Critical Care Monitoring Syllabus for 2011-2012
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Instructor Information

Course Information

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Course

RSPT-2355-001 Critical Care Monitoring

Prerequisites

Course Description

Advanced monitoring techniques used to assess a patient in the critical care setting.

Student Resources Student Resources Website

Department Expectations

\N

Occupational License Disclaimer

Hours

(3 sem hrs; 3 lec)

Class Type

On Campus Course

Syllabus Information

Textbooks

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1. \ Pilbeam.  Mechanical Ventilation: Physiological and Clinical Application, Mosby, 4^th Ed., 2006.
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2. \ Wilkins. Clinical Assessment in Respiratory Care, Mosby/Year, 6th Ed, 2010.
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3. \ Wilkins.  Egans Fundmentals of Respiratory Care, Mosby, 9th Ed, 2009.
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Supplies

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1. \ Class Notes
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2. \ Scantrons for testing
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Student Performance

End-of-Course Outcomes:  Describe the principles/techniques involved in critical care monitoring; interpret patient data; and apply data to evaluate cardiopulmonary disorders.

1. List and describe indications and contrindications for chest drainage & the placement of chest tubes.
2. Describe the types of drainage systems.
3. Describe care of patients with closed-chest drainage.
4. Describe methods used to analyze expired CO2 & be able to interpret capnograms.
5. List indications for bronchoscopy (rigid and flexible).
6. Describe the bronchoscopy procedure (rigid and flexible), including methods, equipment and complications associated with the procedure.
7. Understand the effects of mechanical ventiltory support, both beneficial & harmful.
8. Be able to diagnose acute respiratory failure by clinical assessment & spontaneous parameters.
9. Assess tissue oxygenation, including V/Q relationships, ability of oxygen to cross the alveolar-capillary membrane, O2, transport, tissue O2 extraction, and adequacy of ventilation.
10. Define and calculate cardiac physiology concepts, including cardiac output, stroke volume, cardiac index, systemic vascular resistance and pulmonary vascular resistance.
11. Understand what determines cardiac output, including preload, afterload, and myocardial contractility.
12. Describe components of a pressure monitoring system, set-up, and general complications involved with a system.
13. Discuss the physiologic significance of hemodynamic monitoring and be able to interpret the pressure values obtained.
14. Describe the catheter insertion technique for the Swan-Ganz catheter, A-line, and CVP.
15. List possible complications of having a A-line, CVP, or Swan-Ganz catheter in place and know how to measure cardiac output using the thermodilution and dye dilution technique.
16. Describe spectrophotometry be able to interpret values obtained from mixed venous blood gas samples.
17. Discuss the operation of the Intra-Aortic Balloon Pump (IABP).

Students Rights and Responsibilities

Log in using the AC Connect Portal

In order to receive your AC Connect Email, you must log in through AC Connect at https://acconnect.actx.edu .

If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

Grading Criteria

1. Homework assignments
2. Announced and unannounced quizzes
3. Oral Case Study Presentation
4. Five-six (5-6) section exams
5. Comprehensive final exam

There will be no exemptions from section or final exams and the student will not be permitted to keep exams after class exam review.

Make-up policy: The opportunity to make-up missed tests and turn in assignments will be decided on an individual basis by the instructor.  The exam must be taken within 1 week and the maximum grade that can be earned is 70%.  There will be no make-up offered for the final exam, lab practical or quizzes.

1. Additional assignments may also be given and points may be earned by the student for completion of the assignment.
2. Each examination and assignment will have a specific value of points awarded for correct answers.  There will be no extra credit offered in this course and any bonus points earned or curve given may not increase the grade for that item above 100%.
3. On major exams, the highest point total achieved will be curved to an A and that number of points added to all students results. However, the maximum number of added points will not exceed 10% of the exam point total, providing the possibility that an A will not be achieved.
4. At least 10% of the questions on major exams will come from the reading assignments.
5. At the end of the course, all possible points from examinations and other assignments will be totaled.  This will be the maximum possible points to be earned by a student.
6. The number of points earned by a student will be divided by the maximum possible points for the course.  The result will be expressed as a percent and converted to a final grade.  The final course grades will not be curved.
5. Rounding of score will take place as follows:  0.5 will round up to the next highest whole number, ex. 69.5 = 70.0.  69.4 will NOT round up.
6. Grades will be posted on AC Online.
7. The normal grading scale for this course is:

• A = 90-100
• B = 80-89
• C = 70-79
• F = less than 70

Remediation Policy

The instructor will meet with students who perform poorly on exams.  Both parties will develop a plan to gain better understanding of the information covered on the test.  The plan may include but not be limited to:

1. retaking the exam
2. research of exam topics
3. written discussion of topics

Attendance

\ Regular attendance is necessary for satisfactory achievement.  Therefore, it is the responsibility of the student to attend class.

\ In the event of an unavoidable absence, it is the responsibility of the student to obtain missed lecture notes and arrange for make-up exams.

Calendar

Additional Information

\ Faculty web page:
\ http://www.actx.edu/respiratory/vah

\ Course Notes:
\ http://www.actx.edu/respiratory/rspt2355