Section I. Foundations of Respiratory Care
1. Unlabeled ImageEarly History of Respiratory Care
History of Respiratory Medicine and Science
Development of the Respiratory Care Profession
Professional Organizations and Events
National Board for Respiratory Care
Respiratory Care Education
Chapter 2. Unlabeled ImageThe Profession of Respiratory Care
Scope of Respiratory Care Practice Today
Respiratory Therapy Department Composition
Designations and Credentials of Respiratory Therapists
Professional Respiratory Care Organizations Today
Other Organizations Affecting Respiratory Care
Respiratory Therapy Education
The Future of Respiratory Care
Chapter 3. Unlabeled ImageQuality, Patient Safety, and Communication
Conflict and Conflict Resolution
Chapter 4. Unlabeled ImagePrinciples of Infection Prevention and Control
Strategies for the Prevention of Infection
Disinfection and Sterilization
Equipment-Handling Procedures
Surveillance for Hospital-Acquired Infections
5. Unlabeled Image Ethical and Legal Implications of Practice
Philosophical Foundations of Ethics
Ethical Dilemmas of Practice
Ethical Theories and Principles
Ethical Viewpoints and Decision-Making
Legal Issues Affecting Respiratory Care
Interaction of Ethics and the Law
Professional Licensure Issues
Respiratory Therapists Who Speak Out About Wrongdoing
Chapter 6. Unlabeled ImagePhysical Principles of Respiratory Care
Gas Behavior Under Changing Conditions
7. Unlabeled Image E-Medicine in Respiratory Care
The Electronic Health Record and the Electronic Medical Record
Applications for Patient Care
Informatics and Clinical Decision Support
Telehealth and Telemonitoring
Sources of Health Information
Applications in Healthcare Administration
Applications in Training and Education
8. Unlabeled Image Fundamentals of Respiratory Care Research
Overview of Respiratory Care Research
How to Review and Evaluate the Literature
Evaluating the Quality of Research
How to Begin Doing Research
How to Submit a Paper for Publication
Section II. Applied Anatomy and Physiology
Chapter 9. Unlabeled ImageThe Respiratory System
Development of the Respiratory System
Transition From Uterine to Extrauterine Life
Postnatal Lung Development
Respiratory System in the Adult
Anatomy of the Respiratory Tract
Pulmonary Vascular, Lymphatic, and Nervous Systems
10. Unlabeled image The Cardiovascular System
Control of the Cardiovascular System
Cardiovascular Control Mechanisms
Events of the Cardiac Cycle
11. Unlabeled image Ventilation
Static Versus Dynamic Mechanics
Distribution of Ventilation
Efficiency and Effectiveness of Ventilation
Chapter 12. Unlabeled imageGas Exchange and Transport
Variations From Ideal Gas Exchange
Abnormalities of Gas Exchange and Transport
13. Unlabeled image Solutions, Body Fluids, and Electrolytes
Solutions, Colloids, and Suspensions
Electrolytic Activity and Acid-Base Balance
Body Fluids and Electrolytes
14. Unlabeled image Acid-Base Balance
Hydrogen Ion Regulation in Body Fluids
Clinical Acid-Base States
Chapter 15. Unlabeled imageRegulation of Breathing
Medullary Respiratory Center
Pontine Respiratory Centers
Reflex Control of Breathing
Chemical Control of Breathing
Ventilatory Response to Exercise
Carbon Dioxide and Cerebral Blood Flow
Section III. Assessment of Respiratory Disorders
Chapter 16. Unlabeled ImageBedside Assessment of the Patient
Interviewing the Patient, Obtaining a Medical History, and Reviewing the Medical Record
Chapter 17. Unlabeled ImageInterpreting Clinical and Laboratory Data
Interpreting Clinical Laboratory Tests
Clinical Application of Laboratory Data
Chapter 18. Unlabeled Image Interpreting the Electrocardiogram
Basic Principles of Electrophysiology
Electrocardiogram Procedural Summary
19. Unlabeled Image Analysis and Monitoring of Gas Exchange
Invasive Versus Noninvasive Procedures
Monitoring Fractional Inspired Oxygen
Capnometry and Capnography
Chapter 20. Unlabeled Image Pulmonary Function Testing
Pulmonary Function Testing
Reference Values and Interpretation of Results
Principles of Measurement and Significance
Individual Tests and Measurements
Interpretation of the Pulmonary Function Report
Chapter 21. Unlabeled Image Review of Thoracic Imaging
Overview of the Chest X-Ray
Chapter 22. Unlabeled image.Flexible Bronchoscopy and the Respiratory Therapist
The Role of the Respiratory Therapist in Bronchoscopy
Special Considerations for Bronchoscopy During Mechanical Ventilation
Physiologic and Mechanical Alterations Associated With Flexible Bronchoscopy in Intubated Patients
Chapter 23. Unlabeled image. Nutrition Assessment
Outcomes of Nutrition Assessment
Macronutrients and Energy Requirements
General Aspects of Nutrition Support
Nutrition Support in Specific Circumstances
Section IV. Review of Cardiopulmonary Disease
Host-Pathogen Interaction
Community-Acquired Pneumonia
Prevention of Community-Acquired Pneumonia
Hospital-Acquired PneumoniaVentilator-Associated Pneumonia
Role of the Respiratory Therapist in Pneumonia Care
25. Unlabeled image. Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease (COPD), Asthma, and Related Diseases
Chronic Obstructive Pulmonary Disease
Role of the Respiratory Therapist in Obstructive Lung Disease
26. Unlabeled image. Interstitial Lung Disease
Characteristics of Interstitial Lung Disease
Selected Specific Types of Interstitial Lung Disease and Therapies
Role of the Respiratory Therapist in Interstitial Lung Disease
Chapter 27. Unlabeled ImagePleural Diseases
Role of the Respiratory Therapist in Pleural Diseases
Chapter 28. Unlabeled ImagePulmonary Vascular Disease
Venous Thromboembolic Disease
Role of the Respiratory Therapist in Pulmonary Vascular Disease
Chapter 29. Unlabeled imageAcute Respiratory Distress Syndrome
Physiology of Pulmonary Edema
Risk Factors and Epidemiology
Role of the Respiratory Therapist in Acute Respiratory Distress Syndrome
30. Unlabeled image. Respiratory Management of Trauma, Obesity, Near Drowning, and Burns
Trauma and the Role of the Respiratory Therapist
Chapter 31. Unlabeled image.Acute Heart Failure
Definition, Epidemiology, and Burden of Care
Pathophysiology of Acute Heart Failure
Approach to Patients With Acute Heart Failure
Diagnosis of Acute Heart Failure
Identifying the Cause of Acute Heart Failure
Monitoring in Acute Heart Failure
Treatment for Heart Failure
Respiratory Support and Monitoring During Acute Heart Failure
Role of Respiratory Therapist in Managing Acute Heart Failure
32. Unlabeled image Lung Cancer
Preoperative Evaluation for Lung Resection Surgery
Role of the Respiratory Therapist in Managing Patients With Lung Cancer
Chapter 33. Unlabeled imageNeuromuscular and Other Diseases of the Chest Wall
General Principles Related to Neuromuscular Weakness of the Ventilatory Muscles
Management of Ventilation in Respiratory Muscle Weakness
Specific Neuromuscular Diseases
Disorders of the Thoracic Cage
The Role of the Respiratory Therapist in Caring for Patients With Neuromuscular Weakness and Other Diseases of the Chest Wall
Chapter 34. Unlabeled imageDisorders of Sleep
Role of the Respiratory Therapist in Disorders of Sleep
35. Unlabeled imageNeonatal and Pediatric Respiratory Disorders
Neonatal Respiratory Disorders
Older Infant and Pediatric Respiratory Disorders
Role of the Respiratory Therapist in Neonatal and Pediatric Respiratory Disorders
Section V. Basic Therapeutics
Chapter 36. Unlabeled imageAirway Pharmacology
Principles of Pharmacology
Adrenergic Bronchodilators
Anticholinergic Bronchodilators
Nonsteroidal Antiasthma Drugs
Aerosolized Antiinfective Agents
Inhaled Pulmonary Vasodilators
Chapter 37. Airway Management
Establishing an Artificial Airway
Airway Trauma Associated With Tracheal Tubes
Extubation or Decannulation
Chapter 38. Unlabeled imageEmergency Cardiovascular Life Support
Causes and Prevention of Sudden Death
Advanced Cardiovascular Life Support
Chapter 39. Unlabeled imageHumidity and Bland Aerosol Therapy
Selecting the Appropriate Therapy
Chapter 40. Aerosol Drug Therapy
Characteristics of Therapeutic Aerosols
Hazards of Aerosol Therapy
Aerosol Drug Delivery Systems
Assessment-Based Bronchodilator Therapy Protocols
Controlling Environmental Contamination
Chapter 41. Unlabeled imageStorage and Delivery of Medical Gases
Characteristics of Medical Gases
Distribution and Regulation of Medical Gases
Chapter 42. Unlabeled imageMedical Gas Therapy
Hyperbaric Oxygen Therapy
Other Medical Gas Therapies
Chapter 43. Unlabeled imageLung Expansion Therapy
Causes and Types of Atelectasis
Clinical Signs of Atelectasis
44. Unlabeled image Airway Clearance Therapy
Physiology of Airway Clearance Therapies
General Goals and Indications
Determining the Need for Airway Clearance Therapy
Selecting Airway Clearance Techniques
Section VI. Acute and Critical Care
45. Unlabeled image Respiratory Failure and the Need for Ventilatory Support
Hypoxemic Respiratory Failure (Type I)
Hypercapnic Respiratory Failure (Type II)
Chronic Respiratory Failure (Type I and Type II)
Assessment of Respiratory Fatigue, Weakness, Failure, and Work of Breathing
Choosing a Respiratory Support Strategy for Different Causes of Respiratory Failure
Chapter 46. Unlabeled imageMechanical Ventilators
Identifying Modes of Mechanical Ventilation
Comparing Modes of Mechanical Ventilation
Chapter 47. Unlabeled image Physiology of Ventilatory Support
Pressure and Pressure Gradients
Effects of Mechanical Ventilation on Ventilation
Effects of Mechanical Ventilation on Oxygenation
Effects of Positive Pressure Mechanical Ventilation on Lung Mechanics
Minimizing Adverse Pulmonary Effects of Positive Pressure Mechanical Ventilation
Physiologic Effects of Ventilatory Modes
Cardiovascular Effects of Positive Pressure Mechanical Ventilation
Minimizing Cardiovascular Effects of Positive Pressure Mechanical Ventilation
Effects of Positive Pressure Mechanical Ventilation on Other Body Systems (Box 47.2)
Complications of Mechanical Ventilation
Chapter 48. Unlabeled imagePatient–Ventilator Interactions
Step 1: Identify the Goal of Mechanical Ventilation
Step 2: Identify the Mode of Ventilation
Step 3: Determine the Load
Step 4: Diagnose the Patient–Ventilator Interaction Status
Step 5: Summary and Intervention
49. Unlabeled image Initiating and Adjusting Invasive Ventilatory Support
Goals of Mechanical Ventilation
Initial Ventilator Settings
Adjusting Ventilatory Support
Chapter 50. Unlabeled imageNoninvasive Ventilation
History and Development of Noninvasive Ventilation
Indications for Noninvasive Ventilation
Selecting Appropriate Patients for Noninvasive Ventilation
Equipment Used for Noninvasive Ventilation
Management of Noninvasive Ventilation
Complications of Noninvasive Ventilation
Time and Costs Associated With Noninvasive Ventilation
51. Unlabeled image Extracorporeal Life Support
The Respiratory Therapist as an Extracorporeal Membrane Oxygenation Specialist
Patients Receiving Extracorporeal Membrane Oxygenation
Initiation and Maintenance of Support
Anticoagulation Management
Transporting a Patient on Extracorporeal Membrane Oxygenation
Weaning and Decannulation
52. Monitoring the Patient in the Intensive Care Unit
Monitoring the Patient–Ventilator System
Monitoring Respiratory System Mechanics
Global Monitoring Indices
Chapter 53. Discontinuing Ventilatory Support
Reasons for Ventilator Dependence
Newer Techniques for Facilitating Ventilator Discontinuance
Monitoring the Patient During Weaning
Ventilator Discontinuance Failure
Prolonged Mechanical Ventilation
Chronically Ventilator-Dependent Patients
Terminal/Compassionate Extubation
Chapter 54. Unlabeled imageNeonatal and Pediatric Respiratory Care
Assessment of the Newborn and Pediatric Patient
Continuous Positive Airway Pressure
Neonatal and Pediatric Transport
Section VII. Patient Education and Long-Term Care
55. Health Promotion Through Patient Education
Health Promotion and Disease Prevention
Population Health and Chronic Disease Management
56. Unlabeled image.Cardiopulmonary Rehabilitation
Physical and Psychosocial Basis
Structure of a Pulmonary Rehabilitation Program
57. Respiratory Care in Alternative Settings
More Recent Developments and Trends
Traditional Acute Care Versus Alternative Setting Care
Oxygen Therapy in Alternative Settings
Ventilatory Support in Alternative Settings
Other Modes of Respiratory Care in Alternative Sites
Patient Assessment and Documentation
Equipment Disinfection and Maintenance
Chapter 58. Ethics and the End of Life
“Goals of Care” as an Essential Organizing Framework
Management of Pain and Other Symptoms at the End of Life: Legal and Ethical Considerations
Ethical Conflict at the End of Life
The Respiratory Therapist as Ethical Practitioner
