Egan's fundamentals of respiratory care / [edited by] Robert L. Wilkins, James K. Stoller, Robert M. Kacmarek ; consulting editors, David C. Shelledy, Lucy Kester.

Includes bibliographical references and index.

Part 1: Foundations Of Respiratory Care -- 1: History of respiratory care / David C Shelledy and Carl P Wiezalis -- Definitions -- History of respiratory medicine and science -- Development of the respiratory care profession -- Professional organizations -- Respiratory care education -- Future of respiratory care -- 2: Quality and evidence-based respiratory care / Lucy Kester and James K Stoller -- Elements of a hospital-based respiratory care program: roles supporting quality care -- Methods for enhancing quality respiratory care -- Evidence-based medicine -- 3: Patient safety, communication, and recordkeeping / Robert L Wilkins -- Safety considerations -- Communication -- Conflict and conflict resolution -- Recordkeeping -- 4: Principles of infection control / Steven M Gordon -- Spread of infection -- Infection control strategies -- Disinfection and sterilization -- Equipment handling procedures -- Precautions to prevent transmission of infectious agents -- Surveillance -- 5: Ethical and legal implications of practice / Charles Carroll -- Philosophical foundations of ethics -- Ethical dilemmas of practice -- Codes of ethics -- Ethical theories and principles -- Ethical viewpoints and decision making -- Legal issues affecting respiratory care -- Interaction of ethics and the law -- 6: Physical principles of respiratory care / Robert L Wilkins -- States of matter -- Change of state -- Gas behavior under changing conditions -- Fluid dynamics -- 7: Computer applications in respiratory care / Michael E Anders -- Computer systems -- Computer applications -- Computer applications in respiratory care -- Emerging applications -- Information retrieval -- Education -- Research -- Security and confidentiality -- Part 2: Applied Anatomy And Physiology -- 8: Respiratory system / George H Hicks -- Genetic control -- Development of the respiratory system -- Transition from uterine to extrauterine life -- Postnatal lung development -- Respiratory system in the adult -- Pulmonary vascular, lymphatic, and nervous systems -- Anatomy of the respiratory tract -- 9: Cardiovascular system / W William Hughes -- Functional anatomy -- Control of the cardiovascular system -- Events of the cardiac cycle -- 10: Ventilation / Gregg L Ruppel -- Mechanics of ventilation -- Mechanics of exhalation -- Work of breathing -- Distribution of ventilation -- Efficiency and effectiveness of ventilation -- 11: Gas exchange and transport / Robert L Wilkins -- Diffusion -- Normal variations from ideal gas exchange -- Oxygen transport -- Carbon dioxide transport -- Abnormalities of gas exchange and transport -- 12: Solutions, body fluids, and electrolytes / Gregg L Ruppel -- Solutions -- Electrolytic activity and acid-base balance -- Body fluids and electrolytes -- 13: Acid-base balance / Will Beachey -- Hydrogen ion regulation in body fluids -- Acid excretion -- Acid-base disturbances -- Clinical acid-base states -- 14: Regulation of breathing / Will Beachey -- Medullary respiratory center -- Pontine respiratory centers -- Reflex control of breathing -- Chemical control of breathing -- Ventilatory response to exercise -- Abnormal breathing patterns -- Carbon dioxide and cerebral blood flow --

Part 3: Assessment Of Respiratory Disorders -- 15: Bedside assessment of the patient / Robert L Wilkins -- Interviewing the patient and taking a medical history -- Physical examination -- 16: Interpretation of clinical laboratory data / Robert L Wilkins -- Interpreting clinical laboratory tests -- 17: Interpreting the electrocardiogram / Kimberly A Sorensen and Robert L Wilkins -- Electrocardiogram -- 18: Analysis and monitoring of gas exchange / Robert L Wilkins -- Analysis versus monitoring -- Invasive versus noninvasive procedures -- Measuring FIO2 -- Sampling and analyzing blood gases -- Blood gas monitoring -- Oximetry -- Capometry and capnography -- 19: Pulmonary function testing / F Herbert Douce -- Pulmonary function testing -- Principles of measurement and significance -- Interpretation of the pulmonary function report -- 20: Synopsis of thoracic imaging / N Lennard Specht and James K Stoller -- Overview of the plain chest radiograph -- Pleura -- Lung parenchyma -- Mediastinum -- 21: Nutrition assessment / Georgia Hodgkin -- Nutrition assessment -- Outcomes of nutrition assessment -- Macronutrients and energy requirements -- General aspects of nutritional support -- Nutritional support in specific circumstances -- Part 4: Review Of Cardiopulmonary Disease -- 22: Pulmonary infections / Steven K Schmitt and David L Longworth -- Classification -- Pathogenesis -- Microbiology -- Clinical manifestations -- Chest radiograph -- Risk factors for mortality and assessing the need for hospitalization -- Diagnostic studies -- Therapy -- Prevention -- Tuberculosis -- Role of the respiratory therapist in pulmonary infections -- 23: Obstructive lung disease: COPD, asthma, and related diseases / Raed Dweik and James K Stoller -- Chronic obstructive pulmonary disease -- Asthma -- Bronchiectasis -- Role of the respiratory therapist in obstructive lung disease -- 24: Interstitial lung disease / Jeffrey T Chapman and Kevin K Brown -- Organization of the interstitial lung diseases -- Pathophysiology -- Characteristics of interstitial lung diseases -- Selected specific types of interstitial lung diseases and their therapies -- Nonspecific interstitial lung disease therapies -- Role of the respiratory therapist in interstitial lung diseases -- 25: Pleural diseases / Charlie Strange -- Pleural space -- Pleural effusions -- Pneumothorax -- Role of the respiratory therapist in pleural diseases -- 26: Pulmonary vascular disease / Raed A Dweik and Alejandro C Arroliga -- Venous thromboembolic disease -- Pulmonary hypertension -- Role of the respiratory therapist in pulmonary vascular disease -- 27: Acute lung injury, pulmonary edema, and multiple system organ failure / Elliott D Crouser and Ruairi J Fahy -- Epidemiology -- Acute respiratory distress syndrome risk factors -- Pathophysiology -- Histopathology and clinical correlates of acute respiratory distress syndrome -- Therapeutic approach to acute respiratory distress syndrome -- Role of the respiratory therapist in acute lung injury/acute respiratory distress syndrome -- 28: Lung cancer / Peter Mazzone -- Epidemiology -- Lung cancer classification -- Pathophysiology -- Clinical features -- Diagnosis -- Staging -- Screening for lung cancer -- Treatment and outcomes -- Future -- Role of the respiratory therapist in managing patients with lung cancer -- 29: Neuromuscular and other diseases of the chest wall / Robert Schilz -- General priniciples relating to neuromuscular weakness of the ventilator muscles -- Specific neuromuscular diseases -- Role of the respiratory therapist in neuromuscular and other diseases of the chest wall -- 30: Disorders of sleep / Laurie A Kilkenny, Karl S Fernandes, Patrick J Strollo, Jr -- Definitions -- Pathophysiology -- Clinical features -- Laboratory testing -- Treatment -- Role of the respiratory therapist in disorders of sleep -- 31: Neonatal and pediatric respiratory disorders / Douglas D Deming and N Lennard Specht -- Neonatal respiratory disorders -- Neonatal resuscitation -- Pediatric respiratory disorders -- Role of the respiratory therapist in neonatal and pediatric respiratory disorders --

Part 5: Basic Therapeutics -- 32: Airway pharmacology / Douglas S Gardenhire -- Principles of pharmacology -- Adrenergic bronchodilators -- Anticholinergic bronchodilators -- Mucus-controlling agents -- Inhaled corticosteroids -- Nonsteroidal antiasthma drugs -- Aerosolized antiinfective agents -- Inhaled pulmonary vasodilator -- Antidiabetic agents -- 33: Airway management / Kim F Simmons and Craig L Scanlan -- Suctioning -- Establishing an artificial airway -- Airway trauma associated with tracheal tubes -- Airway maintenance -- Extubation/decannulation -- Alternative airway devices -- Bronchoscopy -- 34: Emergency cardiovascular life support / Thomas A Barnes -- Causes and prevention of sudden death -- Basic life support -- Advanced cardiovascular life support -- 35: Humidity and bland aerosol therapy / Jim Fink -- Humidity therapy -- Bland aerosol therapy -- Selecting the appropriate therapy -- 36: Aerosol drug therapy / Jim Fink -- Characteristics of therapeutic aerosols -- Hazards of aerosol therapy -- Aerosol drug delivery systems -- Selecting an aerosol drug delivery system -- Assessment-based bronchodilator therapy protocols -- Special considerations -- Controlling environmental contamination -- 37: Storage and delivery of medical gases / David Vines -- Characteristics of medical gases -- Storage of medical gases -- Distribution and regulation of medical gases -- 38: Medical gas therapy / Albert J Heuer and Craig L Scanlan -- Oxygen therapy -- Hypervaric oxygen therapy -- Other medical gas therapies -- 39: Lung expansion therapy / Robert L Wilkins -- Causes and types of atelectasis -- Clinical signs of atelectasis -- Lung expansion therapy -- Selecting an approach -- 40: Bronchial hygiene therapy / Mary Jane Myslinski and Craig L Scanlan -- Physiology of airway clearance -- General goals and indications -- Determining the need for bronchial hygiene therapy -- Bronchial hygiene methods -- Selecting bronchial hygiene techniques -- Protocol-based bronchial hygiene -- Part 6: Acute And Critical Care -- 41: Respiratory failure and the need for ventilator support / Loutfi S Aboussouan -- Hypoxemic respiratory failure (type I) -- Hypercapnic respiratory failure (type II) -- Chronic respiratory failure (type I and type II) -- Clinical presentation -- Indications for ventilator support -- Assessment of respiratory fatigue, weakness, failure, and work of breathing -- Choosing a ventilator support strategy for different causes of respiratory failure -- 42: Mechanical ventilators / Robert L Chatburn and Teresa A Volsko -- How ventilators work -- Output waveforms -- Clinical application of modes -- 43: Physiology of ventilator support / Timothy B Op'tHolt -- Pressure and pressure gradients -- Effects of mechanical ventilation on oxygenation -- Effects of mechanical ventilation on ventilation -- Effects of positive pressure mechanical ventilation on lung mechanics -- Minimizing adverse pulmonary effects of positive pressure mechanical ventilation -- Physiologic effects of ventilator modes -- Cardiovascular effects of positive pressure mechanical ventilation -- Minimizing the cardiovascular effects of positive pressure mechanical ventilation -- Effects of positive pressure mechanical ventilation on other body systems -- Complications of mechanical ventilation -- 44: Initiating and adjusting ventilatory support / David C Shelledy -- Indications for mechanical ventilator support -- Ventilator initiation -- Initial ventilator settings -- Adjusting ventilatory support -- Oxygenation -- Ventilation --

45: Noninvasive positive pressure ventilation / Robert M Kacmarek -- Types of noninvasive ventilation -- Goals of and indications for noninvasive positive pressure ventilation -- Patient selection and exclusion criteria for noninvasive positive pressure ventilation -- Equipment used in the application of noninvasive positive pressure ventilation -- Instituting and managing noninvasive positive pressure ventilation -- Complications of noninvasive positive pressure ventilation -- Time and cost associated with noninvasive positive pressure ventilation --46: Monitoring and management of the patient in the intensive care unit / Alexander B Adams -- Principles of monitoring -- Pathophysiology and monitoring -- Respiratory monitoring -- Monitoring during lung protective ventilation -- Cardiac and cardiovascular monitoring -- Neurologic monitoring -- Monitoring renal function -- Monitoring liver function -- Nutritional monitoring -- Global monitoring indices -- Troubleshooting -- 47: Discontinuing ventilatory support / David C Shellady -- Definitions -- Reasons for ventilator dependence -- Patient evaluation -- Preparing the patient -- Methods -- Newer techniques for facilitating ventilator discontinuance -- Selecting an approach -- Monitoring the patient during weaning -- Extubation -- Failure -- Chronically ventilator-dependent patients -- Terminal weaning -- 48: Neonatal and pediatric respiratory care / Peter Betit and John Thompson -- Assessment of the newborn -- Respiratory care -- Continuous positive airway pressure -- Mechanical ventilation -- Inhaled nitric oxide -- Extracorporeal membrane oxygenation -- Neonatal-pediatric transport -- Part 7: Patient Education And Long-Term Care -- 49: Patient education and health promotion / Donna Gardner and Robert L Wilkins -- Patient education -- Health education -- Health promotion and disease prevention -- 50: Cardiopulmonary rehabilitation / Kenneth A Wyka -- Definitions and goals -- Historical perspective -- Scientific basis -- Structure of a pulmonary rehabilitation program -- 51: Respiratory care in alternative settings / Albert J Heuer and Craig L Scanlan -- Recent developments and trends -- Definitions and goals -- Standards -- Traditional acute care versus postacute care -- Discharge planning -- Oxygen therapy in alternative settings -- Ventilatory support in alternative settings -- Other modes of postacute respiratory care -- Patient assessment and documentation -- Equipment disinfection and maintenance -- Palliative care -- Appendix 1: Temperature correction of barometric reading -- Appendix 2: Factors to convert gas volumes from STPD to BTPS at given barometric pressures -- Appendix 3: Factors to convert gas volumes from ATPS to STPD -- Appendix 4: Table of normal values -- Glossary -- Index.

From the Publisher: A leader in respiratory care education for more than 35 years, this comprehensive textbook lays a strong foundation for a successful career. You'll gain a thorough understanding of the role of respiratory therapists (RTs), a scientific basis for treatment, and clinical applications. In-depth discussions progress from the principles of respiratory care to applied anatomy and physiology, assessment, discussion of specific respiratory illnesses, basic therapy, acute and critical care, and preventive and long-term care. Clinical Practice Guidelines (CPGs) and Therapist Driven Protocols (TDPs) in appropriate chapters familiarize you with patient care guidelines and decision trees as they are used in practice. A full-color format makes the text easier to read and brings out key detail in the illustrations. Mini-Clinis provide short vignettes applying content in the text to actual patient care, asking you to think critically on problems you may encounter. Clinical Practice Guidelines (CPGs) cover the steps of patient care with important information on indications/contraindications, hazards and complications, assessment of need, assessment of outcome, and monitoring. Therapist-Driven Protocols (TDPs) provide decision trees developed by hospitals, helping you to assess patients, initiate care, and evaluate outcomes. Rules of Thumb highlights rules, formulas, and key points important to clinical practice. Measurable Learning Objectives parallel the areas tested by the NBRC exam, helping you identify important information that goes beyond memorization and recall. Key Point summaries in bulleted format help you clearly identify key concepts covered in each chapter. A Workbook includes a wide range of activities such as NBRC-type multiple-choice questions, case studies, experiments, and hands-on activities, allowing you to apply the knowledge you've gained from the text. New History of Respiratory Care chapter describes the evolution and challenges of this profession. Updated content reflects changes in the field, with additions to the text including: More coverage of evidence-based care; Information on HIPAA; A discussion of computer applications in a health care setting; An emphasis on how nutrition impacts the respiratory system; The role of the respiratory therapist in disease management is discussed in the Cardiopulmonary Diseases section. A new appendix cross-references the NBRC examination matrices for the CRT and RRT to content in the book, making it easier to prepare for the NBRC exams.