Syllabus (Clinical Practice (Cardiopulmonary)

CLINICAL PRACTICE (CARDIOPULMONARY)

                                                                                                     

Total Practice Hours: 150                                                            

Total Marks: 100

  Clinical practice: 100

                                                                                                     

Clinical Teaching:

  • Revision of relevant subjective and objective assessment, auscultation, interpretation of normal/abnormal and added breath sounds, chest X-rays and the interpretation of abnormalities.
  • Normal of arterial blood gas values, the interpretation of abnormal arterial blood gases values and the implications with respect to the patient’s condition and modifying treatment.
  • Revisions of physiotherapy techniques to increase lung volumes mobilise secretions and decrease the work of breathing.
  • Revision of surgical conditions learnt theoretically and the practical application of modified physiotherapy techniques of pre & post cardiac surgery.
  • The theory behind and practical application of volumes and capacities relating to pre & post surgical chronic obstructive airways disease (COAD) and acute asthma. The use of a peak flow monitor as an objective marker for obstructive/restrictive disorders.
  • Myocardial Infarct (MI), revision of pathology, clinical features, aims of treatment immediately post MI, progressive exercise training, Cardiac rehabilitation, planning a suitable programme, the use of monitoring devices and the Borg rate of perceived exertion scale.
  • ITU, ventilators, intermittent positive pressure ventilation (IPPV), intermittent mandatory ventilation (IMV), synchronised intermittent mandatory ventilation (SIMV), electro-encephalography (ECG), Intra-aortic Balloon pump, positive end expiratory pressure (PEEP), and Tracheotomy.
  • Use of nebulizer, suction and different methods of oxygen therapy.
  • Details about the instrument of Intensive Care Unit (ICU).
  • Physiotherapy Techniques, handling the patient in ITU, suction with/without an airway, the concept of ventilation/perfusion (V/Q) ratios with respect to positioning, bagging, early ambulation, psychological counselling, infection control and Chemotherapy.

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