COURSE OUTLINE (Page 1 of 5)

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1 (Page 1 of 5) Date form completed: June 2018 Course Title: Advanced Respiratory Care Course Prefix & Number: Lecture: RESP Lab: 3.0 Credit Hours: 4.5 COURSE DESCRIPTION: This course includes advanced cardiopulmonary physiology and its application in the management of the patient in cardio-respiratory failure. The course provides the student with instructional opportunities and laboratory experiences in pulmonary function testing and pulmonary home healthcare. COURSE REQUISITES: Prerequisites(s): RESP 1040 and RESP 1992 Corequisite(s): N/A Recommended Requisite(s): N/A RATIONALE: The course combines classroom and laboratory demonstrations to provide the student with an understanding of the advanced concepts of mechanical ventilation, its effects, and its complications. Further, the course is designed to enhance the student s knowledge base in the area of pulmonary function testing. REQUIRED TEXTBOOK(s) and/or MATERIALS: Title: Edition: Author: Publisher: Materials: Mechanical Ventilation Physiological and Clinical Applications Sixth Pilbeam Elsevier N/A

2 Attached course outline written by: JMoss Date: 12/90 Reviewed/revised by: JMoss, TKelly, CRyan, JDetwiler Date: 2018 Mar 2019 Effective quarter of course outline: FA/2018 Date: 9/2018 Academic dean (print): Stacey Ocander Academic dean signature: Stacey Ocander Date: 6/18 - Mar 2019 (Page 2 of 5)

3 (Page 3 of 5) COURSE PREFIX/NO: RESP 2100 TITLE: Advanced Respiratory Care COURSE OBJECTIVES: Upon successful completion of this course, students will be able to: 1. Discuss the indications and the goals of continuous 2. Describe the physical and mechanical aspects of 3. List the effects and complications of mechanical ventilation and its adjuncts and describe patient management techniques associated with 4. Describe various regimens utilized in pulmonary function testing. 5. Illustrate how various pulmonary function test results can aid in the diagnosis and treatment of various pulmonary disorders. TOPICAL UNIT OUTLINE with UNIT OBJECTIVES: UNIT I: 1. Discuss the historical evolution of mechanical ventilators. 2. Define the terms: transairway pressure, transpulmonary pressure, and alveolar distending pressure. 3. Relate the concepts of compliance and resistance to spontaneous ventilation. 4. Explain the difference between negative and positive pressure ventilation. 5. Point out the differences between CPAP, PEEP and speep. 6. Point out the basic causes of respiratory failure and the corresponding indications for mechanical ventilation. 7. Explain the effects of altering alveolar ventilation in relationship to arterial blood gas values. 8. Give examples of power sources used to generate a mechanical breath. 9. Identify functional characteristics of ventilator breathing circuits. 10. Classify a ventilator according to its method of generating a tidal volume 11. Classify a ventilator by describing the different methods of changing from inhalation to exhalation modes. 12. Classify a ventilator by describing the expiratory phase of the ventilator cycle. UNIT II: 1. Determine initial ventilator settings for a patient. 2. Explain the inter-relationship of tidal volume, flow, inspiratory time, total cycle time and respiratory rate. 3. Describe the special considerations for preparing a patient for 4. Describe the effects mechanical ventilation has on the cardiovascular system, intracranial pressures, cerebral perfusion, renal function, and distribution of pulmonary blood flow. 5. List potential mechanical failures associated with mechanical ventilation 6. Discuss the effects of malnourishment on mechanically ventilated patients.

4 7. List methods of minimizing the physiological effects and complications of 8. Describe the following mechanical ventilation monitoring techniques: a. Compliance measurements b. Pressure volume curves c. Oximetery d. Capnography e. CVP f. PAP g. VD/VT (Page 4 of 5) UNIT III: 1. List the indications, contraindications, and hazards associated with the usage of CPAP and PEEP. 2. Define optimal PEEP and de3scribe an optimal PEEP study. 3. Describe the various mechanical devices used for the administration of CPAP and PEEP. 4. Explain the rationale for using SIMV. 5. List the guidelines for disconnection or weaning from 6. Describe the extubation procedure and list the necessary equipment. 7. Describe the technical aspects of HFPPV and HFJV and differentiate between the two. 8. Describe the clinical application and monitoring methods associated with HBFJV and HFPPV. UNIT IV: 1. Define terms and abbreviations used in pulmonary function testing. 2. Describe the objectives of spirometry and gas distribution studies. 3. Describe the objectives pulmonary exercise testing. 4. Describe the theory of nitrogen washout, helium dilution and plethysmography testing. 5. Given a series of pulmonary function testing tracings and graphs, compute all values for a standard pulmonary function test. 6. Differentiate between restrictive and obstructive pulmonary disease on the basis of pulmonary function testing. 7. Describe the relationship of respiratory mechanics and the work of breathing to pulmonary function testing. 8. Discuss the calibration and quality control of spirometers, gas analyzers, and plethysmograph devices.

5 COURSE REQUIREMENTS and/or COMPREHENSIVE EVALUATION: (Page 5 of 5) COURSE OBJECTIVES/ASSESSMENT MEASURES: COURSE OBJECTIVES 1. Discuss the indications and the goals of continuous ASSESSMENT MEASURES 2. Describe the physical and mechanical aspects of 3. List the effects and complications of mechanical ventilation and its adjuncts and describe patient management techniques associated with Laboratory Proficiency Assessment 4. Describe various regimens utilized in pulmonary function testing. 5. Illustrate how various pulmonary function test results can aid in the diagnosis and treatment of various pulmonary disorders.