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HomeMy WebLinkAboutRSP-2401 Bergen Community College Division of Health Professions Department of Respiratory Therapy RSP 240 Diagnostic Monitoring and Patient Assessment Course Description 3 Lecture with Lab hours; 3 credits List prerequisites and co -requisites: Pre-req: RSP-226 Co-req: RSP 231, 250 Course Description: This course is designed to provide the students with practices in the art of patient assessment and an understanding of diagnostic and monitoring procedures. The course content includes the collection, analysis, and interpretation of various pulmonary, laboratory, and hemodynamic data. The collected data will then lead the student to consider possible therapeutic interventions and evaluation of patient treatment. Attention is given to those fundamental physiological concepts that provide a foundation for discussion of cardiopulmonary pathophysiology and common cardiopulmonary disorders. Office Hours: Locations Instructor: Office 2 Student Learning Objectives: At the completion of this course, the student will be able to: Discuss the rationale for arterial puncture Recognize the proper sites and techniques for arterial puncture Identify the Henderson-Hasselbach equation and the ratio needed to maintain pH Define simple and mixed acid-base abnormalities Identify the compensation mechanisms which maintain acid-base status Given the results of an ABG, interpret the acid-base and oxygenation status of the patient Relate acid-base abnormalities to specific alterations or disease states Given appropriate values, calculate the anion gap Discuss treatment for various acid-base abnormalities Identify essential elements of carbon dioxide monitoring Identify the general method of how x-rays are produced Identify terminology used in the interpretation of CXRs Identify the technique and indications for various CXR views Describe CXR markings of various disease patterns Recognize the role of CT scans, MRI, and PET scans in the diagnosis of chest diseases Discuss the rationale for pulmonary function testing Define terms and abbreviations used in pulmonary function testing State approximate normal values for lung volumes and capacities Identify the relationship of ATPS, BTPS and STPD to pulmonary function testing Describe tests of volume, flow, and gas exchange Describe special pulmonary function tests Identify the theory and methods used to measure FRC and RV State normal ranges for pulmonary function test results Interpret a PF report to identify patterns of disease Recognize the primary abnormalities associated with restrictive and obstructive disease Identify standard equipment found in a PFT lab and describe its basic use Recognize normal values and significance of hematologic and chemistry lab tests Recognize the significance of microbiological lab tests; urinalysis; histologic and cytologic exams Identify and define the following: arterial blood pressure; mean arterial pressure; pulse pressure cardiac output; cardiac index pre-load; after-load; contractility; stroke volume; ejection fraction drugs which affect the contractility of the heart (inotropes and chronotropes) central venous pressure pulmonary artery pressure; pulmonary capillary wedge (occluding) pressure pulmonary vascular resistance; systemic vascular resistance arterial-venous oxygen content Discuss arterial cannulation with regard to indications, sites; complications; waveforms Describe the pulmonary artery catheter Given appropriate data, calculate hemodynamic variables Recognize variations in measurements associated with ventilation Relate alterations in hemodynamic measurements to various disease states 3 Course Content Special Features of the Course (if any) Course Texts and/or Other Study Materials Research, Writing, and Examination Requirement(s) Grading Policy Grade determinations Exams (5)50% Quizzes (4)10% Laboratory 40% A Student must show superior work, excel in laboratory skills and contribute 93 - 100 positively to class discussions B+ Student exceeds acceptable standards in classroom work and in practical 88 – 92.9 exercises B Student must show above average work and standard of achievement in 83 – 87.9 classwork and laboratory skills C+ Student must meet and attain the standard of achievement with 78 – 82.9 reasonable theoretical knowledge and laboratory skills F Student fails to meet acceptable standards in classroom or laboratory <78 performance N Incomplete. Failure to submit all reports will result in an incomplete (N) grade. Clinical Manifestations and Assessment of Respiratory Disease, 7th Ed., Des Jardins,T., Burton,G., ISBN-978-0-323-24479-4 i Optional: 11th Ed.978-0-323-34136-3Egan's Fundamentals of Respiratory Care, This course will contain exams and quizzes.Patient case studies are optional and must be obtained Kacmarek, ISBN- 4 Departmental Policy Statements Student and Faculty Support Services Attendance Policy:Attendance and punctuality at all class sessions is required and will be factored into the student’s overall final grade. Attendance for classroom lecture and lab will be factored into the total grade for the course. For every absence from classroom lecture or lab, 1 point will be deducted from the total grade for the course. If the student is late by 10 minutes for a lecture or lab, 0.5 points will be deducted from the total grade. Dress Code: Student's must be in clinical uniform at all times when at the college, and must wear lab coat when in the laboratory and simulation center. Proper shoes must also be worn with uniform, especially in the lab. Course Policy 78%.