MCCCD Official Course Competencies:

RES240  2009 Fall – 2011 Fall

Respiratory Physiology

1.

Define terms specific to the functional anatomy of the bronchopulmonary system. (I)

2.

Describe the mechanics of breathing. (II)

3.

Compare and contrast the effects of compliance and resistance on ventilation and perfusion. (III)

4.

Describe the defense mechanisms of the lungs. (IV)

5.

Define the terms related to the cardiovascular system. (IV, VI)

6.

Describe physiology and anatomy of the myocardium. (IV)

7.

Compare and contrast the systemic and pulmonary circulatory systems. (V)

8.

Distinguish between pulse and arterial pressure. (V)

9.

Compare and contrast newborn anatomy and physiology to the adult by listing significant differences. (V)

10.

Define the terms specific to the renal system. (VII)

11.

Describe the functions of the renal system (VII)

12.

List the roles of the capillary circulation in fluid regulation. (VII)

MCCCD Official Course Outline:

RES240  2009 Fall – 2011 Fall

Respiratory Physiology

I. Explain the function of Bronchopulmonary system

A. Conductance zone

B. Mucocillary escalator

C. Respiratory zone

D. Alveolar Capillary unit

E. Pulmonary defense mechanism

II. Breathing mechanism

A. Areas of the brain and nerves that controls the breathing process

B. Primary element that causes ventilation to increase and decrease

C. Secondary element that causes ventilation to increase and decrease

D. Normal values for volumes and capacities of the lung

E. Muscles involved in normal ventilation

F. Secondary muscles involved in ventilation

G. Airway pressure changes during breathing

H. Pleural pressure changes during breathing

I. Thoracic pressure changes during breathing

J. Laws of physics that governs airway resistance

K. Laws of physics that governs lung and thorax compliance

III. Ventilation and perfusion

A. Oxygen transport

B. Carbon dioxide transport

C. The effects of changes in ventilation and distribution of ventilation on oxygen and carbon dioxide transport

D. The effects of changes in alveolar capillary perfusion on oxygen and carbon dioxide transport

E. The effects of changes in alveolar capillary diffusion on oxygen and carbon dioxide transport

F. The changes in V/Q ratios and shunting

G. The changes in V/Q ratios and Deadspace

H. The changes in R/Q ratios and metabolism

I. Pulmonary system changes to environmental changes

J. Acid base balance

IV. Cardiovascular physiology

A. Sympathetic controls

B. Parasympathetic controls

C. Inotropic effect

D. Chronotropic effect

E. Chemoreceptors

F. Baroreceptors

G. Conductance vessels

H. Resistance vessels

I. Function of blood and components

J. General function of the heart

V. Hemodynamics

A. Vascular resistance

B. Systemic vascular resistance

C. Pulmonary vascular resistance

D. Arterial blood pressure

E. Mean arterial blood pressure

F. Stroke Volume

G. Heart rate

H. Preload

I. Afterload

J. Central venous pressure

K. End diastolic volume

L. End systolic volume

M. Ejection fraction

N. Cardiac Index

O. Cardiac output

P. Right atrial pressure

Q. Right ventricular Pressure

R. Pulmonary artery pressure

S. Mean pulmonary artery pressure

T. Pulmonary capillary wedge pressure

U. Left ventricular pressure

VI. Factors that will affect the cardiovascular system

A. Hypoxia

B. Hyperoxia

C. Hypercapnia

D. Hypocapnia

E. Acidemia

F. Alkalemia

VII. Renal system

A. Factors the affect renal perfusion

B. Factors that affect fluid balance

C. Factors that affect electrolyte balance

D. Lymphatic system and how it affects fluid and electrolyte balance

E. Acid base balance