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Effective: Fall 2011
RSPT 63AADVANCED PATHOPHYSIOLOGY & PATIENT MANAGEMENT3 Unit(s)

Prerequisites: Prerequisite: RSPT 61A or Respiratory Care Practitioner status.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
3 hours lecture. (36 hours total per quarter)

Student Learning Outcomes -
  • Describe and identify the pathophysiology related to the signs and symptoms of pulmonary disorders.
  • Select the appropriate treatment for various pulmonary disorders.
Description -
The assessment and treatment of patients with Cardiopulmonary Disease. Structured to help build higher order critical thinking and problem solving skills. Through the use of case studies and clinical simulations students will place emphasis on information gathering and decision making for respiratory care patients. Helpful for NBRC Clinical Simulation Examination preparation. Intended for students in the respiratory therapy program.

Course Objectives -
The student will be able to:
  1. Describe and identify the pathophysiology related to the signs and symptoms of cardiopulmonary disorders.
  2. Gather appropriate information in the assessment of the various pulmonary diseases.
  3. Select the appropriate treatment for various pulmonary disorders.
  4. Interpret arterial blood gases and evaluate the patients need for treatment.
  5. Identify the methods used to drain the pleural space and complications associated with those methods.
  6. Practice ventilator waveforms and ventilator strategies.
Special Facilities and/or Equipment -
X-ray view boxes, computer overhead viewer.

Course Content (Body of knowledge) -
  1. Cardiopulmonary disorders
    1. Status asthmaticus and asthma guidelines
    2. COPD guidelines
    3. Pleural diseases
    4. Pulmonary vascular disease
    5. Acute lung injury and ARDS
    6. Pulmonary edema
    7. MSOF
    8. Shock/sepsis
    9. Near drowning
    10. Smoke inhalation and burns
    11. Hypothermia
  2. Physical assessment of the critically ill patient
    1. ABG's
    2. PFT's
    3. Chest exam
    4. CXR
    5. Laboratory results
  3. Treatment strategies
    1. ARDSNet protocol
    2. ventilator management
    3. Hemodynamic monitoring
    4. Therapist driven protocols
  4. Acid base balance
    1. permissive hypercapnea
  5. Chest tubes and Chest tube drainage systems
    1. Types of chest trauma
    2. Chest Tubes
  6. Ventilator waveforms and management strategies
    1. Air trapping
    2. Dyssynchrony
Methods of Evaluation -
Methods of evaluation may include:
  1. Exams including Midterm Exam
  2. Patient Case Study assignment and presentation
  3. Comprehensive Final Exam
Representative Text(s) -
Des Jardins, T. and G. Burton, Clinical Manifestations and Assessment of Respiratory Disease, 5th edition. Chicago: Mosby, 2006. ISBN: 9780323057271
Wilkins, R., J. Stoller and R. Kacmarek Egan's Fundamentals of Respiratory Care, 9th edition. St Louis, MO: Mosby Year Book, Inc., 2009. ISBN: 9780323036573

Disciplines -
Respiratory Therapy
 
Method of Instruction -
Lecture and discussion on advanced topics in Respiratory Therapy including diseases, protocol based care and management guidelines.
 
Lab Content -
Not applicable.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Reading assignments related to course content.
  2. Reading assignments will vary from 20-60 pages a week.
  3. Students will also need to compile data on a patient and present a case study.