Print Version

Effective: Summer 2014

Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
3 hours lecture. (36 hours total per quarter)

Description -
Review of pulmonary anatomy and physiology. Fundamentals of pulmonary diseases and pathology including cancer staging.

Course Objectives -
The student will be able to:
  1. State the structures of the upper and lower airways.
  2. Describe each structure of the cardiopulmonary respiratory system.
  3. Discuss respiration and cardiopulmonary circulation.
  4. Discuss oxygen transport and normal and abnormal factors in oxygen delivery.
  5. Explain the transport of carbon dioxide throughout the blood.
  6. Describe the alveolar capillary membrane and gas diffusion.
  7. Relate neural control of the lungs to the process of respiration.
  8. Discuss ventilation/perfusion and the causes and consequences of a mismatch.
  9. Graph lung volumes and capacities.
  10. Examine acid-base balance.
  11. Describe pulmonary diseases and disorders including their cause, clinical features, and management.
  12. Differentiate the differences between small cell and non-small cell carcinoma, their clinical manifestation, staging and management.
  13. Describe the major postoperative respiratory complications and the mechanisms useful in preventing and treating these problems.
Special Facilities and/or Equipment -
  1. Multimedia classroom
  2. Computer access for ETUDES component

Course Content (Body of knowledge) -
  1. Review of the airways
    1. The upper airways.
      1. Oropharynx
      2. Nasopharynx
      3. Larynx
    2. The lower airways.
      1. Trachea
      2. Mainstem bronchi
      3. Segmental bronchi
      4. Terminal bronchioles
      5. Respiratory bronchioles
      6. Acini and alveoli
  2. Review of the cardiopulmonary respiratory system.
    1. Bronchopulmonary segments.
      1. Right lung segments
      2. Left lung segments
    2. The mucus blanket.
      1. Sol layer layer
      2. Gel layer
      3. Epithelium
      4. Goblet cells and mucus glands
    3. The heart
      1. The heart chambers
      2. The heart valves
    4. Respiratory muscles during inspiration, expiration and at rest
  3. Respiration and cardiopulmonary circulation
    1. Overview of specific ventilatory patterns
    2. The effect of airway resistance and lung compliance on ventilation
    3. Diagram the pulmonary, systemic, and bronchial circulation.
      1. pulmonary
      2. systemic
      3. bronchial
    4. Large arteries and veins
      1. arteries
      2. veins
  4. Oxygen transport
    1. Normal factors in oxygen delivery
    2. Abnormal factors in oxygen delivery
  5. Carbon dioxide transport
    1. Carbon dioxide transport in the blood
    2. Elimination of carbon dioxide in the lungs
  6. The alveolar capillary membrane and gas diffusion.
    1. type 1 cells
    2. type 2 cells
  7. Neural control of respiration
    1. The brain stem and the spinal cord
    2. Voluntary and involuntary mechanisms
    3. Chemical and mechanical components
    4. Reflexes
    5. Chemoreceptors
  8. Ventilation perfusion (V/Q)relationships
    1. Review of the ventilation-perfusion ratio
    2. Respiratory disorders and their effect on V/Q mismatch
  9. The lung volumes and capacities.
    1. four volumes
    2. four capacities
  10. Acid-base balance
    1. The pH scale
    2. The buffer system
  11. Pulmonary diseases
    1. Restrictive vs. obstructive diseases
    2. Infectious diseases
    3. Interstitial lung diseases
    4. Chronic Obstructive Pulmonary Disease (COPD)
    5. Asthma
    6. Cystic Fibrosis and related diseases
    7. Pleural diseases
    8. Pulmonary vascular diseases
    9. Acute lung injury
    10. Pulmonary edema
    11. Multiple system organ failure
    12. Diseases of the chest wall including neuromuscular diseases
    13. Neonatal and pediatric respiratory disorders
    14. Lung cancer
  12. Lung cancer
    1. Small cell lung CA
    2. Non small cell lung CA
      1. Adenocarcinoma
      2. Sqamous cell carcinoma
      3. Large cell carcinoma
    3. Staging of lung cancer
      1. TNM Classification
      2. Stages for non-small cell CA
        1. Stage 0
        2. Stage I
        3. Stage II
        4. Stage IIIA
        5. Stage IIIB
        6. Stage IV
      3. Staging for small cell CA
        1. Limited
        2. Extensive
  13. Postoperative complications
    1. Prevention
    2. Management
Methods of Evaluation -
Methods of evaluation may include, but are not limited to quizzes, midterm, and a comprehensive final examination for content, terminology, and knowledge of subject matter.
Representative Text(s) -
Ernst & Herth, Principles and Practice of Interventional Pulmonology. New York, Springer Publishing, 2013. ISBN: 9781461442912

Disciplines -
Respiratory Technologies
Method of Instruction -
Methods of instruction may include, but are not limited to Lecture, discussion, online modules, and tutorials.

Lab Content -
Not applicable.
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
Types of required reading and writing may include, but are not limited to weekly reading from the textbook, cooperative learning exercises and online content.