Respiratory Care Therapist Program
RSPT 2325
Cardiopulmonary Diagnostics
SPRING 2006
Instructors: Kenny McCowen, BS, RRT
Michael Harshfield, BS, RRT
Guest Lecturers
Credit: 3 Credit Hours
Prerequisites: Departmental Approval
Course Description: A study of physical, radiological, hemodynamic, laboratory, nutritional, and cardiopulmonary diagnostic assessment of the pulmonary patient..
Learning
Outcomes: The student will interpret the various laboratory and clinical data necessary toassess and manage cardiopulmonary disorders; and perform various cardiopulmonary diagnostic procedures.
SCANS: The Secretary’s commission on Achieving Necessary Skills (SCANS) has identified (1) reading, (2) writing, (3) mathematics, (4) speaking and listening, (5) thinking skills, (6) personal qualities, (7) workplace competencies, and (8) basic use of computers as competencies required to enter employment.
1. The student will demonstrate a working knowledge of SCANS competency 1 (reading). Performance will be satisfactory if the student successfully:
a. Demonstrates the ability to read and comprehend the reading assignment
b. Demonstrates the ability to read and comprehend the examination questions
c. Demonstrates the ability to read and comprehend research articles
2. The student will demonstrate a working knowledge of SCANS competency 2 (writing). Performance will be satisfactory if the student successfully:
a. Demonstrates the ability to write a comprehensive essay response on examination
b. Writes a term paper over a cardiopulmonary disease process
3. The student will demonstrate a working knowledge of SCANS competency 3 (mathematics). Performance will be satisfactory if the student successfully:
a. Demonstrates the ability to calculate hemodynamic parameters for a critically ill patient scenario
b. Demonstrates the ability to calculate and apply other laboratory values to determine appropriate patient care
4. The student will demonstrate a working knowledge of SCANS competency 4 (speaking and listening). Performance will be satisfactory if the student successfully:
a. Contributes to classroom discussions
b. Communicates with colleagues over discussions in the classroom
5. The student will demonstrate a working knowledge of SCANS competency 5 (thinking skills). Performance will be satisfactory if the student successfully:
a. Evaluation of patient data and implications of care
b. Demonstrates problem solving skills in clinical scenarios
c. Demonstrates decision-making skills in clinical scenarios
6. The student will demonstrate a working knowledge of SCANS competency 6 (personal qualities). Performance will be satisfactory if the student successfully:
a. Interacts professionally with colleagues in the classroom
b. Interacts professionally with faculty in the classroom
7. The student will demonstrate a working knowledge of SCANS competency 7 (workplace competencies). Performance will be satisfactory if the student successfully:
a. Performs and delivers assignments in a timely manner
b. Demonstrates an understanding of the care requirements of the critically ill patient
c. Demonstrates an ability to render adequate patient care in a simulated environment
8. The student will demonstrate a working knowledge of SCANS competency 8 (basic use of computers). Performance will be satisfactory if the student successfully:
a. Performs assignments as required utilizing word processing software.
Required Material: The following textbooks are required for this course:
· Ellis, Karen M., EKG Plain and Simple
· Ruppel, Gregg L., Manual of Pulmonary Function Testing, 8th edition
· Scanlon, Craig L., EGAN’s Fundamentals of Respiratory Care, 8th edition
· Wilkins, Krider, & Sheldon, Clinical Assessment in Respiratory Care, 4th Edition.
Attendance: Students are expected to attend all class, lab, and clinical sessions unless they are officially excused. An official absence is granted when such absence is caused by official participation in a college activity and the instructor is informed in advance. All other absences are unofficial. Absences caused by unavoidable conditions, such as illness, should be reported to the instructor at 8:00 a.m. on the scheduled class day. Being late to class will constitute an absence for every 3 late episodes. Late episodes over 30 minutes will constitute an absence. Absences will result in a one-point reduction from the final average of the course for each absence. Upon the third absence, the student will be withdrawn from all respiratory care course work.
Leave of Absence is NOT given in this program. Withdrawal is required.
Policies and
Procedures: Student may find the following information in the Respiratory Care Student Handbook.
- Withdrawal policy
- Attendance policy
- Grading scale
The Respiratory Care Therapist Program practices a non-discriminatory admissions policy with respect to race, color, creed, sex, age, or national origin.
Make-up Exams: Make-up exams are allowed. The maximum score on a make-up exam is 75%.
Course Structure: Didactic and Laboratory
Other Information: January 17 - First day of class
March 13-19 - Mid semester break
April 10 - Last day to drop and receive W
April 14-16 - Spring Holiday
April 17 - Research paper due
May 15 - Final Examination (tentative date)
1. Clinical Applications of Radiographic Techniques
2. EKG
3. Identify the arterial waveform and its components.
4. Identify the pulmonary artery waveform and its components.
5. Identify the PCWP waveform and determine its values
6. Describe preload and afterload and pharmacologic agents that affect each.
7. Identify and describe the balloon-tipped flow directed pulmonary artery catheter.
8. Define and describe the following: Stroke volume; Cardiac Index; Coronary Artery Perfusion Pressure; and O2 transport.
9. Identify the indications for hemodynamic monitoring.
10*. Research paper on one of the following:
a. MI
b. Shock
c. Mitral Valve Disease
d. VSD
e. ASD
f. PE
g. ARDS
h. Cardiac Tamponade
i. Pulmonary hypertension
j. Systemic hypertension
11. Nutritional Assessment
12. Chest tubes
Lecture Schedule and Reading Assignments (Schedule is tentative)
Week Topic Reading Assignment
1 Hemodynamics TBA
3 Hemodynamics (Continued)
PFT Ruppell Ch. 10
Spirometry Lab
Diffusing Capacity Lab
8 PFT Ruppell Ch. 11
Mid-term Exam
9 EKG Ellis, pp. 1-128
Egan, pp. 336-347
Wilkins, pp.189-198
10 EKG Ellis, pp.129-231
Egan, pp. 336-347
Wilkins, pp.198-208
11 EKG Ellis, pp. 361-466
Wilkins, pp. 209-211
12 Radiographic Techniques Egan, Chapter 18
Wilkins, Chapter 8
13 Nutritional Assessment Egan, Chapter 47
(Guest Lecturer) Wilkins, Chapter 17
Ruppel, pp.338-347;
351-354
14 Chest tubes Egan, pp.511, 515-517
(Guest Lecturer) Wilkins, pp. 254-268
15 Research Presentations/Final Examination Review
16 Final Examination
Grading: There will be two exams. Quizzes will be given at any time during the course and the average will equate to 20% of the course grade. The final examination will be comprehensive.
A research paper utilizing APA guidelines and covering one of the topics listed in #10 under "Course Objectives" will be done. The paper must be a minimum of 5 typed pages in length and incorporate hemodynamic and EKG data. A minimum of five articles is required as references, two of which must be from the internet. Textbooks may be used and cited but will not count toward the minimum. The research paper will be weighted as an exam grade. The paper must be cited. A plagiarized paper will result in a grade of “0”. The paper must be professionally presented to colleagues. If the student chooses not to present the research document the maximum score on the research paper/presentation will be 75%.
All lab components must be completed satisfactorily or the student will not be allowed to continue in the program.
A minimum average of 75 on examinations is required to continue in the Therapist Program. Final grades will be formulated using the following scale:
A = 90 - 100
B = 80 - 89
C = 75 – 79
D = 67 - 74
F = 66 and below
To compute the grade the following percentages will be utilized.
Mid-term 35%
Final 35%
Research Paper/Presentation 10%
Quizzes 20%
100%
ACKNOWLEDGMENT
I have received a copy and have read the course document for RSPT 2325, Cardiopulmonary Diagnostics. By signing, I indicate my understanding and willingness to comply with these regulations and requirements.
Student Signature_____________________ Date____________________________