Respiratory Care Therapist Program
RSPT 2325
Cardiopulmonary Diagnostics
SPRING 2008
Instructors: Michael Harshfield, BS, RRT
Office: 118Y
Phone: 281.312.1638
Email:
Kenny McCowen, BS, RRT
Office: 118F
Phone: 281.312.1608
Email:
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 to
assess 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
c. Give oral presentation
5. The student will demonstrate a working knowledge of SCANS competency 5 (thinking skills). Performance will be satisfactory if the student successfully:
a. Evaluates 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, 2nd edition
Madama, Vincent C., Pulmonary Function Testing and Cardiopulmonary
Stress Testing, 2nd edition
Wilkins, Robert L., et.al., EGAN’s Fundamentals of Respiratory Care, 8th
edition
Wilkins, Krider, & Sheldon, Clinical Assessment in Respiratory Care, 5th
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.
The faculty believes that experience in the classroom, lab and clinical area cannot be adequately duplicated. Specific attendance requirements are identified in each course document. Episodes of tardiness will be monitored and three episodes of tardiness will count as one absence. Absences will impact the final average with the first absence counting one point, the second absence two points, the third absence five points, and each absence following a ten point reduction.
No assignments may be made up.
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 NOT allowed.
Course Structure: Didactic and Laboratory
Other Information: January 14 - First day of class
January 21 - M.L. King, Jr Holiday
March 10-16 - Mid-semester Break
April 8 - Last day for “Withdrawal”
May 2 - Research papers due
May 9 - Final Exam (tentative date)
Course Objectives
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. Understanding chest tubes and drainage
13. Understanding diagnostic and therapeutic bronchoscopy
Lecture/Reading Assignments (Schedule is tentative)
Topic Reading Assignment
Chest Radiographs Egan, Ch. 18
Wilkins, Ch. 8
Hemodynamics
Monitoring Tissue Oxygenation Wilkins, pp. 281-290
Cardiac Output Wilkins, Ch. 14
Hemodynamic Pressures Wilkins, Ch. 15
TBA
PFT’s TBA
EKG
Basics Egan, Ch. 15
Ellis, Chs. 1-5
Wilkins, pp. 191-201
Rhythm Analysis Ellis, Chs. 6-12
Wilkins, pp. 203-212
12-Lead EKG Interpretation Ellis, Chs. 13-16
Wilkins, pp.202, 212-213
Chest Drainage Egan, pp. 510 – 519
Handouts
Nutritional Assessment Egan, Chapter 47
Madama, Ch. 15
Wilkins, Chapter 17
Bronchoscopy Wilkins, Ch. 16
Grading: There will be a minimum of four exams. Quizzes will be given at the beginning of most class/lab days and the average will equate to one exam 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 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”.
Participation in daily maintenance of the blood gas analyzer will be weighted as a quiz grade. Statistical analysis will be done and a Levey-Jennings plot will be maintained in the lab for each electrode.
A minimum average of 75 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
All exams will be weighted equally.
Academic Integrity 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.
Schedule: Lecture Monday 1:30 p.m.- 2:30 p.m.
Lab Monday 3:30 p.m.- 4:50 p.m.
Friday 10::20 a.m.- 5:50 p.m.
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______