RESPIRATORY CARE 316
CARDIOPULMONARY DIAGNOSTICS
CRN: 34312
Kapiolani Community College
Spring, 2006
Mondays, 0900 – 12000, Kauila 216
I.
Instructor: Aaron K. Koseki
Office: Kauila 122A
Phone: 734-9224
Health Sciences phone: 723-9270
Email: akoseki@hawaii.edu
Office hours: Mondays, 1-3
II.
Description: RESP 316 introduces students to pulmonary
laboratory procedures and techniques, including the Blood Gas
Laboratory, Bronchoscopic Lung examination, Pulmonary Function
Laboratory, Sleep Laboratory, and Neurodiagnostic examinations.
The course emphasizes testing methods and protocols,
interpretation of test results and correlation to disease states and
appropriate therapeutic intervention.
III.
Objectives: Upon successful completion of RESP 316, the student
should be able to:
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Define the role of cardiopulmonary diagnostics in patient care
Describe, evaluate, and interpret pulmonary function tests,
polysomnographic tests, cardiopulmonary exercise tests
Describe and discuss the fundamentals of a lung bronchoscopic
exam
Describe and discuss the fundamentals of obtaining a 12-lead
ECG tracing
Describe and discuss arterial blood gas sampling procedures,
including the care and maintenance of analyzers, co-oximeters,
and blood gas electrodes
Discuss stepwise approach to interpreting arterial blood gases,
acid-base balance; correlate gases with interventions and
disease states (CHF, COPD, mechanical ventilation)
Explain methods to diagnose lung volumes, capacities, diffusion
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Explain methods and protocols to diagnose sleep-related
disorders
Explain methods and protocols to diagnose neurodiagnostic
disorders
Explain methods and protocols for cardiopulmonary exercise
testing
IV.
Text: Handouts in class
Egan, Fundamentals of Respiratory Care
Egan (Wehrman), Fundamentals of Respiratory Care Study
Guide
Wilkins, Clinical Assessment in Respiratory Care
White, Basic Clinical Lab Competencies for Respiratory Care
Des Jardins, Cardiopulmonary Pathophysiology
V.
Evaluation: All of the following must be completed in order to
receive a grade and credit for RESP 316.
1. three exams
2. final exam
3. presentations
50 points each
50 points
50 points
Total
(150 total)
250 points
Note:
1. unexcused absence* = deduction of 7% off final grade for each
absence; per program policy, role will be called
note: late arrival—student must call and leave a message
prior to class explaining reason for late arrival; three
undocumented late arrivals = one (1) unexcused absence
2. three unexcused absences = reduction of course grade to <75%
3. all items for evaluation must be completed in order to receive a
grade and credit for the course.
*excused absences are illness with physician documentation, family
emergencies with documentation. Call the instructor each time
before class at 734-9224.
VI.
Grading: is based on a percentage of total points earned
A = 100%-92%
B = 91% - 83%
C = 82%-75%%
C= <75
250 - 230
228 - 208
205 – 188
<188
Schedule (subject to change)
January
Topic Vital Signs and 12-lead ECG
9
Course overview (expectations, objectives)
Vital signs Part I—post-tests (COPD clinical
simulation, neonatal post-test review, PFT
post-test review)
11
Report to Castle Medical Center—inservice
on performing a 12-lead ECG, 1400 hours
12
ECG—KCC lab, 0800 -1200 hours
practice: 1300-1500 hours
16
Holiday-MLK Day
23
Multicompetent RCP—12-lead ECG
(1/24, Mini-lab, Mechanical Ventilation:
graphics,1000-1200)#
30
12-lead ECG Part II (if needed); 12-lead ECG
exam (#1)
(1/31, Mini-lab, Mechanical Ventilation:
graphics,1000-1200)#
February
Topic: Pulmonary Function Testing, Sleep
Studies, Acid-base interpretation, quality
control in the Pulmonary & ABG labs
6
PFT Part I, standards, quality control, FRC
(lung capacities) methods, Methacholine
challenge, interpretation
(2/7, Mini-lab, Mechanical Ventilation:
graphics,1000-1200)#
8
Report to Castle Medical Center-inservice
on quality control, 1500 hours-1700 (tentative
time)
13
PFT Part II
20
Holiday-President’s Day
27
PFT (exam #2), Advanced Acid-base
interpretation
March
Topics: Acid-base interpretation
Sleep-related disorders, Cardiopulmonary
Pathophysiology
6
Acid-base interpretation Part II
Part I Sleep-related disorders
13
Part II Sleep-related disorders,
Cardiopulmonary Pathophysiology
(Group I, 3/16, Mini-lab, Mechanical
Ventilation,Queen’s Medical Center, D.
Brenessel, 1300 hours-1500hours)
20
AM @ KCC Cardiopulmonary
Pathophysiology, Chest films
PM @ Physician in-service, Dr. Kruger,
Kuakini Medical Center, 1300 hours, room TBA
(Group II (3/21, Mini-lab, Mechanical
Ventilation,Queen’s Medical Center, D.
Brenessel, 1300 hours-1500 hours)
22
Physician in-service, Dr. Kruger,
Kuakini Medical Center, 1300 hours,
Room TBA
Spring Break, March 27 through March 31
April
Topic: Cardiopulmonary Pathophysiology,
Fiberoptic bronchoscopy
3
Part I Assisting in fiberoptic bronchoscopy
cardiopulmonary pathophysiology
10
Part II fiberoptic bornchoscopy assisting
cardiopulmonary pathophysiology
17
Exam #3
Diagnostic case studies
24
Diagnostic case studies
27
NRP Performance Exam, Queen’s
Medical Center, 0900, Tower 4
May
Topic
1
Diagnostic case studies
8
Final exam
Presentations:
Case studies for discussion; black out patient’s name and other
identifiable markers. If you wish to make copies to share, provide one to
the instructor in advance of class.
1. ECG tracing of note, e.g., artifact, cardiac tamponade, cardiac ischemia,
etc., with brief discussion of circumstances— minimum one (1) tracing
required
2. PFT report of note, with brief discussion of patient history—one (1)
FVC, one (1) lung volumes, one (1) DLCO. FRC may be obtained by any
method—minimum one (1) study required.
3. Sleep Study of note, with brief discussion of patient history—minimum
one (1) study required. Check with Sleep Lab instructor before copying
any tracings.
NOTE:
In conjunction with RESP 312 (see RESP 312 syllabus for more details), you will
be required to attend a series of mini-labs on adult mechanical ventilation, attend
physician inservice lectures, and complete a neonatal resuscitation workshop:
# Mini-labs: are designed to give the student a review of the adult ventilator.
Practicing ventilator/patient interface, charting, setup and EST/SST of
ventilator, weaning based on ABG and patient response and understanding
ventilator graphics.
Students will be assigned to small groups to work with the instructor. The
first three mini-labs in January and February are on Tuesdays from 1000-1200
with Radonna Doughty; the next two in March are with Diane Brennesel at
QMC—students will be divided into two groups to attend on either March 16,
Thursday, or March 21, Tuesday from approximately 1300-1500 hours (one
lab required only for each group).