Egan's Fundamentals of Respiratory Care

13th Edition - January 19, 2024
Editors: James K. Stoller, Albert J. Heuer, David L. Vines, Robert L. Chatburn, Eduardo Mireles-Cabodevila
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 1 9 9 - 1
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 3 3 9 - 1

**Selected for Doody’s Core Titles® 2024 with "Essential Purchase" designation in Respiratory Therapy**Master the principles and skills you’ll need to succeed as a respiratory… Read more

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**Selected for Doody’s Core Titles® 2024 with "Essential Purchase" designation in Respiratory Therapy**

Master the principles and skills you’ll need to succeed as a respiratory therapist! Egan’s Fundamentals of Respiratory Care, 13th Edition provides a solid foundation in respiratory care and covers the latest advances in this dynamic field. For more than 50 years, this text has been the go-to resource to understand the role of the respiratory therapist, the scientific basis for treatment, and clinical applications. Comprehensive chapters prepare you for clinical and exam success by correlating to the 2020 NBRC Exam matrices. The 13th Edition includes updated coverage of COVID-19, the latest AARC clinical practice guidelines, and a new enhanced eBook version included with print purchase.

NEW! Enhanced eBook version is included with print purchase, allowing you to access all the text, figures, and references, with the ability to search, customize content, make notes and highlights, and have content read aloud — plus videos, animations, an English/Spanish glossary, and lecture notes.
NEW AND UPDATED! All chapters reflect the latest advances in respiratory care. Patient-ventilator interaction chapter contains all new content, and chapters on e-Medicine, pulmonary infections, neonatal and pediatric care, ventilator physiology, and ICU patient monitoring have been fully revised and updated.
UPDATED! Coverage of the latest advancements in respiratory care research and patient care addresses key topics, including COVID-19 and other related viruses.
Focus on exam preparation with content linked to NBRC credentialing exam matrices and clinical simulations.
Expert authorship and a focus on each chapter by and for respiratory therapists helps improve utility and readability.
Excerpts of the AARC’s Clinial Practice Guidelines (CPGs) provide important information regarding indications/contraindications, hazards and complications, assessment of need, assessment of outcome, and monitoring.
Mini-Clinis — short, critical-thinking case scenarios with Q&A — encourage you to solve realistic problems commonly encountered during patient care.
Sample Therapist-Driven Protocol (TDP) algorithms and coverage expose you to the use of decision trees developed by hospitals to promote assessment and evaluation skills in patient care.
Rules of Thumb features in each chapter highlight rules, formulae, and key points important to clinical practice and are marked with a special icon for easy identification.
Learning Objectives align exactly with the Summary Checklist at the end of each chapter, paralleling the three areas tested on the 2020 NBRC Therapist Multiple-Choice Examination: recall, analysis, and application.
End-of-textbook glossary includes key terms and definitions necessary for comprehension of key concepts.

Cover image
Title page
Table of Contents
Copyright
Dedication
Contributors
Preface
Section I. Foundations of Respiratory Care
1. Unlabeled ImageEarly History of Respiratory Care
Definitions
History of Respiratory Medicine and Science
Development of the Respiratory Care Profession
Professional Organizations and Events
National Board for Respiratory Care
Respiratory Care Education
Multimedia Resources
Chapter 2. Unlabeled ImageThe Profession of Respiratory Care
Introduction
Scope of Respiratory Care Practice Today
Practice Settings
Respiratory Therapy Department Composition
Designations and Credentials of Respiratory Therapists
Professional Respiratory Care Organizations Today
Other Organizations Affecting Respiratory Care
Respiratory Therapy Education
State Licensure
Professionalism
The Future of Respiratory Care
Chapter 3. Unlabeled ImageQuality, Patient Safety, and Communication
Quality Considerations
Safety Considerations
Communication
Conflict and Conflict Resolution
Chapter 4. Unlabeled ImagePrinciples of Infection Prevention and Control
Spread of Infection
Strategies for the Prevention of Infection
Disinfection and Sterilization
Equipment-Handling Procedures
Surveillance for Hospital-Acquired Infections
Multimedia Resources
5. Unlabeled Image Ethical and Legal Implications of Practice
Philosophical Foundations of Ethics
Ethical Dilemmas of Practice
Codes of Ethics
Ethical Theories and Principles
Ethical Viewpoints and Decision-Making
Legal Issues Affecting Respiratory Care
Interaction of Ethics and the Law
Professional Licensure Issues
Respiratory Therapists Who Speak Out About Wrongdoing
Healthcare and Change
Chapter 6. Unlabeled ImagePhysical Principles of Respiratory Care
States of Matter
Change of State
Gas Behavior Under Changing Conditions
Fluid Dynamics
7. Unlabeled Image E-Medicine in Respiratory Care
The Electronic Health Record and the Electronic Medical Record
Applications for Patient Care
Informatics and Clinical Decision Support
Telehealth and Telemonitoring
Sources of Health Information
Applications in Healthcare Administration
Applications in Training and Education
Future of E-medicine
Multimedia Resources
8. Unlabeled Image Fundamentals of Respiratory Care Research
Overview of Respiratory Care Research
How to Review and Evaluate the Literature
Evaluating the Quality of Research
How to Begin Doing Research
How to Submit a Paper for Publication
Summary
Section II. Applied Anatomy and Physiology
Chapter 9. Unlabeled ImageThe Respiratory System
Development of the Respiratory System
Transition From Uterine to Extrauterine Life
Postnatal Lung Development
Respiratory System in the Adult
Anatomy of the Respiratory Tract
Pulmonary Vascular, Lymphatic, and Nervous Systems
Multimedia Resources
10. Unlabeled image The Cardiovascular System
Functional Anatomy
Control of the Cardiovascular System
Cardiovascular Control Mechanisms
Events of the Cardiac Cycle
Multimedia Resources
11. Unlabeled image Ventilation
Mechanics of Ventilation
Static Versus Dynamic Mechanics
Mechanics of Exhalation
Work of Breathing
Distribution of Ventilation
Efficiency and Effectiveness of Ventilation
Multimedia Resources
Chapter 12. Unlabeled imageGas Exchange and Transport
Diffusion
Variations From Ideal Gas Exchange
Oxygen Transport
Carbon Dioxide Transport
Abnormalities of Gas Exchange and Transport
Multimedia Resources
13. Unlabeled image Solutions, Body Fluids, and Electrolytes
Solutions, Colloids, and Suspensions
Electrolytic Activity and Acid-Base Balance
Body Fluids and Electrolytes
14. Unlabeled image Acid-Base Balance
Hydrogen Ion Regulation in Body Fluids
Acid Excretion
Acid-Base Disturbances
Clinical Acid-Base States
Multimedia Resources
Chapter 15. Unlabeled imageRegulation of Breathing
Medullary Respiratory Center
Pontine Respiratory Centers
Reflex Control of Breathing
Chemical Control of Breathing
Ventilatory Response to Exercise
Carbon Dioxide and Cerebral Blood Flow
Section III. Assessment of Respiratory Disorders
Chapter 16. Unlabeled ImageBedside Assessment of the Patient
Interviewing the Patient, Obtaining a Medical History, and Reviewing the Medical Record
Physical Examination
Multimedia Resources
Chapter 17. Unlabeled ImageInterpreting Clinical and Laboratory Data
Interpreting Clinical Laboratory Tests
Microbiology Tests
Viral Testing
Clinical Application of Laboratory Data
Chapter 18. Unlabeled Image Interpreting the Electrocardiogram
Basic Principles of Electrophysiology
Electrocardiogram Procedural Summary
Multimedia Resources
19. Unlabeled Image Analysis and Monitoring of Gas Exchange
Invasive Versus Noninvasive Procedures
Monitoring Fractional Inspired Oxygen
Blood Gas Monitoring
Oximetry
Capnometry and Capnography
Multimedia Resources
Chapter 20. Unlabeled Image Pulmonary Function Testing
Pulmonary Function Testing
Reference Values and Interpretation of Results
Principles of Measurement and Significance
Individual Tests and Measurements
Interpretation of the Pulmonary Function Report
Multimedia Resources
Chapter 21. Unlabeled Image Review of Thoracic Imaging
Overview of the Chest X-Ray
Pleura
Lung Parenchyma
Mediastinum
Multimedia Resources
Chapter 22. Unlabeled image.Flexible Bronchoscopy and the Respiratory Therapist
Rigid Bronchoscopy
Flexible Bronchoscopy
Diagnostic Bronchoscopy
Therapeutic Bronchoscopy
The Role of the Respiratory Therapist in Bronchoscopy
Special Considerations for Bronchoscopy During Mechanical Ventilation
Physiologic and Mechanical Alterations Associated With Flexible Bronchoscopy in Intubated Patients
Conclusion
Multimedia Resources
Chapter 23. Unlabeled image. Nutrition Assessment
Nutrition Assessment
Outcomes of Nutrition Assessment
Macronutrients and Energy Requirements
General Aspects of Nutrition Support
Routes of Administration
Nutrition Support in Specific Circumstances
Multimedia Resources
Section IV. Review of Cardiopulmonary Disease
Chapter 24. Pneumonia
Introduction
Definitions
Pathogenesis
Host-Pathogen Interaction
Clinical Manifestations
Imaging
Community-Acquired Pneumonia
Laboratory Diagnosis
Site-of-Care Decision
Therapies
Adjunctive Therapies
Prevention of Community-Acquired Pneumonia
Hospital-Acquired Pneumonia\Ventilator-Associated Pneumonia
Therapies
Adjunctive Therapies
Role of the Respiratory Therapist in Pneumonia Care
Multimedia Resources
25. Unlabeled image. Obstructive Lung Disease: Chronic Obstructive Pulmonary Disease (COPD), Asthma, and Related Diseases
Chronic Obstructive Pulmonary Disease
Asthma
Bronchiectasis
Role of the Respiratory Therapist in Obstructive Lung Disease
Multimedia Resources
26. Unlabeled image. Interstitial Lung Disease
Characteristics of Interstitial Lung Disease
Selected Specific Types of Interstitial Lung Disease and Therapies
Nonspecific Therapies
Summary
Role of the Respiratory Therapist in Interstitial Lung Disease
Multimedia Resources
Chapter 27. Unlabeled ImagePleural Diseases
The Pleural Space
Pleural Effusions
Pneumothorax
Role of the Respiratory Therapist in Pleural Diseases
Multimedia Resources
Chapter 28. Unlabeled ImagePulmonary Vascular Disease
Venous Thromboembolic Disease
Pulmonary Hypertension
Role of the Respiratory Therapist in Pulmonary Vascular Disease
Multimedia Resources
Chapter 29. Unlabeled imageAcute Respiratory Distress Syndrome
Physiology of Pulmonary Edema
Definition and Diagnosis
Risk Factors and Epidemiology
Management
Role of the Respiratory Therapist in Acute Respiratory Distress Syndrome
Multimedia Resources
30. Unlabeled image. Respiratory Management of Trauma, Obesity, Near Drowning, and Burns
Life-Threatening Trauma
Trauma and the Role of the Respiratory Therapist
Obesity
Near Drowning
Burns
Multimedia Resources
Chapter 31. Unlabeled image.Acute Heart Failure
Definition, Epidemiology, and Burden of Care
Pathophysiology of Acute Heart Failure
Approach to Patients With Acute Heart Failure
Diagnosis of Acute Heart Failure
Identifying the Cause of Acute Heart Failure
Monitoring in Acute Heart Failure
Treatment for Heart Failure
Respiratory Support and Monitoring During Acute Heart Failure
Role of Respiratory Therapist in Managing Acute Heart Failure
32. Unlabeled image Lung Cancer
Epidemiology
Classification
Pathophysiology
Clinical Features
Diagnosis
Staging
Preoperative Evaluation for Lung Resection Surgery
Prevention
Treatment and Outcomes
Future Scenario
Role of the Respiratory Therapist in Managing Patients With Lung Cancer
Multmedia Resources
Chapter 33. Unlabeled imageNeuromuscular and Other Diseases of the Chest Wall
General Principles Related to Neuromuscular Weakness of the Ventilatory Muscles
Management of Ventilation in Respiratory Muscle Weakness
Specific Neuromuscular Diseases
Disorders of the Thoracic Cage
The Role of the Respiratory Therapist in Caring for Patients With Neuromuscular Weakness and Other Diseases of the Chest Wall
Multimedia Resources
Chapter 34. Unlabeled imageDisorders of Sleep
Pathophysiology
Clinical Features
Screening Questionnaires
Laboratory Testing
Treatment
Role of the Respiratory Therapist in Disorders of Sleep
Multimedia Resources
35. Unlabeled imageNeonatal and Pediatric Respiratory Disorders
Neonatal Respiratory Disorders
Older Infant and Pediatric Respiratory Disorders
Role of the Respiratory Therapist in Neonatal and Pediatric Respiratory Disorders
Multimedia Resources
Section V. Basic Therapeutics
Chapter 36. Unlabeled imageAirway Pharmacology
Principles of Pharmacology
Adrenergic Bronchodilators
Anticholinergic Bronchodilators
Mucus-Controlling Agents
Inhaled Corticosteroids
Nonsteroidal Antiasthma Drugs
Aerosolized Antiinfective Agents
Inhaled Pulmonary Vasodilators
Multimedia Resources
Chapter 37. Airway Management
Suctioning
Establishing an Artificial Airway
Airway Trauma Associated With Tracheal Tubes
Airway Maintenance
Extubation or Decannulation
Multimedia Resources
Chapter 38. Unlabeled imageEmergency Cardiovascular Life Support
Causes and Prevention of Sudden Death
Basic Life Support
Advanced Cardiovascular Life Support
Multimedia Resources
Chapter 39. Unlabeled imageHumidity and Bland Aerosol Therapy
Humidity Therapy
Bland Aerosol Therapy
Selecting the Appropriate Therapy
Chapter 40. Aerosol Drug Therapy
Characteristics of Therapeutic Aerosols
Hazards of Aerosol Therapy
Aerosol Drug Delivery Systems
Assessment-Based Bronchodilator Therapy Protocols
Special Considerations
Controlling Environmental Contamination
Multimedia Resources
Chapter 41. Unlabeled imageStorage and Delivery of Medical Gases
Characteristics of Medical Gases
Storage of Medical Gases
Distribution and Regulation of Medical Gases
Multimedia Resources
Chapter 42. Unlabeled imageMedical Gas Therapy
Oxygen Therapy
Hyperbaric Oxygen Therapy
Other Medical Gas Therapies
Multimedia Resources
Chapter 43. Unlabeled imageLung Expansion Therapy
Causes and Types of Atelectasis
Clinical Signs of Atelectasis
Lung Expansion Therapy
Selecting an Approach
Multimedia Resources
44. Unlabeled image Airway Clearance Therapy
Physiology of Airway Clearance Therapies
General Goals and Indications
Determining the Need for Airway Clearance Therapy
Airway Clearance Methods
Selecting Airway Clearance Techniques
Multimedia Resources
Section VI. Acute and Critical Care
45. Unlabeled image Respiratory Failure and the Need for Ventilatory Support
Hypoxemic Respiratory Failure (Type I)
Hypercapnic Respiratory Failure (Type II)
Chronic Respiratory Failure (Type I and Type II)
Assessment of Respiratory Fatigue, Weakness, Failure, and Work of Breathing
Choosing a Respiratory Support Strategy for Different Causes of Respiratory Failure
Chapter 46. Unlabeled imageMechanical Ventilators
How Ventilators Work
Identifying Modes of Mechanical Ventilation
Comparing Modes of Mechanical Ventilation
Types of Ventilators
Chapter 47. Unlabeled image Physiology of Ventilatory Support
Pressure and Pressure Gradients
Effects of Mechanical Ventilation on Ventilation
Effects of Mechanical Ventilation on Oxygenation
Effects of Positive Pressure Mechanical Ventilation on Lung Mechanics
Minimizing Adverse Pulmonary Effects of Positive Pressure Mechanical Ventilation
Physiologic Effects of Ventilatory Modes
Cardiovascular Effects of Positive Pressure Mechanical Ventilation
Minimizing Cardiovascular Effects of Positive Pressure Mechanical Ventilation
Effects of Positive Pressure Mechanical Ventilation on Other Body Systems (Box 47.2)
Complications of Mechanical Ventilation
Chapter 48. Unlabeled imagePatient–Ventilator Interactions
Step 1: Identify the Goal of Mechanical Ventilation
Step 2: Identify the Mode of Ventilation
Step 3: Determine the Load
Step 4: Diagnose the Patient–Ventilator Interaction Status
Step 5: Summary and Intervention
Conclusion
Multimedia Resources
49. Unlabeled image Initiating and Adjusting Invasive Ventilatory Support
Goals of Mechanical Ventilation
Ventilator Initiation
Initial Ventilator Settings
Adjusting Ventilatory Support
Oxygenation
Ventilation
Multimedia Resources
Chapter 50. Unlabeled imageNoninvasive Ventilation
History and Development of Noninvasive Ventilation
Indications for Noninvasive Ventilation
Selecting Appropriate Patients for Noninvasive Ventilation
Equipment Used for Noninvasive Ventilation
Management of Noninvasive Ventilation
Complications of Noninvasive Ventilation
Time and Costs Associated With Noninvasive Ventilation
Multimedia Resources
51. Unlabeled image Extracorporeal Life Support
The Respiratory Therapist as an Extracorporeal Membrane Oxygenation Specialist
Patients Receiving Extracorporeal Membrane Oxygenation
Types of Support
Physiology
Equipment
Cannulas
Initiation and Maintenance of Support
Complications
Anticoagulation Management
Transporting a Patient on Extracorporeal Membrane Oxygenation
Weaning and Decannulation
Multimedia Resources
52. Monitoring the Patient in the Intensive Care Unit
Principles of Monitoring
Monitoring the Patient–Ventilator System
Monitoring Oxygenation
Monitoring Ventilation
Monitoring Respiratory System Mechanics
Imaging
Hemodynamics
Neurologic Monitoring
Nutritional Monitoring
Global Monitoring Indices
Troubleshooting
Multimedia Resources
Chapter 53. Discontinuing Ventilatory Support
Reasons for Ventilator Dependence
Patient Evaluation
Preparing the Patient
Caregiver Preparation
Methods
Newer Techniques for Facilitating Ventilator Discontinuance
Selecting an Approach
Monitoring the Patient During Weaning
Extubation
Ventilator Discontinuance Failure
Prolonged Mechanical Ventilation
Chronically Ventilator-Dependent Patients
Terminal/Compassionate Extubation
Multimedia Resources
Chapter 54. Unlabeled imageNeonatal and Pediatric Respiratory Care
Assessment of the Newborn and Pediatric Patient
Respiratory Care
Continuous Positive Airway Pressure
Mechanical Ventilation
Specialty Gases
Neonatal and Pediatric Transport
Section VII. Patient Education and Long-Term Care
55. Health Promotion Through Patient Education
Health Promotion and Disease Prevention
Population Health and Chronic Disease Management
Health Education
Patient Education
56. Unlabeled image.Cardiopulmonary Rehabilitation
Definitions and Goals
Historical Perspective
Physical and Psychosocial Basis
Structure of a Pulmonary Rehabilitation Program
Financial Considerations
Cardiac Rehabilitation
Conclusion
57. Respiratory Care in Alternative Settings
More Recent Developments and Trends
Relevant Terms and Goals
Standards
Traditional Acute Care Versus Alternative Setting Care
Discharge Planning
Oxygen Therapy in Alternative Settings
Ventilatory Support in Alternative Settings
Other Modes of Respiratory Care in Alternative Sites
Patient Assessment and Documentation
Equipment Disinfection and Maintenance
Chapter 58. Ethics and the End of Life
“Goals of Care” as an Essential Organizing Framework
Management of Pain and Other Symptoms at the End of Life: Legal and Ethical Considerations
Ethical Conflict at the End of Life
The Respiratory Therapist as Ethical Practitioner
GLOSSARY
INDEX

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Egan's Fundamentals of Respiratory Care

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Shaping today's innovations

Institutional subscription on ScienceDirect

James K. Stoller

Albert J. Heuer

David L. Vines

Robert L. Chatburn

Eduardo Mireles-Cabodevila