Additional Information
Book Details
Abstract
Prepare yourself for the new 2015 NBRC credentialing examination with the most up-to-date review resource! Respiratory Care Exam Review, 4th Edition contains everything you need to review and prepare for the new Therapist Multiple-Choice Examination that closely aligns with the NBRC’s new testing format, including more analysis-type questions. The accompanying Evolve website offers even more review with a practice Therapist Multiple-Choice Exam to familiarize yourself with the computerized exam format. Twenty clinical simulations that reflect the new quantity of simulations on the actual Clinical Simulation Exam (CSE) are also included on the companion website for additional practice on this very difficult portion of the Registry exam.
- UNIQUE! Clinical simulations on the Evolve companion site reflect the new quantity of simulations (20) and the newly revised length of these simulations on the actual 2015 Clinical Simulation Exam (CSE).
- Rationales are provided on the Evolve companion site for every question in the practice exam along with the NBRC code for the difficulty level of the question (recall, application, analysis).
- UNIQUE! Exam notes are highlighted in special boxes to help you streamline your time better by identifying content specific to the credentialing exam.
- A practice exam reflecting the new TM-CE is included in the back of the text with the answer key and rationales provided on Evolve.
- Pre-tests with several multiple-choice questions are formatted like those found on the NBRC TM-CE and begin each chapter to help you determine a base of knowledge and content areas of strength and weakness before studying the chapter.
- Computerized practice exam on the Evolve companion site available in both study (untimed) and exam (timed) modes to provide an additional opportunity to practice and experience the actual NBRC testing environment in a computerized format.
- Experienced and test-savvy author, Gary Persing, ensures that critical NBRC TM-CE content is covered thoroughly and accurately.
- Comprehensive, yet straightforward outline format correlates with the updated 2015 NBRC Detailed Content Outline and exam matrix to keep content current.
- Open-ended post-chapter study questions end each chapter to reinforce information and help you retain the material.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Inside Front Cover | ES2 | ||
| Respiratory Care Exam Review | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| Contributor | vii | ||
| Reviewers | ix | ||
| Preface | xi | ||
| Acknowledgments | xiii | ||
| Contents | xv | ||
| Chapter 1: Oxygen and medical gas therapy | 1 | ||
| Pretest questions | 1 | ||
| Review | 2 | ||
| I. Storage and control of medical gases | 2 | ||
| II. O2 Therapy | 6 | ||
| III. Alveolar air equation | 16 | ||
| IV. Mixed gas therapy | 16 | ||
| V. Hyperbaric O2 therapy | 17 | ||
| VI. O2 Analyzers | 18 | ||
| VII. O2 Saturation monitoring (pulse oximetry) | 18 | ||
| VIII. Cooximetry (hemoximetry) | 19 | ||
| Postchapter study questions | 19 | ||
| Bibliography | 19 | ||
| Chapter 2: Humidity and aerosol | 20 | ||
| Pretest questions | 20 | ||
| Review | 21 | ||
| I. Humidity therapy | 21 | ||
| II. Aerosol therapy | 24 | ||
| Postchapter study questions | 27 | ||
| Bibliography | 27 | ||
| Chapter 3: Assessment of the cardiopulmonary patient | 28 | ||
| Pretest questions | 28 | ||
| Review | 29 | ||
| I. Patient history | 29 | ||
| II. Assessment of symptoms | 29 | ||
| III. Other physical assessments | 31 | ||
| IV. Assessment of laboratory test results | 40 | ||
| V. Reviewing the patient chart | 42 | ||
| Postchapter study questions | 43 | ||
| Bibliography | 43 | ||
| Chapter 4: Management of the airway | 44 | ||
| Pretest questions | 44 | ||
| Review | 45 | ||
| I. Upper airway obstruction | 45 | ||
| II. Artificial airways | 45 | ||
| III. Maintenance of artificial airways | 59 | ||
| IV. ET Tube extubation | 61 | ||
| V. Laryngeal and tracheal complications of ET tubes | 61 | ||
| Postchapter study questions | 62 | ||
| Bibliography | 62 | ||
| Chapter 5: Special respiratory care procedures | 63 | ||
| Pretest questions | 63 | ||
| Review | 64 | ||
| I. Bronchoscopy | 64 | ||
| II. Chest tube insertion and monitoring | 65 | ||
| Postchapter study questions | 67 | ||
| Bibliography | 68 | ||
| Chapter 6: Manual resuscitation techniques/emergency respiratory care | 69 | ||
| Pretest questions | 69 | ||
| Review | 70 | ||
| I. Manual resuscitators | 70 | ||
| II. Pharmacologic intervention during cpr | 71 | ||
| III. Defibrillation and cardioversion | 73 | ||
| IV. Advance directives | 74 | ||
| V. Transporting the critically ill patient | 74 | ||
| VI. Participating in disaster management | 75 | ||
| Postchapter study questions | 75 | ||
| Bibliography | 75 | ||
| Chapter 7: Hyperinflation therapy | 76 | ||
| Pretest questions | 76 | ||
| Review | 77 | ||
| I. Introduction to ippb therapy | 77 | ||
| II. Physiologic effects of ippb | 77 | ||
| III. Indications for ippb therapy | 78 | ||
| IV. Hazards of IPPB therapy | 78 | ||
| V. Contraindications to ippb therapy | 79 | ||
| VI. Positive effects of ippb in the treatment of pulmonary edema | 79 | ||
| VII. Proper administration of IPPB | 79 | ||
| VIII. Factors to consider when using a pressure-limited ippb machine | 80 | ||
| IX. Problems with ippb and corrective actions | 80 | ||
| X. Incentive spirometry (sustained maximal inspiratory therapy) | 81 | ||
| Postchapter study questions | 82 | ||
| Bibliography | 82 | ||
| Chapter 8: Bronchopulmonary hygiene techniques | 83 | ||
| Pretest questions | 83 | ||
| Review | 84 | ||
| I. Chest physical therapy | 84 | ||
| II. Other bronchopulmonary hygiene techniques | 88 | ||
| Postchapter study questions | 92 | ||
| Bibliography | 92 | ||
| Chapter 9: Cardiac monitoring | 93 | ||
| Pretest questions | 93 | ||
| Review | 94 | ||
| I. Electrocardiography | 94 | ||
| II. Hemodynamic monitoring | 101 | ||
| III. Cardiopulmonary stress testing | 108 | ||
| Postchapter study questions | 109 | ||
| Bibliography | 110 | ||
| Chapter 10: Arterial Blood Gas Interpretation | 111 | ||
| Pretest questions | 111 | ||
| Review | 112 | ||
| I. ABG Analysis | 112 | ||
| II. Arterial oxygenation | 113 | ||
| III. CO2 Transport and alveolar ventilation | 114 | ||
| IV. Acid-base balance (pH) | 114 | ||
| V. Arterial blood gas interpretation | 116 | ||
| VI. Blood gas analyzers | 117 | ||
| Postchapter study questions | 118 | ||
| Bibliography | 119 | ||
| Chapter 11: Ventilator management | 120 | ||
| Pretest questions | 120 | ||
| Review | 121 | ||
| I. Mechanical ventilation | 121 | ||
| II. Ventilator controls | 123 | ||
| III. Ventilator alarms and monitoring | 127 | ||
| IV. Indications for mechanical ventilation | 128 | ||
| V. Common criteria for initiation of mechanical ventilation | 129 | ||
| VI. Complications of mechanical ventilation | 129 | ||
| VII. Dead space volume (VD) | 130 | ||
| VIII. CL | 130 | ||
| IX. Ventilation in the patient with head trauma | 132 | ||
| X. Weaning from mechanical ventilation | 133 | ||
| XI. High-frequency ventilation (HFV) | 133 | ||
| XII. Estimating desired ventilator variable changes | 134 | ||
| XIII. Practice ventilator problems | 135 | ||
| XIV. Ventilator flow, volume, and pressure waveforms | 136 | ||
| XV. Summary of ventilator adjustments according to ABG results | 138 | ||
| XVI. Maintenance of the ventilator circuit | 138 | ||
| XVII. VAP | 138 | ||
| Postchapter study questions | 139 | ||
| Bibliography | 139 | ||
| Chapter 12: Disorders of the respiratory system | 140 | ||
| Pretest questions | 140 | ||
| Review | 141 | ||
| I. Chronic Obstructive Pulmonary Disease (COPD) | 141 | ||
| II. Asthma | 143 | ||
| III. Bronchiectasis | 145 | ||
| IV. Lower respiratory tract infections | 145 | ||
| V. Other lung disorders | 147 | ||
| VI. Sleep apnea | 151 | ||
| Postchapter study questions | 153 | ||
| Bibliography | 153 | ||
| Chapter 13: Neonatal and pediatric respiratory care | 154 | ||
| Pretest questions | 154 | ||
| Review | 155 | ||
| I. Neonatal respiratory care | 155 | ||
| II. Neonatal cardiopulmonary disorders | 160 | ||
| III. Extracorporeal Membrane Oxygenation (ECMO) | 163 | ||
| IV. Airway disorders of the pediatric patient | 164 | ||
| Postchapter study questions | 166 | ||
| Bibliography | 166 | ||
| Chapter 14: Respiratory medications | 167 | ||
| Pretest questions | 167 | ||
| Review | 168 | ||
| I. Classification of respiratory medications | 168 | ||
| II. Dry powder inhalers (DPIS) | 172 | ||
| III. Vaccines | 173 | ||
| IV. Drug calculations | 173 | ||
| Postchapter study questions | 173 | ||
| Bibliography | 174 | ||
| Chapter 15: Respiratory home care | 175 | ||
| Pretest questions | 175 | ||
| Review | 176 | ||
| I. Home rehabilitation | 176 | ||
| II. Care of the rehabilitation patient | 176 | ||
| III. Home apnea monitoring | 178 | ||
| Postchapter study questions | 178 | ||
| Bibliography | 178 | ||
| Chapter 16: Pulmonary function testing | 179 | ||
| Pretest questions | 179 | ||
| Review | 180 | ||
| I. Lung volumes and capacities | 180 | ||
| II. Lung studies | 182 | ||
| III. Obstructive versus restrictive lung diseases | 184 | ||
| IV. Miscellaneous pulmonary function studies | 185 | ||
| V. Interpretation of chart summary | 185 | ||
| VI. Flow-sensing devices | 186 | ||
| Postchapter study questions | 186 | ||
| Bibliography | 186 | ||
| Chapter 17: Equipment decontamination and infection control | 187 | ||
| Pretest questions | 187 | ||
| Review | 188 | ||
| I. Basic terminology | 188 | ||
| II. Conditions that influence antimicrobial action | 188 | ||
| III. Three main classes of bacteria | 188 | ||
| IV. Sterilization and disinfection techniques | 188 | ||
| V. Important points concerning decontamination of equipment | 189 | ||
| VI. Infection control and standard precautions | 190 | ||
| Postchapter study questions | 191 | ||
| Bibliography | 191 | ||
| Therapist Multiple-Choice Examination: Practice Test | 193 | ||
| Time limit: 3 hours | 193 | ||
| Pretest answers and rationales | 212 | ||
| Chapter one | 212 | ||
| Chapter two | 213 | ||
| Chapter Three | 213 | ||
| Chapter Four | 214 | ||
| Chapter Five | 215 | ||
| Chapter Six | 215 | ||
| Chapter Seven | 216 | ||
| Chapter Eight | 216 | ||
| Chapter Nine | 217 | ||
| Chapter Ten | 217 | ||
| Chapter Eleven | 218 | ||
| Chapter Twelve | 219 | ||
| Chapter Thirteen | 219 | ||
| Chapter Fourteen | 220 | ||
| Chapter Fifteen | 221 | ||
| Chapter Sixteen | 221 | ||
| Chapter Seventeen | 222 | ||
| Answers to postchapter study questions | 223 | ||
| Chapter 1 | 223 | ||
| Chapter 2 | 223 | ||
| Chapter 3 | 223 | ||
| Chapter 4 | 224 | ||
| Chapter 5 | 224 | ||
| Chapter 6 | 224 | ||
| Chapter 7 | 224 | ||
| Chapter 8 | 224 | ||
| Chapter 9 | 225 | ||
| Chapter 10 | 225 | ||
| Chapter 11 | 225 | ||
| Chapter 12 | 226 | ||
| Chapter 13 | 226 | ||
| Chapter 14 | 227 | ||
| Chapter 15 | 227 | ||
| Chapter 16 | 228 | ||
| Chapter 17 | 228 | ||
| Index | 229 | ||
| Abbreviations | 244 | ||
| Commonly Used Equations | 247 | ||
| Inside Back Cover | ES3 |