Full Course Description
Module 1: Getting the Most Out of the Complete Blood Count
So much more than just the hemoglobin and hematocrit levels, the CBC provides a complete picture of all blood formed elements. In this session you will learn about the pathophysiology and differential diagnosis of a variety of conditions. Go beyond the numbers and finally understanding what is causing the abnormal findings.
- Components of the CBC
- What do the Numbers Mean?
- Pearls of Wisdom
- Understanding Shifts to the Left & Right
- Using the Differential Clues
- Platelet Abnormalities
- Panic Values
- Integrate Hemoglobin, Hematocrit, and Indices into a comprehensive assessment.
- Analyze a Complete Blood Count with Differential and discuss clinical applications.
- Explore the role of differentials assistance in determining differential diagnosis.
Communicate the diagnosis and treatment of Platelet dysfunction and other coagulopathies.
Module 2: Beyond the Basics of the Basic Metabolic Panel: Understanding Life-Threatening Electrolyte Levels
You will learn to look beyond the numbers and see that the “Basic” Metabolic Panel (BMP) is anything BUT basic! Your patients’ levels may not be where you think they are, or “normal” may represent anything but homeostasis. Understand important implications for renal health and a proactive approach to patient management. You will also advance your skills in electrolyte interpretation and gain the confidence you need to manage the next life-threatening emergency.
- Components of the BMP
- Renal Failure & Lab Clues
- Acute Kidney Injury
- Acute Tubular Nephrosis
- Life-Threatening Electrolyte Imbalances
- Hypo and Hypernatremia
- Hypo and Hypercalcemia
- Hypo and Hypermagnesemia
- Communicate the classification of renal insufficiency and failure.
- Analyze pre-renal, intrinsic renal, and post-obstructive causes of renal failure using lab findings and other tests.
- Connect expected changes to the EKG with life-threatening potassium levels.
- Connect Chvostek’s sign and Trousseau sign and the relationship to electrolyte status.
Module 3: Liver and Labs in Detail Along with Coagulation Complications
Finally master the clotting cascade and be prepared to recognize the changes that indicate a potentially life-threatening complication. In this session you will also learn about common markers for hepatic dysfunction as well as the etiology and treatment strategies. Outpatient or Inpatient, Acute or Chronic, Hepatic disorders are common to every practice environment and this course provides you with the tools needed to succeed.
- Liver Function Tests
- Clues to the Injured or Sick Liver
- Hepatic Failure
- Hepatic Encephalopathy
- Coagulation Studies
- The Clotting Cascade
- INR Goals
- Disseminated Intravascular Coagulopathy (DIC)
- Heparin-Induced Thrombocytopenia (HIT)
- Communicate what parts of the clotting cascade are measured by the APTT and the INR.
- Categorize expected findings on the labs for a patient with DIC.
- Present the pathology behind Heparin-induced Thrombocytopenia.
Module 4: 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
Module 5: Everything Endocrine: Responding Appropriately to Critical Lab Findings
Therefore, no matter what specialty, healthcare providers need to be ready for diabetic emergencies. Prevention, and rapid recognition and appropriate treatment can be life-saving. Understanding what causes diabetic emergencies can be key to prevention of complications. Insulin is a lifesaving hormone, but is one of the most confusing yet dangerous medications especially in our hospitalized patient. Insulin is a powerful tool if used correctly and healthcare providers armed with knowledge can make a big difference. This session will provide essential tools for patient safety, even if diabetes is not your specialty.
- Diabetic Ketoacidosis (DKA)
- Hyperosmolar Hyperglycemic States (HHS)
- Hgb A1C
- Conversion Rates
- Diabetes Insipidus
- Thyroid Labs
- Thyroid Crisis
- Acute Pancreatitis
- Pearls of Wisdom
- Divide DKA and HHS from the lab findings.
- Explore symptoms and expected lab findings for Diabetes Insipidus.
- Formulate why calcium levels can be dangerously low with severe pancreatitis.
Module 6: Preventing and Treating Infection: Sepsis and Microbiology Lab Tests
You will learn to correctly diagnose a broad spectrum of possible infectious agents through a review of systems, sources of infection, diseases, and treatments. Through understanding of both common and uncommon, yet still vital, diagnoses you will improve your treatment level through this important course.
- Surviving Sepsis Guidelines
- Sepsis Lab Findings
- 3-hour and 6-hour Bundles
- Multiple Organ Dysfunction Syndrome
- Lumbar Puncture
- CSF Headache
- Cultures & Sensitivity
- Gram Stain
- Choosing Antibiotics
- Communicate the role lactate levels serve in identifying and treating sepsis.
- Evaluate the components of the 3-hour and 6-hour bundles in the Surviving Sepsis Guidelines.
- Inspect the findings in a urinalysis that support the diagnosis of an UTI.
- Assess spinal fluid findings to differentiate between viral and bacterial meningitis and encephalitis.
- Communicate two ways the gram stain and sensitivity can guide selection of antibiotics.