Clinical Manifestations and Assessment of Respiratory Disease

Clinical Manifestations and Assessment of Respiratory Disease

8th Edition - January 6, 2019

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  • Authors: Terry Des Jardins, George Burton
  • Paperback ISBN: 9780323553698
  • eBook ISBN: 9780323571005

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Description

A realistic look at treating respiratory diseases! Clinical Manifestations and Assessment of Respiratory Disease, 8th Edition gives you a fundamental knowledge and understanding that is required to successfully assess and treat patients with respiratory diseases. Using a unique organization of material, this full-color text is divided into three distinct areas which show you how to first gather clinical data, then formulate assessments, make objective evaluations, identify desired outcomes, design a safe and effective treatment plan, and finally document all steps. With easy-to-follow language and relevant clinical scenarios, you will gain a firm understanding of why certain treatment modalities are applied. New to this edition is a chapter detailing Respiratory Insufficiency in the Patient with Neuro-Respiratory Disease, along with revised content which takes a deeper dive into latest developments, research, and practices and protocols in the treatment of respiratory disease.

Key Features

  • Revised content in the disease sections reflect the latest developments, research, and practices and protocols in the treatment of respiratory disease.
  • UPDATED! Case studies on Evolve provide realistic examples of the respiratory therapist’s role in successful patient care and help you apply text information to clinical assessment and treatment.
  • UNIQUE! Emphasis on clinical scenarios and critical thinking skills helps students understand the causes of the clinical manifestations activated by specific respiratory disorders.
  • UNIQUE! Focus on assessment and Therapist-Driven Protocols (TDPs) emphasizes industry-approved standards of care, providing you with the knowledge and skills to implement these protocols into patient care.
  • Overview boxes summarize the clinical manifestations caused by the pathophysiologic mechanisms of each disorder.
  • Self-assessment questions at the end of the text help you to personally assess your understanding of chapter material.
  • Student-friendly features reinforce learning with chapter outlines, objectives, key terms, and easy-to-follow language.

Table of Contents

  • Cover image
  • Title Page
  • Table of Contents
  • Copyright
  • Dedication
  • Reviewers
  • Preface
  • Anatomic Alterations of the Lungs
  • Etiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With the Disorder
  • Management of the Disease
  • Case Study
  • Self-Assessment Questions
  • Appendices and Glossary
  • References
  • Approach
  • Acknowledgments
  • Introduction
  • The Assessment Process—An Overview
  • The Assessment Process—Role of the Respiratory Therapist
  • Specific Components of the Assessment Process
  • Part I Assessment of Cardiopulmonary Disease
  • Section I Bedside Diagnosis
  • 1 The Patient Interview
  • Patient History
  • The Patient Interview
  • Techniques of Communication
  • Closing the Interview
  • Pitfalls and Weaknesses Associated With the Patient Interview
  • A Note of Reassurance
  • Self-Assessment Questions
  • 2 The Physical Examination
  • Vital Signs
  • Systematic Examination of the Chest and Lungs
  • Self-Assessment Questions
  • 3 The Pathophysiologic Basis for Common Clinical Manifestations
  • Normal Ventilatory Pattern
  • Abnormal Ventilatory Patterns
  • The Onset/Offset Patterns Associated With Various Cardiopulmonary Disorders
  • Use of the Accessory Muscles of Inspiration
  • Use of the Accessory Muscles of Expiration
  • Nasal Flaring
  • Splinting and Decreased Chest Expansion Caused by Pleuritic and Nonpleuritic Chest Pain
  • Abnormal Chest Shape and Configuration
  • Abnormal Extremity Findings
  • Distended Neck Veins and Jugular Venous Distention
  • Normal and Abnormal Sputum Production
  • Cough
  • Self-Assessment Questions
  • Section II Clinical Data Obtained from Laboratory Tests and Special Procedures—Objective Findings
  • 4 Pulmonary Function Testing
  • Normal Lung Volumes and Capacities
  • Forced Expiratory Flow Rate and Volume Measurements
  • Pulmonary Diffusion Capacity
  • Assessment of Respiratory Muscle Strength
  • Cardiopulmonary Exercise Testing
  • Other Diagnostic Tests for Asthma
  • Self-Assessment Questions
  • 5 Blood Gas Assessment
  • Acid-Base Abnormalities
  • Errors Associated With Arterial Blood Gas Measurements
  • Self-Assessment Questions
  • 6 Assessment of Oxygenation
  • Oxygen Transport Review
  • Total Oxygen Content of Blood
  • Oxyhemoglobin Dissociation Curve
  • Oxygenation Indices
  • Hypoxemia Versus Hypoxia
  • Self-Assessment Questions
  • 7 Assessment of the Cardiovascular System
  • The Electrocardiogram
  • Common Heart Arrhythmias
  • Noninvasive Hemodynamic Monitoring Assessments
  • Invasive Cardiovascular Monitoring Assessments
  • Cardiovascular (Hemodynamic) Monitoring in Respiratory Diseases
  • Self-Assessment Questions
  • 8 Radiologic Examination of the Chest
  • Fundamentals of Radiography
  • Standard Positions and Techniques of Chest Radiography
  • Inspecting the Chest Radiograph
  • Echocardiogram
  • Radiation Safety
  • Self-Assessment Questions
  • 9 Other Important Tests and Procedures
  • Sputum Examination
  • Skin Tests
  • Endoscopic Examinations
  • Video-Assisted Thoracoscopy Surgery
  • Thoracentesis
  • Pleurodesis
  • Hematology, Blood Chemistry, and Electrolyte Findings
  • Self-Assessment Questions
  • Section III The Therapist-Driven Protocol Program—The Essentials
  • 10 The Therapist-Driven Protocol Program
  • The “Knowledge Base” Required for a Successful Therapist-Driven Protocol Program
  • The “Assessment Process Skills” Required for a Successful Therapist-Driven Protocol Program
  • The Essential Cornerstones of a Successful Therapist-Driven Protocol Program
  • Common Anatomic Alterations of the Lungs
  • Self-Assessment Questions
  • 11 Respiratory Insufficiency, Respiratory Failure, and Ventilatory Management Protocols
  • Classifications of Respiratory Failure
  • Mechanical Ventilation
  • Ventilator Hazards
  • Self-Assessment Questions
  • 12 Recording Skills and Intraprofessional Communication
  • Types of Patient Records
  • Telemedicine
  • Health Insurance Portability and Accountability Act
  • Self-Assessment Questions
  • Part II Obstructive Lung Disease
  • Introduction
  • Introduction
  • 13 Chronic Obstructive Pulmonary Disease, Chronic Bronchitis, and Emphysema
  • Anatomic Alterations of the Lungs Associated With Chronic Bronchitis
  • Anatomic Alterations of the Lungs Associated With Emphysema
  • Etiology and Epidemiology
  • Risk Factors
  • Diagnosis and Assessment of Chronic Obstructive Pulmonary Disease
  • Key Distinguishing Features Between Emphysema and Chronic Bronchitis
  • Overview of the Cardiopulmonary Clinical Manifestations Associated with Chronic Bronchitis and Emphysema (Chronic Obstructive Pulmonary Disease)
  • General Management of Chronic Obstructive Pulmonary Disease
  • Overview of GOLD's Management of Stable Chronic Obstructive Pulmonary Disease
  • Case Study Chronic Bronchitis
  • Case Study Emphysema
  • Case Study Example of Classic Chronic Obstructive Pulmonary Disease
  • Self-Assessment Questions
  • 14 Asthma
  • National Asthma Education and Prevention Program
  • Global Initiative for Asthma
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Diagnosis of Asthma
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Asthma
  • General Management of Asthma
  • Respiratory Care Treatment Protocols
  • Case Study Asthma
  • Self-Assessment Questions
  • 15 Cystic Fibrosis
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Cystic Fibrosis
  • General Management of Cystic Fibrosis
  • Lung or Heart-Lung Transplantation
  • Case Study Cystic Fibrosis
  • Self-Assessment Questions
  • 16 Bronchiectasis
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Diagnosis
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Bronchiectasis
  • General Management of Bronchiectasis
  • Medications Commonly Prescribed by the Physician
  • Case Study Bronchiectasis
  • Self-Assessment Questions
  • Part III Loss of Alveolar Volume
  • 17 Atelectasis
  • Anatomic Alterations of the Lungs
  • Etiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Postoperative Atelectasis
  • General Management of Postoperative Atelectasis
  • Case Study Postoperative Atelectasis
  • Self-Assessment Questions
  • Part IV Infectious Pulmonary Disease
  • 18 Pneumonia, Lung Abscess Formation, and Important Fungal Diseases
  • Pneumonia: Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Community-Acquired Typical Pneumonia
  • Community-Acquired Atypical Pneumonia
  • Chronic Pneumonia
  • Fungal Diseases: Anatomic Alterations of the Lungs
  • Primary Pathogens
  • Pneumonia in the Immunocompromised Host
  • Necrotizing Pneumonia and Lung Abscess
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Pneumonia
  • General Management of Pneumonia
  • Case Study Pneumonia
  • Self-Assessment Questions
  • 19 Tuberculosis
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Tuberculosis Among Health Care Workers
  • Diagnosis
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Tuberculosis
  • General Management of Tuberculosis
  • Case Study Tuberculosis
  • Self-Assessment Questions
  • Part V Pulmonary Vascular Disease
  • 20 Pulmonary Edema
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Pulmonary Edema
  • General Management of Pulmonary Edema
  • Case Study Pulmonary Edema
  • Self-Assessment Questions
  • 21 Pulmonary Vascular Disease
  • Pulmonary Embolism
  • Pulmonary Hypertension
  • Self-Assessment Questions
  • Part VI Chest and Pleural Trauma
  • 22 Flail Chest
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Flail Chest
  • General Management of Flail Chest
  • Case Study Flail Chest
  • Self-Assessment Questions
  • 23 Pneumothorax
  • Anatomic Alterations of the Lungs
  • Etiology, Epidemiology, and Symptoms
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Pneumothorax
  • General Management of Pneumothorax
  • Case Study Spontaneous Pneumothorax
  • Self-Assessment Questions
  • Part VII Disorders of the Pleura and the Chest Wall
  • 24 Pleural Effusion and Empyema
  • Anatomic Alterations of the Lungs
  • Pleural Anatomy and Pathophysiology
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Pleural Effusion and Empyema
  • General Management of Pleural Effusion
  • Case Study Pleural Disease
  • Self-Assessment Questions
  • 25 Kyphoscoliosis
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Scoliosis
  • Kyphosis
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Kyphoscoliosis
  • General Management of Scoliosis
  • Respiratory Care Treatment Protocols
  • Case Study Kyphoscoliosis
  • Self-Assessment Questions
  • Part VIII Lung Cancer
  • 26 Cancer of the Lung
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Screening and Diagnosis
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Cancer of the Lung
  • General Management of Lung Cancer
  • Case Study Cancer of the Lung
  • Self-Assessment Questions
  • Part IX Environmental Lung Diseases
  • 27 Interstitial Lung Diseases
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Chronic Interstitial Lung Diseases
  • General Management of Interstitial Lung Disease
  • Case Study Interstitial Lung Disease
  • Self-Assessment Questions
  • Part X Diffuse Alveolar Disease
  • 28 Acute Respiratory Distress Syndrome
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Diagnostic Criteria for Acute Respiratory Distress Syndrome
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Acute Respiratory Distress Syndrome
  • General Management of Acute Respiratory Distress Syndrome
  • Case Study Acute Respiratory Distress Syndrome
  • Self-Assessment Questions
  • Part XI Neuro-Respiratory Disorders
  • 29 Guillain-Barré Syndrome
  • Anatomic Alterations of the Lungs Associated With Guillain-Barré Syndrome
  • Etiology and Epidemiology
  • Clinical Presentation
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Guillain-Barré Syndrome
  • General Management of Guillain-Barré Syndrome
  • Case Study Guillain-Barré Syndrome
  • Self-Assessment Questions
  • 30 Myasthenia Gravis
  • Anatomic Alterations of the Lungs Associated With Myasthenia Gravis
  • Etiology and Epidemiology
  • Screening and Diagnosis
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Myasthenia Gravis
  • General Management of Myasthenia Gravis
  • Case Study Myasthenia Gravis
  • Self-Assessment Questions
  • 31 Cardiopulmonary Assessment and Care of Patients with Neuromuscular Disease
  • Chronic Neuromuscular Diseases
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Neuromuscular Diseases
  • General Management of Neuromuscular Disease
  • Ventilatory Management of Patients With Neuromuscular Disease
  • Case Study Amyotrophic Lateral Sclerosis
  • Self-Assessment Questions
  • Part XII Sleep-Related Breathing Disorders
  • 32 Sleep Apnea
  • Obstructive Sleep Apnea
  • Central Sleep Apnea
  • Mixed Apnea
  • Sleep-Related Hypoventilation and Hypoxemia Syndromes
  • Diagnosis of Obstructive Sleep Apnea
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Sleep Apnea
  • General Management of Obstructive Sleep Apnea
  • General Management of Central Sleep Apnea
  • Case Study Obstructive Sleep Apnea
  • Self-Assessment Questions
  • Part XIII Newborn and Early Childhood Cardiopulmonary Disorders
  • 33 Newborn Assessment and Management
  • Fetal Development and Transition at Birth
  • Delivery Room Management of the Newborn
  • Assessment of the Newborn
  • Special Newborn Conditions and Topics
  • Self-Assessment Questions
  • 34 Pediatric Assessment and Management
  • Special Challenges in Pediatric Care
  • Common Infant and Pediatric Cardiopulmonary Disorders
  • Assessment of the Infant and Pediatric Patient
  • Pediatric Treatment Protocols
  • Self-Assessment Questions
  • 35 Meconium Aspiration Syndrome
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Meconium Aspiration Syndrome
  • General Management of Meconium Aspiration Syndrome
  • Case Study Meconium Aspiration Syndrome
  • Self-Assessment Questions
  • 36 Transient Tachypnea of the Newborn
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Transient Tachypnea of the Newborn
  • General Management of Transient Tachypnea of the Newborn
  • Case Study Transient Tachypnea of the Newborn
  • Self-Assessment Questions
  • 37 Respiratory Distress Syndrome
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Diagnosis
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Respiratory Distress Syndrome
  • General Management of Respiratory Distress Syndrome
  • Case Study Respiratory Distress Syndrome
  • Self-Assessment Questions
  • 38 Pulmonary Air Leak Syndromes
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Pulmonary Air Leak Syndromes
  • General Management of Pulmonary Air Leak Syndromes
  • Case Study Pulmonary Air Leak Syndromes
  • Self-Assessment Questions
  • 39 Respiratory Syncytial Virus Infection (Bronchiolitis)
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Respiratory Syncytial Virus Infection
  • General Management of Respiratory Syncytial Virus Infection (Bronchiolitis)
  • Case Study Respiratory Syncytial Virus Infection (Bronchiolitis)
  • Self-Assessment Questions
  • 40 Chronic Lung Disease of Infancy
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Chronic Lung Disease of Infancy (CLDI)
  • General Management of Chronic Lung Disease of Infancy
  • Case Study Chronic Lung Disease of Infancy
  • Self-Assessment Questions
  • 41 Congenital Diaphragmatic Hernia
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of Cardiopulmonary Clinical Manifestations Associated With Congenital Diaphragmatic Hernia
  • General Management of a Congenital Diaphragmatic Hernia
  • Case Study Diaphragmatic Hernia
  • Self-Assessment Questions
  • 42 Congenital Heart Diseases
  • Patent Ductus Arteriosus (PDA)
  • Atrial Septal Defect (ASD)
  • Ventricular Septal Defect (VSD)
  • Tetralogy of Fallot (TOF)
  • Transposition of the Great Arteries (TGA)
  • Hypoplastic Left Heart Syndrome (HLHS)
  • Case Study Transposition of the Great Arteries
  • Self-Assessment Questions
  • 43 Croup and Croup-Like Syndromes
  • Anatomic Alterations of the Upper Airway
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Laryngotracheobronchitis, Bacterial Tracheitis, and Epiglottitis
  • General Management of Laryngotracheobronchitis, Bacterial Tracheitis, and Epiglottitis
  • Case Study 1 Laryngotracheobronchitis
  • Case Study 2 Acute Epiglottitis
  • Case Study 3 Bacterial Tracheitis
  • Self-Assessment Questions
  • Part XIV Other Important Topics
  • 44 Near Drowning/Wet Drowning
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Near Wet Drowning
  • General Management of Near Drowning and Wet Drowning
  • Case Study Near Wet Drowning
  • Self-Assessment Questions
  • 45 Smoke Inhalation, Thermal Lung Injuries, and Carbon Monoxide Intoxication
  • Anatomic Alterations of the Lungs
  • Etiology and Epidemiology
  • Body Surface Burns
  • Overview of the Cardiopulmonary Clinical Manifestations Associated With Smoke Inhalation and Thermal Injuries
  • General Management of Smoke Inhalation and Thermal Injuries
  • Case Study Smoke Inhalation and Thermal Injury
  • Self-Assessment Questions
  • Answers to Self-Assessment Questions
  • Index

Product details

  • No. of pages: 673
  • Language: English
  • Copyright: © Mosby 2019
  • Published: January 6, 2019
  • Imprint: Mosby
  • Paperback ISBN: 9780323553698
  • eBook ISBN: 9780323571005

About the Authors

Terry Des Jardins

Affiliations and Expertise

Director, Professor Emeritus, Department of Respiratory Care, Parkland College, Champaign, Illinois.

George Burton

Affiliations and Expertise

Associate Dean for Medical Affairs, Kettering College of Medical Arts, Kettering, Ohio; Clinical Professor of Medicine and Anesthesiology, Wright State University School of Medicine, Dayton, Ohio.

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