Kingwood College Respiratory Care Therapist Program
RSPT 1207 Cardiopulmonary Anatomy and Physiology

Spring   2008 Evening class

Revised December 14, 2007


Instructor:

Elizabeth Kelley Buzbee A.A.S., R.R.T.–N.P.S.,  R.C.P.
Kingwood College
Respiratory Department
20,000 Kingwood Drive
HSB 118V
Kingwood, Texas  77339
281. 312.1605
email: kelley.buzbee@nhmccd.edu


Credit:   2 Credit Hours


Prerequisites:  Departmental Approval


Course Description per WECM:  “An introduction to the anatomy and physiology of the cardiovascular and pulmonary systems. http://www.thecb.state.tx.us/AAR/UndergraduateEd/WorkforceEd/wecm2000/search_pub/CourseInfo.cfm?Desc_id=10702&Course_Type=SCH


Learning Outcomes per WECM: “Describe and explain normal cardiopulmonary anatomy and physiology.


Mechanics of ventilation
Principles of diffusion
Control of ventilation

Cardiovascular system

Basic arterial blood gas interpretation.
Acid – base homeostasis.


SCANS:

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 comprehend the reading assignments & homework instructions

b. Demonstrates the ability to comprehend case study test questions

2.            The student will demonstrate a working knowledge of SCANS competency 2 (writing).  Performance will be satisfactory if the student successfully:

a. Answers short answer and essay questions in the homework assignment & in case studies

3.            The student will demonstrate a working knowledge of SCANS competency 3 (mathematics).  Performance will be satisfactory if the student successfully:

a. Performs and applies physiologic calculations of gas transport

b. Performs and applies calculations associated with cardiac function

c. Performs and applies calculations associated with both resistance to flow and compliance of lung units

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 of lecture material and of case studies

5.            The student will demonstrate a working knowledge of SCANS competency 5 (thinking skills).  Performance will be satisfactory if the student successfully:

a. Demonstrates problem solving skills in ABG analysis

b. Demonstrates problem solving skills in the case scenarios of the exams and in homework

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 their peers in the classroom and in the laboratory setting

b. Interacts professionally with the faculty in the classroom and in the laboratory setting

7.            The student will demonstrate a working knowledge of SCANS competency 7 (workplace competencies).  Performance will be satisfactory if the student successfully:

a. Performs all portions of all assignments in a timely manner

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.         Accesses lecture notes and slide shows linked to this web page


Required Materials:  The following textbooks are required for this course:

· Malley, William J., Clinical Blood Gases.  current edition ISBN 0-7216-8422
· Scanlon, Craig L., EGAN’s Fundamentals of Respiratory Care, 8th ed. ISBN 0-323-01813-0
· Wilkin’s Clinical Assessment in Respiratory Care IBSN 0-323-00909-3

At least 10 each Scantron forms for unit exam [answer sheet B form # 19641.] This form has 50 questions per side and they are available in the bookstore as loose single sheets.

PLEASE NOTE: simple 4 function calculators will generally be used during testing but that will be addressed prior to each test.....so bring the calculator.


 At least 7 Scantron forms for multiple-choice, multiple-multiple-choice tests [answer sheet B] should be purchased for unit exams.  This form has 1-50 answers on the front side and 51-100 answers on the reverse.  They are available in the bookstore as loose, single sheets.

·         A 4-function calculator may be used during lab/class time for mathematical calculations. A scientific calculator that has ability to calculate log is recommended.  Use of calculators during examinations will be discussed at the time of the exam.

·         No programmable devices,  nor cell phones may be used during exams in this course.

 

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 by the start of class (Kelley 281.312.1605 or Missy 281. 312.1596). Please be aware that any call-ins will none-the-less count as an absence or tardy.  

 

Absences:  will impact the final average with the first absence counting one [1] point, the second absence two [2] points, the third absence five [5] points, and each absence following a ten [10] point reduction. 

 

Each tardy of less than 30 minutes will result in the deduction of 0.33% from the final grade average for this course.  A “tardy” is inclusive of leaving class within thirty minutes before dismissal, as well as, taking leave during class or labs for longer than a reasonable amount of time. The instructor will be the arbitrator of what is ‘reasonable.” 

 

Tardies of 30 minutes or more will be considered a half-day absence. These will be deducted as 0.5% from the final grade average for this course.   Leaving a class/lab early or for extended periods will be calculated as a tardy or absence, depending on the amount of time missed.

 

Students shall not schedule conference times with other faculty or councilors during class time and any class time missed due to ‘appointments’ with councilors or other faculty will not be treated any differently from other types of tardy or absences.

Leave of Absence is NOT given in this program. Withdrawal is required. Student may not drop this class without consultation with the instructor.


   Academic Integrity (from NHMCCD Catalogue): 

  NHMCCD is committed to a high standard of academic integrity in the academic community.  In becoming a part of the academic community, students are responsible for honesty and independent effort.  Failure to uphold these standards includes, but is not limited to, the following: plagiarizing written work or projects, cheating on exams or assignments, collusion on an exam or project, and misrepresentation of credentials or prerequisites when registering for a course.  Cheating includes looking at or copying from another student’s exam, orally communicating or receiving answers during an exam, having another person take an exam or complete a project or assignment, using unauthorized notes, texts, or other materials for an exam, and obtaining or distributing an unauthorized copy of an exam or any part of an exam.

 

 Plagiarism means passing off as one’s own the ideas or writings of another (that is, without giving proper credit by documenting sources).  Plagiarism includes submitting a paper, report or project that someone else has prepared, in whole or in part.  Collusion is inappropriately collaborating on assignments designed to be completed individually.  These definitions are not exhaustive.

 

  When there is clear evidence of cheating, plagiarism, collusion, or misrepresentation, a faculty member will take disciplinary action including but not limited to: requiring the student to retake or resubmit an exam or assignment, assigning a grade of zero or “F” for an exam or assignment, or assigning a grade of “F” for the course.  Additional sanctions including being withdrawn from the course/program or being expelled from school may be imposed on a student who violates the standards of academic integrity.


Unit Exams:  Each unit exams will consist of between 30-50 multiple and multiple-multiple choice questions. Some of these questions may be linked to case studies. These exams will start promptly within the first 5 minutes of class.

Students who are scheduled to do their written tests in the testing center in the SFA building shall present themselves at the testing center before or at the time the test starts.  Exams in the testing center will not be allowed to continue past the usual time of the class that day. The student will return to the classroom as soon as he/she finishes so that he/she can participate in the rest of the day’s activities.

Students who complete the exam in the classroom may exit the classroom if he wishes, but must move away from the doors until everyone has completed the test. No one leaving the classroom before completing the test shall speak to any student who has completed the exam.


Cell Phones & Pagers:

All cell phones and pagers must be turned off during class time. No cell phone speakers are to be worn in the ears during lectures or exams.  If an emergency situation exists and only with instructor approval, cell phones may be placed in “vibrate” mode.  However, leaving the classroom to answer an emergency call MUST be an infrequent occurrence.


Remediation: All students will be required to remediate any exam not passed with a 75%. This remediation will consist of extra homework assignments & at least one meeting with the instructor. This remediation will not change the grade. Remediation must be turned in prior to May 5, 2008. Single quizzes don’t need to be remediated, but consistently low quiz grades may be reason for remediation.

 

Although homework will not be collected under normal conditions, students who have averages of less than 75% in the course will be expected to turn in homework until the grade rises.

 

A student must remediate all unit exams that were missed because of an absence. Under these circumstances, the best grade he/she can get is a 75%. For example, the student answers 85% of the questions correctly. His grade will only be 85% of 75%-- which is only 64%. The retake will be on the first day back from the absence. If the student knows he/she will be absent on a testing day, the student may ask to take the test early and the exam will be left in the testing center for completion during the time frame established by instructor and student.  A test taken early will accumulate full credit.  


Homework: Homework will be assigned at the start of each unit. The function of homework is to help the student clarify the information in the unit. While it is possible to pass this course without doing homework, we strongly recommend the student do each homework assignment as if it was being graded.  Exam questions will be based on review, homework and case study questions assigned with each unit.

 

Although homework will not be collected under normal conditions, students who have averages of less than 75% in the course will be expected to turn in homework until the grade rises. Homework will not be graded, but we will keep a record for remediation, and counseling purposes.

 

·         Unit review sheets: will be passed out at the start of each unit. Keys for each of these reviews can be found online.

·         Case studies: patient care situations in which the RCP must decide on the treatment based on assessment of the patient. The RCP will also be expected to alter treatment based on the patient’s reactions. Keys for each of these case studies can be found online.

·         Occasionally other homework will be assigned: generally any formula the student is expected to perform in clinical will be included in a homework assignment.


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.


Course Structure:  1 hour didactic & 4 hours laboratory


Grading:
There will be at least 5 unit exams and a final exam. All these exams will be averaged together and will account for the final grade. No exams will be dropped.

A   =   90 - 100
B   =   80 -  89
C   =   75 -  79
D  =   65 -  74


Schedule:

Monday & Wednesday lecture and lab:  20:10 - 22:10 [8:10PM – 10:10PM]

 

Holidays / important days:

·         First day of class 1/14/08

·         Martin Luther Holiday 1/21/08

·         Official day of record 1/28/08

·         Mid-semester break 3/10- 3/16/08

·         Last day to drop and get W 4/8/08

·         Final exams for this course will be May 5th


Other Information: Lecture Schedule and Reading Assignments (Schedule is tentative)

 

 

unit 1

gross anatomy

of the chest

 

 

 

Part I bones of the thorax http://wwwappskc.lonestar.edu/programs/respcare/1207bonele.html

Part II the mediastinum  http://wwwappskc.lonestar.edu/programs/respcare/1207med.html

Part III muscles of ventilation http://wwwappskc.lonestar.edu/programs/respcare/1207mus.html

 

Egan’s  page 151-164

Key review unit 1

 

Key to Case studies in gross anatomy

 

Powerpoint

Case study in gross anatomy

 

unit 2

the airways

upper airways 3.1 nasal & oral cavities http://wwwappskc.lonestar.edu/programs/respcare/1207LN.html

upper airways 3.2: vocal cords & coughing  http://wwwappskc.lonestar.edu/programs/respcare/1207vo.html

 lower airways 3.3  trachea to the alveoli http://wwwappskc.lonestar.edu/programs/respcare/1207low.html

 

Egan’s page  168-185, 208-221

 

handouts

Review key part I

 

Review key Part II

 

Case study of airways key

 

 

unit 3

the cardio-vascular system

4.1 gross anatomy of the heart http://wwwappskc.lonestar.edu/programs/respcare/1207heart1.html

 

4.2 blood pressure http://wwwappskc.lonestar.edu/programs/respcare/1207bp.html

 

4.3 conduction & the EKG http://wwwappskc.lonestar.edu/programs/respcare/1207heart2.html

 

4.4 blood & osmotic pressure http://wwwappskc.lonestar.edu/programs/respcare/1207blo.html

 

Egan's page 166-167, 188-203

 

Key review sheet

 

Key case studies: gross anatomy of the heart

 

 

Key case study

blood pressure

 

Key case study conduction

 

 

 

 

 

unit 4

gas transfer

02 transfer

 

C02 transfer

 

 

 

Egan ‘s  page 229-252

Malley’s chapter 7

 

Key review gas transfer

 

Key case studies

 

On gas transfer

 

 

unit 5

Control over ventilation

&

Renal system

 

 

Unit 5.1 Control over ventilation

 

Unit 5.2 Renal and Respiratory

 

Unit 5.3 Changes in cardiopulmonary system during exercise and sleep

 

 

 

 

Acid-Base Balance

Egan, page 279-281

 

Regulation of Breathing

Egan, and 297-305

 

Case studies  renal & control

 

Key case study sleep and exercise changes

 

Key renal & control over ventilation

 

 

 

Key sleep review

 

Unit 6

Arterial blood gas interpretation

Blood Gas Interpretation
Part I http://wwwappskc.lonestar.edu/programs/respcare/1207abg.html

 

Blood gas interpretation part II   http://wwwappskc.lonestar.edu/programs/respcare/1207abg.html

Comprehensive ABG review Key

 

Review Henderson/Hasselbalch

 

Malley’s chapter 1-2

Key ABG case studies

 

Key second ABG case study

 

 

 

ACKNOWLEDGMENT

I have received a copy and have read the course document for RSPT 1207, Cardiopulmonary Anatomy and Physiology.  By signing, I indicate my understanding and willingness to comply with these regulations and requirements.
 

Student Signature: ________________________________________________
 

Date: ___________________________________________