RESP 301 - Neonatal/Pediatric Respiratory Care

Institution:

Kapiolani Community College

Subject:

Description:

3 hours lecture per week Prerequisite(s): Acceptance into the Respiratory Care program Comment: Letter grade only. RESP 301 may not be audited. RESP 301 may not be taken credit/no credit. Uniform, school patch, and stethoscope are required. RESP 301 is an introduction to the concepts and principles of neonatal and pediatric respiratory care as they relate to clinical application. Upon successful completion of RESP 301, the student should be able to: Module 1 Describe fetal anatomy and physiology. Identify the landmarks of the maternal-fetal circulation. Explain the maternal-fetal circulation. Describe the path of oxygenated blood from maternal (placenta) through the fetal circulation. List maternal factors that may affect the health of the fetus. Identify the components of the APGAR score. Identify (2) scoring systems used in gestational age assessment. Identify the components of the Silverman score and explain how it is used to assess respiratory distress of the neonate. Explain the physiological changes that immediately occur after a normal birth with respect to: ductus arteriosus, ductus venosus, foramen ovale, PVR, SVR. Explain the following terms with respect to labor and delivery: parturition, cervix, effacement, dilatation, para/ gravida, primigravida, multigravida, breech, placenta previa, abruptio placentae, polyhydramnios, oligohydramnios, meconium. Explain the following terms with respect to normal gestational age: birth weight (premature v. term), respiratory rate, heart rate, blood pressure, vernix, lanugo. Module 2 Identify the following pharmacologic agents used to: inhibit or promote uterine contractions (oxytocin v. tocolysis), affect the immature lung and circulation (indomethacin, N2O, surfactant), treat viral infections, treat pulmonary infections, treat hyperreactive airways. Identify and explain pediatric respiratory care equipment: SPAG, oxygen hood, tents, nasal CPAP, suction (bulb, Deelee). 1 Module 3 Explain the etiology, pathophysiology, and treatment (if any) of the following diseases: pulmonary dysmaturity (Wilson-Mikity syndrome), cystic fibrosis, Reye's syndrome, meconium aspiration, retinopathy of prematurity, transient tachypnea of the newborn, bronchopulmonary dysplasia, laryngotracheobronchitis, epiglottitis, bronchiolitis, respiratory distress syndrome. Explain the etiology, pathophysiology, and treatment (if any) of congenital heart defects: Tetralogy of Fallot, persistent fetal circulation, patent ductus arteriosus, patent foramen ovale. Module 4 Care for the critically ill neonatal/pediatric patient: describe the technique for using a flow inflating resuscitation bag, explain how tube sizes for intubation are selected (size v. weight v. gestational age), explain time cycled pressure limited ventilation (conventional in neonatal/pediatric practice), describe the initial settings used in conventional mechanical ventilation used in the NICU/PICU, explain the ventilator parameter changes that are needed based on ABG values. Explain the purposes of the following special procedures: surfactant replacement Rx, inhaled nitric oxide, high frequency ventilation, HFJV, HFOV, transillumination of the chest. Explain the process used in resuscitation with respect to NRP/PALS. Explain the clinical uses of and limitations of transcutaneous monitoring.

Credits:

3.00

Credit Hours:

Prerequisites:

Corequisites:

Exclusions:

Level:

Instructional Type:

Lecture

Notes:

Additional Information:

Historical Version(s):

Institution Website:

kapiolani.hawaii.edu/page/home

Phone Number:

(808) 734-9000

Regional Accreditation:

Western Association of Schools and Colleges

Calendar System:

Semester

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