lung disease
  7. Discuss the importance of Quality control procedures
Special Facilities and/or Equipment -
Laboratory with diagnostic equipment, supplies, compressed gas, cleaning/disinfection capability and storage facilities. Lecture facility with overhead projector/computer and internet access.

Course Content (Body of knowledge) -
  1. Pulmonary function testing fundamentals
    1. Indications for pulmonary function testing
    2. Pulmonary function equipment basics
    3. Spirometry and related tests
      1. Flow/volume loops in pulmonary diagnosis
      2. Flow/time tracings for specific disease states
    4. Bronchial provocation
      1. Methacholine challenge
    5. measuring lung volumes
      1. Plethysmography
      2. Helium dilution
      3. Nitrogen washout and discuss its uses
    6. Distribution indices
    7. Diffusing measurement
    8. Resistance and compliance measurement
    9. Calculations and application of norms
      1. Individual variations
      2. Racial influences on test results
  2. Blood gases and related tests
    1. Collection and interpretation of arterial blood gases
    2. Non-invasive measurements in pulmonary medicine
      1. Pulse oximetry
      2. Capnography
    3. Blood gas analyzers
      1. Standard analyzers
      2. Point of care analyzers
  3. Cardiopulmonary exercise testing
    1. Exercise protocols
    2. Testing monitoring
  4. Cardiac diagnostics
    1. Cardiac catherization
    2. Stress testing
    3. Thallium stress testing
    4. Holter monitors
    5. Event detection monitors
    6. Cardiac output monitoring
      1. Fick principle and formula for measurement of cardiac output
      2. Thermal dilution measurement of cardiac output
    7. Echocardiogram
    8. Doppler testing
  5. Metabolic studies
    1. Oxygen consumption measurement
    2. Carbon dioxide production
  6. Bronchoscopy
    1. Indications and hazards related to bronchoscopy
    2. Preparation of the patient for bronchoscopy
    3. Procedures that may be performed with bronchoscopy
  7. Quality control procedures
    1. Calibration of pulmonary diagnostic equipment
    2. Cleaning and sterilization techniques for pulmonary diagnostic equipment
    3. Criteria for acceptability of results of pulmonary function tests.
Methods of Evaluation -
  1. Quizzes and midterm
  2. Lab assignments
  3. Written final exam.
Representative Text(s) -
Ruppel, Gregg, Manual of Pulmonary Function Testing, 9th ed. St. Louis, Mosby, 2008. ISBN: 978-0323052122

Disciplines -
Respiratory Therapy.
 
Method of Instruction -
Lecture and lab demonstration.
 
Lab Content -
  1. Pulmonary function testing
    1. Indications for pulmonary function testing
    2. Equipment basics
    3. Spirometry and related tests
      1. Flow/volume loops
      2. Flow/time tracing
    4. Bronchial provocation
      1. Methacholine challenge
    5. Lung volume measurements
      1. Plethysmography
      2. Helium dilution
      3. Nitrogen washout
    6. Distribution indices
    7. Diffusing measurement
    8. Resistance and compliance measurement
    9. Calculations and application of norms
      1. Individual variations
      2. Racial influences on test results
  2. Blood gases and related tests
    1. Arterial blood gases: collection and interpretation
    2. Non-invasive measure
      1. Pulse oximetry
      2. Capnography
    3. Principles of operation of blood gas analyzers,
      1. Standard analyzers
      2. Point of care analyzers
  3. Cardiopulmonary exercise testing
    1. Exercise protocols
    2. Monitoring
  4. Cardiac diagnostics
    1. Cardiac catherization
    2. Stress testing
    3. Thallium stress testing
    4. Holter monitor
    5. Event detection monitors
    6. Cardiac output monitoring
      1. Fick principle
      2. Thermal dilution
      3. PiCCO
      4. NICO
      5. Transthoracic electrical bioimpedance
    7. Echocardiogram
    8. Doppler
  5. Metabolic studies
    1. Oxygen consumption
    2. Carbon dioxide production
    3. Calorimetry
  6. Bronchoscopy
    1. Indications and hazards
    2. Preparation of the patient
    3. Procedures that may be performed
  7. Quality control procedures
    1. Calibration and maintenance
      1. Gas analyzers
      2. Spirometers and lung volume equipment
    2. Cleaning and sterilization
    3. Criteria for acceptability of results
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
Assigned reading from textbook, approximately one chapter per week.