STANDARD COMPETENCIES:

 

 I.      Specific Pulmonary Anatomy

         A.      List the three major components of the upper.

         B.      Discuss the three primary functions of the upper airway.

         C.      Discuss the structure and function of the nose.

         D.      Describe the histology of the tracheobronchial tree.

         E.      Explain the structure of the tracheobronchial tree.

         F.      Explain the function and structure of the mucociliary escalator.

         G.      Explain the unique structure of the main stem bronchi.

         H.      List all the branches of the lobar and segmental bronchi.

         I.      Draw and explain the structure and function of the lung parenchyma.

         J.      Describe the structure and function of the sites used for gas exchange.

         K.      Discuss the function and structure of the alveoli.

         L.      Discuss the function and structure of the interstitium.

         M.      Identify the components of the pleural membrane.

 II.     Mechanics of Pulmonary Ventilation

         A.      Define ventilation.

         B.      Describe the role and function of the diaphragm in ventilation.

         C.      Define the term static and dynamic.

         D.      Define and calculate lung compliance.

         E.      Discuss the role of surfactant and its effect on the alveolar surface.

         F.      Discuss the effects of airway resistance and work of breathing.

         G.      Calculate airway resistance.

         H.      Differentiate between alveolar ventilation and deadspace ventilation.

         I.      Discuss how depth and rate of breathing affect alveolar ventilation.

         J.      Define lung volumes and lung capacities.

         K.      Know the approximate lung volumes and lung capacities.

 III.    Pulmonary Blood Flow and Ventilation

         A.      Recall the pressures and blood volumes in the lung.

         B.      Explain the workings and importance of the pulmonary hypoxic reflex.

         C.      Draw a graph of normal blood flow in the upright lung.

         D.      Draw a model of the Starling resistor.

         E.      Explain the normal variance seen in the alveolar distending pressure.

         F.      Discuss how perfusion can change in the different zones.

         G.      ventilation?perfusion ratios in the normal upright lung.

         H.      Regulation of Respiration

         I.      Draw a graph of the partial pressure of 02 and C02 as a single breath is expired.

         J.      Draw a graph of the saturation of hemoglobin as it passes throughout the circulatory system.

 TOPICAL OUTLINE:

 

 I.      Pulmonary Physiology

         A.      Specific Pulmonary Anatomy ¿ Week I

         B.      Mechanics of Pulmonary Ventilation  Week II.

         C.      Pulmonary Blood Flow and Ventilation Week III,

         D.      Regulation of Respiration Week IV

 II.     Cardiovascular Physiology

         A.      Specific Cardiac Anatomy and Physiology  Week IV

         B.      Systemic Circulation Week V

         C.      Hemodynamic Week VI

         D.      Control of Blood Flow & Perfusion Week VIII

 III.