Full Course Description


Pharmacology of Infectious Diseases & Immunizations for Advanced Practice Clinicians

Program Information

Objectives

  1. Analyze the major classes of antibiotics and their pharmacokinetic characteristics.
  2. Apply current evidenced-based approaches to select appropriate treatment regimens for common infections encountered in clinical practice.
  3. Prescribe antimicrobials based on empiric dosing recommendations.
  4. Plan goals of therapy and parameters for monitoring therapeutic response to antimicrobials.
  5. Recommend specific antimicrobial therapeutic drug monitoring to maximize efficacy and minimize toxicities (e.g., vancomycin and aminoglycosides).
  6. Develop preventative strategies to limit antimicrobial resistance.
  7. Design patient and caregiver education on the proper use of antimicrobials.

Outline

Antimicrobials

  • Drug classes
  • Pharmacokinetic Properties
    • Concentration-dependent killing
    • Time-dependent killing
    • Post-antibiotic effect
  • Common interactions with other drugs

Antibacterial Allergies - Sulfa and Penicillin

  • Define true allergy
  • Sulfonamide antibiotics vs non-antibiotics
  • Penicillin - Cephalosporin cross-sensitivity

Bacteria

  • Differentiation
  • Normal flora
  • Common pathogens

Antibacterial Resistance - Contributing Factors

  • Trends
  • Mechanisms of resistance
  • Contributing factors

Methicillin-Resistant Staphylococcus Aureus - Community versus Hospital Acquired

  • Differentiating between CA- and HA-MRSA
  • Current clinical practice guidelines
  • Pharmacologic management

Enterobacteriaceae Resistance

  • Extended Spectrum Beta-Lactamase (ESBL)
    • What are ESBLs
    • Pharmacologic management
  • Carbapenem-Resistant Enterobacteriaceae (CRE)
    • What are CREs
    • Pharmacologic management

Urinary Tract Infections

  • Bacterial Etiology, Signs and Symptoms and Diagnosis
  • Cystitis and pyelonephritis
  • Complicated and uncomplicated
  • UTIs in pregnancy
  • Treatment (IDSA Guideline Treatment Algorithm)
    • Acute
    • Recurrent and relapse

Clostridium Difficile Infection

  • Risk factors
  • Pharmacology management
  • Fecal Transplantation
  • Probiotics literature review

Community–Acquired Pneumonia

  • Bacterial etiology
  • Diagnosis
  • Typical vs. atypical
  • Treatment (IDSA/ATS Guidelines) and monitoring
    • Outpatient vs. inpatient
    • Empiric treatment

Healthcare–Associated Pneumonia

  • Bacterial etiology
  • Treatment (IDSA/ATS Guidelines)

Upper Respiratory Tract Infections

  • Sinusitis and pharyngitis
    • Etiology (Viral vs. Bacterial)
    • Treatment

Skin and Soft Tissue Infections

  • Cellulitis
  • Bacterial etiology
    • Strep. vs. Staph. vs. MRSA
    • Signs & symptoms
    • Treatment (IDSA Guidelines)

Influenza

  • Clinical features
  • Diagnosis
  • Pharmacology management

Immunizations (Adult)

  • Types of Vaccines
  • General recommendations
  • Contraindications & precautions

Copyright : 07/13/2020

Psychopharmacology for Advanced Practice Clinicians: Proven Strategies for Prescription Success

Program Information

Objectives

  1. Distinguish ways to conceptualize psychiatric symptomatology outside the box.
  2. Evaluate common medical conditions that you may inadvertently diagnose as psychiatric in nature.
  3. Analyze the 4 main neurotransmitters and how their imbalance influences different psychiatric disorders.
  4. Measure efficacy of the newer class of serotonin modulators to the other widely-used antidepressant classes.
  5. Examine frequently asked questions regarding the impact of alcohol and marijuana for patients taking psychotropic medications.
  6. Determine strategic ways to customize treatment plans based on your patient's individual needs.

Outline

Antidepressants

  • The many facets which impact depression such as neurotransmitter imbalances, life events, and environmental factors
  • History of antidepressants, in terms of safety and efficacy of treatments
  • Classes of antidepressants - MAOIs, TCAs, SSRIs, SNRIs, SDRIs, other antidepressants, and serotonin modulators

Antipsychotics

  • Targeted neurotransmitters - DA, mechanism of action, DA pathways, D2 and 5Ht2A - why is this important?
  • Typical vs. atypical - what are the differences and how do we choose them?
  • Adverse effects
  • Off label indications
  • Specific benefits of the class

Mood Stabilizers

  • Targeted neurotransmitters/Mechanism of action
  • Efficacy in treatment
  • Adverse reactions
  • Safety - Importance of compliance and monitoring
  • Off label indications
  • Best in practice pearls

Anxiolytics

  • 2nd line treatment vs. 1st line treatment - and reasons these might not be used as first line
  • Targeted neurotransmitters/Mechanism of action
  • Cautions and safety concerns associated with this class
  • Adverse effects
  • Safety - addiction and withdrawal

Stimulants

  • Classes of ADHD drugs and how they differ
  • Neurotransmitters involved/Mechanism of action
  • Caution associated with controlled substances
  • Safety in children and use in adults

Critical Considerations for Psychopharmacology Treatment

  • Increasing risk - when patients combine psychotropic medications with alcohol and/or illicit drugs
  • Challenging symptoms to treat, such as TBI and autism
  • Ruling out medical conditions that mimic psychiatric conditions
  • Importance of a detailed history and review of symptoms

Enlightening Case Studies

  • Depression
  • Schizophrenia
  • Bipolar

Copyright : 05/14/2019

Geriatric Pharmacology: Maximizing Safety & Effectiveness

Program Information

Objectives

  1. Determine preventative techniques and individual monitoring plans to minimize adverse drug events and drug-drug interactions.
  2. Apply the principles of polypharmacy to the patient with cognitive impairment.
  3. Analyze the effects of aging on pharmacokinetics.
  4. Evaluate major causes, mechanism and early symptoms of drug-induced toxicity.
  5. Assess tools used to safely taper and discontinue medications.
  6. Apply prescribing strategies for the geriatric patient.
  7. Integrate age-sensitive principles for medication dosing and management to clinical scenarios.

Outline

Aging and Pharmacodynamics

  • Effects of Aging on Drug Therapy
  • Variations in Drug Half-life and Clearance
  • Drug Dosing in Chronic Kidney Disease
  • Common Inappropriate & Over-prescribed Drugs
  • Identifying Subtle Clues to Prevent an Adverse Drug Reaction

Drug-Drug Interactions

  • The P450 System
  • The Magic Drug Number in the Elderly
  • The Top 10 Medications to Avoid
  • The Top 10 Drug-drug Interactions
  • Drugs Associated with Weight Loss

Strategies to Avoid Adverse Drug Events

  • Identifying Subtle Clues to Prevent an Adverse Drug Reaction
  • Individualizing a Monitoring Plan
  • Mandatory Gradual Dose Reduction (GDR)
  • The Garfinkel Method for Drug Discontinuation

The "BEERS Criteria"

  • What are the Experts Saying?
  • Follow the Criteria OR go with your Instincts?
  • When Inappropriate Drugs are OK

STOPP and START

  • New Recommendations
  • Guidelines by Body System
  • Putting it all Together - Still a Puzzle?

Controversial Vitamins & Herbal Supplements

  • Is your Multivitamin killing you?
  • After 19 years, the Research is in
  • Advising your Patients Appropriately
  • The Vitamins that Help & the Ones that Hurt

Psychopharmacology

  • Selecting the Right Medication
  • Challenges in LTC
  • Black Box WARNINGS

Dementia, Depression & Delirium

  • The 3 "Ds" in Geriatrics
  • Drugs that Cause Cognitive Impairment

Prescribing Challenges & Solutions

  • Cardiovascular
    • Digoxin, Amiodarone & the Risk of Orthostatsis
    • The New Anti-Hypertensive Guidelines
  • Neurological
    • The Risk of "Sleepers": Zolpidem, Eszopiclone, Zaleplon
  • Endocrinology
    • "Doc I've got a Low 'T'"
    • Eliminating Sliding Scales
  • Gastrointestinal
    • Risks of Proton-pump-inhibitors (PPIs)
    • Best Antiemetic Choices
  • Anticholinergics
    • Associated Psychosis
    • Increased Anxiety and Agitation
  • Antithrombotics
    • Is Aspirin Still Recommended?
  • Anti-Infectives
    • Antibiotic Stewardship
    • Drug Resistance Concerns
    • Major Contributors to Cdiff
  • Pain Meds
    • Newest Guidelines for Opioid Discontinuance
    • Alternatives to Opioids

Copyright : 03/12/2019

Patients’ Use of Natural and Alternative Treatments to Manage Chronic Disease: Emerging Trends in Healthcare

Program Information

Outline

Emerging Trends in Healthcare: Natural and Alternative Medicine

  • Making the case for natural medicine: When it's effective; when it's not
  • Explore different alternative modalities
  • Water therapy and energetic therapies
  • Vitamins as cofactors for biochemical pathways
  • Why minerals are important to therapeutic protocols 

Explore Evidence-Based Natural Management of Common Illnesses

  • Diabetes: Optimal diets and supplements for reducing HgBA1c
  • Arthritis: Management of chronic pain through physical medicine, water therapy, nutrition, herbs and vitamins
  • Hypertension and Congestive Heart Failure: Explore nutritional protocols, exercises and herbal supplementation to be considered in the treatment plan
  • Hypothyroidism: How nutrition, lifestyle factors, vitamin and herbal interventions can optimize thyroid hormone function
  • Insomnia: Improve sleep duration and quality through vitamin/herbal supplementation
    • Herbal/vitamin side effects with commonly used sedatives
  • Cancer: Supplements to avoid when a patient is on chemotherapy and interventions to minimize side effects of chemotherapy
  • Asthma: Nutritional and herbal interventions to minimize asthma exacerbations
  • Common Colds/Influenza​: Analyze herbal supplements that minimize symptoms, boost immune system and reduce duration of colds
  • Irritable Bowel Syndrome​: Explore optimal diets, herbs and vitamins to manage IBS
  • Depression/Anxiety​: How to manage mood through nutrition and herbal interventions
  • Hypercholesteremia: Nutritional protocols and supplements to minimize LDL/VLDL and maximize HDL.
    • Which supplements interact with commonly-prescribed medications.
  • Surgical Management​: Which herbs/vitamins to avoid pre/post-surgery and interventions to optimize surgical healing

Furthering Your Education on Natural Medicine

  • Supplementation: Why quality matters
  • Continuing education: Best educational resources to learn more about natural medicine
  • Incorporating natural therapies into your own life
  • Understanding scope of practice and safely practicing using natural therapies

Objectives

  1. Differentiate between conventional and natural management of common illnesses.
  2. Determine the risk/benefit ratio between conventional and natural approaches to illnesses.
  3. Analyze chronic disease management using nutrition, nutritional supplementation, botanical medicine, physical medicine and energetic medicine.
  4. Evaluate the appropriateness of using natural therapies in chronic disease.
  5. Determine the clinical efficacy of vitamins/minerals in the management of chronic disease.
  6. Analyze patients' use of vitamins and herbs for common side effects and medication interactions.
  7. Choose reputable educational resources to further your knowledge of natural therapies.

Copyright : 03/28/2019