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August 19, 2015
Angelina College
Health Careers Division
RSPT 1340
Advanced Cardiopulmonary Anatomy and Physiology
General Syllabus
I.
BASIC COURSE INFORMATION:
A. Course Description:
RSPT1340. Advanced Cardiopulmonary Anatomy and Physiology: Three hours credit.Provides an
advanced presentation of anatomy and physiology of the cardiovascular and pulmonary systems. Three
lecture hours per week. Co-requisites: RSPT 1227, RSPT 1410 and RSPT 1361.
Learning Outcomes: Describe and explain advanced concepts of cardiopulmonary anatomy and
physiology; describe the neurological control of breathing, differentiate ventilation/perfusion concepts, and
summarize principles of gas transport.
B.
Intended Audience:
First-Year student already enrolled in the respiratory care program.
C.
Instructor: Becky Renfrow-Freeze, MS, RRT, CPFT, CHT
Office Location: HCII- 222A
Office Hours: 2:00 – 4:00 Monday/Wednesday; Contact Daphne Shepherd for an appointment if
not during office hours
Phone: 936-633-5419
E-mail Address: [email protected]
II.
A.
INTENDED STUDENT OUTCOMES:
Core Objectives Required for this Course
1. Critical Thinking: to include creative thinking, innovation, inquiry, 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:
1. To introduce the student to the proper functioning of the cardiopulmonary system and the
effects of diseases on that system.
2. To promote proper understanding of the neural control of ventilation and the effects of
neuromusculardiseases on the function of respiration.
3. To gain knowledge of the process of gas diffusion and the effects of disease.
4. To introduce the student to ventilation and perfusion mismatching and its effect on acid-base
balance
5. To promote a proper understanding of acid -base balance and how each organ system
interrelates withacid-base physiology.
6. To develop critical thinking skills in care of cardiopulmonary patients.
III.
A.
ASSESSMENT MEASURES
Assessments for the Core Objectives:
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 Course LearningOutcomes
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 1340.
SCAN Skills
Assessments
Foundation Skills
Written Assignments
Follow oral and written instructions
Decision making & problem solving
Mathematical Calculations
Oral Presentations
Required Readings
Critical Thinking Case Studies
Demonstrated Competency in Clinical
Workplace Competencies
IV.
Computer Assisted Instruction
Acquires and Evaluates Information
Applies technology
Critical Thinking Case Study Assessments
Demonstrated Competency in Clinical
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 and Recommended Readings,Materials and Equipment
--Scanlan, C., (2013)Egan's Fundamentals of Respiratory Care (10th Ed)
--Des Jardins, Terry, (2013) Cardiopulmonary Anatomy and Physiology (6th Ed), Delmar
Publishers.
--Des Jardins, Terry, (2013) Cardiopulmonary Anatomy and Physiology Workbook (6th Ed),
Delmar Publishers.
-- Instructor lecture notes on Blackboard.
--The student will need a basic calculator for simple mathematical calculations.
--A medical dictionary would be helpful but not required.
Cell phones are to 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)
B.
Course Policies – This course conforms to the policies of Angelina College as stated in the
Angelina College Handbook.
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 postsecondary 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 936633-5201.
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. Patricia McKenzie, Vice President and Dean of Instruction, 3500 South First, Lufkin, Tx 75904
telephone 936-633-5201
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.
Additional Policies Established by the Instructor:
All exams and written assignments become the property of the Angelina College Respiratory
Care Program.
VI.
COURSE OUTLINE:
Description of the Course Activities including due dates, schedules, and deadlines.
Class meets Monday and Wednesdays 8:00 AM – 9:20
August 26
August 31
Sept. 2
Syllabus Review, Unit One lecture begins (The Cardiopulmonary System)
Chapter One –The Anatomy and Physiology of the Respiratory System
Chapter One -- The Anatomy and Physiology of the Respiratory System
Sept. 9
Sept 14
Sept. 16
Sept. 21
Sept. 23
Sept. 28
Sept. 30
Oct. 5
Oct. 7
Oct. 12
Oct. 14
Oct. 19
Oct. 21
Oct. 26
Oct. 28
Nov. 2
Nov. 4
Nov. 9
Nov. 11
Nov. 16
Nov. 18
Nov 23
Nov. 30
Dec. 2
Dec. 2
Dec. 7
Dec. 9
Dec. 16
Egan’s Chapter 8 – Respiratory System
Egan’s Chapter 8 – Respiratory System
Chapter Two – Ventilation
Egan’s Chapter Ten - Ventilation
Egan’s Chapter Ten - Ventilation
Respiratory System+ &Ventilation Review
Unit One Exam
Chapter Five – The Anatomy and Physiology of the Circulatory System
Chapter Five – The Anatomy and Physiology of the Circulatory System
Chapter Five – The Anatomy and Physiology of the Circulatory System
Egan’s Chapter 9 – Cardiovascular
Egan’s Chapter 9 – Cardiovascular
Egan’s Chapter 9 – Cardiovascular
Egan’s Chapter 9 – Cardiovascular
Unit Two Review
Unit Two Exam
Chapter Four – The Diffusion of Pulmonary Gases
Chapter Four – The Diffusion of Pulmonary Gases
Egan’s Chapter 11 – Gas Exchange and Transport
Review Unit Three
Unit Three Exam
Putting It All Together
Putting It All Together
Putting It All Together & Review for exam
Unit Four Exam
Review for Final
Final Exam
Grades Due
COURSE CONTENT
A. Content/ Topics –
Unit 1& 2:
The Cardiopulmonary System
After completion of this unit, the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
List the 3 major components of the upper airway.
List the three primary functions of the upper airway.
Describe the three primary functions of the nose.
Identify the structure that forms the outer portion of the nose.
Explain the clinical connection associated with flaring nostrils
Identify the structures of the oral cavity
Identify the structures that make-up the pharynx.
Identify the cartilages of the larynx.
Identify the structures and describe the function of the laryngeal muscles.
Describe the ventilatory functions of the larynx.
Describe the structure and function of the bronchial blood supply.
Describe the structure and function of the sites of gas exchange
Describe the structure and function of the alveolar epithelium.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
Unit 3:
Describe the structure and function of the interstitium
Describe the structure and function of the pulmonary vascular system.
Identify the anatomical structures that make-up the lung.
Identify the lung segments from the anterior, posterior, lateral, and medial views.
Identify the components of the mediastinum
Identify the components of the pleural membranes.
Identify and describe the components of the thorax.
Describe the structure and function of the diaphragm.
Describe the structure and function of the accessory muscles of ventilation.
Identify and describe the components of the thorax describe their functions.
Identify and describe the primary structure and function of the accessory muscles of ventilation.
Given a computer clinical simulation over the respiratory system, apply problem-solving, decisionmaking, and reasoning skills (Critical Thinking skills).
Describe the role of the diaphragm in ventilation.
Explain how the excursion of the diaphragm affects the intrapleural pressure, intra-alveolar
pressure, and bronchial gas flow.
Describe how and why airways produce and move mucus.
Describe the elastic properties of the lung and chest wall.
Understanding the process of dynamic airway compression
Describe the blood–gas barrier
The Circulatory System
After completion of this unit, the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Describe the function of the following specialized cells in the plasma:
-Red blood cells (Erythrocytes)
-White blood cells (Leukocytes)
-Platelets (Thrombocytes)
Describe the clinical connection associated with anemia
Explain the clinical connection associated with complete blood cell count
List the chemical components of plasma
Describe the structure and function of the following components of the heart and be able to label
the pressures of each as appropriate systolic and diastolic:
-Inferior vena cava and superior vena cava
-Right and left atria
-Right and left ventricles
-Pulmonary trunk
-Pulmonary arteries
-Pulmonary semilunar valve
-Pulmonary veins
-Tricuspid valve
-Bicuspid valve (or mitral valve)
-Aortic valve
-Chordae tendineae
-Papillary muscles
Describe the function of the major components of the pericardium
Describe the clinical connection associated with pericarditis
Describe the clinical connection associated with cardiac tamponade
Describe the major components of the heart wall, including:
-Epicardium
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
Unit 3:
-Myocardium
-Endocardium
Describe the blood supply of the heart and be able to label the pressures of each as appropriate
systolic and diastolic:
Describe the clinical connection associated with myocardial infarction and treatment interventions
of blocked arteries.
Describe how blood flows through the heart.
Describe the following components of the pulmonary and systemic vascular systems:
-Arteries
-Arterioles
-Capillaries
-Venules
-Veins
Describe the function of the baroreceptors
Describe the clinical connection associated with the automobile accident victim with massive
blood loss
Define the following types of pressures:
-Intravascular pressure
-Transmural pressure
-Driving pressure
Describe how the following relate to the cardiac cycle and blood pressure:
-Ventricle systole
-Ventricular diastole
Describe how blood volume affects blood pressure, and include the following:
-Stroke volume
-Heart rate
-Cardiac output
Describe the clinical connection associated with congestive heart failure
Describe the clinical connection associated with left ventricular heart failure and pulmonary
edema.
Describe the clinical connection associated with cor pulmonale.
Describe the clinical connection associated with cardiopulmonary hazards of positive pressure
ventilation
Placement and measurements taken with Pulmonary Artery Catheter.
The Diffusion of Pulmonary Gases
After completion of this unit, the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
Describe Dalton’s law – the law of partial pressures
Identify the percentage and partial pressure of the gases that compose the barometric pressure
Differentiate between pressure gradients and diffusion gradients
Identify the partial pressure of the gases in the air, alveoli, and blood
Name the nine major structure of the alveolar-capillary membrane through which a gas molecule
must diffuse
Describe how oxygen and carbon dioxide normally diffuse across the alveolar-capillary
membrane
Describe the clinical connection associated with pulmonary disorders that increase the alveolar
capillary thickness
Describe the clinical connection associated with oxygen toxicity
9.
10.
Unit 4:
Describe the clinical connection associated with respiratory disorders that decrease the alveolar
surface area
Describe the major features of hemoglobin, including:
-Heme portion
-Globin portion
-Ferrous state versus ferric state
-Normal hemoglobin concentrations in the adult male and female
Putting It All Together
VII.
EVALUATION AND GRADING:
A.
Grading Criteria –
1. Lecture:
Assignments/Quizes
Notebook Grades
Unit Examinations
Final Examination
30%
10%
40%
20%
100%
2. Laboratory: Performance Evaluation (as needed)
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
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.
Assignments and Class Calendar:
RSPT 1340
Activity Sheet
Each class day have word definitions completed.
1. Look up definition of word
2. Latin derivative
3. Explain what each Latin derivative means
4. Explain what the word means
ASSIGNMENT
DATE DUE
Des Jardins
Ch.1 The Anatomy and Physiology of
the Respiratory System Review
Questions& Workbook
Egan’s Workbook
Ch.8 The Respiratory System
Des Jardins
Ch. 2 Ventilation Review Questions&
Workbook
September 2, 2015
September 14, 2015
September 21, 2015
Egan’sWorkbook
Ch. 10 Ventilation
September 28, 2015
Exam One
September 30, 2015
Des Jardins
Ch. 5 The Anatomy and Physiology of
the Circulatory System Review
Questions& Workbook
October 12, 2015
ACTIVITY
Read and do questions at the end of
the chapter. Write out the questions
and answers on notebook paper and
place in your notebook for notebook
grade. Read and complete the
questions in the workbook. Leave
your workbook intact. These will be
checked for completeness and then
you are given the Notebook Grade
worth 10%
Read and do questions in the
workbook. Instructor will check
workbook for completeness and for
grade.Leave your workbook intact.
These will be checked for
completeness and then you are given
the Notebook Grade worth 10%
Read and do questions at the end of
the chapter. Write out the questions
and answers on notebook paper and
place in your notebook for notebook
grade. Read and complete the
questions in the workbook. Leave
your workbook intact. These will be
checked for completeness and then
you are given the Notebook Grade
worth 10%
Read and do questions in the
workbook. Instructor will check
workbook for completeness and for
grade. Leave your workbook intact.
These will be checked for
completeness and then you are given
the Notebook Grade worth 10%
Read and do questions at the end of
the chapter. Write out the questions
and answers on notebook paper and
place in your notebook for notebook
grade. Read and complete the
questions in the workbook. Leave
your workbook intact. These will be
checked for completeness and then
you are given the Notebook Grade
worth 10%
Egan’s Workbook
Ch.9 Cardiovascular
Exam Two
Des Jardins Chapter 4
Review Questions& Workbook
Egan’s Workbook
Ch.11 Cardiovascular
Exam Three
Unit Four
Putting It All Together
Unit Four Exam
Review for Final
Final Exam
October 26, 2015
Read and do questions in the
workbook. Instructor will check
workbook for completeness and for
grade. Leave your workbook intact.
These will be checked for
completeness and then you are given
the Notebook Grade worth 10%
November 2
November 9, 2015
November 16, 2015
November 18
December 2
December 7, 2015
December 9, 2015
Read and do questions at the end of
the chapter. Write out the questions
and answers on notebook paper and
place in your notebook for notebook
grade. Read and complete the
questions in the workbook. Leave
your workbook intact. These will be
checked for completeness and then
you are given the Notebook Grade
worth 10%
Read and do questions at the end of
the chapter. Write out the questions
and answers on notebook paper and
place in your notebook for notebook
grade. Read and complete the
questions in the workbook. Leave
your workbook intact. These will be
checked for completeness and then
you are given the Notebook Grade
worth 10%.