Kacmarek: Egan's Fundamentals of Respiratory Care, 11th Edition
Chapter v01: vHistory vof vRespiratory
v CarevAnswer vKey vfor vthe vWorkbook
CHAPTER vOBJECTIVES
1. Define vrespiratory vcare. v(Q: v4, v15)
2. Summarize vsome vof vthe vmajor vevents vin vthe vhistory vof vscience vand vmedicine. v(Q: v18)
3. Explain vhow vthe vrespiratory vcare vprofession vgot vstarted. v(Q: v20)
4. Describe vthe vhistorical vdevelopment vof vthe vmajor vclinical vareas vof vrespiratory vcare.
v(Q:v21)
5. Name vsome vof vthe vimportant vhistorical vfigures vin vrespiratory vcare. v(Q: v24)
6. Describe vthe vmajor vrespiratory vcare veducational, vcredentialing, vand
vprofessionalvassociations. v(Q: v16)
7. Explain vhow vthe vimportant vrespiratory vcare vorganizations vgot vstarted. v(Q: v16)
8. Describe vthe vdevelopment vof vrespiratory vcare veducation. v(Q: v17)
9. Predict vfuture vtrends vfor vthe vrespiratory vcare vprofession. v(Q: v23)
WORD vWIZARD
Reference: vGlossary
1. M. vphysician vassistant
2. A. vAARC
3. F. vrespiratory vtherapy
4. E. vrespiratory vcare v(Number v3 vand v4 vare voften vinterchanged.)
5. I. vaerosol vmedications
6. H. voxygen v(O2) vtherapy
7. C. vNBRC
8. J. vmechanical vventilation
9. B. vCoARC
10. D. vcardiopulmonary vsystem
11. L. vpulmonary vfunction vtesting
12. N. vrespiratory vcare vpractitioner(s)
13. G. vrespiratory vtherapist(s) v(The vterms vin v13 vand v14 vare voften vinterchanged.)
14. K. vairway vmanagement
MEET vTHE vOBJECTIVES
15. References: vPages v4, v11
The vactual vdefinition vof vrespiratory vtherapy vis v“the vhealth vcare vdiscipline vthat
vspecializesvin vthe vpromotion vof voptimal vcardiopulmonary vfunction vand vhealth.”
Main vconcepts vmay vinclude vthe vassessment, vtreatment, vmanagement, vcontrol,
vdiagnosticvevaluation, veducation, vand vcare vof vpatients vwith vdeficiencies vand
vabnormalities vof vthe
Copyright v© v2017 vElsevier vInc. vAll vRights
vReserved.
,Answer vKey vfor vthe vWorkbook 1-2
cardiopulmonary vsystem. vRespiratory vcare vis vincreasingly vinvolved vin vthe vprevention
vof vrespiratory vdisease, vthe vmanagement vof vpatients vwith vchronic vrespiratory vdisease,
vand vthevpromotion vof vhealth vand vwellness.
The vInhalation vTherapy vAssociation v(ITA) vwas vthe vfirst vprofessional vassociation vin
vrespiratory vcare. vThe vITA vbecame vthe vAmerican vAssociation vfor vInhalation vTherapists
v(AAIT) vin v1954, vthe vAmerican vAssociation vfor vRespiratory vTherapy v(ARRT) vin v1973,
vandvthe vAmerican vAssociation vfor vRespiratory vCare v(AARC) vin v1982.
16. Reference: vPage v14
The vfirst vcourse vin vinhalation vtherapy vwas voffered vin v1950. vPrograms vin vthe v1960s
vfocusedvon vteaching vstudents vthe vproper vapplication vof vO2 vtherapy, vO2 vdelivery vsystems,
vhumidifiers, vand vnebulizers vand vthe vuse vof vvarious vIPPB vdevices. vThe vnew vstandard
vrequires van vassociate vdegree vfor ventry vinto vthe vprofession. vThere vwill vbe va vneed vfor
vindividuals vwith vmore veducation vso vmore vbaccalaureate vand vgraduate veducation vis
vneeded.vTechnician vprograms vno vlonger vexist.
SUMMARY vCHECKLIST
17. Reference: vPage
v4vPrevent; vtreat
18. Reference: vPage v11
AARC; v1947; vthe vInhalation vTherapy vAssociation
19. Reference: vPage
v9vPolio
FOOD vFOR vTHOUGHT
20. The vgeneral vanswer vis vmanagement, vsupervision, vresearch, vand veducation. vYou
vcan valso vbecome va vcase vmanager, va vdrug vrepresentative, vor vgo von vfor vgraduate
veducation vinvanesthesia vor vas va vphysician vassistant.
21. This vquestion vis va vsimple vclassic vthat vhas vmany vpossible vanswers.
Dr. vDavid vPierson vpromoted vthe vscience vof vrespiratory vcare vand vthe vuse vof vprotocols.
vHe vhelped vus velevate vour vpractice. vJoseph vPriestley vdiscovered vO2, vand vThomas
vBeddoes vfirstv used vit. vI vwould vlike vto vbe va vtherapist vwho vbecomes va vpioneer vof va vnew
vand vvital vtechnique.
Copyright v© v2017 vElsevier vInc. vAll vRights
vReserved.
,Kacmarek: Egan's Fundamentals of Respiratory Care, 11th Edition
v v v v v v v
Chapter v02: vDelivering vEvidence-Based vRespiratory
v CarevAnswer vKey vfor vthe vWorkbook
CHAPTER vOBJECTIVES
1. Understand vthe velements vfor vdelivering vquality vrespiratory vcare. v(Q: v5)
2. Explain vhow vrespiratory vcare vprotocols vimprove vthe vquality vof vrespiratory vcare
vservices.v(Q: v6, v7)
3. Understand vthe vevidence-based vmedicine. v(Q: v9)
WORD vWIZARD
1. CoARC Responsible vfor vquality vof vschools
2. The vJoint vCommission Uses vsite vvisits vto vcheck vquality vof vcare
3. Evidence-based vmedicine Uses vmeta-analyses vto vfind vbest vcare
4. NBRC Responsible vfor vquality vof vcredentialing vexams
MEET vTHE vOBJECTIVES
5. Reference: vPage v20
A. Equipment
B. Personnel
C. Method vof vdelivery vof vservices
6. Reference: vPage v31
A. Institutional: vSkills vcheck-offs vand vclasses vand vcompetencies
B. Governmental: vMonitors vlike vCMS vor vThe vJoint vCommission vaccredits
vinstitutionsv
based von vquality vmonitoring vstandards vover vnine vor vmore vareas.
7. Reference: vTables v2-1, v2-2, v2-3, vand v2-5
Protocols vimprove vthe vallocation vof vrespiratory vresources vby vreducing vmisallocations
vsuchvas vover-ordering. vProtocols valso vreduce vcosts. vCare vmay vbe venhanced.
8. Reference: vPages v36-38
The vARDSNet vstudies vproduced vscientific vevidence. vWhen vanalyzed, vthey vshowed
vthatvyou vcould vdecrease vpatient vmortality vby vfollowing vspecific vguidelines vfor vvolume
vventilation. vUsing v4 vto v8 vml/kg vas vthe vbreath vsize vsaved vlives.
SUMMARY vCHECKLIST
Reference: vPage v38
9. Misallocation
Copyright v© v2017 vElsevier vInc. vAll vRights
vReserved.
, Answer vKey vfor vthe vWorkbook 2-2
10. Protocols
11. Registered v(RRT)
12. National vBoard vfor vRespiratory vCare v(NBRC)
13. Evidence-based
CASE vSTUDIES
v
v Case v1
Reference: vPage v26, vFigure v2-2
14. A. vSOB
B. Tachycardia
C. Diaphoresis, vconfusion, vetc.
15. The vpulse voximeter vshows va vgood vsaturation. vThe vpatient vhas vno vclinical vsigns vof
vhypoxemia vand vno vhistory vthat vsuggests vheart vor vlung vdisease. vRespiratory vrate vand
vheartvrate vare vnormal. vOxygen v(O2) vtherapy vis vnot vindicated.
16. Place vthe vpatient von vroom vair vand vrecheck vthe vsaturation. vThe vhistory vof vabdominal
vsurgery vsuggests vstarting vthe vpatient von vpostoperative vprotocol vlike vincentive
vspirometry.vDiscontinue vthe vO2 v if vthe vsaturations vare vgood.
Case v2
Reference: vPage v25, vFigure v2-1
17. He vhas va vhistory vof vsmoking, vlung vdisease, vand vhas vhad vsurgery. vHis vx-ray
vshowsvatelectasis. vHe vis vwheezing, vso vhe vneeds va vbronchodilator.
Step v1: vPatient vis valert
Step v 2: vCan v take va vdeep v breath
vStep v3: vDoes vnot vmeet vMDI
vcriteriavStep v4: vSelect vSVN
WHAT vDOES vTHE vNBRC vSAY?
18. Reference: vPage v26, vFigure v2-2
A. O2 v therapy
19. Reference: vPage v27, vMini vClini
D. Aerosolized vbronchodilator vtherapy
20. Reference: vPage v26, vFigure v2-2
A. Increase vthe vliter vper vminute vflow vto vthe vcannulas.
Copyright v© v2017 vElsevier vInc. vAll vRights
vReserved.
Chapter v01: vHistory vof vRespiratory
v CarevAnswer vKey vfor vthe vWorkbook
CHAPTER vOBJECTIVES
1. Define vrespiratory vcare. v(Q: v4, v15)
2. Summarize vsome vof vthe vmajor vevents vin vthe vhistory vof vscience vand vmedicine. v(Q: v18)
3. Explain vhow vthe vrespiratory vcare vprofession vgot vstarted. v(Q: v20)
4. Describe vthe vhistorical vdevelopment vof vthe vmajor vclinical vareas vof vrespiratory vcare.
v(Q:v21)
5. Name vsome vof vthe vimportant vhistorical vfigures vin vrespiratory vcare. v(Q: v24)
6. Describe vthe vmajor vrespiratory vcare veducational, vcredentialing, vand
vprofessionalvassociations. v(Q: v16)
7. Explain vhow vthe vimportant vrespiratory vcare vorganizations vgot vstarted. v(Q: v16)
8. Describe vthe vdevelopment vof vrespiratory vcare veducation. v(Q: v17)
9. Predict vfuture vtrends vfor vthe vrespiratory vcare vprofession. v(Q: v23)
WORD vWIZARD
Reference: vGlossary
1. M. vphysician vassistant
2. A. vAARC
3. F. vrespiratory vtherapy
4. E. vrespiratory vcare v(Number v3 vand v4 vare voften vinterchanged.)
5. I. vaerosol vmedications
6. H. voxygen v(O2) vtherapy
7. C. vNBRC
8. J. vmechanical vventilation
9. B. vCoARC
10. D. vcardiopulmonary vsystem
11. L. vpulmonary vfunction vtesting
12. N. vrespiratory vcare vpractitioner(s)
13. G. vrespiratory vtherapist(s) v(The vterms vin v13 vand v14 vare voften vinterchanged.)
14. K. vairway vmanagement
MEET vTHE vOBJECTIVES
15. References: vPages v4, v11
The vactual vdefinition vof vrespiratory vtherapy vis v“the vhealth vcare vdiscipline vthat
vspecializesvin vthe vpromotion vof voptimal vcardiopulmonary vfunction vand vhealth.”
Main vconcepts vmay vinclude vthe vassessment, vtreatment, vmanagement, vcontrol,
vdiagnosticvevaluation, veducation, vand vcare vof vpatients vwith vdeficiencies vand
vabnormalities vof vthe
Copyright v© v2017 vElsevier vInc. vAll vRights
vReserved.
,Answer vKey vfor vthe vWorkbook 1-2
cardiopulmonary vsystem. vRespiratory vcare vis vincreasingly vinvolved vin vthe vprevention
vof vrespiratory vdisease, vthe vmanagement vof vpatients vwith vchronic vrespiratory vdisease,
vand vthevpromotion vof vhealth vand vwellness.
The vInhalation vTherapy vAssociation v(ITA) vwas vthe vfirst vprofessional vassociation vin
vrespiratory vcare. vThe vITA vbecame vthe vAmerican vAssociation vfor vInhalation vTherapists
v(AAIT) vin v1954, vthe vAmerican vAssociation vfor vRespiratory vTherapy v(ARRT) vin v1973,
vandvthe vAmerican vAssociation vfor vRespiratory vCare v(AARC) vin v1982.
16. Reference: vPage v14
The vfirst vcourse vin vinhalation vtherapy vwas voffered vin v1950. vPrograms vin vthe v1960s
vfocusedvon vteaching vstudents vthe vproper vapplication vof vO2 vtherapy, vO2 vdelivery vsystems,
vhumidifiers, vand vnebulizers vand vthe vuse vof vvarious vIPPB vdevices. vThe vnew vstandard
vrequires van vassociate vdegree vfor ventry vinto vthe vprofession. vThere vwill vbe va vneed vfor
vindividuals vwith vmore veducation vso vmore vbaccalaureate vand vgraduate veducation vis
vneeded.vTechnician vprograms vno vlonger vexist.
SUMMARY vCHECKLIST
17. Reference: vPage
v4vPrevent; vtreat
18. Reference: vPage v11
AARC; v1947; vthe vInhalation vTherapy vAssociation
19. Reference: vPage
v9vPolio
FOOD vFOR vTHOUGHT
20. The vgeneral vanswer vis vmanagement, vsupervision, vresearch, vand veducation. vYou
vcan valso vbecome va vcase vmanager, va vdrug vrepresentative, vor vgo von vfor vgraduate
veducation vinvanesthesia vor vas va vphysician vassistant.
21. This vquestion vis va vsimple vclassic vthat vhas vmany vpossible vanswers.
Dr. vDavid vPierson vpromoted vthe vscience vof vrespiratory vcare vand vthe vuse vof vprotocols.
vHe vhelped vus velevate vour vpractice. vJoseph vPriestley vdiscovered vO2, vand vThomas
vBeddoes vfirstv used vit. vI vwould vlike vto vbe va vtherapist vwho vbecomes va vpioneer vof va vnew
vand vvital vtechnique.
Copyright v© v2017 vElsevier vInc. vAll vRights
vReserved.
,Kacmarek: Egan's Fundamentals of Respiratory Care, 11th Edition
v v v v v v v
Chapter v02: vDelivering vEvidence-Based vRespiratory
v CarevAnswer vKey vfor vthe vWorkbook
CHAPTER vOBJECTIVES
1. Understand vthe velements vfor vdelivering vquality vrespiratory vcare. v(Q: v5)
2. Explain vhow vrespiratory vcare vprotocols vimprove vthe vquality vof vrespiratory vcare
vservices.v(Q: v6, v7)
3. Understand vthe vevidence-based vmedicine. v(Q: v9)
WORD vWIZARD
1. CoARC Responsible vfor vquality vof vschools
2. The vJoint vCommission Uses vsite vvisits vto vcheck vquality vof vcare
3. Evidence-based vmedicine Uses vmeta-analyses vto vfind vbest vcare
4. NBRC Responsible vfor vquality vof vcredentialing vexams
MEET vTHE vOBJECTIVES
5. Reference: vPage v20
A. Equipment
B. Personnel
C. Method vof vdelivery vof vservices
6. Reference: vPage v31
A. Institutional: vSkills vcheck-offs vand vclasses vand vcompetencies
B. Governmental: vMonitors vlike vCMS vor vThe vJoint vCommission vaccredits
vinstitutionsv
based von vquality vmonitoring vstandards vover vnine vor vmore vareas.
7. Reference: vTables v2-1, v2-2, v2-3, vand v2-5
Protocols vimprove vthe vallocation vof vrespiratory vresources vby vreducing vmisallocations
vsuchvas vover-ordering. vProtocols valso vreduce vcosts. vCare vmay vbe venhanced.
8. Reference: vPages v36-38
The vARDSNet vstudies vproduced vscientific vevidence. vWhen vanalyzed, vthey vshowed
vthatvyou vcould vdecrease vpatient vmortality vby vfollowing vspecific vguidelines vfor vvolume
vventilation. vUsing v4 vto v8 vml/kg vas vthe vbreath vsize vsaved vlives.
SUMMARY vCHECKLIST
Reference: vPage v38
9. Misallocation
Copyright v© v2017 vElsevier vInc. vAll vRights
vReserved.
, Answer vKey vfor vthe vWorkbook 2-2
10. Protocols
11. Registered v(RRT)
12. National vBoard vfor vRespiratory vCare v(NBRC)
13. Evidence-based
CASE vSTUDIES
v
v Case v1
Reference: vPage v26, vFigure v2-2
14. A. vSOB
B. Tachycardia
C. Diaphoresis, vconfusion, vetc.
15. The vpulse voximeter vshows va vgood vsaturation. vThe vpatient vhas vno vclinical vsigns vof
vhypoxemia vand vno vhistory vthat vsuggests vheart vor vlung vdisease. vRespiratory vrate vand
vheartvrate vare vnormal. vOxygen v(O2) vtherapy vis vnot vindicated.
16. Place vthe vpatient von vroom vair vand vrecheck vthe vsaturation. vThe vhistory vof vabdominal
vsurgery vsuggests vstarting vthe vpatient von vpostoperative vprotocol vlike vincentive
vspirometry.vDiscontinue vthe vO2 v if vthe vsaturations vare vgood.
Case v2
Reference: vPage v25, vFigure v2-1
17. He vhas va vhistory vof vsmoking, vlung vdisease, vand vhas vhad vsurgery. vHis vx-ray
vshowsvatelectasis. vHe vis vwheezing, vso vhe vneeds va vbronchodilator.
Step v1: vPatient vis valert
Step v 2: vCan v take va vdeep v breath
vStep v3: vDoes vnot vmeet vMDI
vcriteriavStep v4: vSelect vSVN
WHAT vDOES vTHE vNBRC vSAY?
18. Reference: vPage v26, vFigure v2-2
A. O2 v therapy
19. Reference: vPage v27, vMini vClini
D. Aerosolized vbronchodilator vtherapy
20. Reference: vPage v26, vFigure v2-2
A. Increase vthe vliter vper vminute vflow vto vthe vcannulas.
Copyright v© v2017 vElsevier vInc. vAll vRights
vReserved.
