Dedication Acknowledgments About the Editors Contributing Authors Introduction Abbreviations SECTION ICARDIOPULMONARY ASSESSMENT AND MANAGEMENT PATHOPHYSIOLOGY OF THE RESPIRATORY AND CARDIOVASCULAR SYSTEMS Chapter 1Anatomy and Physiology of the Respiratory and Cardiovascular Systems Cristiane Yamabayashi, BSc(PT), PhD and W. Darlene Reid, BMR(PT), PhD Chapter 2Respiratory Conditions Patricia G. Camp, PhD, PT; W. Darlene Reid, BMR(PT), PhD; Frank Chung, BSc(PT), MSc; and Kylie Hill, BSc(Physiotherapy), PhD Chapter 3Cardiovascular Conditions Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT) Chapter 4Surgical Interventions Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT) Chapter 5Conditions That Can Compromise the Respiratory System W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc CARDIOPULMONARY ASSESSMENT Chapter 6Clinical Decision Making Kylie Hill, BSc(Physiotherapy), PhD and W. Darlene Reid, BMR(PT), PhD Chapter 7Chart Review and Patient Interview Kylie Hill, BSc(Physiotherapy), PhD and W. Darlene Reid, BMR(PT), PhD Chapter 8Arterial Blood Gas Interpretation W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc Chapter 9Chest Imaging W. Darlene Reid, BMR(PT), PhD Chapter 10Pulmonary Function Testing W. Darlene Reid, BMR(PT), PhD Chapter 11Laboratory Investigations Frank Chung, BSc(PT), MSc Chapter 12Electrocardiogram Interpretation Sandy Gilmour, BSc, RN and W. Darlene Reid, BMR(PT), PhD Chapter 13Physical Examination187 Kylie Hill, BSc(Physiotherapy), PhD; Frank Chung, BSc(PT), MSc; Lori Roy, BSc(PT); and W. Darlene Reid, BMR(PT), PhD Chapter 14Surface Anatomy and Auscultation W. Darlene Reid, BMR(PT), PhD and Mireille Landry, BSc(PT), MSc Chapter 15Screening and Exercise, Strength, and Functional Performance Tests W. Darlene Reid, BMR(PT), PhD and Kylie Hill, BSc(Physiotherapy), PhD Chapter 16Oxygen Therapy, Noninvasive Ventilation, and Mechanical Ventilation Shane Patman, BAppSc(Physiotherapy), MSc, PhD and Kylie Hill, BSc(Physiotherapy), PhD CARDIOPULMONARY MANAGEMENT Chapter 17Adult and Patient Education Judy King, PhD, MHSc, BHSc(PT) Chapter 18Breathing Strategies and Exercises Kylie Hill, BSc(Physiotherapy), PhD; Frank Chung, BSc(PT), MSc; and W. Darlene Reid, BMR(PT), PhD Chapter 19Positioning Kylie Hill, BSc(Physiotherapy), PhD; Frank Chung, BSc(PT), MSc; and W. Darlene Reid, BMR(PT), PhD Chapter 20Airway Clearance Techniques Jamie Wood, BSc(Physiotherapy); Frank Chung, BSc(PT), MSc; and Nola Cecins, BAppSc, MSc Chapter 21Mobilization and Exercise for Hospitalized Patients Megan Harrold, BSc(Physiotherapy); Frank Chung, BSc(PT), MSc; and Kylie Hill, BSc(Physiotherapy), PhD Chapter 22Exercise Training in Cardiac Rehabilitation Mireille Landry, BSc(PT), MSc and Andrew Maiorana, BSc, MSc, PhD Chapter 23Exercise Training in Pulmonary Rehabilitation Sunita Mathur, BSc(PT), MSc, PhD and Dina Brooks, BSc(PT), MSc, PhD SECTION IICARDIOPULMONARY CASES Preamble to Cases SURGICAL CONDITIONS Case 1Atelectasis-Postoperatively in an Obese Patient-Deep Vein Thrombosis and Pulmonary Embolus Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT) Case 2Metabolic Syndrome Kylie Hill, BSc(Physiotherapy), PhD Case 3Postoperative Laparotomy in an Older Patient Simone Gruenig, BSc, MSc(PT) and W. Darlene Reid, BMR(PT), PhD Case 4Postoperative Thoracotomy in a Smoker Simone Gruenig, BSc, MSc(PT) and W. Darlene Reid, BMR(PT), PhD Case 5Acute Myocardial Infarction-Coronary Artery Bypass Graft Frank Chung, BSc(PT), MSc Case 6Left-Sided Congestive Heart Failure-Pulmonary Edema Frank Chung, BSc(PT), MSc and W. Darlene Reid, BMR(PT), PhD Case 7Atelectasis-Postoperatively in an Older Patient-Hypotensive and Atrial Fibrillation Frank Chung, BSc(PT), MSc MEDICAL CONDITIONS Case 8Aspiration Pneumonia and Acute Respiratory Distress Syndrome Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT) Case 9Elderly Patient With a Pleural Condition Simone Gruenig, BSc, MSc(PT); Frank Chung, BSc(PT), MSc; and W. Darlene Reid, BMR(PT), PhD Case 10Amyotrophic Lateral Sclerosis in the Intensive Care Unit Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT) TRAUMA Case 11Chest Trauma-Pneumothorax/Fractured Ribs3 Frank Chung, BSc(PT), MSc; Kylie Hill, BSc(Physiotherapy), PhD; and W. Darlene Reid, BMR(PT), PhD Case 12Acute Cervical Spinal Cord Injury Kylie Hill, BSc(Physiotherapy) CHRONIC RESPIRATORY CONDITIONS Case 13Restrictive Lung Disease W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc Case 14Stable Chronic Obstructive Pulmonary Disease W. Darlene Reid, BMR(PT), PhD; Frank Chung, BSc(PT), MSc; and Kylie Hill, BSc(Physiotherapy), PhD Case 15Cystic Fibrosis and Lung Transplant W. Darlene Reid, BMR(PT), PhD and Sunita Mathur, BSc(PT), MSc, PhD CHRONIC RESPIRATORY CONDITIONS WITH AN ACUTE EXACERBATION Case 16Asthma-Acute Exacerbation W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc Case 17Acute Exacerbation of Chronic Obstructive Pulmonary Disease W. Darlene Reid, BMR(PT), PhD and Frank Chung, BSc(PT), MSc CARDIAC CONDITIONS Case 18Acute Myocardial Infarction-Good Recovery Frank Chung, BSc(PT), MSc Case 19Chronic Heart Failure-Post-Myocardial Infarction-Class III/IV Frank Chung, BSc(PT), MSc Case 20Chronic Heart Failure-Cardiomyopathy-Class I/II Frank Chung, BSc(PT), MSc Case 21Peripheral Vascular Disease Frank Chung, BSc(PT), MSc and Lori Roy, BSc(PT) Case 22Exercising Outpatient-Arrhythmia and Hypotension W. Darlene Reid, BMR(PT), PhD RESPIRATORY AND CARDIAC CONDITIONS Case 23Lobar Pneumonia and Angina Frank Chung, BSc(PT), MSc and W. Darlene Reid, BMR(PT), PhD Case 24Pleural Effusion Complicated by Cardiac Effusion and Cardiac Tamponade Frank Chung, BSc(PT), MSc and W. Darlene Reid, BMR(PT), PhD SECTION IIIANSWER GUIDES Answer Guides: Chapters Answer Guides: Cases Appendix: Summary of Common Laboratory Values and Clinical Implications Financial Disclosures Index
