Class Syllabus
Porterville College: Vocational Nursing Program – 3rd semester
Respiratory System Module: 35D – 2 units
Instructor: Elizabeth Keele, R.N., B.S.N.
Spring 2011
Hours/Days:
Thursday
8:30 AM – 10:30 AM
10:45 AM – 12:00 PM
12:45 PM – 1:45 PM
Friday
8:30 AM – 10:30 AM
10:45 AM – 12:00 PM
12:45 PM – 1:45 PM
Grading:
75 –83% = C
84 – 92% = B
93 – 100% = A
Criteria:
Quizzes/worksheets/: 250* pts.
Homework:
50* pts.
Final Exam:
100 pts.
________________________
Total
400* pts.
* These numbers are approximate and subject to change.
Quizzes:
A quiz, test or work-sheet will be given on a daily bases. Please bring a scantron form #882-ES
to all quizzes and tests. Tests and quizzes are timed – 1 minute for each question. There is also
the possibility of pop quizzes (unannounced quizzes).
General:
Students are expected to be on time for each scheduled class. Students are expected to call the
instructor if they are unable to attend. If you are unable to attend class, you must notify the
instructor prior to the start of class. Only those who make arrangements before missing a class
will be able to complete make-up assignments. Homework is due at the beginning of the class
the day it is due. Homework is not accepted late.
308870148
2/5/2016
Office hours:
Thursday & Friday 12:00 p.m. – 1:00 p.m. I am also available by phone at 559-793-1664.
Please do not call after 10:00 p.m. or on Sundays
Text:
Brunner & Suddarth’s Textbook of Medical Surgical Nursing: Smeltzer & Bare;
Handbook of Pathophysiology: Corwin, Elizabeth J
Required packet from the bookstore (handouts for the class)
All assigned reading is required and you are responsible for the material contained in it.
Web Site:
http://www.portervillecollege.edu/eKeele/ or go to go to www.portervillecollege.edu and go to
the instructors web sites and click on Elizabeth Keele. You may obtain power point presentation,
handouts and class syllabus on-line.
Reasonable Accommodation:
If you have a disability that may require assistance or accommodation, or you have questions
related to any accommodation for testing, note takers, readings, etc., please speak with the
instructor as soon as possible. Students may also contact the Disability Resource Center
(559) 791-2215 with questions about such services.
Attendance:
This class is a positive attendance class and roll will be taken daily. If you miss any class time,
you will be required to make that time up. Arrangements are to be made with the instructor.
Also you are responsible for all material presented or discussed in class, whether you are there or
not.
Honesty:
I require honesty on tests and assignments. Following Porterville College policy, if a student
cheats on a test or assignment, or plagiarizes, I will give an “F” grade on that assignment and I
will report the incident to the Dean. The student will have to meet with the Dean of Students to
determine whether further disciplinary action is necessary.
308870148
2/5/2016
Student learning objectives:
1. The student will be able to discuss medical terms commonly used in the respiratory
system.
2. Review and identify anatomical structures on the respiratory system
3. Explain respiratory physiology in relation to respiratory anatomy and the normal
respiratory patterns
4. Identify the components of a complete respiratory physical assessment
5. Use assessment parameters appropriate for determining the characteristics and severity of
the major symptoms of respiratory dysfunction including: Dyspnea; Wheezing; Clubbing
of fingers; Hemoptysis; Cyanosis; Pleurisy
6. Apply the nursing process as it relates to patient’s respiratory diseases and disorders
7. Describe the effects of the following risk factors on the respiratory system: High altitude;
Increased metabolic rate; Decreased metabolic rate; Infancy; Old age; Obesity; Fear;
Activity; Smoking; Narcotic drugs, e.g. morphine; General anesthetic; Pregnancy
8. Identify the clinical significances and related nursing responsibility of the following tests
and procedures used for diagnostic assessment of the patient with a respiratory disorder:
ABG’s; Blood count; V & P ratio; Chest x-ray; Bronchoscopy; CT scan
9. Describe etiology, pathophysiology, clinical manifestations, nursing management and
patient educations for the following: Pneumonia; Laryngitis; Bronchitis; Tuberculosis;
Coccidiodomycosis; Cancer; Pneumothorax; Hemothorax; Adult Respiratory Distress
Syndrome; Asthma; Chronic Obstructive Pulmonary disease; Emphysema; Respiratory
failure; Atelectasis; Pulmonary embolism; Pulmonary edema; Near drowning; Mediastial
shift; Pleural effusion
10. Describe the complications of chest trauma, the clinical manifestations and nursing
management of the following: Rib fracture; Flail chest; Hemothorax & pneumothorax;
Tension pneumothorax; Penetrating wound of the chest; Pulmonary contusion; Cardiac
tamponade; Subcutaneous emphysema
11. Describe the nursing management and patient education for patient’s receiving the
following: Oxygen therapy; Nebulizer therapy; Incentive spirometry; Chest
physiotherapy
12. Discuss nursing management and patient education for care of patients with the
following: Endotracheal intubation; Tracheotomy; Mechanical ventilation; Chest tubes
with water seal drainage; Chest tube with one way valve
13. Discuss nursing management and patient education in the pre- and post operative care of
patients undergoing the following respiratory system surgeries: Laryngectomy;
Tracheostomy; Lobectomy; Biopsy
14. Describe the biopsycho-social implications of the convalescing and rehabilitation patient
with respiratory problems
15. Explain the importance of awareness of cultural diversity with the respiratory patient
16. Discuss pharmacological interventions in the treatment of patient with a respiratory
disorder
17. Describe the respiratory changes that occur with aging
308870148
2/5/2016
Student Learning Outcomes
VN III – VN PO35D: Respiratory System
Course Objective
The student will be
able to discuss
medical terms
commonly used in the
respiratory system
Review and identify
anatomy and
physiology of the
respiratory system.
Identify the
components of a
complete respiratory
physical assessment.
Describe the risk
factors and their
effects on the
respiratory system.
308870148
2/5/2016
Performance context:
The student will listen to
lecture or Power Point
presentations and review
lecture notes, read
assignments from the
textbook that are correlated
to the lecture content and
participate in class discussion
and small group learning
activities.
The student will listen to
lecture or Power Point
presentations and review
lecture notes, read
assignments from the
textbook that are correlated
to the lecture content and
participate in class discussion
and small group learning
activities.
The student will listen to
lecture or Power Point
presentations and review
lecture notes, read
assignments from the
textbook that are correlated
to the lecture content and
participate in class discussion
and small group learning
activities.
Evidence of Success:
Given a comprehensive, in
class, closed note,
individual test – that may
include diagrams,
scenarios, case studies and
objective test questions using medical terms
commonly used in the
respiratory system.
Measurement Criteria
The student will be able to
discuss and use the medical
terms commonly used in the
respiratory system with 75%
accuracy or better.
Given a comprehensive, in
class, closed note,
individual test – that may
include diagrams,
scenarios, case studies and
objective test questions covering anatomy and
physiology of the
respiratory system.
The student will be able to
demonstrate an ability to
identify anatomical structures
and discuss the physiology of
the respiratory system
including respiratory patterns
with 75% accuracy or better.
Given a comprehensive, in
class, closed note,
individual test – that may
include diagrams,
scenarios, case studies and
objective test questions –
covering the components
of a complete respiratory
physical assessment.
The student will be able to
demonstrate an ability to
identify the components of a
complete respiratory physical
assessment with 75% accuracy
or better. Specifically the
following symptoms should be
addressed:
 Dyspnea
 Wheezing
 Clubbing of fingers
 Hemoptysis
 Cyanosis
 Pleurisy
The student will listen to
lecture or Power Point
presentations and review
lecture notes, read
assignments from the
textbook that are correlated
to the lecture content and
participate in class discussion
and small group learning
activities.
Given a comprehensive, in
class, closed note,
individual test – that may
include diagrams,
scenarios, case studies and
objective test questions –
that covers risk factors on
the respiratory system.
The student will be able to
demonstrate an ability to
describe the effects of the risk
factors on the respiratory
system with 75% accuracy or
better. The following risk
factors should be addressed:
 Increased metabolic
rate
 Decreased metabolic
rate
 Infancy
 Old age
 Obesity
 Fear
 Activity
 Smoking
 Narcotic drugs, e.g.



Identify the clinical
significances and
related nursing
responsibility for
tests and procedures
used in the diagnostic
assessment of the
patient with a
respiratory disorder:
The student will listen to
lecture or Power Point
presentations and review
lecture notes, read
assignments from the
textbook that are correlated
to the lecture content and
participate in class discussion
and small group learning
activities.
Given diagnostic results in
class with closed note, the
individual will be asked to
interpret those results, to
identify the nursing
responsibility, to
distinguish and prioritize
individual patient
education plans on an
objective test.
Describe etiology,
pathophysiology,
clinical
manifestations,
nursing management
and patient education
for the major
respiratory illnesses.
The student will listen to
lecture or Power Point
presentations and review
lecture notes, read
assignments from the
textbook that are correlated
to the lecture content and
participate in class discussion
and small group learning
activities.
Given a comprehensive, in
class, closed note,
individual test – that may
include diagrams,
scenarios, case studies and
objective test questions covering the etiology,
pathophysiology, clinical
manifestations, nursing
management and patient
education on the major
respiratory illnesses.
Describe the
complications of
chest trauma, the
The student will listen to
lecture or Power Point
presentations and review
Given a comprehensive, in
class, closed note,
individual test – that may
308870148
2/5/2016
morphine
General anesthetic
High altitude
Pregnancy
The student will be able to
demonstrate an ability to
accurately interpret respiratory
diagnostic assessments,
describe nursing responsibility
for said assessments and
formulate comprehensive
individual patient education
plans, identify the clinical
significances and related
nursing responsibility with
75% accuracy or better for the
following:
 Blood count
 V & P ratio
 Chest x-ray
 Bronchoscopy
 ABG’s
 CT scan
The student will be able to
demonstrate an ability to
describe the etiology,
pathophysiology, clinical
manifestations, nursing
management and patient
education for respiratory
diseases and disorders with
75% accuracy or better on the
following:
 Laryngitis
 Bronchitis
 Tuberculosis
 Coccidiodomycosis
 Cancer
 Pneumothorax
 Hemothorax
 Adult Respiratory
Distress Syndrome
 Asthma
 Chronic Obstructive
Pulmonary disease
 Emphysema
 Respiratory failure
 Atelectasis
 Pulmonary embolism
 Pulmonary edema
 Near drowning
 Mediatinal shift
 Pneumonia
 Pleural effusion
The student will be able to
demonstrate an ability to
describe the complications of
clinical
manifestations and
nursing management.
lecture notes, read
assignments from the
textbook that are correlated
to the lecture content and
participate in class discussion
and small group learning
activities.
include diagrams,
scenarios, case studies and
objective test questions covering the complications
of chest trauma and the
nursing management.
Describe the
biopsycho-social
implications of the
convalescing and
rehabilitation patient
with respiratory
problems.
The student will listen to
lecture or Power Point
presentations and review
lecture notes, read
assignments from the
textbook that are correlated
to the lecture content and
participate in class discussion
and small group learning
activities.
Given a comprehensive, in
class, closed note,
individual test – that may
include diagrams,
scenarios, case studies and
objective test questions covering the importance of
awareness of biopsychosocial needs including
cultural diversity and aging
as it relates to patients with
respiratory problems.
Discuss
pharmacological
interventions in the
treatment of patient
with a respiratory
disorder
The student will listen to
lecture or Power Point
presentations and review
lecture notes, read
assignments from the
textbook that are correlated
to the lecture content and
participate in class discussion
and small group learning
activities.
Given a comprehensive, in
class, closed note,
individual test – that may
include diagrams,
scenarios, case studies and
objective test questions covering pharmacological
interventions for
respiratory illnesses.
308870148
2/5/2016
chest trauma and the clinical
manifestations and nursing
management of chest trauma
with 75% accuracy or better
for the following:
 Flail chest
 Hemothorax &
pneumothorax
 Tension
pneumothorax
 Penetrating wound of
the chest
 Pulmonary contusion
 Cardiac tamponade
 Rib fracture
 Subcutaneous
 Emphysema
The student will be able to
describe the biopsycho-social
implications of the
convalescing and
rehabilitation patient with
respiratory problems with 75%
accuracy or better. This will
address cultural needs of
patients and special needs that
occur with aging.
The student will be able to
discuss pharmacological
interventions in the treatment
of patient with a respiratory
disorder with 75% accuracy or
better
Class Schedule:
Date
Day 1
March 11
Friday
Day 2
March 17
Thursday
Day 3
March 18
Friday
Day 4
March 24
Thursday
Text –
To be read prior to
class
Topics to be covered in class
(Student learning outcomes – by
number)
Anatomy & physiology review
SLO: # 1, 2, 3, 7 & 17
Assignments /
Quizzes / Tests
Brunner: Ch 21
Corwin: Ch 13
Physical Assessment
Diagnostic evaluation
SLO: # 4, 5, 7, 8, 14, 15, 17
Management of patients with Upper
Respiratory Tract disorders
SLO: # 5, 8, 13, 16
Respiratory Care Modalities
Mechanical ventilation
Acidosis & Alkalosis
SLO: # 11, 12 & 16
Respiratory Acidosis and Alkalosis
SLO: #8
Quiz #1
Management of patients with chest
and lower respiratory tract
disorders
SLO: # 9 & 16
Management of patients with chest
and lower respiratory tract
disorders
SLO: # 9 & 16
Management of patients with
Chronic Obstructive pulmonary
disorders
SLO: #9, 10, 16,
Quiz #5
Brunner: Ch 22 & 25
Day 5
March 25
Friday
Day 6
March 31
Thursday
Brunner: Ch 23
Day 7
April 1
Friday
Day 8
April 7
Thursday
FINAL
April 8
Friday
308870148
2/5/2016
Brunner: Ch 24
Quiz #2
Quiz #3
Quiz #4
Quiz #6
Quiz #7
Final Exam
Beginning of
neurology