Miami-Dade Community College

MIAMI DADE COLLEGE - MEDICAL CAMPUS SCHOOL OF HEATLH SCIENCES RESPIRATORY CARE PROGRAM COURSE OUTLINE

RET 2274 RESPIRATORY CARE THEORY 1

COURSE DESCRIPTION:

A concentrated course of study which focuses on the theory of supplemental oxygen and humidity in respiratory pathologies related to the medical, surgical, and pediatric patients. Special emphasis is given to various therapeutic techniques for patients associated with the utilization of oxygen and humidity.

Class Day: ______Class Time/Location: ______

Instructor: ______Office/Phone: ______

REQUIRED TEXTBOOKS/SUPPLIES:

1. Hess, Dean R, Respiratory Care Principles and Practice, Second Edition., ISBN-13:978-0-7637-6003-8 2. Medical Dictionary 3. Scantron Test Forms

Textbooks must be brought for each scheduled class. Be sure to purchase the MOST recent edition available for each text. All required Texts are available in the Campus Bookstore.

Students with documented disabilities should contact the campus ACCESS office in advance for information on appropriate policies and procedures for obtaining assistance. No retroactive accommodations can be provided. The ACCESS office is located in room # 1113 at 305.237.4416. Additional information can be obtained at by email: [email protected] and http://www.mdc.edu/medical/StudentServices/ACCESS

Any changes to this syllabus, the class schedule, testing, assignments, etc., will be communicated via e-mail or posted on the instructor’s webpage - it is each student’s responsibility to monitor these regularly. Revised August 2012 Revised August 2012 Miami Dade College Learning Outcomes

Miami Dade College has adopted the General Education Outcomes listed below. Upon completion of a program of study at the Medical Center Campus, graduates from Miami Dade College should emulate these outcomes.

1. Communicate effectively using listening, speaking, reading and writing skills.

2. Use quantitative analytical skills to evaluate and process numerical data.

3. Solve problems using critical and creative thinking and scientific reasoning.

4. Formulate strategies to locate, evaluate, and apply information.

5. Demonstrate knowledge of diverse cultures, including global and historical perspectives.

6. Create strategies that can be used to fulfill personal, civic, and social responsibilities.

7. Demonstrate knowledge of ethical thinking and its application to issues in society.

8. Use computer and emerging technologies effectively.

9. Demonstrate an appreciation for aesthetics and creative activities.

10.Describe how natural systems function and recognize the impact of humans on the environment.

This course provides intentional learning experiences to address outcomes (I, 2, 3, 4, 6, 7).

Revised August 2012 SPECIFIC COURSE OBJECTIVES:

1. The course work will be divided into modules, with specific objectives for each module.

2. You will be responsible for completing all module assignments, lab activities, and quizzes/tests in order to satisfy all course objectives.

3. Quizzes will be given following the completion of the module(s), as well as at any time the instructor deems appropriate.

It is the student’s responsibility to be present for all scheduled examinations. Students who are absent for exams, but provide suitable justification and documentation (physician’s note or other appropriate evidence) will be allowed to take a makeup exam at full credit. If the absence is unexcused, or adequate documentation is not provided, the student may make up the exam but will not receive a grade higher than 80% C. Makeup exams must be scheduled by the student and will be given at the convenience of the instructor. The format of any make-up exam is at the discretion of the instructor, cf. Respiratory Care Program Policies and Procedures, Section Three: Assignments and Tests, #3.

4. The final grade will be computed based on the following:

I. Quizzes 50% II. Midterm 25% III. Final 25%

GRADING SCALE

A = 100 - 94 B = 93 - 87 C = 86 - 80 ------D = 79 - 73 F = 72 - below

PLEASE NOTE: If a grade of "D" or “F” is earned for any course in the Respiratory Therapy Program, the course must be repeated successfully (“C” or higher) before the student may continue in the program.

Revised August 2012 Revised August 2012

RET 2274 TABLE OF CONTENTS

MODULE 1 Physical Principles

MODULE 2 Therapeutic Gases: Manufacture, Storage and Delivery

MODULE 3 Therapeutic Gases: Management and Administration

MODULE 4 Humidity and Aerosol Therapy

Revised August 2012 MODULE 1: PHYSICAL PRINCIPLES

General Objective:

Upon completion of this module, the student will demonstrate understanding of basic physics, gas laws, gas mixtures and partial pressures, humidity, water vapor, evaporation, gases in solution, diffusion, osmosis, flow of gases and other fluids.

Specific Objectives

1.1 Identify the physical principles that are most important to respiratory physiology and respiratory care. 1.2 Explain the behaviors of fluids at various pressures, volumes, temperatures, and flows. 1.3 Describe units of measurement, molecules, and states of matter. 1.4 Discuss physical principles affecting force, stress, pressure, and work. 1.5 Describe compliance, elastance, and resistance and their relationships to work of breathing. 1.6 Describe surface tension and its relationship to lung function. 1.7 Discuss Boyle’s, Charles’s, and Gay-Lussac’s laws and the ideal gas law and explain how changes in pressure, temperature, and volume affect the behavior of gases. 1.8 Describe applications of physical principles to monitoring, measurement, and assessment of the lung.

MODULE 2: THERAPEUTIC GASES: MANUFACTURE, STORAGE, AND DELIVERY

A gas is required in order to use most respiratory therapy equipment. As a provider of respiratory therapy services, you will directly responsible for the use, handling, transport, and storage of various medical gases. It is of primary importance then that you employ safe procedures whenever using or handling compressed gases.

General Objective:

Upon completion of this module, the student will have an understanding of the chemical and physical properties of therapeutic gases, therapeutic gases in Respiratory Care, and the storage and distribution of medical gases.

Specific Objective:

2.1 Describe the manufacture, storage, distribution, and regulation (to working outlet pressure/flows) of medical therapeutic gases. 2.2 Describe the physical properties, chemical symbols, and uses of air, oxygen, carbon dioxide, helium, nitric oxide, and nitrogen. 2.3 Describe the processes for production of various medical gases. 2.4 Compare and contrast gaseous and liquid storage methods. 2.5 Describe the production, safety features, types, and uses of medical gas cylinders. 2.6 Discuss the established safety systems for the various equipment connections to ensure delivery of a specific gas, such as oxygen. 2.7 Calculate the duration of flow from a gas cylinder. 2.8 Describe the design, use, and troubleshooting of various bulk gas supply systems.

Revised August 2012 MODULE 3: THERAPEUTIC GASES: MANAGEMENT AND ADMINISTRATION

General Objective:

After completing of this module, the student will understand the rationale for supplemental oxygen, its limitations and hazards, patient conditions commonly warranting oxygen therapy, administration devices and dosage regulation, as well as monitoring the physiologic effects and clinical application of oxygen therapy.

Specific Objectives:

3.1 Discuss the scientific basis for oxygen therapy. 3.2 Compare flow control devices. 3.3 Discuss the effect of downstream resistance on the accuracy of flow control devices. 3.4 Compare low-flow and high-flow oxygen delivery systems. 3.5 Calculate the FIO2 delivered by a nasal oxygen cannula. 3.6 Describe the principles of oxygen analysis. 3.7 Describe the therapeutic application of medical gases, including equipment selection, dosage regulation, patient interface, and therapy outcome monitoring. 3.8 Discuss the application of heliox, carbogen, and nitric oxide.

MODULE 4: HUMIDITY AND AEROSOL THERAPY

General Objective:

Upon completion of this module, the student will understand the concepts of humidity, the goals of humidity therapy, devices used for humidification, aerosol generators, and aerosol drug administration.

Specific Objectives:

4.1 Describe the normal gas warming and humidification functions of the upper airway. 4.2 List the goals of aerosol and humidity therapy. 4.3 Compare active and passive humidifiers. 4.4 Compare heated and unheated humidifiers. 4.5 Compare jet nebulizers, ultrasonic nebulizers, pressurized metered dose inhalers, and dry powder inhalers for aerosol drug administration. 4.6 Distinguish between spacers and valved holding chambers. 4.7 Discuss issues involved in the selection of a device for aerosol delivery. 4.8 Discuss issues pertinent to aerosol drug delivery during mechanical ventilation.

Revised August 2012