Pulmonary Diagnostics

Course Details

Course Number: RESP4403  Section Number: 101

Fall 2013

Location: Bridwell Hall

Classroom Number: BH 305

Days & Times:

Monday/Tuesday/Thursday 0950-1130

Course Attachments

Class Schedule  LectureSchedule-20120327-160411.docx


Manual of Pulmonary Function Testing  ISBN: 978-0-323-05212-2

MSU Faculty Member
Patrick Helton   
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Course Objectives

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.

Course Expectations

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.

Final Exam12/9/2013  1000

Submission Format PolicyNote: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Late Paper Policy

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.

Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

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.

Other Policies

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

Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at http://academics.mwsu.edu/wpr, or call 397-4131.