January 10, 2017

Angelina College

Health Careers Division

RSPT 2210 Respiratory Care

Cardiopulmonary Disease

General Syllabus

I. BASIC COURSE INFORMATION:

A. RSPT 2210 Cardiopulmonary Disease: Two hours credit

Etiology, pathogenesis, pathology, diagnosis, history, prognosis, manifestations, treatment, and detection cardiopulmonary diseases.

End-of-Course Outcomes: Analyze the etiology, pathophysiology, clinical manifestations, and management of cardiopulmonary disorders; and compare cardiopulmonary disorders.

Prerequisites: RSPT 1201; RSPT 1227: RSPT 1361; RSPT 1340; and RSPT 1410. Co-requisites: RSPT 2314; RSPT 1411; RSPT 1362.

B. INTENDED AUDIENCE: First-Year Students accepted and enrolled in the Respiratory Care Program.

C. INSTRUCTOR:

Instructor’s Name: Jessica Hudnall BS,RRT HC II-222A

Office Hours: Monday – Thursday 8:30a-9:30a. Contact Daphne Shepherd for an appointment otherwise

Phone: (936) 633-5267

Office: (936) 633-5419

E-mail Address:

II. INTENDED STUDENT OUTCOMES:

A. Core Competencies – (Basic Intellectual Competencies)

1. Critical Thinking Skills: Includes creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information.

2. Communication Skills: Includes effective development, interpretation and expression of ideas through written, oral, and visual communication.

3. Empirical and Quantitative Skills: Includes the manipulation and analysis of numerical data or observable facts resulting in informed conclusions.

4. Teamwork: Includes the ability to consider different points of view and to work effectively with others to support a shared purpose or goal.

5. Personal Responsibility: Includes the ability to connect choices, actions, and consequences to ethical decision making.

6. Social Responsibility: Includes intercultural competence, knowledge, and civic responsibility, and the ability to engage in regional, national, and global communities.

B. Course Objectives for all sections

1. To analyze the etiology of cardiopulmonary disorders.

2. To analyze the pathology of cardiopulmonary disorders.

3. To analyze clinical manifestations of cardiopulmonary disorders.

4. To analyze the management of cardiopulmonary disorders.

5. To compare cardiopulmonary disorders.

C. Course Objectives as determined by the instructor–

III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES

A. Assessments for the Core Intellectual Competencies:

1. Critical Thinking Skills - Includes creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information.

2. Communication Skills - Includes effective development, interpretation and expression of ideas through written, oral, and visual communication.

3. Empirical and Quantitative Skills - Includes the manipulation and analysis of numerical data or observable facts resulting in informed conclusions

4. Teamwork - Includes the ability to consider different points of view and to work effectively with others to support a shared purpose or goal.

5. Social Responsibility - Includes the ability to connect choices, actions, and consequences to ethical decision making.

6. Personal Responsibility - Includes intercultural competence, knowledge, and civic responsibility, and the ability to engage in regional, national, and global communities.

B. Assessments for Course Learning Outcomes

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 1461.

SCANS Skills Assessments

Foundation Skills Required Reading

Written Assignments

Decision making & Problem Solving

Mathematical Calculations

Oral Presentations

Required Readings

Critical Thinking Case Studies

Demonstrated Competency in Lab

Workplace Competencies Computer Assisted Instruction

Acquires and Evaluates Information

Applies technology

Written Care Plans

Demonstrated Competency in Clinical

IV. INSTRUCTIONAL PROCEDURES –

The methods of instruction used in this course includes but not limited to the following: Lecture, lab, discussion, performance, audiovisual, computer assisted instruction and critical-thinking patient case studies.

V. COURSE REQUIREMENTS AND POLICIES –

A. Required Textbooks, Materials and Equipment – Requires the Latest Published Edition

TEXBOOKS:

Des Jardins, T Clinical Manifestations & Assessment of Respiratory Disease

Wilkins, R. Clinical Assessment in Respiratory Care

Kacmarek, R. Egan's Fundamentals of Respiratory Care

White,K. Fast Facts for Adult Critical Care

The student will need a basic calculator (NO CELL phones) for simple mathematical calculations. Cell phones must be turned off. There is to be no texting in class. The cell phone is not to be used as a calculator.See cell phone usage policy. Attendance will be taken and affect the course grade. (See handbook) A medical dictionary would be helpful but not required.

B. 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 Sellestine Hunt Associate Dean of Student Services, Student Center, Room 200. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Hunt will assist you with the necessary information to do so. To report any complaints of discrimination related to disability, you should contact Mr. Steve Hudman, Dean of Student Affairs, in Student Center, Room 101, (936) 633-5292 or by email .

2. Angelina College – AC admits students without regard to race, color, religion, natural origin, sex, disability, or age. Inquiries regarding the non-discrimination policies of AC should be directed to: Dr. Cynthia Casparis, Vice President and Dean of Instruction, 3500 South First, Lufkin, TX 75904 telephone 936-633-5201

3. Attendance – Attendance is required as per Angelina College Policy and will be recorded every day. Any student with three (3) consecutive absences or 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. See Respiratory Care Student Handbook (Attendance Information and Policies). Students considering withdrawing from the program should speak with the Program Coordinator for withdrawal and re-entry information. This course will follow the guidelines as prescribed in the Angelina College Handbook for further clarification if needed

3. Additional Policies Established by the Instructor: All exams and written assignments become the property of the Angelina College Respiratory Care Program.

Examinations - Students must be present and on time for all examinations. If the student misses an exam, the student may apply to the instructor for a make up exam. The make up exam will be at a time determined by the instructor and will not be the same exam others have taken. Daily quizzes will have no make up. You will receive a 'O' for a daily grade for this task. Usually one daily grade is dropped for the semester which is the lowest grade. All exams (and written assignments) become the property of the Respiratory Care Program

VI. COURSE OUTLINE: Description of the Course Activities including due dates, schedules, and

deadlines.

B. Assignments – Class meets Monday & Wednesday

Jan. 18 Syllabus Review

Jan. 23 Unit One Chapter 5 Oxygenation Assessments & Ch. 6 Cardiovascular System Assessments

Jan. 25 Nursing Day

Ch.7 Radiologic Examination of the Chest & Ch. 8 Other Impt. Test and Procedures

Jan. 30 Ch. 12 COPD

Feb.1 Ch. 13 Asthma

Feb. 6 Ch. 14 Bronchiectasis

Feb. 8 Ch. 15 Cystic Fibrosis

Feb. 13 Exam Unit One

Feb. 15 Ch. 16 Pneumonia

Feb. 20 Ch. 17 Lung Abscess & Ch. 18 TB

Feb. 22 Ch. 19 Fungal Disease & Ch. 20 Pulmonary Edema

Feb. 27 Ch. 21 Pulmonary Vascular Disease & Ch. 22 Flail Chest

Mar. 1 Ch. 23 Pneumothorax & Ch. 24 Pleural Effusion & Empyema

Mar. 6 Ch. 25 Kyphoscoliosis

Mar. 8 Exam Unit Two

Mar. 13 &15 Spring Break

Mar. 20 Unit Three Ch. 26 Interstitial Lung Disease Current Event Paper due.

Mar. 22 Ch. 27 Cancer of the Lung

Mar. 27 Ch. 28 ARDS & CH. 29 Guillain-Barre Syndrome

Mar. 29 Ch. 30 Myasthenia Gravis & Ch. 31 Sleep Apnea

April 3 Ch. 42 Near Drowning & Ch. 43 Smoke Inhalation

April 5 Ch. 44 Atelectasis

April 10 Unit Three Exam

April 12 Unit Four Ch. 32 Newborn and Early Childhood Cardiopulmonary Disorders & Ch. 33 Meconium Aspiration Syndrome

April 17 Ch. 34 Transient Tachypnea of Newborn & Ch. 35 RDS

April 19 Ch. 37 RSV & Ch. 38 Bronchopulmonary Dysplasia

April 24 Ch. 39 Congenital Diaphragmatic Hernia

April 26 Ch. 41 Croup Syndrome

May 3 or 5th Unit Four Exam

May 10 Final Exam 1pm

VI. COURSE CONTENT –

A. Required Content/Topics --

Specific Course Objectives (Criterion Objectives):

Unit One (Part II Obstructive Lung Disease)

After completion of this unit, the student will be able to:

1. Describe the American Thoracic Society (ATS) guidelines for chronic obstructive pulmonary disease, chronic bronchitis, and emphysema.

2. Discuss the Global Initiative for Chronic Obstructive Lung Disease (GOLD) definition of COPD.

3. Explain the anatomic alterations of the lungs associated with chronic bronchitis and emphysema

4. Describe the etiology and epidemiology of COPD

5. Discuss and understand the risk factors associated with COPD

6. Describe the GOLD guidelines for the diagnosis and assessment of COPD

7. Describe the key distinctive differences between chronic bronchitis and emphysema – the “pink puffer” and the “blue bloater”.

8. Describe the cardiopulmonary clinical manifestations associated with chronic bronchitis and emphysema (COPD)

9. Describe the GOLD global strategy for the diagnosis, management, and prevention of COPD

10. Identify the common signs and symptoms associated with COPD

11. Describe the role of the national and international guidelines in the management of asthma

12. Describe the anatomic alterations of the lungs associated with asthma

13. Describe the etiology and epidemiology of asthma

14. List risk factors associated with asthma

15. Describe the cardiopulmonary clinical manifestations associated with asthma

16. State the factors associated with the onset of asthma

17. Describe the typical clinical presentation of a patient with asthma

18. Identify the treatment currently available for a patient with acute asthma

19. Describe the treatment currently available for patients with bronchiectasis

20. Describe the anatomic alterations of the lungs associated with bronchiectasis

21. Discuss the etiology and epidemiology of bronchiectasis

22. Identify the common classifications used to group the causes of bronchiectasis and include specific examples under each classification

23. Describe the various diagnostic tests used to identify the presence of bronchiectasis

24. Describe the cardiopulmonary clinical manifestations associated with bronchiectasis

25. Describe the general medical and surgical management of bronchiectasis

26. Describe the respiratory care modalities used in the treatment of bronchiectasis

27. Describe the anatomic alterations of the lungs associated with cystic fibrosis

28. Describe the etiology and epidemiology of cystic fibrosis

29. Describe how the cystic fibrosis gene is inherited

30. Discuss the screening and diagnosis of cystic fibrosis

31. Discuss the cardiopulmonary clinical manifestations associated with cystic fibrosis

32. Describe the general management of cystic fibrosis

33. Define key terms and complete self-assessment questions at the end of the chapters.

Unit Two (Part III Infectious Pulmonary Disease)

After completion of this unit, the student will be able to:

1. List the anatomic alterations of the lungs associated with pneumonia

2. Describe the causes and classifications of pneumonia

3. List the cardiopulmonary clinical manifestations associated with pneumonia

4. Describe the general management of pneumonia

5. Discuss the current classification scheme for pneumonia and be able to define hospital-acquired pneumonia, health care-associated pneumonia, and ventilator-associated pneumonia.

6. Recognize the pathophysiology and common cause of lower respiratory tract infections in specific clinical settings

7. List the common microbiologic organisms responsible for community-acquired and nosocomial pneumonias

8. State the radiographic findings seen in patients with pneumonia, state why some patients with pneumonia may have a normal chest radiograph

9. Describe the risk factors associated with increased morbidity and mortality in patients with pneumonia

10. State the criteria used to identify an adequate sputum sample for Gram stain and culture

11. Describe the techniques used to identify the organism responsible for nosocomial pneumonia

12. List the latest recommendations regarding empiric and pathogen-specific antibiotic regimes used to treat various types of pneumonia

13. Discuss strategies that can be used to prevent pneumonia

14. List the anatomic alterations of the lungs associated with lung abscess

15. Describe the causes of lung abscess

16. List the cardiopulmonary clinical manifestations associated with lung abscess

17. List the anatomic alterations of the lungs associated with tuberculosis

18. Describe the causes of tuberculosis

19. List the cardiopulmonary clinical manifestations associated with tuberculosis

20. Describe the general management of tuberculosis

21. List the anatomic alterations of the lungs associated with fungal disease

22. Describe the causes of fungal disease

23. List the cardiopulmonary clinical manifestations associated with fungal disease

24. Describe the general management of fungal disease

25. Define key terms and questions at the end of the chapter.

Unit Three (Part IV Pulmonary Vascular Diseases & Chest and Pleural Trauma)

After completion of this unit, the student will be able to:

1. List the anatomic alterations of the lungs associated with pulmonary edema

2. Describe the causes of pulmonary edema

3. List the cardiopulmonary clinical manifestations associated with cardiogenic and non-cardiogenic pulmonary edema

4. Describe the general management of pulmonary edema

5. List the anatomic alterations of the lungs associated with pulmonary embolism

6. Describe the causes of pulmonary embolism

7. List the cardiopulmonary clinical manifestations associated with pulmonary embolism

8. Describe the general management of pulmonary embolism

9. Define pulmonary hypertension

10. Differentiate the five clinical classifications of pulmonary hypertension

11. Identify the common signs and symptoms associated with pulmonary hypertension

12. Describe the tests and procedures used to diagnose pulmonary hypertension

13. Describe the pulmonary hypertension severity rating

14. Differentiate the signs and symptoms between right-sided heart failure and left-sided heart failure

15. Discuss the treatment selections used to manage pulmonary hypertension

16. List the anatomic alterations of the lungs associated with a flail chest