Full Course Description

Cardiac Medication Essentials: 2016 Critical Care Nursing Conference

Watch Dr. Paul Langlois, APN, PHD, CCRN, CCNS, CNRN, for an insightful and practical day focused on the common types of cardiac disorders that professionals like you see in your practice, and the medications currently used to treat them. Paul will provide you with cutting-edge information regarding the selection of particular cardiac medications, the desired outcomes, potential side effects and drug interactions. Don’t miss this opportunity to keep pace with the ever-changing field of cardiac care and, through the information gained in this seminar, reduce the risk of potential adverse consequences for your patients!

Antiarrhythmic Agents
Anticoagulants
Metabolic Syndrome
Dyslipidemia
CHF
Stroke
Antihypertensive Therapy
Dangerous Interactions

Program Information

Outline

Cardiac Hemodynamics: Beyond Blood Pressure and Heart Rate

Preload
Afterload
Contractility
Normal and abnormal electrocardiographic tracings

Antiarrhythmic Agents: Avoid the 3 Most Common Mistakes

Class I agents (sodium channel blockers)
Class II agents (beta-blockers)
Class III agents (potassium channel blockers)
Class IV agents (calcium channel blockers)
AHA/ACC Anticoagulant Administration Guidelines
Nitrates
Aspirin
Morphine sulfate
Beta blockers
Fibrinolytic agents
Antiplatelet agents
Anticoagulants
ACE inhibitors
Angiotensin receptor blockers (ARB)

Stroke Patients: Avoid 4 Common Medication Errors

Ischemic
Hypertension: Labetalol, Nitropaste, Nicardipine
Hypotension: Crystalloid, Dopamine
Thrombolytic agents
Antiepileptic medications
Dabigatran
Hemorrhagic
Correct coagulation abnormalities
Glucose management
Blood pressure control
Antiepileptic medications

Metabolic Syndrome and Dyslipidemia Patients: Medications that Should NOT Be Administered Together

NCEP ATPIII guidelines
Lipid modifying medications
Statins
Fibrates
Resins
Niacin
Blood glucose control
Insulin
Oral agents

Congestive Heart Failure: Medications to Start and Avoid Based Upon Patient Presentation Digoxin

Nesiritide
Diuretics
ACE inhibitors
ARB
Aldosterone antagonists
Beta-blockers

WARNING: What the Antihypertensive Therapy Guidelines Do Not Specify

Diuretics
Loop
Thiazide
Potassium-sparing
ACE inhibitors
ARB
Beta-blockers
Calcium channel blockers
Alpha blocking agents
Vasodilators
Lifestyle modifications

Objectives

Describe the four classes of cardiac medications and their effects on the function of the cardiac cycle.
Explain the effects that each class of cardiac medications has on the cardiac cycle.
Identify the classes of medications used to treat acute coronary syndrome.
Discriminate between the treatments for ischemic and hemorrhagic stroke.
Explain the benefits of medications used to treat metabolic syndrome and dyslipidemia.
Analyze the benefits and risks of medications used to treat heart failure.
Define the criteria used to initiate antihypertensive medications after lifestyle modifications have been employed.
Recognize dangerous drug-drug interactions of cardiac and non-cardiac medications.

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other

Copyright : 04/12/2016

Pharmacologic Interventions for Pain & Comfort

The complexity of the critically ill patient creates many challenges to providing effective pain relief. These medications have the potential of leading to adverse patient outcomes if not prescribed and administered appropriately. In this session, we will cover Pharmacologic Interventions for:

Analgesia
Agitation
Delirium
Thromboembolism Prophylaxis
Gastro-intestinal Bleeding Prophylaxis

Objectives

Apply prophylactic pharmacologic strategies to promote patient safety and comfort.
Assess the most prevalent medications that are prescribed for patients for effective pain relief.

Outline

Pain, agitation and delirium

Clinical Practice Guideline
Pain Assessment
Pain Management

Opioid Medication
Non-opiate Analgesics
Sedating Medication

Venous Thromboembolism (VTE) Prophylaxis

Critically Ill Patients
Patients with Cancer
DVT
Testing for VTE

Gastro-Intestinal Bleeding Prophylaxis

Background

ADA Needs
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Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other

Copyright : 04/14/2016

Pharmacological Management of Life Threatening Conditions

New medications are being developed at an ever-increasing rate and it can seem overwhelming to keep up with the latest recommendations, guidelines and warnings. In this session, Dr. Langlois will discuss pharmacological management of conditions commonly seen in the critical care setting including:

Congestive Heart Failure
Myocardial Infarction
Stroke
Organ Transplant

Objectives

Assess the most prevalent medications that are prescribed for patients with congestive heart failure.
Compare anticoagulants that are most beneficial to the patient with myocardial infarction.

Outline

Heart Failure
- Stages
- Initial Clinical Assessment
- Management and Medications
- LVAD
- ICD
- CONTRAINDICATIONS
Myocardial Infarction
- ST-Segment MI
- Dual Anti-Platelet Therapy
Ischemic and Hemorrhagic Stroke
- Epidemiology
- Management
- Aneurysmal Subarachnoid Hemorrhage
  - Diagnosis
  - Parmacologic Treatment
Transplant Medications
- T-Lymphocytes
- B-Lymphocytes
- Immunouppression
- Medications

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other

Copyright : 04/14/2016

Pharmacological Management of Infectious Diseases

Choosing an antibacterial agent can be challenging given the emerging trends in bacterial resistance. In this session, Dr. Langlois discusses pharmacokinetic properties and new treatment guidelines for conditions commonly encountered in critical care including:

Urinary Tract Infections
Skin & Soft Tissue Infections
Multiple Drug-Resistant Organisms

Outline

Bacterial Basics
- Cell Envelope
- Fungal Infections
- UTI
- Pevlic Inflammatory Disease
  - PID Therapy
- Cellulitis
  - Bacterial Causes
  - Therapy for Cellulitis
- Diabetic Foot Infections
  - Diagnosis and Treatment of Osteomyelitis in Diabetic Ulcer
Strategies to Improve Patient Adherence
- IMS Model
- Prescribing Practices
- Antibiotic Resistance
- Antimicrobial Resistance

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other

Objectives

Catalogue major classes of antibiotics and their pharmacokinetic characteristics.
Choose appropriate pharmacologic and nonpharmacologic regimens for the prevention and treatment in various patient populations.

Copyright : 04/14/2016

Management of the Patient in Shock

Your patients’ lives depend on your ability to assess and act; there isn’t room for error. Treatment protocols in Managing Shock change frequently and this session will provide you the latest evidence-based management strategies for:

Hypovolemic Shock
Cardiogenic Shock
Neurogenic Shock
Obstructive Shock

Objectives

Recognize the cellular alterations that occur during shock
Discriminate how cardiac output differs among the five shock states

Outline

Cellular Altercations in Shock
- Diagnosis
- Pathophysiologic Shock Mechanisms
Types of Shock
- Cardiogenic Shock
- Distributive Shock
- Septic Shock
- Hypovolemic Shock
- Obstructive Shock
Approaches to Treating All Shock Patients
- Fluid Resuscitation
- Vasoactive Agents
- ECMO
Specific Treatments Based on Shock Etiology
Ongoing Patient Support and Shock Resuscitation

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other

The ICU Trio in Crisis

The Right Choice for the Situation! In this session, Cyndi discusses quick tips to help you remember:

Which IV Fluids & Why
How They Work & When to Use Pressor Agents
Blood Products - FFP, Platelets, PRBCs, Cryoprecipitate

Objectives

Describe how pressors work and when to use them
Identify which appropriate IV fluids should be used

Outline

Cardiac Output
- Heart Rate
- Preload
  - Diuretics
  - Vasodilators
- Afterload
  - Meds that Increase Perfusion Pressure
    - Norepinephrine
    - Dopamine
    - Epinephrine
    - Phenlyephrine
    - Vasopressin
  - Causes of Increases Afterload
    - Vasodilators
    - Ace Inhibitors
    - ARB's
    - Calciium Channel Blocking Agents
Contractility
- Dopamine
- Dobutamine
- Digoxin
- Milrinone
IV Fluids and Blood Products
- Hypotonic Solutions
- Hypertonic Solutions
- Colloids
- Blood Products
  - Packed Red Blood Cells
- When to Transfuse
  - Platelet Transfusion
  - Fresh Frozen Plasma
  - Cryoprecipitate
  - Reversing Anticoagulation

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other

Emerging Toxicology

Effective assessment for substance use and abuse is vitally important to get the best outcomes for your patients. Marcia will discuss the current trends and challenges encountered with OTC and herbal medication overuse, prescription drug abuse and the new “Street Drugs” of choice. This session will maximize your identification skills and improve your ability to facilitate rapid treatment.

Objectives

Interpret patient presentation to identify possible toxic substance abuse to facilitate rapid and correct treatment.
Categorize symptoms of common of sympathetic and parasympathetic toxidromes and how to intervene quickly.

Outline

Basic Principles
Management
Physical Examination and Assessment
Blood Gases and Rules
Decontamination Reduce/Remove
- Gastric Decontamination
  - Gastric Lavage
  - Ipecac
  - Activated Charcoal
    - Drugs that Do Not Absorb to Charcoal
Whole Bowel Irrigation
- Hemoperfusion
- Toxidromes

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other

The Patient with Multi-System Failure

The patient admitted with Multi-System Failure requires an “all hands on deck” approach. In this session, Dr. Langlois answers the critical questions:

What Do We Do First?
Which IV Fluids & How Much?
Which Antibiotic & Why or Why Not?
What are the First Vasopressors to Consider?
What Complications are the Most Concerning?

Objectives

Identify and treat patients with multi-system failures
Recognize which patients are at risk for developing chronic kidney disease (CKD) and acute renal failure (ARF)

Outline

Multi-System Organ Failure
- Initial Approach
- MODs Scoring
Oxygenation
- Calculating Tidal Volume
- Respiratory Rate
- Positive End-Expiratory Pressure
- Mechanical Ventilation
- ARDS
  - Pathophysiology
  - Ventilation
  - Adjunctive Strategies
  - Pharmalogical Interventions
Fluids, Vasopressors, and Blood Products
- Resuscitation
- Vasoactive Agents
- Platelets
- Managing DIC
Cardiovascular Support
- Hemodynamics of the IABP
- ECMO
Acute Kidney Injury
- Prevalence of AKI
- Methods to Assess AKI
Neurologic
- Delirium
Sepsis
- Diagnosis
- Initial Antimicrobial Therapy
Gastrointestinal and Endocrine
- Glucose Control
- Nutrition

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other