Foundations of Respiratory Care

Kenneth A. Wyka has been in the field of respira¬tory care since 1970. He obtained his bachelor’s and master’s degrees from Fairleigh Dickinson University in Teaneck, New Jersey, and formal training in respiratory care from the Lenox Hill Hospital School for Respira¬tory Therapy in New York City. In 1972, he founded the respiratory therapy program at Passaic County Community College in Paterson, New Jersey. Since then, he managed the respiratory care department at Valley Hospital in Ridgewood, New Jersey, was the director of respiratory clinical education at the Uni¬versity of Medicine & Dentistry of New Jersey, started several pulmonary rehabilitation programs, worked in home care, and began a health-care/respiratory care consulting practice. He is the author of Respiratory Care in Alternate Sites and coauthor of Oakes’ Respira¬tory Home Care: An On-Site Reference Guide. In addi¬tion, he has been the president of both the New Jersey and New York Societies for Respiratory Care and has been actively involved in several voluntary health and professional organizations. Currently, Ken is the Center Manager and Respiratory Care Patient Coordinator for Anthem Health Services in Queensbury, New York. Paul J. Mathews PhD, RRT, FCCM, FCCP, FAARC is Associate Professor of Respiratory Care, School of Allied Health; Associate Professor in Physical Therapy; and Adjunct Associate Professor at the Center on Aging, University of Kansas. He received his respiratory therapy training at Yale-New Haven Medical Center in New Haven, Connecticut. He holds his undergraduate degree from Quinnipiac College, Hamden, Connecticut; a Master of Public Administration degree from the University of Hartford in Connecticut; and EdS and PhD degrees from the University of Missouri in Kansas City, Missouri. He has published more than 160 articles in various national journals, has authored several books, serves on six editorial boards, and has lectured at many national and international meetings. In 1989, Dr. Mathews was president of the AARC, and, in 1990, he was selected for AARC Life Membership. He is also a Fellow of the American College of Critical Care Medicine and of the American College of Chest Physicians. Currently, he is a member of the New York Academy of Sciences and is listed in Who's Who in America and Who's Who in the World. John Rutkowski is the director of Cardiopulmonary Services at Bergen Regional Medical Center in Paramus, New Jersey, as well as an adjunct assistant professor at the University of Medicine and Dentistry in Newark, New Jersey. His career in respiratory care includes over 40 years of clinical, managerial, and community outreach experience. He received his respiratory therapy training and certificate from St. Joseph Hospital School of Respiratory Therapy in Lancaster, Pennsylvania, along with an A.S. degree from York College of Pennsylvania. He also earned an undergraduate degree in chemistry from Jersey City State College, an MBA from Fairleigh Dickinson University, and a master of public administration from Seton Hall University. In addition to his work as a respiratory therapist, he remains active in the American Association for Respiratory Care and its New Jersey affiliate. He is a member of the American College of Healthcare Executives and its NJ affiliate, the Association of Healthcare Executives of New Jersey, and has earned the Fellow of the American College of Healthcare Executives (FACHE) credential. Throughout his career, he has been active in the American Lung Association. He is a member of the ALA’s Nationwide Assembly, board member, and past chair of the ALA in the Mid-Atlantic, advisory board member and past chair of the ALA in New Jersey, and a member of the Pediatric/Adult Asthma Coalition of New Jersey.

Section I: Scope of Practice
1. The History and Scope of Respiratory Care
2. Legal, Professional, and Ethical Practice
Section II: The Applied Sciences
3. Applied Physics
4. Applied Chemistry
5. Applied Microbiology
6. Cardiopulmonary Anatomy and Physiology
7. Cardiopulmonary Pharmacology
8. Pulmonary Infections
9. Airflow Limitation Diseases
10. Diffuse Parenchymal Lung Diseases
11. Atelectasis, Pleural Disorders, and Lung Cancer
12. Diseases that Affect the Pulmonary Vasculature
Section III: Essential Diagnostics
13. Comprehensive History, Assessment, and Documentation
14. Radiology for the Respiratory Therapist
15. Clinical Laboratory Studies
16. Arterial Blood Gases and Noninvasive Monitoring of Oxygen and Carbon Dioxide
17. Pulmonary Function Testing
18. Polysomnography and Other Tests for Sleep Disorders
19. Cardiac and Hemodynamic Monitoring
Section IV: Essential Therapeutics
20. Oxygen and Medical Gas Therapy
21. Humidity and Aerosol Therapy
22. Hyperinflation Therapy
23. Pulmonary Hygiene and Chest Physical Therapy
24. Airway Management
25. Physiological Effects of Mechanical Ventilation
26. Initiation, Monitoring and Discontinuing Mechanical Ventilation
27. Mechanics and Modes of Mechanical Ventilation
28. Noninvasive Mechanical Ventilation
Section V: Levels of Care Delivery
29. Neonatal and Pediatric Respiratory Care
30. Geriatric Applications
31. Emergency Respiratory Care
32. Managing Disasters: Respiratory Care in Mass Critical Care
33. Adult Critical Care
34. Subacute and Long-Term Care
35. Respiratory Home Care
36. Pulmonary Rehabilitation
37. Patient Transport in Respiratory Care
Section VI: Miscellaneous Applications
38. Protecting the Patient and the Health Care Provider
39. Health Promotion
40. Fundamentals of Patient Education
41. Management of Respiratory Care Services
Appendix A: The Respiratory Therapist in Non-Traditional Roles
Appendix B: Abbreviations
Appendix C: Routes for Entry-Level (CRT) Practice and Registry-Level (RRT) Practice
Appendix D: Selected Diagnostic Studies
Appendix E: Arterial Blood Gases: Normal Values
Appendix F: Characteristics of Adventitious Breath Sounds
Glossary