Full Course Description
2 Day: Progressive Care Conference: Conquer the High Acuity Patient
- Anticipate changing assessment priorities of progressive care patients and their families.
- Evaluate ECG characteristics and initial management strategies of common dysrhythmias.
- Analyze ABG results with greater ease and confidence.
- Analyze ventilator modes, challenges and nursing management.
- Determine early signs of clinical deterioration before things get worse.
- Choose the best interventions for care of patients with acute coronary syndromes.
- Appraise the indications for electrophysiology studies.
- Categorize current sepsis recommendations.
- Differentiate acute ischemic stroke and hemorrhagic stroke between clinical presentation and nursing management.
- Plan your response to life-threatening electrolyte imbalances.
- Determine nursing interventions to endocrine disorders: DKA, HNK, SIADH, DI.
- Examine the special needs of trauma patients in progressive care units.
- Evaluate the current trends being seen in the treatment of progressive care patients (ECMO, REBOA, assistive devices).
Neurology: Starting at the Top
Cardiovascular: Keeping in Rhythm
- Traumatic Brain Injury
- Acute Coronary Syndrome (STEMI, NON-STEMI, Angina)
- EKG interpretation (The down and dirty)
- Heart failure
- Pericarditis, Myocarditis, Endocarditis
- Valve disease
Acid Base in a Nutshell: ABG’s
- Acute respiratory failure
- Acute respiratory distress syndrome
- COPD, Asthma, Asthma COPD
- Overlap Syndrome
- Pulmonary embolism
- BiPAP, CPAP, mechanical ventilation
- Buffer to Blame: Who’s Guilty? (Respiratory or Metabolic)
- Is there an accomplice involved? (Compensating/Not compensating)
- Acute Kidney Injury
- Potassium, Sodium, Calcium, Magnesium Imbalance
Hematologic & Immune System
- Bowel obstructions
- Abdominal Compartment Syndrome
- Acute abdomen
- GI Bleed
- Anaphylactic reactions
- Hyperglycemic states
- Thyroid storm
- Monitoring systems
- Vasopressors & Inotropes
- Insulin drips
- Pulmonary medications
- Sink or swim: IV fluids in critically ill
Critical Care Patients with Special Needs
- Multisystem trauma
Preparations for the Future
- Bariatric patient
- High risk obstetric
- Assistive devices
Pulling it all Together
- CardioMEMS HF system
- Extracorporeal cardiopulmonary resuscitation (ECPR)
- Resuscitative endovascular balloon occlusion of the aorta (REBOA)
- Tandem heart
- Case based presentations & discussion
Respiratory Distress: Assess and Respond with Skill and Confidence
- Evaluate the types of ventilation/perfusion inequalities and how to treat them.
- Differentiate between lung-based vs cardiac-based disease.
- Evaluate the presentation differences between obstructive and restrictive lung diseases.
- Distinguish between shunt effect and dead-space effect.
- Choose the type of assessment techniques that are best to learn quickly about the deteriorating patient’s condition.
- Apply the best treatment modalities to optimize outcomes for a patient in crisis.
Respiratory Failure: Quickly Identify and Distinguish
Best Approaches to Differentiate Cardiac and Pulmonary Symptoms
- Is it an oxygenation or a ventilation problem?
- Why does it matter?
Confidently Assess Respiratory Disease
- Advanced understanding of breath sounds
- X-rays don’t tell the whole story
- Not all edema is visible
- Evaluating the patient’s response to therapy
Transition the Patient from Crisis to Stable
- Dig deeper into ABG interpretation
- Tips to focus on one system at a time
- Treatment strategies to begin as you assess
Stair-step Strategy to Determine Treatment
- Solutions to calm the panic-stricken patient
- When lab results don’t correlate with the presentation
- WHY is the patient presenting the way they are?
Mistakes YOU Can Prevent
- What about bronchodilators?
- Oxygen is a drug – how to optimize oxygen delivery
- When oxygen therapy isn’t enough – positive pressure ventilation vs mechanical ventilation
- Misinterpretation of obstructive vs restrictive disease – or both?
- All that wheezes may not be respiratory
- Improper treatment modalities – start simple and work up
- Missed clues from an urgent situation – know when to call in reinforcements
Must Know Cardiac and Respiratory Lab Tests
CKMB? BNP? Troponins? Learn what they all mean and understand why we order them and how they integrate into a comprehensive cardiac assessment. Understand the wherefores and whys of cardiac workup…Time is Muscle! Examine oxygenation, ventilation, acid-base status and more. No matter the setting you work in you will benefit from gaining understanding through application to case studies. Both Inpatient and Outpatient applications will be addressed along with patient monitoring, and practice guidelines for optimizing therapy.
- Acute Coronary Syndrome
- Components of Cardiac Lab Tests
- BNP and Pro-BNP
- Congestive Heart Failure
- Blood Gases: Arterial and Venous
- Acid/Base Compensation
- Decide when the Troponin implies a myocardial infarct and what else can cause modest elevation to this cardiac marker.
- Exploit the differences between ST elevation and ST depression on the EKG as it relates to cardiac insult.
- Analyze four abnormal findings on the ABG and common causes of each.
- Utilize a tool for easy analysis of ABG findings