Pulmonary Readings and Activities

NUR 941: Pulmonary Module Learning Outcomes: Integrate pathophysiologic, pharmacotherapeutic and developmental theory and principles with data from history and physical examination, diagnostic and/or screening assessments to recommend comprehensive management plans for adult/geriatric populations with acute or chronic alterations in oxygenation and ventilation.

Required Readings/Activities:

COPD Exacerbation and Emphysema Management of exacerbations of chronic obstructive pulmonary disease

http://www.uptodate.com/contents/management-of-exacerbations-of-chronic-obstructive-pulmonary-disease?topicKey=PULM%2F1461&elapsedTimeMs=4&view=print&displayedView=full# Links to an external site.

(Pay close attention to the graphics so print it.)

When making the diagnosis you indicate which Gold classification you are treating ie Gold 3 etc. GOLD stands for Global Initiative for Chronic Lung Disease. There is a big set of guidelines for the various classifications. You may need to refer to those when in clinical.

Obstructive Sleep Apnea CURRENT 2017: Chapter 9 Disorders of Control of Ventilation - Obstructive Sleep Apnea http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1843&sectionid=135704883#1132694377 Links to an external site.

Asthma

• CMDT Ch 9 Asthma

http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1843&sectionid=135704883#113269 Links to an external site.

• Barkley tables pp 257-260

Pneumonia

• Harrison’s Ch 153 Pneumonia

http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?sectionid=79733578&bookid=1130&Resultclick=2 Links to an external site.

• Harrison’s Ch 171 Pneumococcal Infections: Clinical Manifestations (good, short read about a common pneumonia)

http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?sectionid=79735028&bookid=1130&Resultclick=2 Links to an external site.

• Community-Acquired Pneumonia Empiric Therapy by Donovan et al http://emedicine.medscape.com/article/2011819-overview Links to an external site.

• Hospital-Acquired, Health Care-Associated, and Ventilator-Associated Pneumonia Empiric Therapy by Smith et al http://emedicine.medscape.com/article/2012032-overview Links to an external site.

Pulmonary Emboli

• CMDT Chapter 9 pp 295-304 Disorders of the pulmonary circulation http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1843&sectionid=135704883#1132694374 Links to an external site.

• Case 61 in Acute &Critical Care NP Download Case leg swell and red.pdf

Noncardiogenic pulmonary edema

http://www.uptodate.com/contents/noncardiogenic-pulmonary-edema?source=see_link Links to an external site.

Tobacco

• Nicotine Patch drug information (note warnings): http://reference.medscape.com/drug/nicoderm-cq-nicotrol-nicotine-transdermal-999319 Links to an external site.

• Guidelines for Inpatient Tobacco Cessation Therapy:

Download TobaccoCessation.pdf

ICU Studies do not agree efficacy.

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Chest Ultrasound (During Abdomen content you will learn about the FAST exam)

• Start by reading Critical Care Ultrasound Manual: Chapters: 1 and 9

• Next watch the two presentations on Canvas in this module

o Ultrasound Pneumothorax-2 

o Ultrasound Thoracentesis-2

• Then move on to the more advanced cases

o How to: Ultrasound for pneumothorax case study

https://www.sonosite.com/clinical-media?keys=&field_clinical_specialties_tid=14&field_media_library_type_tid=1781&page=1 Links to an external site.

o Ultrasound detection of pleural fluid:

https://www.sonosite.com/clinical-media?keys=&field_clinical_specialties_tid=14&field_media_library_type_tid=1781 Links to an external site.

o Ultrasound guidance for thoracentesis:

https://www.sonosite.com/clinical-media?keys=&field_clinical_specialties_tid=14&field_media_library_type_tid=1781&page=1 Links to an external site.

CXR

• Do Chest X-ray Tutorial:  

https://www.med-ed.virginia.edu/courses/rad/cxr/index.html Links to an external site.

(note: I had posted something else but looks like they have started charging for it so I selected another free one)

• View power point (no need to copy) Download CXR interp-1.pptx

• Read Barkley Chapter 24: CXR Must Know Table 24.1

• Skim Harrison’s reading: 308e: Atlas of Chest Imaging  (EXCELLENT RESOURCE)

http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1130&sectionid=63653071 Links to an external site.

Pulmonary Function Testing and Diagnostics

• Harrison’s Ch 307: Diagnostic Procedures in Respiratory Disease http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=1130&sectionid=63653001 Links to an external site.

• Barkley Chapter 25: PFTs  

Oxygenation, Ventilation

Download Ventilation and Oxygenation.pdf

Power Point: Download Pul Thompson Sp 2018.pptx