August 2015
Angelina College
Health Careers Division
RSPT 2305 Pulmonary Diagnostics
General Syllabus
I.COURSE DESCRIPTION:
RSPT 2305. PULMONARY DIAGNOSTICS: Three hours credit. The theories and techniques involved in
pulmonary function testing diagnostics with emphasis on blood gas theory and analysis, quality control,
oximetry, and capnography. Three lecture hours per week. Learning Outcomes: Perform and interpret
basic and advanced pulmonary function testing; and describe principles/concepts involved in blood gas
analysis and quality control; and describe the application/troubleshooting of oximetry and capnography
devices. Understand and explain hemodynamic pressures from CVP and PAP lines
INTENDED AUDIENCE : Second-Year students already enrolled in the Respiratory Care Program.
INSTRUCTOR:
Instructor’s Name: David Henson BS RRT RPFT
Office Hours: 1:30 - 3:00 PM on T & R; (or) 09:00am – 11:30am on Friday: call voice mail for appointment
Phone: (936) 633-5418
E-mail Address: dhenson@angelina.edu
II. INTENDED STUDENT OUTCOMES
A.
Core Objectives Required for this Course
1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation
and synthesis of information
2. Communication: to include effective development, interpretation and expression of ideas
through written, oral and visual communication
3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data
or observable facts resulting in informed conclusions
4. Teamwork: to include the ability to consider different points of view and to work effectively
with others to support a shared purpose or goal
5. Social Responsibility: to include the ability to connect choices, actions and consequences to
ethical decision-making
6. Personal Responsibility: to include intercultural competence, knowledge of civic
responsibility, and the ability to engage effectively in regional, national, and global
communities
B. Course Learning Outcomes for all Sections
C. Course Objectives (common to all sections)
1.
To gain adequate knowledge and understanding of the key terms used in diagnostic studies.
2.
To introduce the student to basic and advanced procedures and techniques in pulmonary function
tests (PFT) including interpretation of values to diagnose specific lung disease as well as extent.
3.
To introduce the student to the various methods of assessment of heart and lung function as well
as developing course of treatment and monitor effectiveness via different methodology such as
pulse oximetry, capnography, CVP and PAP lines
4.
To familiarize the student with cardiopulmonary dynamics through electrocardiogram (ECG) and
CVP and PAP waveforms and pressures that will aid in the assessment and indications for clinical
oxygenation, ventilation and general cardiopulmonary dysfunction.
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5.
To increase the student's appreciation for diagnostic tests and support in the assessment of
cardiopulmonary diseases and how mechanical ventilation effects hemodynamic status and thus
cellular oxygenation.
III. ASSESSMENT MEASURES
A. Assessments for the Core Objective
1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation
and synthesis of information
2. Communication: to include effective development, interpretation and expression of ideas
through written, oral and visual communication
3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data
or observable facts resulting in informed conclusions
4. Teamwork: to include the ability to consider different points of view and to work effectively
with others to support a shared purpose or goal
5. Social Responsibility: to include the ability to connect choices, actions and consequences to
ethical decision-making
6. Personal Responsibility: to include intercultural competence, knowledge of civic
responsibility, and the ability to engage effectively in regional, national, and global
communities
B. Assessments for Objectives Specific to the Course CORE COMPETENCIES: SCANS - (Secretary’s Commission on Academic Necessary Skills)
Students are expected to demonstrate basic competency in academic and workforce skills. The following
are competencies with evaluation are included in RSPT 1410.
SCAN Skills
Assessments
Foundation Skills
Written Assignments
Oral Presentations
Required Readings
Critical Thinking Case Studies
Demonstrated Competency in Clinical
Workplace Competencies
Computer Assisted Instruction
Critical Thinking Case Study Assessments
Demonstrated Competency in Clinical
IV. INSTRUCTIONAL PROCEDURES
The methods of instruction used in this course includes but not limited to the following: Lecture, discussion,
performance, audiovisual, computer assisted instruction, independent study, Blackboard Instruction, role playing
and critical-thinking patient case studies.
V. COURSE REQUIREMENTS AND POLICIES
A. Required Textbooks, Materials and Equipment
Wanger Jack (2012) Pulmonary Function Testing Jones Bartlet Learning Third Edition
Wilkins, Robert L, (2014) Clinical Assessment in Respiratory Care, Mosby-Elsevier Publishers 7th Edition
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The student will need a basic calculator for simple mathematical calculations.
A medical dictionary would be helpful but not required.Cell phones must be in silent mode or turned off.
B. Assignments - Class meets Tuesday and Thursdays 10:00 – 11:30 am
August 27
Unit I Syllabus Review –
Sept 1 - Sept 3
Wanger Chapter 1
Sept 8 – Sept 10
Wanger Chapter 1
Sept 15 – Sept 17
Wanger Chapter 1
Sept 22 – Sept 24
Unit Test I Wagner Chapter 2
Sept 29 - Oct 1
Wanger Chapter 2
Oct 6 – Oct 8
Wanger Chapter 2
Oct 13 – Oct 15
Unit Test II - start unit III Wagner 3
Oct 20 – Oct 22
Wagner 3 - Wilkins Chap 8
Oct 27 – Oct 29
Wilkins Chap 11 – Wilkins Chap 11
Nov 3 – Nov 5
Wilkins 15 – Wilkins Chap 16
Nov 10 – Nov 12
Wilkins 16 – Unit Test III
Nov 17 – Nov 19
Ruppel Chap 7 Ruppel Chap
Nov 24 – Nov 26
Ruppel Chap 10 - Thanksgiving Day No Class
Dec 1 – Dec 3
Ruppel Chap 11 - Wilkins Chap 18
Dec 8 - Dec 10
Unit IV Completed and Review - Unit Test IV
Dec 15
Final Exam
Course Policies – This course conforms to the policies of Angelina College as stated in the Angelina
College Handbook.
1.
Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of
1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this
class, you should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution,
you must self-identify as a person with a disability; Ms. Bowser will assist you with the necessary
information to do so. To report any complaints of discrimination related to disability, you should contact
Dr. Patricia McKenzie, Administration Building, Room 105 or 936-633-5201.
2.
Attendance – Attendance is required as per Angelina College Policy and will be recorded every
day. Any student with three (3) consecutive absences of four (4) cumulative absences may be dropped
from the class. Records will be turned in to the academic dean at the end of the semester. Do not
assume that non-attendance in class will always result in an instructor drop. You must officially drop a
class or risk receiving an F. This is official Angelina College Policy.
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3.
Additional Policies Established by the Instructor
VI. COURSE CONTENT
C. Content/ Topics
Unit One: Indications for Pulmonary Function and Understanding and Performing Spirometry
After completion of this unit, the student will be able to:
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Categorize Pulmonary Function Testing according to specific purposes.
List indications for spirometry, lung volumes, and diffusion capacity
Relate pulmonary history to indications for performing
Indentify indications for exercise testing
Describe diseases that cause air trapping
Determine whether spirometry test is acceptable or not
Identify airway obstruction using Vital Capacity and Forced Expiratory Volume 1 sec
Determine whether there is a signification response to bronchodilators
Identify pathological reasons for using Maximal Inspiratory and Expiratory pressures
Recognize normal and abnormal values for airway resistance and specific conductance
Develop Skills to use PFTs to design treatment plans and adjust medications in treatment
Describe the technique for measuring pulmonary compliance
Describe and perform simple spirometry
Determine whether spirometry is acceptable and repeatable
Identify obstructive and restrictive airway disease using VC FEV1 FVC/FEV1 Ratio, Peak flow and
FEF 25 -75 or FEF 200 – 1200
Determine whether there is a significant response to bronchodilators.
Describe the degree of obstruction or restriction according to ATS – ERS criteria
Select the appropriate VC and FEV1 patient effort for reporting
Describe and evaluate flow volume curve.
Unit II: Lung Volumes and Gas Diffusion
After completion of this unit, the student will be able to:
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Describe the measurement of lung volumes using gas dilution and washout methods
Explain the advantages of using a body plethysmograph
Calculate residual volume and total lung capacity from FRC and the subdivisions of VC.
Identify a restrictive and obstructive disease process from measured lung volumes
Calculate FRC using both Helium Equilibration and Nitrogen Washout
Identify diffusion disorders in restrictive and obstructive lung diseases
Use Spirometry, Lung Volumes and Diffusion Levels in concert to diagnosis lung diseases
Describe MIP MEP NIF and how the measurements indicate and stratify neuromuscular diseases
Describe at least three types of neuromuscular diseases and their treatment
Calculate the VD/VT ratio and describe its use in assessing ventilation
Use lung volumes and diffusion levels to aid in diagnosing restrictive and neuromuscular diseases
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Unit Three (III) Perform and interpret Arterial Blood Gases and EKGs. Also Assess Cardiac Output and
Hemodynamic Monitoring
After completion of this unit; the student will be able to:
1. Describe how ph and PCO2 are used to assess acid-base status
2. Interpret PO2 and Oxygen Saturation and Content to assess tissue oxygenation
3. Describe the proper procedure for obtaining an arterial blood gas specimen
4. Describe common causes of acid base disorders and their compensation methods
5. Explain the use of capnography to assess changes in ventilation perfusion patterns of lung
6. Describe situations where Pulse Oximetry can be effectively used and difficult situations
7. Describe indications for performing an EKG
8. Identify the key components of the heart’s electrical system and how it works
9. Explain depolarization and repolarization
10. Describe the normal time interval for each electrical wave generated by the heart
11. Identify several common EKG abnormalities
12. Identify lethal EKG rhythms
13. Describe treatment for lethal rhythms
14. Define cardiac output, index, stroke volume and venous return
15. Describe the percentage of total blood volume in the venous system
16. Describe the effect of blood loss on the circulatory system and how it compensates
17. Describe the effect of mechanical ventilation on cardiac output
18. Describe Cardiac index, ejection fraction, stroke volume, end diastolic and systolic volume
19. Explain Preload and Postload
20. Describe different methods for determining Cardiac output
21. Describe what a CVP line is and when its used
22. Explain CVP pressures and waveforms
23. Describe a PA catheter and its reason for placement
24. Explain PA waveforms and pressures
25. Explain the effect mechanical ventilation has on PA waveforms and pressures
Unit IV:
Cardiopulmonary Exercise Testing, Specialized Testing, PFT Equipment, Quality Control in
ABG and PFT Equipment and Nutritional Assessment
After completion of this unit, the student will be able to:
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Understand and select appropriate exercise testing based on patient symptoms and needs
Identify the ventilatory/anaerobic threshold
Describe methods for measuring ventilation, oxygen consumption and CO2 production
Explain exercise limitation as caused by cardiovascular, ventilatory, gas exchange abg abnormalities
or deconditioning
Explain breathing kinetics during exercise
Describe the indications for respiratory muscle strength testing
Describe methods and normal’s for exhaled nitric oxide testing
Select appropriate tests used in evaluating disabilities
Describe two types of volume displacement spirometers
List two principals used by flow sensing equipment
Describe the difference between pressure sensing and hot wire transducers
Describe the difference between He equilibration and N2 washout
Describe calibration methods using 1 and 2 point calibration
Describe Quality Assurance Material, testing and accuracy standard
Describe CVM “ Linearity Material” its use and importance
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Describe Intra Lab correlation studies for ABG and PFT systems
Describe and interpretation of Levey-Jennings graph and Westgard Rules
Define methods of determining when ABGs and PFTs are in error by reviewing values
B. Additional Content: Students must score 105 correct answers on #2 and 3 CRT Simulation Exam
VII. EVALUATION AND GRADING
A. Grading Criteria
1. Lecture:
Computer Lab Assignments
10 %
Assignments/Quizzes
30 %
Unit Examinations
40%
Final Examination
20%
----------100%
Total Score
2. Laboratory: Performance Evaluation (as needed).
3. Score 98 questions correct on Lindsey Jones TMC exam 1, 2, 3 or 4
B.
Determination of Grade
The alphabetic grading for this course is as follows:
A = 92 - 100
B = 83 - 91
C = 75 - 82
D = 70 - 74
F = 69 & below
C.
Students must be present and on time for all Unit exams and Quizzes. If the student misses a Unit exam,
the student may apply to the instructor for a makeup Unit exam. The makeup exam for Unit Tests will be at
a time determined by the instructor and will not be the same exam others have taken. Daily quizzes will
have no makeup. If you miss a daily quiz you will receive a “0”. Usually one daily Quiz with the lowest grade
is dropped for the semester. All exams (and written assignments) become the property of the Respiratory
Care Program.
VIII. SYLLABUS MODIFICATION
The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class
in advance as to the changes being made. Unscheduled quizzes may be given during the semester.
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