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 Download Required Readings/Activities:
COPD Exacerbation and Emphysema Management of exacerbations of chronic obstructive pulmonary disease
(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 2019 (CMDT): Chapter 9: Pulmonary Disorders: Disorders of Control of Ventilation - Obstructive Sleep Apnea
Asthma
• 2019 CMDT Ch 9 Pulmonary Disorders: Disorders of Airways: Asthma
Chesnutt AN, Chesnutt MS, Prendergast NT, Prendergast TJ. Pulmonary Disorders. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment 2019 New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=2449§ionid=194434470. Accessed September 02, 2018.
• Barkley tables pp 257-260
Pneumonia
• 20e Harrison’s Ch 121 Pneumonia (Under infectious disease section)
Mandell LA, Wunderink R. Pneumonia. In: Jameson J, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. eds. Harrison's Principles of Internal Medicine, 20e New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=2129§ionid=184041853. Accessed September 02, 2018.
- CMDT 2019 2019 CMDT Ch 9 Pulmonary Disorders: Pulmonary Infections: Pneumonia
Chesnutt AN, Chesnutt MS, Prendergast NT, Prendergast TJ. Pulmonary Disorders. In: Papadakis MA, McPhee SJ, Rabow MW. eds. Current Medical Diagnosis & Treatment 2019 New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=2449§ionid=194434470. Accessed September 02, 2018.
• Harrison’s Ch 141 Pneumococcal Infections: Clinical Manifestations (Under infectious disease section. good, short read about a common pneumonia)
https://accessmedicine-mhmedical-com.ezproxy.uky.edu/content.aspx?bookid=2129§ionid=192021176 Links to an external site. 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
- 20e Harrison's Chapter 11: Causes of Chest Discomfort: Pulmonary Causes of Chest Pain - PE https://accessmedicine-mhmedical-com.ezproxy.uky.edu/content.aspx?sectionid=192010902&bookid=2129&jumpsectionID=192010933&Resultclick=2#1154234285 Links to an external site.
- 20e Harrison's Chapter 273 : Disorders of the Cardiovascular System: Pulmonary Embolism https://accessmedicine-mhmedical-com.ezproxy.uky.edu/content.aspx?bookid=2129§ionid=192030380 Links to an external site.
•2019 CMDT Chapter 9 Pulmonary Disorders: Disorders of the pulmonary circulation
• Case 61 in Acute &Critical Care NP Case leg swell and red.pdf Download Case leg swell and red.pdf
Noncardiogenic pulmonary edema
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:
TobaccoCessation.pdf Download TobaccoCessation.pdf
ICU Studies do not agree efficacy.
-----------------------------------------------------------------------------------
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 (go to link below and search for pheumothorax)
https://www.sonosite.com/clinical-media Links to an external site.
o Ultrasound detection of pleural fluid (go to link below and search for pleural fluid)
https://www.sonosite.com/clinical-media Links to an external site.
o Ultrasound guidance for thoracentesis (go to link below and search for thoracentesis)
https://www.sonosite.com/clinical-media Links to an external site.
• Do Chest X-ray Tutorial:
https://www.med-ed.virginia.edu/courses/rad/cxr/index.html Links to an external site.
• View power point (no need to copy) CXR interp-1.pptx Download CXR interp-1.pptx
• Read Barkley Chapter 24: CXR Must Know Table 24.1
• Skim Harrison’s reading: Chapter A12 Atlas of Chest Imaging (EXCELLENT RESOURCE)
Kritek PA, Reilly, Jr. JJ. Atlas of Chest Imaging. In: Jameson J, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. eds. Harrison's Principles of Internal Medicine, 20e New York, NY: McGraw-Hill; . http://accessmedicine.mhmedical.com.ezproxy.uky.edu/content.aspx?bookid=2129§ionid=192509439.
Pulmonary Function Testing and Diagnostics
• Harrison’s Ch 280: Diagnostic Procedures in Respiratory Disease
• Barkley Chapter 25: Pulmonary Function Tests
Oxygenation, Ventilation
Ventilation and Oxygenation_pdf.pdf Download Ventilation and Oxygenation_pdf.pdf
Power Point: