Mar 29, 2024  
2018-2019 Course Catalog 
    
2018-2019 Course Catalog [ARCHIVED CATALOG]

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RCP 500 - Advanced Respiratory Therapy

Credits: 5
Lecture Hours: 4
Lab Hours: 2
Practicum Hours: 0
Work Experience: 0
Course Type: Open
Techniques of initiation, monitoring, maintenance and discontinuation of mechanical ventilation in a variety of care settings will be learned. Students will develop skill in ABG analysis and electrocardiography. Adjuncts for the advanced life support will be learned. Students will become proficient in the analysis of arterial blood gases and basic techniques of electrocardiography. Students will learn the use of adjuncts for the treatment of cardiopulmonary arrest.
Prerequisite: BIO 734  or BIO 164 , RCP 360  
Competencies
  1. Identify competencies I and state proper treatment for cardiac dysrhythmias
    1. Describe basic electrophysiology of the heart
    2. Read a normal ECG tracing
    3. Place ECG patches for a standard three lead ECG
    4. Identify, give possible causes for an probable treatment for the most commonly seen cardiac dysrhythmias
    5. Describe the principles of a proper procedure for defibrillation and cardioversion
    6. State the indication, effects and possible side effects of the drugs used in a coronary care unit
    7. Describe some of the ECG changes seen with a myocardial infarction
    8. Construct the ACLS algorhythms
  2. Perform the duties of a respiratory care practitioner at an intubation and code situation
    1. Explain the causes and clinical picture of acute respiratory failure
    2. Identify the causes and clinical picture of cardiac failure
    3. Describe the proper procedure and complications of bag/mask and pocket mask ventilation
    4. Bag/mask ventilate a person during a resuscitation/intubation
    5. Explain the duties involved and the equipment needed for respiratory care practitioner at a code situation
    6. Perform proper and successful endotracheal intubation
    7. Perform endotracheal extubation
  3. Explain the principles and theory involved with mechanical ventilation
    1. Classify a ventilator
    2. Calculate ventilator parameters including respiratory cycle, I:E ratios, inspiratory time, expiratory time, rate, tidal volume and flow rate.
    3. Describe the modes available on mechanical ventilators
    4. Illustrate flow curves and pressure curves and describe how they affect mechanical ventilation
    5. Explain the basic parameter settings on mechanical ventilators
    6. Relate the importance of and potential alarm settings on mechanical ventilators
    7. Describe high-frequency ventilation
    8. Interpret physiologic effects of positive pressure ventilation on the body
    9. Evaluate how changes in mechanical ventilator parameters will affect arterial blood gases
    10. Explain how to do routine checks on mechanical ventilators
    11. Detail the relationship between patient and mechanical ventilator and how the ventilator can give you useful information about the patient
    12. Explain the techniques of weaning a patient from a ventilator
    13. Explain the monitoring involved when weaning a patient from the ventilator
    14. Describe the indications, goals contraindications and side effects of PEEP, CPAP and EPAP therapy
    15. Properly assemble different PEEP, CPAP and EPAP systems
    16. Explain how to determine optimal PEEP level using the static compliance, A- gradient, arterial-mixed venous O2 content difference or the physiologic shunt method.
    17. Describe Inverse Ratio Ventilation
  4. Describe how to utilize the Siemens Servo 900B and 900C ventilators
    1. Calculate inspiratory time, minute volume, flow rate, and tidal volume on the Servo ventilators
    2. Explain the function of the pneumatic unit of the Servo ventilators and how it works with the electronic unit
    3. Describe how to set the Servo ventilator for different modes, tidal volumes and rates
    4. Explain the alarm systems on the Servo ventilators
  5. Describe the functions available on the Siemens Servo 900E ventilator
    1. Describe how to set SIMV on the 900E ventilator.
    2. Describe how to set the different modes available on the 900E ventilator
  6. Explain how to utilize the Siemens Servo 300 ventilator
    1. Describe the theory behind the different modes on the 300 ventilator
    2. Explain how to set the Siemens Servo 300 ventilator for different modes, rates, tidal volumes and breathing patterns
    3. Describe how to gather patient data from the Siemens Servo 300 ventilator
    4. Explain what the messages on the alarm display found on the 300 ventilator indicate
  7. Describe how to utilize the Puritan-Bennett 7200 ventilator
    1. Assemble the external circuit for the Puritan-Bennett 7200 ventilator.
    2. Describe how to set the Puritan-Bennett 7200 ventilator for different modes, rates and tidal volumes
  8. Describe how to utilize the Drager Evita ventilator
    1. Describe how to set the Drager Evita ventilator for different modes, rates and tidal volumes
    2. Describe the alarms on the Drager Evita ventilator
    3. Explain what changes can be made on the Drager Evita ventilator through the Menu Active function
    4. Make changes on the Drager Evita ventilator according to prescribed orders



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