RCP 250 - Cardio/Pulmonary Therapeutics

1. Analyze the physiologic functions provided by ventilation.
   1. Discuss mechanics of spontaneous breathing such as tidal volume, minute ventilation, maximal inspiratory pressure and vital capacity.
   2. Identify normal values for tidal volume, minute ventilation, maximal inspiratory pressure and vital capacity.
2. Analyze lung expansion therapy.
   1. Explain atelectasis.
   2. Describe how lung expansion therapy is able to reverse atelectasis.
   3. Describe how to perform hyperinflation therapy techniques and inspiratory muscle training.
   4. Compare methods for lung expansion therapy.
   5. Troubleshoot lung expansion therapy devices. 
3. Evaluate airway clearance therapy.
   1. State the clinical indications for airway clearance therapy.
   2. Demonstrate proper technique for assisted cough, for example, huff cough and abdominal thrusts.
   3. Describe the proper technique for chest physiotherapy, chest drainage and percussion, directed cough, intrapulmonary percussive ventilation, vibratory PEP therapy, mechanical insufflation-exsufflation, high frequency oscillation devices and mobilization.
   4. Troubleshoot secretion clearance devices.
4. Critique suctioning.
   1. List indications for suctioning.
   2. Identify hazards of suctioning.
   3. List equipment required for nasotracheal, endotracheal, & tracheostomy suctioning.
   4. State appropriate suction pressure ranges.
   5. Demonstrate nasotracheal, endotracheal & tracheostomy suctioning.
   6. Explain how individuals should be monitored during suctioning.
   7. Evaluate the effectiveness of suctioning.
   8. Troubleshoot suctioning equipment such as regulator, canister, tubing and catheter.
5. Critique artificial airways such as nasopharyngeal airways, oropharyngeal airways, esophagealtracheal tubes/supraglottic airways, endotracheal tubes and devices that assist with intubation such as endotracheal tube exchangers, tracheostomy tubes, laryngectomy tubes and accessories such as speaking valves. 
   1. Perform cuff management in tracheal and laryngeal airways.
   2. Provide indications for the use of a tracheostomy tube and the variations in the tube size and design.
   3. Describe techniques used to maintain airway patency.
   4. Initiate and modify how to perform tracheostomy care and exchanging artificial airways.
   5. Discuss different scenarios in which alternative airways may be appropriate
6. Discuss the management of artificial airways.
   1. Describe initiation and modification of airways
   2. Identify the complications and hazards associated with insertion of an artificial airway.
7. Justify humidity therapy.
   1. List the indications for humidity therapy.
   2. State how to select a humidification device.
   3. Explain how to use humidification systems. 
   4. Initiate and modify humidification interventions.
   5. Assemble and troubleshoot humidification equipment.
8. Administer aerosol therapy.
   1. Describe how particle size, motion, and airway characteristics affect aerosol deposition.
   2. List the hazards associated with aerosol therapy.
   3. Demonstrate and troubleshoot the delivery of aerosol therapy.
   4. Describe how to assess patient response to bronchodilator therapy.