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					Class Syllabus

Porterville College: Vocational Nursing Program – 3rd semester
Respiratory System Module: 35D – 2 units
Instructor: Elizabeth Keele, R.N., B.S.N.
Spring 2011

Hours/Days:
                         Thursday                                  Friday
              8:30 AM – 10:30 AM                       8:30 AM – 10:30 AM
              10:45 AM – 12:00 PM                      10:45 AM – 12:00 PM
              12:45 PM – 1:45 PM                       12:45 PM – 1:45 PM


Grading:
               75 –83% = C
               84 – 92% = B
               93 – 100% = A

Criteria:
             Quizzes/worksheets/: 250* pts.
             Homework:              50* pts.
             Final Exam:           100 pts.
             ________________________
             Total                 400* pts.
* These numbers are approximate and subject to change.
Quizzes:
A quiz, test or work-sheet will be given on a daily bases. Please bring a scantron form #882-ES
to all quizzes and tests. Tests and quizzes are timed – 1 minute for each question. There is also
the possibility of pop quizzes (unannounced quizzes).


General:
Students are expected to be on time for each scheduled class. Students are expected to call the
instructor if they are unable to attend. If you are unable to attend class, you must notify the
instructor prior to the start of class. Only those who make arrangements before missing a class
will be able to complete make-up assignments. Homework is due at the beginning of the class
the day it is due. Homework is not accepted late.




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Office hours:
Thursday & Friday 12:00 p.m. – 1:00 p.m. I am also available by phone at 559-793-1664.
Please do not call after 10:00 p.m. or on Sundays


Text:
Brunner & Suddarth’s Textbook of Medical Surgical Nursing: Smeltzer & Bare;
Handbook of Pathophysiology: Corwin, Elizabeth J
Required packet from the bookstore (handouts for the class)
All assigned reading is required and you are responsible for the material contained in it.


Web Site:
http://www.portervillecollege.edu/eKeele/ or go to go to www.portervillecollege.edu and go to
the instructors web sites and click on Elizabeth Keele. You may obtain power point presentation,
handouts and class syllabus on-line.


Reasonable Accommodation:
If you have a disability that may require assistance or accommodation, or you have questions
related to any accommodation for testing, note takers, readings, etc., please speak with the
instructor as soon as possible. Students may also contact the Disability Resource Center
(559) 791-2215 with questions about such services.


Attendance:
This class is a positive attendance class and roll will be taken daily. If you miss any class time,
you will be required to make that time up. Arrangements are to be made with the instructor.
Also you are responsible for all material presented or discussed in class, whether you are there or
not.


Honesty:
I require honesty on tests and assignments. Following Porterville College policy, if a student
cheats on a test or assignment, or plagiarizes, I will give an “F” grade on that assignment and I
will report the incident to the Dean. The student will have to meet with the Dean of Students to
determine whether further disciplinary action is necessary.



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Student learning objectives:
   1. The student will be able to discuss medical terms commonly used in the respiratory
       system.
   2. Review and identify anatomical structures on the respiratory system
   3. Explain respiratory physiology in relation to respiratory anatomy and the normal
       respiratory patterns
   4. Identify the components of a complete respiratory physical assessment
   5. Use assessment parameters appropriate for determining the characteristics and severity of
       the major symptoms of respiratory dysfunction including: Dyspnea; Wheezing; Clubbing
       of fingers; Hemoptysis; Cyanosis; Pleurisy
   6. Apply the nursing process as it relates to patient’s respiratory diseases and disorders
   7. Describe the effects of the following risk factors on the respiratory system: High altitude;
       Increased metabolic rate; Decreased metabolic rate; Infancy; Old age; Obesity; Fear;
       Activity; Smoking; Narcotic drugs, e.g. morphine; General anesthetic; Pregnancy
   8. Identify the clinical significances and related nursing responsibility of the following tests
       and procedures used for diagnostic assessment of the patient with a respiratory disorder:
       ABG’s; Blood count; V & P ratio; Chest x-ray; Bronchoscopy; CT scan
   9. Describe etiology, pathophysiology, clinical manifestations, nursing management and
       patient educations for the following: Pneumonia; Laryngitis; Bronchitis; Tuberculosis;
       Coccidiodomycosis; Cancer; Pneumothorax; Hemothorax; Adult Respiratory Distress
       Syndrome; Asthma; Chronic Obstructive Pulmonary disease; Emphysema; Respiratory
       failure; Atelectasis; Pulmonary embolism; Pulmonary edema; Near drowning; Mediastial
       shift; Pleural effusion
   10. Describe the complications of chest trauma, the clinical manifestations and nursing
       management of the following: Rib fracture; Flail chest; Hemothorax & pneumothorax;
       Tension pneumothorax; Penetrating wound of the chest; Pulmonary contusion; Cardiac
       tamponade; Subcutaneous emphysema
   11. Describe the nursing management and patient education for patient’s receiving the
       following: Oxygen therapy; Nebulizer therapy; Incentive spirometry; Chest
       physiotherapy
   12. Discuss nursing management and patient education for care of patients with the
       following: Endotracheal intubation; Tracheotomy; Mechanical ventilation; Chest tubes
       with water seal drainage; Chest tube with one way valve
   13. Discuss nursing management and patient education in the pre- and post operative care of
       patients undergoing the following respiratory system surgeries: Laryngectomy;
       Tracheostomy; Lobectomy; Biopsy
   14. Describe the biopsycho-social implications of the convalescing and rehabilitation patient
       with respiratory problems
   15. Explain the importance of awareness of cultural diversity with the respiratory patient
   16. Discuss pharmacological interventions in the treatment of patient with a respiratory
       disorder
   17. Describe the respiratory changes that occur with aging




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Student Learning Outcomes
VN III – VN PO35D: Respiratory System

Course Objective        Performance context:              Evidence of Success:          Measurement Criteria
The student will be     The student will listen to        Given a comprehensive, in     The student will be able to
able to discuss         lecture or Power Point            class, closed note,           discuss and use the medical
medical terms           presentations and review          individual test – that may    terms commonly used in the
commonly used in the    lecture notes, read               include diagrams,             respiratory system with 75%
respiratory system      assignments from the              scenarios, case studies and   accuracy or better.
                        textbook that are correlated      objective test questions -
                        to the lecture content and        using medical terms
                        participate in class discussion   commonly used in the
                        and small group learning          respiratory system.
                        activities.
Review and identify     The student will listen to        Given a comprehensive, in     The student will be able to
anatomy and             lecture or Power Point            class, closed note,           demonstrate an ability to
physiology of the       presentations and review          individual test – that may    identify anatomical structures
respiratory system.     lecture notes, read               include diagrams,             and discuss the physiology of
                        assignments from the              scenarios, case studies and   the respiratory system
                        textbook that are correlated      objective test questions -    including respiratory patterns
                        to the lecture content and        covering anatomy and          with 75% accuracy or better.
                        participate in class discussion   physiology of the
                        and small group learning          respiratory system.
                        activities.
Identify the            The student will listen to        Given a comprehensive, in     The student will be able to
components of a         lecture or Power Point            class, closed note,           demonstrate an ability to
complete respiratory    presentations and review          individual test – that may    identify the components of a
physical assessment.    lecture notes, read               include diagrams,             complete respiratory physical
                        assignments from the              scenarios, case studies and   assessment with 75% accuracy
                        textbook that are correlated      objective test questions –    or better. Specifically the
                        to the lecture content and        covering the components       following symptoms should be
                        participate in class discussion   of a complete respiratory     addressed:
                        and small group learning          physical assessment.                Dyspnea
                        activities.                                                           Wheezing
                                                                                              Clubbing of fingers
                                                                                              Hemoptysis
                                                                                              Cyanosis
                                                                                              Pleurisy

Describe the risk       The student will listen to        Given a comprehensive, in     The student will be able to
factors and their       lecture or Power Point            class, closed note,           demonstrate an ability to
effects on the          presentations and review          individual test – that may    describe the effects of the risk
respiratory system.     lecture notes, read               include diagrams,             factors on the respiratory
                        assignments from the              scenarios, case studies and   system with 75% accuracy or
                        textbook that are correlated      objective test questions –    better. The following risk
                        to the lecture content and        that covers risk factors on   factors should be addressed:
                        participate in class discussion   the respiratory system.             Increased metabolic
                        and small group learning                                                  rate
                        activities.                                                           Decreased metabolic
                                                                                                  rate
                                                                                              Infancy
                                                                                              Old age
                                                                                              Obesity
                                                                                              Fear
                                                                                              Activity
                                                                                              Smoking
                                                                                              Narcotic drugs, e.g.

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                                                                                                  morphine
                                                                                                 General anesthetic
                                                                                                 High altitude
                                                                                                 Pregnancy

Identify the clinical    The student will listen to        Given diagnostic results in   The student will be able to
significances and        lecture or Power Point            class with closed note, the   demonstrate an ability to
related nursing          presentations and review          individual will be asked to   accurately interpret respiratory
responsibility for       lecture notes, read               interpret those results, to   diagnostic assessments,
tests and procedures     assignments from the              identify the nursing          describe nursing responsibility
used in the diagnostic   textbook that are correlated      responsibility, to            for said assessments and
assessment of the        to the lecture content and        distinguish and prioritize    formulate comprehensive
patient with a           participate in class discussion   individual patient            individual patient education
respiratory disorder:    and small group learning          education plans on an         plans, identify the clinical
                         activities.                       objective test.               significances and related
                                                                                         nursing responsibility with
                                                                                         75% accuracy or better for the
                                                                                         following:
                                                                                               Blood count
                                                                                               V & P ratio
                                                                                               Chest x-ray
                                                                                               Bronchoscopy
                                                                                               ABG’s
                                                                                               CT scan
Describe etiology,       The student will listen to        Given a comprehensive, in     The student will be able to
pathophysiology,         lecture or Power Point            class, closed note,           demonstrate an ability to
clinical                 presentations and review          individual test – that may    describe the etiology,
manifestations,          lecture notes, read               include diagrams,             pathophysiology, clinical
nursing management       assignments from the              scenarios, case studies and   manifestations, nursing
and patient education    textbook that are correlated      objective test questions -    management and patient
for the major            to the lecture content and        covering the etiology,        education for respiratory
respiratory illnesses.   participate in class discussion   pathophysiology, clinical     diseases and disorders with
                         and small group learning          manifestations, nursing       75% accuracy or better on the
                         activities.                       management and patient        following:
                                                           education on the major              Laryngitis
                                                           respiratory illnesses.              Bronchitis
                                                                                               Tuberculosis
                                                                                               Coccidiodomycosis
                                                                                               Cancer
                                                                                               Pneumothorax
                                                                                               Hemothorax
                                                                                               Adult Respiratory
                                                                                                   Distress Syndrome
                                                                                               Asthma
                                                                                               Chronic Obstructive
                                                                                                   Pulmonary disease
                                                                                               Emphysema
                                                                                               Respiratory failure
                                                                                               Atelectasis
                                                                                               Pulmonary embolism
                                                                                               Pulmonary edema
                                                                                               Near drowning
                                                                                               Mediatinal shift
                                                                                               Pneumonia
                                                                                               Pleural effusion
Describe the             The student will listen to        Given a comprehensive, in     The student will be able to
complications of         lecture or Power Point            class, closed note,           demonstrate an ability to
chest trauma, the        presentations and review          individual test – that may    describe the complications of
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clinical                 lecture notes, read               include diagrams,                chest trauma and the clinical
manifestations and       assignments from the              scenarios, case studies and      manifestations and nursing
nursing management.      textbook that are correlated      objective test questions -       management of chest trauma
                         to the lecture content and        covering the complications       with 75% accuracy or better
                         participate in class discussion   of chest trauma and the          for the following:
                         and small group learning          nursing management.                    Flail chest
                         activities.                                                              Hemothorax &
                                                                                                      pneumothorax
                                                                                                  Tension
                                                                                                      pneumothorax
                                                                                                  Penetrating wound of
                                                                                                      the chest
                                                                                                  Pulmonary contusion
                                                                                                  Cardiac tamponade
                                                                                                  Rib fracture
                                                                                                  Subcutaneous
                                                                                                  Emphysema
Describe the             The student will listen to        Given a comprehensive, in        The student will be able to
biopsycho-social         lecture or Power Point            class, closed note,              describe the biopsycho-social
implications of the      presentations and review          individual test – that may       implications of the
convalescing and         lecture notes, read               include diagrams,                convalescing and
rehabilitation patient   assignments from the              scenarios, case studies and      rehabilitation patient with
with respiratory         textbook that are correlated      objective test questions -       respiratory problems with 75%
problems.                to the lecture content and        covering the importance of       accuracy or better. This will
                         participate in class discussion   awareness of biopsycho-          address cultural needs of
                         and small group learning          social needs including           patients and special needs that
                         activities.                       cultural diversity and aging     occur with aging.
                                                           as it relates to patients with
                                                           respiratory problems.


Discuss                  The student will listen to        Given a comprehensive, in        The student will be able to
pharmacological          lecture or Power Point            class, closed note,              discuss pharmacological
interventions in the     presentations and review          individual test – that may       interventions in the treatment
treatment of patient     lecture notes, read               include diagrams,                of patient with a respiratory
with a respiratory       assignments from the              scenarios, case studies and      disorder with 75% accuracy or
disorder                 textbook that are correlated      objective test questions -       better
                         to the lecture content and        covering pharmacological
                         participate in class discussion   interventions for
                         and small group learning          respiratory illnesses.
                         activities.




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Class Schedule:

Date           Text –                      Topics to be covered in class        Assignments /
               To be read prior to         (Student learning outcomes – by      Quizzes / Tests
               class                       number)
Day 1                                      Anatomy & physiology review
March 11                                   SLO: # 1, 2, 3, 7 & 17
Friday
Day 2          Brunner: Ch 21              Physical Assessment                  Quiz #1
March 17       Corwin: Ch 13               Diagnostic evaluation
Thursday                                   SLO: # 4, 5, 7, 8, 14, 15, 17
Day 3                                      Management of patients with Upper    Quiz #2
March 18                                   Respiratory Tract disorders
Friday                                     SLO: # 5, 8, 13, 16
Day 4          Brunner: Ch 22 & 25         Respiratory Care Modalities          Quiz #3
March 24                                   Mechanical ventilation
Thursday                                   Acidosis & Alkalosis
                                           SLO: # 11, 12 & 16
Day 5                                      Respiratory Acidosis and Alkalosis   Quiz #4
March 25                                   SLO: #8
Friday
Day 6          Brunner: Ch 23              Management of patients with chest    Quiz #5
March 31                                   and lower respiratory tract
Thursday                                   disorders
                                           SLO: # 9 & 16
Day 7                                      Management of patients with chest    Quiz #6
April 1                                    and lower respiratory tract
Friday                                     disorders
                                           SLO: # 9 & 16
Day 8          Brunner: Ch 24              Management of patients with          Quiz #7
April 7                                    Chronic Obstructive pulmonary
Thursday                                   disorders
                                           SLO: #9, 10, 16,
FINAL                                                                           Final Exam
April 8
Friday                                                                          Beginning of
                                                                                neurology




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