This course is designed as an in-depth study of the standard testing methodologies employed to diagnose and monitor patients with cardiopulmonary disease. Emphasis is placed on the technical aspects as well as disease presentation. Topics include measurement and analysis of lung volumes, ventilation, pulmonary mechanics, gas distribution, diffusion testing, cardiac and pulmonary exercise testing, quality assurance, blood gas analysis, polysomnograghy and computers in the diagnostic laboratory.
1. Students can differentiate between volume sensing and flow sensing spirometers, citing strengths and weaknesses of each design.
2. The student can explain the instrumentation required to perform basic spirometery, lung volume determination, and diffusion tests.
3. The student can list the indications for pulmonary diagnostic testing.
4. The student can identify expected changes in pulmonary diagnostic tests based on specific lung pathology.
5. When given a set of basic spirometric data, the student can identify normal and abnormal results.
6. The student can evaluate a lung volume study and determine whether the results indicate pulmonary obstruction or restriction.
7. The student will identify normal and abnormal diffusion study data and can explain challenges relating to the use of DLCO testing.
8. When evaluating arterial blood gas values, the student will correctly identify conditions relating to respiratory and metabolic dysfunction.
9. Students will evaluate exercise tests identifying anaerobic threshold, limitations to exercise based on de-conditioning, pulmonary and cardiac sources.
10. Students can list pulmonary diagnostic tests that help identify abnormal responses to increased carbon dioxide and decreased oxygen levels.
11. The student can identify common mistakes in quality assurance testing relating to pulmonary diagnostic equipment.
12. The student can identify the components of oxygen transport /clinical evaluation of oxygenation and their significance.
13. Recognize how the following can be used to evaluate tissue oxygen delivery and utilization: oxygen delivery, oxygen consumption, mixed venous oxygen tension, venous saturation, A/V content difference, O2 ER and blood lactate.
14. Students will identify the following as it relates to cardiac output assessment: definitions, calculations, normal values and effect of sympathetic nervous stimulation.
15. The student can explain the effects of mechanical ventilation on normal blood flow.
16. Students can identify normals, methods of calculation and significance of the following: cardiac index, stroke volume and ejection fraction.
17. The student can define preload, afterload, and cardiac contractility and identify factors affecting each.
18. The student can explain the following as related to central venous pressure: significance, factors affecting measurement, insertion sites, normal values, and effects of respiration on the waveform.
19. The student can recognize the following regarding pulmonary artery pressure monitoring: indications and complications, structures relating to the catheter, significance of measurements, effects of PEEP and importance of proper position.
Lecture Exams Standard exams that may include multiple choice, short answer, fill in the blank, essay or Case Studies, designed to cover material from the lecture and text. Final Exam Standard exams that may include multiple choice, short answer, fill in the blank, essay or Case Studies, designed to cover material from the lecture and text. Special Projects may include homework assignments or other outside work to facilitate meeting course objectives. Lecture Examinations 70% Final Examination 25% Special projects 5% A grade of 75% is required to successfully complete this course.
MISSED EXAM, LABORATORY REPORT OR OTHER GRADED ITEM POLICY A 15% per day reduction in your grade will occur when an exam or graded item is not done on time, weekends and holidays included.
Regular class attendance is required. No distinction is made between excused and unexcused absences unless the absence has been cleared through the office of the Dean of Students, Athletic Department or Academic Affairs. If a student misses a lecture, it is the student's responsibility to work with other class members to determine what material was missed. Please refer to the MSU Student Handbook for more information.
In accordance with the law, MSU provides students with documented disabilities academic accommodations. If you are a student with a disability, please contact me. DISABILITY SUPPORT SERVICES CLARK STUDENT CENTER, ROOM 168 PHONE: 397-4140