Walsh: Perinatal and Pediatric Respiratory Care, 3rd EditionNBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide The following table indexes the content of Perinatal and Pediatric Respiratory Care, 3rd edition, against the test matrix for the Neonatal/Pediatric Respiratory Care Specialty Examination produced for the National Board of Respiratory Care (NBRC). The table does not represent an official reference for the content listed in the NBRC matrix but rather a list of suggested readings related to the various topics listed. It is designed to help the student or recent graduate better prepare for the certification examination. It will prove most useful to the person preparing to take the certification examination who completes the selfassessment examination offered by the NBRC. With the NBRC official feedback in hand, the student can use this table to identify the sections in Perinatal and Pediatric Respiratory Care, 3rd edition, that describe the content related to each line item that has been identified as needing improvement. Content Area I. Select, Review, Obtain, and Interpret Data A. Review existing data in the patient record B. Collect and evaluate additional pertinent clinical information C. Recommend procedures and modifications II. Address Equipment Issues A. Select, assemble, and troubleshoot equipment B. Perform quality control and calibration procedures III. Initiate, Conduct, and Modify Prescribed Therapeutic Procedures A. Communicate with health care team, patient, and family B. Conduct therapeutic procedures C. Evaluate the patients response to respiratory care D. Recommend modifying the respiratory care plan based on the patients response E. Modify therapeutic procedures based on the patients response F. Conduct techniques in an emergency setting and assist the physician G. Initiate and conduct pulmonary Recall 6 2 2 2 3 2 1 8 0 2 1 2 1 1 1 Cognitive Level Application Analysis 15 6 7 2 7 6 1 38 1 12 11 3 2 5 4 13 0 7 6 6 6 0 24 1 3 4 10 2 2 2 Number of Items 34 8 16 10 16 14 2 70 2 17 16 15 5 8 7

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide rehabilitation and home care TOTAL

2

17

60

43

120

Open cells show an examination could include items from indicated cognitive levels. Shaded cells prevent appearance of items on examinations. Neonatal/Pediatric Examination Matrix and Perinatal and Pediatric Respiratory Care, 3rd Edition Cognitive Level Perinatal and Pediatric Respiratory Care, 3rd Edition Analysis 13 0 Sections I, II, III, and IV Chapters 3, 4, 5, 7, 8, 10, and 11 Chapter 3, 21-32

Content Area I. Select, Review, Obtain, and Interpret Data A. Review existing data in the patient record 1. Maternal history (e.g., prenatal, medical, family, social) 2. Antenatal and intrapartum (labor and delivery) history (e.g., intrauterine stress testing, lung maturity tests, premature and/or prolonged ruptured membranes, anesthesia, medications, presence of meconium 3. Admission and current respiratory care orders 4. Patient history, physical examination, current vital signs, and progress notes 5. Neonatal assessment (e.g., gestational age, birth weight, physical

Recall 6 2

Application 15 6

Chapter 3, 21-32; Chapter 5, 47-59

Chapter 3, 21-32 Chapter 3, 21-32

Chapter 5, 47-59

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide findings, Apgar scores, breathing pattern) 6. Laboratory studies (e.g., hematology, chemistry, serology, microbiology) 7. Blood gas results 8. Results of cardiorespiratory monitoring: a. Noninvasive monitoring data (e.g., pulse oximetry, capnography, transcutaneous, ECG, blood pressure) b. Ventilatory data (e.g., PIP, Paw, minute ventilation, I:E, PEEP) c. Pulmonary mechanics (e.g., MIP, PEF, compliance, resistance) d. Radiographic studies (e.g., chest, upper airway) B Collect and Evaluate Additional Pertinent Clinical Information 1. Assess patient's overall status by physical examination including: a. Observation (e.g., chest configuration, breathing pattern, color, dysmorphia, activity, clubbing) b. Auscultation (e.g., respiratory, cardiac)

3

Chapter 5, 47-59; Chapter 7, 73-87 Chapter 10, 116-133 Chapters 4, 7, 8 10, and 11, Chapter 11, 137-145

Chapter 4, 35-44; Chapter 7, 73-87; Chapter 10, 116-133 Chapter 7, 73-87

Chapter 8, 91-102 2 7 7 Chapters 4, 5, 6, 7, 8, 10, 11, 15, 26, 30, 39 Chapters 4, 5, 6, and 32

Chapter 6, 61-71

Chapter 5, 47-59; Chapter 6, 61-71; Chapter 32, 554-578

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide c. Palpation (e.g., chest wall, pulse, capillary refill, tracheal position) d. Vital signs e. Apgar scoring 2. Interview patient and/or family to determine: a. Level of consciousness and orientation to time, place, and person b. Presence of dyspnea and orthopnea c. Sputum production, exercise tolerance, and activities of daily living d. Pain level Chapter 6, 61-71

4

Chapter 4, 35-44; Chapter 5, 47-59; Chapter 6, 61-71 Chapter 4, 35-44

Chapter 4, 35-44; Chapter 5, 47-59; Chapter 39, 654-672 Chapter 4, 35-44; Chapter 5, 47-59; Chapter 6, 61-71 Chapter 4, 35-44; Chapter 5, 47-59; Chapter 6, 61-71; Chapter 46, 740-758 Chapter 4, 35-44; Chapter 5, 47-59; Chapter 6, 61-71; Chapter 39, 654-672 Chapter 8 Chapter 8, 91-102 Chapter 8, 91-102

3. Visually inspect radiographs to a. Assess tube/catheter position . b. Determine pulmonary and airway pathology (e.g., barotraumas, air bronchograms, pleural fluid, mediastinal shift, consolidation and atelectasis, swollen epiglottis and subglottic narrowing, RDS) c. Determine cardiac and abdominal

Chapter 8, 91-102

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide anomalies (e.g., cardiomegaly, diaphragmatic hernia) 4. Perform and/or interpret results of respiratory monitoring/ evaluation: a. Noninvasive monitoring data (e.g., pulse oximetry, capnography, transcutaneous) b. Ventilatory data (e.g., PIP, Paw, minute ventilation, I:E, PEEP) c. Pulmonary mechanics (e.g., MIP, PEF, compliance, resistance, airway graphics, RSBI) d. Transillumination e. Oxygenation (e.g., a/A ratio, P(A-a)O2, oxygen index f. Blood gas analysis and co-oximetry g. Tracheal tube cuff pressure h. Leak around uncuffed endotracheal tubes 5. Perform and/or interpret cardiac monitoring: a. ECG b. Inserting arterial, umbilical, and central monitoring catheters c. Pre- and postductal oxygenation studies C. Recommend

5

Chapters 4, 5, 7, 10, 11, and 15 Chapter 11, 137-145

Chapter 4, 35-44; Chapter 7, 73-87; Chapter 10, 116-133 Chapter 7, 73-87

Chapter 5, 47-59 Chapter 7, 73-87; Chapter 10, 116-133 Chapter 10, 116-133 Chapter 15, 220-243 Chapter 15, 220-243 Chapter 26, 451-458, Chapter 30, 517-541 Chapter 11, 137-145 Chapter 10, 116-133

Chapter 10, 116-133 Chapters 4, 5, 6, 7, 8, 9,

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide Procedures and Modifications 1. Recommend procedures to obtain additional data: a. Noninvasive monitoring data (e.g., pulse oximetry, capnography, transcutaneous) b. Ventilatory data (e.g., PIP, Paw, minute ventilation, I:E, PEEP) c. Pulmonary mechanics (e.g., MIP, PEF, compliance, resistance, airway graphics) d. Transillumination e. Oxygenation data (e.g., a/A ratio, P(Aa)O2, oxygen index). f. Blood gas analysis and co-oximetry g. Intravascular catheter insertion (e.g., arterial, umbilical, central venous) h. Nasal swab/washing for RSV i. Chest and upper airway radiographs j. Airway evaluation (e.g., laryngoscopy, bronchoscopy) 2. Determine appropriateness of prescribed respiratory care plan and recommend modifications where indicated: 10, 11, 27, and 32

6

Chapters 4, 5, 6, 7, 8, 9, 10, 11, and 32 Chapter 11, 137-145

Chapter 4, 35-44; Chapter 7, 73-87; Chapter 10, 116-133 Chapter 7, 73-87

Chapter 5, 47-59 Chapter 7, 73-87; Chapter 10, 116-133 Chapter 10, 116-133 Chapter 10, 116-133

Chapter 6, 61-71; Chapter 32, 554-578 Chapter 8, 91-102 Chapter 9, 104-113 Chapters 5, 6, 27, and 32

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide a. Analyze available data to determine pathophysiological state b. Review planned therapy to establish therapeutic goals c. Determine appropriateness of prescribed therapy and goals for identified pathophysiological state II. Address Equipment Issues A. Select, Assemble, and Troubleshoot Equipment 1. Oxygen administration devices (e.g., low- and highflow devices) 2. Oxygen mist tents 3. Aerosol generators: a. Continuous medication nebulizers b. MDIs and DPIs 4. Resuscitation devices: a. Pressure manometers b. Flow-inflating resuscitators c. Self-inflating resuscitators 5. Ventilators:

7 Chapter 5, 47-59; Chapter 6, 61-71; Chapter 27, 461-476; Chapter 32, 554-578 Chapter 5, 47-59; Chapter 6, 61-71; Chapter 27, 461-476; Chapter 32, 554-578 Chapter 5, 47-59; Chapter 6, 61-71; Chapter 27, 461-476; Chapter 32, 554-578

3

7

6

Sections III and IV Chapters 4, 11, 12, 13, 15, 17, 18, 19, 20, 21, 23, 31, and 46 Chapter 12, 147-161

Chapter 12, 147-161 Chapter 13, 165-194 Chapter 13, 165-190 Chapter 13, 165-190 Chapter 4, 35-44; Chapter 12, 147-161 Chapter 12, 147-161 Chapter 12, 147-161 Chapter 12, 147-161 Chapter 17, 267-302, Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369 Chapter 17, 267-302; Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369

a. Positive pressure devices (e.g., pneumatic, electric, microprocessor,

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide fluidic) b. High-frequency devices (e.g., HFJV, HFOV, HFFI) c. Noninvasive positive airway pressure devices (e.g., nasal, mask, bilevel). 6. Extracorporeal membrane oxygenation (ECMO) systems 7. Artificial airways (e.g., oral, nasal, laryngeal, endotracheal, and tracheostomy tubes) 8. Artificial airway adjuncts (e.g., tracheostomy buttons, speaking devices) 9. Intubation devices (e.g., laryngoscopes, tube exchangers) 10. Suctioning devices (e.g., catheters, bulbs, meconium aspirators) 11. Gas delivery, metering, and clinical analyzing devices: a. Capnometers (e.g., side-stream, mainstream) b. Pulse oximeters c. Transcutaneous monitors d. Point-of-care analyzers (e.g., chemistry, glucose) 12. Patient breathing circuits for: a. Continuous

8

Chapter 17, 267-302 Chapter 4, 35-44; Chapter 17, 267-302; Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369; Chapter 21, 373-381 Chapter 23, 397-414

Chapter 15, 220-243

Chapter 15, 220-243

Chapter 15, 220-243 Chapter 15, 220-243; Chapter 27, 461-476 Sections II and III Chapter 12, 147-161 Chapter 5, 47-59; Chapter 11, 137-145; Chapter 12, 147-161 Chapter 11, 137-145; Chapter 12, 147-161 Chapter 13, 165-190

Chapter 21, 373-381;

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide mechanical ventilation (e.g., heated-wire, nonheated wire) b. High-frequency ventilation c. Noninvasive positive pressure devices (e.g., bilevel, CPAP) 13. Environmental devices (e.g., incubators, warmers) 14. ECG monitoring devices 15. Apnea monitors 16. Medical gas delivery systems (e.g., NO, CO2, He-O2, N2) B. Perform Quality 1 Control and Calibration Procedures 1. Transcutaneous monitoring systems 2. Inhaled NO delivery systems III. Initiate, Conduct, 8 and Modify Prescribed Therapeutic Procedures A. Communicate with 0 Healthcare Team, Patient, and Family

9 Chapter 23, 397-414

Chapter 20, 353-369 Chapter 21, 373-381

Chapter 12, 147-161 Chapter 11, 137-145 Chapter 31, 543-552; Chapter 46, 740-758 Chapter 11, 137-145; Chapter 22, 384-393; Chapter 24, 417-435 Sections II and III Chapter 11, 137-145 Chapter 24, 417-435 38 1 24 1 Sections III and IV Chapter 6, 61-71; Chapter 13, 165-190; Chapter 17, 267-302, Chapter 25, 439-448; Chapter 31, 543-552; Chapter 33, 582-597; Chapter 46, 740-758

1

0

1. Communicate information regarding patient's clinical status to: a. Appropriate members of the health care team or family b. Those responsible

Chapter 3, 21-32; Chapter 4, 35-44; Chapter 5, 47-59; Chapter 6, 61-71 Chapter 3, 21-32;

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide for coordinating patient care (e.g., scheduling, avoiding conflicts, sequencing of therapies) 2. Teach and implement the National Asthma Education and Prevention Program 3. Explain planned therapy and goals to pediatric patient or family in nontechnical, understandable terms to achieve therapeutic outcome B. Conduct Therapeutic 2 Procedures 1. Maintain a patent airway: a. Position patient properly b. Insert appropriate oro- and nasopharyngeal airways c. Select appropriate endotracheal tubes d. Perform endotracheal intubation e. Initiate and maintain proper cuff inflation and position of endotracheal and tracheostomy tubes 2. Remove bronchopulmonary secretions: a. Instruct pediatric patients and parents to encourage proper coughing techniques. b. Perform: 1) Postural Chapter 4, 35-44; Chapter 5, 47-59; Chapter 6, 61-71

10

Chapter 33, 582-597

Chapter 27, 461-476; Chapter 28, 482-495; Chapter 29, 498-510; Chapter 30, 517-541; Chapter 31, 543-552; Chapter 32, 554-578 12 3 Section III Chapter 15, 220-243 Chapter 15, 220-243 Chapter 15, 220-243

Chapter 15, 220-243 Chapter 15, 220-243 Chapter 15, 220-243

Chapter 14, 196-215; Chapter 15, 220-243 Chapter 14, 196-215

Chapter 14, 196-215 Chapter 14, 196-215

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide drainage, percussion, and vibration 2) Nasotracheal or orotracheal suctioning 3) Alternative airway clearance techniques (e.g., PEP, flutter valve, intrapulmonary percussive ventilation, external percussive devices, autogenic drainage) c. Suction endotracheal and tracheostomy tubes 3. Administer prescribed medications: a. Aerosolized medications (e.g., bronchodilators, antiinflammatories, antimicrobials, mucolytics) b. Exogenous surfactants 4. Instruct pediatric patients in proper breathing technique and encourage deep breathing 5. Achieve adequate assisted ventilation:

11

Chapter 14, 196-215 Chapter 14, 196-215

Chapter 14, 196-215; Chapter 15, 220-243 Chapter 13, 165-190; Chapter 24, 417-435 Chapter 13, 165-190

Chapter 16, 246-262 Chapter 14, 196-215

Chapter 12, 147-161; Chapter 17, 267-302; Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369; Chapter 21, 373-381

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide

12

a. Select appropriate mechanical ventilator settings to achieve: 1) Adequate tissue and arterial oxygenation (e.g., Paw, PEEP, FIO2) 2) Adequate alveolar ventilation (e.g., tidal volume, mandatory rate, minute ventilation) 3) Patientventilator synchrony (e.g., I:E, flow, flow pattern) b. Initiate and adjust mechanical ventilation when:

Chapter 17, 267-302;

Chapter 19, 325-349

Chapter 21, 373-381

Chapter 19, 325-349

1) No settings are specified

2) Settings are specified

c. Initiate and adjust:

Chapter 12, 147-161; Chapter 17, 267-302; Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369; Chapter 21, 373-381 Chapter 12, 147-161; Chapter 17, 267-302; Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369; Chapter 21, 373-381 Chapter 12, 147-161; Chapter 17, 267-302; Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369; Chapter 21, 373-381 Chapter 12, 147-161; Chapter 17, 267-302; Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369; Chapter 21, 373-381

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide

13

1) Volume- and pressure-controlled positive pressure ventilation 2) Phase variables (i.e., trigger, limit, cycle, baseline) 3) Noninvasive positive pressure ventilation (e.g., bilevel, CPAP) 4) High-frequency ventilation d. Initiate and modify weaning procedures

Chapter 18, 305-319; Chapter 20, 353-369 Chapter 17, 267-302; Chapter 20, 353-369 Chapter 21, 373-381 Chapter 20, 353-369 Chapter 18, 305319;Chapter 19, 325349; Chapter 20, 353369; Chapter 23, 397414 Chapter 14, 196-215 Chapter 14, 196-215, Chapter 31, 543-552

6. Position patient to minimize hypoxemia 7. Prevent procedure associated hypoxemia (e.g., oxygenate before and after suctioning and equipment changes) C. Evaluate the Patient's Response to Respiratory Care 1. Adjust and check alarm systems 2. Calculate or interpret values: a. P(A-a)O2 and PaO2/PAO2 b. Oxygen index c. Pulmonary compliance d. PaO2/FIO2

1

11

4

Section II Chapter 17, 267-302 Chapter 7, 73-87; Chapter 10, 116-133; Chapter 12, 147-161 Chapter 2, 13-19; Chapter 7, 73-87; Chapter 10, 116-133; Chapter 19, 325-349 Chapter 7, 73-87; Chapter 12 147-161 Chapter 7, 73-87; Chapter 10, 116-133; Chapter 12 147-161 Chapter 2, 13-19; Chapter 7, 73-87; Chapter 10, 116-133; Chapter 19, 325-349

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide 3. Measure and/or interpret values: a. Blood gases (e.g., arterial, capillary, venous)

14 Chapter 7, 73-87; Chapter 10, 116-133; Chapter 12, 147-161 Chapter 3, 231-32; Chapter 5, 47-59; Chapter 6, 61-71; Chapter 7, 73-87; Chapter 10, 116-133; Chapter 11, 137-145 Chapter 5, 47-59; Chapter 6, 61-71; Chapter 7, 73-87; Chapter 29, 498-510 Chapter 7, 73-87 Chapter 5, 47-59; Chapter 6, 61-71; Chapter 7, 73-87 Chapter 5, 47-59; Chapter 6, 61-71; Chapter 7, 73-87; Chapter 20, 353-369; Chapter 26, 451-458 Chapter 11, 137-145 Chapter 11, 137-145; Chapter 26, 451-458; Chapter 30, 517-541 Chapter 17, 267-302; Chapter 19, 325-349 Chapter 17, 267-302; Chapter 19, 325-349 Chapter 17, 267-302; Chapter 19, 325-349; Chapter 20, 353-369 Chapter 10, 116-133; Chapter 17, 267-302; Chapter 19, 325-349 Chapter 17, 267-302; Chapter 19, 325-349; Chapter 35, 611-618 Chapter 7, 7387Chapter 13, 165-190; Chapter 17, 267-302; Chapter 19, 325-349 Chapter 17, 267-302;

b. Results of pre- and postductal oxygenation c. Maximum inspiratory pressure d. Vital signs (e.g., blood pressure, pain level) e. Exhaled CO2

f. Transcutaneous monitoring g. Pulse oximetry 4. Monitor ventilation parameters: a. Airway pressures (e.g., mean, plateau, peak) b. Effective tidal volume c. Auto-PEEP d. Pressure, volume, flow, and time graphics e. I:E

f. Patient-ventilator

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide synchrony 5. Assess: a. Auscultatory findings b. Cardiac rhythm

15 Chapter 19, 325-349 Chapter 4, 35-44; Chapter 5, 47-59; Chapter 6, 61-71 Chapter 5, 47-59; Chapter 6, 61-71; Chapter 32, 554-578 Chapter 5, 47-59; Chapter 6, 61-71; Chapter 10, 116-133; Chapter 30, 517-541 Chapter 5, 47-59; Chapter 6, 61-71 Chapter 19, 325-349

c. Patient's subjective response to therapy d. Patient's responses to mechanical ventilation. D. Recommend Modifying the Respiratory Care Plan Based on the Patient's Response 1. Initiate or adjust: a. Conventional mechanical ventilation (e.g., settings, modes) b. High-frequency ventilation (e.g., amplitude, rate, inspiratory time %, Paw 2. Adjust: a. FIO2 and oxygen flow b. Weaning or changing weaning procedures c. Aerosol drug dosage or concentration d. Duration of therapy e. Patient's position 3. Discontinue any treatment 4. Insert artificial airways 5. Institute bronchopulmonary hygiene procedures 6. Remove artificial

2

3

10

Sections III and IV

Sections III and IV Chapter 19, 325-349 Chapter 20, 353-369

Sections II and IV Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369 Chapter 18, 305-319; Chapter 19, 325-349; Chapter 20, 353-369; Chapter 23, 397-414 Chapter 13, 165-190 Sections III and IV Chapter 14, 196-215 Sections III and IV Chapter 15, 220-243 Chapter 9, 104-113 Chapter 15, 220-243

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide airways 7. Change artificial airways (endotracheal or tracheostomy tube) 8. Use environmental controlling devices (e.g., radiant warmers, incubators, mist tents) 9. Administer pharmacologic agents: a. Oral and parenteral bronchodilators, corticosteroids, cromolyn sodium, leukotriene modifiers b. Vasoconstrictors, vasodilators c. Antimicrobials (e.g., antibiotics, antivirals, antifungals) d. Mucolytics and proteolytics

16

Chapter 15, 220-243 Chapter 12, 147-161, Chapter 33, 582-597 Chapter 13, 165-190; Chapter 24, 417-435 Chapter 13, 165-190; Chapter 24, 417-435; Chapter 32, 554-578; Chapter 33, 582-597; Chapter 34, 599-607 Chapter 24, 417-435 Chapter 13, 165-190; Chapter 24, 417-435; Chapter 29, 498-510; Chapter 34, 599-607 Chapter 13, 165-190; Chapter 16, 246262;Chapter 24, 417435; Chapter 31, 543552; Chapter 38, 643651; Chapter 44, 716727 Chapter 16, 246-262 Chapter 22, 384-393; Chapter 20, 353-369; Chapter 29, 498-510; Chapter 30, 517-541 Sections III and IV Sections III and IV Sections III and IV Chapter 13, 165-190; Chapter 33, 582-597 Chapter 12, 147-161 Chapter 12, 147-161 Chapter 9, 104-113

e. Exogenous surfactants f. Inhaled nitric oxide

E. Modify Therapeutic Procedures Based on the Patient's Response 1. Terminate treatment 2. Modify therapeutic modalities: a. Aerosol therapy (e.g., equipment, output) b. Oxygen therapy (e.g., mode, flow, FIO2) c. Other gas therapy (e.g., He-O2, CO2-O2, N2) d. Bronchopulmonary

1

2

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide hygiene (e.g., position, equipment) 3. Manage artificial airways (e.g., placement, maintenance, suction, or removal) 4. Maintain mechanical ventilation (e.g., circuitry, weaning, mode, settings, alarms) 5. Initiate airway graphic monitoring F. Conduct Techniques in an 1 Emergency Setting and Assist the Physician 1. Initiate, conduct, or modify respiratory therapy techniques in an emergency setting, including transport and delivery room: a. Prepare and transport a patient: 1) Within a facility for diagnostic or therapeutic procedures 2) Between facilities 5 2

17

Chapter 17, 267-302; Chapter 18, 305-319; Chapter 19, 325-349; Chapter 46, 740-758 Chapter 17, 267-302; Chapter 18, 305-319; Chapter 19, 325-349, Chapter 20, 353-369; Chapter 21, 373-381 Chapter 14, 196-215; Chapter 15, 220-243; Chapter 19, 325-349 Sections I, IV, and V Chapter 2, 13-19; Chapter 3, 21-32; Chapter 13, 165-190; Chapter 45, 731-738 Chapter 2, 13-19; Chapter 3, 21-32; Chapter 13, 165-190; Chapter 45, 731-738 Chapter 2, 13-19; Chapter 3, 21-32; Chapter 13, 165-190; Chapter 45, 731-738 Chapter 2, 13-19; Chapter 3, 21-32; Chapter 13, 165-190; Chapter 45, 731-738 Chapter 26, 451-458 Chapter 4, 35-44; Chapter 15, 220-243; Chapter 26, 451-458, Chapter 32, 554-578; Chapter 41, 683-690 Chapter 8, 91-102 Chapter 8, 91-102

b. Perform: 1) Emergency protocols (.e.g., NRP, PALS, BLS, ACLS) 2) Trans-illu-mi-na-tion c. Recommend chest and upper airway radiographs d. Recommend administering:

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide 1) Volume expanders 2) Sedatives, muscle relaxants, anticonvulsants 3) Bicarbonate e. Administer exogenous surfactant f. Relieve tension pneumothorax 2. Act as an assistant to the physician performing special procedures including: a. Bronchoscopy b. Thoracentesis c. Tracheostomy d. Insertion of chest tubes e. Bronchial lavage G. Initiate and Conduct 1 Pulmonary Rehabilitation and Home Care 1. Survey and recommend home environment modifications to ensure optimal therapeutic goals, safety, and infection control 2. Evaluate patient's progress 3. Explain goals and instruct the patient and family in planned therapy 4. Evaluate the patient's and family's understanding of therapeutic goals and procedures 5. Select ventilator for home use 6. Provide instructions for: a. CPR procedures b. Self-inflating resuscitation bag use c. Ventilator use in the home

18 Chapter 4, 35-44; Chapter 14, 196-215 Chapter 9, 104-113; Chapter 24, 417-435 Chapter 16, 246-243 Chapter 43, 706-713 Sections I, III and IV

4

2

Chapter 9, 104-113 Chapter 43, 706-713 Chapter 15, 220-243 Chapter 15, 220-243 Chapter 14, 196-215 Section V Chapter 46, 740-758

Chapter 46, 740-758 Chapter 46, 740-758 Chapter 46, 740-758

Chapter 46, 740-758 Chapter 46, 740-758 Chapter 4, 35-44; Chapter 46, 740-758 Chapter 46, 740-758 Chapter 46, 740-758

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NBRC Neonatal/Pediatric Specialty (NPS) Exam Correlation Guide d. Tracheostomy care in the home e. Apnea monitor use f. Oxygen, aerosol, and bronchopulmonary hygiene procedures (e.g., percussion, postural drainage, suction) g. Infection control procedures h. Medication administration TOTALS

19 Chapter 46, 740-758 Chapter 46, 740-758 Chapter 13, 165-190; Chapter 46, 740-758

Chapter 46, 740-758 Chapter 13, 165-190; Chapter 46, 740-758 17 60 43

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