A realistic look at treating respiratory diseases! Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition gives you the fundamental knowledge and understanding required to successfully assess and treat patients with respiratory diseases. This foundation helps you learn how to systematically gather relevant clinical data; make an objective evaluation; identify the desired outcome and formulate an assessment; design a safe, appropriate, and effective treatment plan; and document all the steps involved. With this knowledge, you will understand the effectiveness of performing therapies and when to adjust therapy to a desired outcome.
UNIQUE! Emphasis on clinical scenarios and critical thinking skills prepares you for real-world practice.
UNIQUE! Focus on assessment and Therapist Driven Protocols (TDPs).
UNIQUE! Overview boxes highlight the clinical manifestations for each disease.
Logically organized content is written at a user-friendly, approachable reading level for ease of use and understanding.
Case studies provide realistic examples of the respiratory therapy practitioner’s role in successful patient care.
End-of-chapter self-assessment questions and answer key are available on the companion Evolve website.
NEW! Clinical Connection boxes provide real-world clinical case studies in relevant chapters.
NEW! An updated design and additional tables, boxes, and figures draw attention to key information.
UPDATED! Content includes the latest developments related to SARS and COVID-19.
UPDATED!Information on ventilators, usage, and protocols reflects current practice.
NEW! QR codes in most chapters direct to additional outside content to enhance the chapter, including audio sounds and animations.
Instructions for online access Cover image Title page Table of Contents Copyright Dedication Consultants Preface New to the Ninth Edition Acknowledgments Introduction Part I. Assessment of Cardiopulmonary Disease Section 1. 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 2 The Physical Examination Vital Signs Systematic Examination of the Chest and Lungs 3 The Pathophysiologic Basis for Common Clinical Manifestations The Normal Respiratory System—Basic Review Dysanapsis—Irregularity of Airway Size, Shape, and Distribution 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 Cough Section 2. Clinical Data Obtained From Laboratory Tests and Special Procedures—Objective Findings 4 Pulmonary Function Testing Normal Lung Volumes and Capacities Common Pulmonary Function Test Findings in Respiratory Disease Forced Expiratory Flow Rate and Volume Measurements Pulmonary Diffusion Capacity Assessment of Respiratory Muscle Strength Cardiopulmonary Exercise Testing Other Diagnostic Tests for Asthma 5 Blood Gas Assessment Acid-Base Abnormalities Errors Associated With Arterial Blood Gas Measurements 6 Assessment of Oxygenation The Role and Importance of Oxygen Oxygen Transport Review Total Oxygen Content of Blood Oxyhemoglobin Dissociation Curve Oxygenation Indices Hypoxemia Versus Hypoxia 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 8 Radiologic Examination of the Chest Fundamentals of Radiography Standard Positions and Techniques of Chest Radiography Inspecting the Chest Radiograph Radiation Safety 9 Diagnostic Tests and Procedures Sputum Examination Skin Tests Endoscopic Examinations Video-Assisted Thoracoscopy Surgery Thoracentesis Pleurodesis Hematology, Blood Chemistry, and Electrolyte Findings Section 3. The Therapist-Driven Protocol Program—The Essentials 10 The Therapist-Driven Protocol Program The Purpose of Respiratory Therapist-Driven Protocols 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 11 Respiratory Failure and Ventilatory Management Protocols Classifications of Respiratory Failure Mechanical Ventilation Ventilator Hazards Extracorporeal Membrane Oxygenation 12 Recording Skills and Intraprofessional Communication Types of Patient Records Telemedicine Health Insurance Portability and Accountability Act Part II. Obstructive Lung Disease 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 General Management of Chronic Obstructive Pulmonary Disease Management of Stable Chronic Obstructive Pulmonary Disease Management of Acute Chronic Obstructive Pulmonary Disease Exacerbations Case Study 1: Chronic Bronchitis Case Study 2: Emphysema Case Study 3: Example of Classic Chronic Obstructive Pulmonary Disease 14 Asthma National Asthma Education and Prevention Program Global Initiative for Asthma Anatomic Alterations of the Lungs Etiology and Epidemiology Diagnosis of Asthma General Management of Asthma Respiratory Care Treatment Protocols Case Study 15 Cystic Fibrosis Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Cystic Fibrosis Lung or Heart-Lung Transplantation Case Study: Cystic Fibrosis 16 Bronchiectasis Anatomic Alterations of the Lungs Etiology and Epidemiology Diagnosis General Management of Bronchiectasis Medications Commonly Prescribed by the Physician Case Study: Bronchiectasis Part III. Loss of Alveolar Volume 17 Atelectasis Anatomic Alterations of the Lungs Etiology General Management of Postoperative Atelectasis Case Study: Postoperative Atelectasis 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 General Management of Pneumonia Case Study: Pneumonia 19 Tuberculosis Primary TB Latent TB Reactivation TB Disseminated TB Anatomic Alterations of the Lungs Etiology and Epidemiology Diagnosis Atypical Mycobacterial Infection General Management of Tuberculosis Case Study Tuberculosis Part V. Pulmonary Vascular Disease 20 Pulmonary Edema Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Pulmonary Edema Case Study: Pulmonary Edema 21 Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension Pulmonary Embolism Diagnosis and Screening General Management of Pulmonary Embolism Pulmonary Hypertension The Emerging Role of the Respiratory Therapist in Pulmonary Vascular Disorders Case Study: Pulmonary Embolism Part VI. Chest and Pleural Trauma 22 Flail Chest Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Flail Chest Case Study: Flail Chest 23 Pneumothorax Anatomic Alterations of the Lungs Etiology, Epidemiology, and Symptoms General Management of Pneumothorax Case Study: Spontaneous Pneumothorax 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 General Management of Pleural Effusion Case Study: Pleural Disease 25 Kyphoscoliosis Anatomic Alterations of the Lungs Etiology and Epidemiology Scoliosis Kyphosis General Management of Scoliosis Case Study Kyphoscoliosis Part VIII. Lung Cancer 26 Cancer of the Lung Anatomic Alterations of the Lungs Etiology and Epidemiology Screening and Diagnosis General Management of Lung Cancer Case Study: Cancer of the Lung Part IX. Environmental Lung Diseases 27 Interstitial Lung Diseases Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Interstitial Lung Disease Case Study: Interstitial Lung Disease 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 Respiratory Management Protocol for Patients With Severe SARS-CoV-2 (COVID-19) and ARDS Using the SpO2/FIO2 Ratio, PaO2/FIO2 Ratio, and SpO2 Case Study: Acute Respiratory Distress Syndrome Part XI. Neuro-Respiratory Disorders 29 Guillain-Barré Syndrome Anatomic Alterations of the Lungs Associated With Guillain-Barré Syndrome Etiology and Epidemiology Clinical Presentation General Management of Guillain-Barré Syndrome Case Study: Guillain-Barré Syndrome 30 Myasthenia Gravis Anatomic Alterations of the Lungs Associated With Myasthenia Gravis Etiology and Epidemiology Screening and Diagnosis General Management of Myasthenia Gravis Case Study: Myasthenia Gravis 31 Cardiopulmonary Assessment and Care of Patients with Neuromuscular Disease Chronic Neuromuscular Diseases General Management of Neuromuscular Disease Ventilatory Management of Patients with Neuromuscular Disease Case Study: Amyotrophic Lateral Sclerosis 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 General Management of Obstructive Sleep Apnea General Management of Central Sleep Apnea Case Study: Obstructive Sleep Apnea 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 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 35 Meconium Aspiration Syndrome Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Meconium Aspiration Syndrome Case Study: Meconium Aspiration Syndrome 36 Transient Tachypnea of the Newborn Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Transient Tachypnea of the Newborn Case Study: Transient Tachypnea of the Newborn 37 Respiratory Distress Syndrome Anatomic Alterations of the Lungs Etiology and Epidemiology Diagnosis General Management of Respiratory Distress Syndrome Case Study: Respiratory Distress Syndrome 38 Pulmonary Air Leak Syndromes Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Pulmonary Air Leak Syndromes Case Study: Pulmonary Air Leak Syndromes 39 Respiratory Syncytial Virus Infection (Bronchiolitis) Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Respiratory Syncytial Virus Infection (Bronchiolitis) Case Study: Respiratory Syncytial Virus Infection (Bronchiolitis) 40 Bronchopulmonary Dysplasia Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Bronchopulmonary Dysplasia Case Study: Bronchopulmonary Dysplasia 41 Congenital Diaphragmatic Hernia Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of a Congenital Diaphragmatic Hernia Case Study: Diaphragmatic Hernia 42: Congenital Heart Diseases Patent Ductus Arteriosus Atrial Septal Defect Ventricular Septal Defect Tetralogy of Fallot Transposition of the Great Arteries Hypoplastic Left Heart Syndrome Case Study: Transposition of the Great Arteries 43 Croup and Croup-Like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis, and Acute Epiglottitis Anatomic Alterations of the Upper Airway Etiology and Epidemiology General Management of Laryngotracheobronchitis, Bacterial Tracheitis, and Epiglottitis Case Study 1: Laryngotracheobronchitis Case Study 2: Acute Epiglottitis Case Study 3: Bacterial Tracheitis Part XIV. Other Important Topics 44 Near Drowning/Wet Drowning Anatomic Alterations of the Lungs Etiology and Epidemiology General Management of Near Drowning and Wet Drowning Case Study: Near Wet Drowning 45 Smoke Inhalation, Thermal Lung Injuries, and Carbon Monoxide Intoxication Anatomic Alterations of the Lungs Etiology and Epidemiology Body Surface Burns General Management of Smoke Inhalation and Thermal Injuries Case Study: Smoke Inhalation and Thermal Injury APPENDIX I Symbols and Abbreviations Commonly Used in Respiratory Physiology APPENDIX II Agents Used to Treat Bronchospasm and Airway Inflammation APPENDIX III Antibiotics APPENDIX IV Antifungal Agents APPENDIX V Mucolytic and Expectorant Agents APPENDIX VI Positive Inotropes and Vasopressors APPENDIX VII Diuretic Agents APPENDIX VIII The Ideal Alveolar Gas Equation APPENDIX IX Physiologic Dead Space Calculation APPENDIX X Units of Measure APPENDIX XI Poiseuille’s Law APPENDIX XII PCO2//pH Nomogram APPENDIX XIII Calculated Hemodynamic Measurements APPENDIX XIV DuBois Body Surface Area Chart APPENDIX XV Cardiopulmonary Profile Glossary
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