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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%.