Full Course Description
Module 1: Acute Cardiac Conditions: Quick Assessment & Rapid Action
- “Time is muscle”
- Quick identification of acute cardiac pathologies
- Critical differences between cardiogenic shock and other types of shock
- Which aortic dissection patients need emergency surgery? Which don’t?
- Identify cardiac tamponade using Beck’s triad of symptoms
- Recognize the first signs of acute cardiac arrhythmias to intervene fast
You’re caring for a stable patient when suddenly she develops tachycardia and hypotension as well as complaints of pain. All are symptoms consistent with acute coronary syndrome, early shock, aortic dissection, tamponade, and various arrhythmias. Which is it?! Acute patient changes require quick assessment and rapid action.
With a thorough understanding of cardiac anatomy and physiology, you can utilize your knowledge in identifying presenting and evolving symptoms, as well as knowing potential risk factors for common pathologies. Fascinating case studies will be used to assist in making the right decisions. This knowledge will allow you to react appropriately and not panic, returning to work with the ability to more quickly determine a differential diagnosis and best prepare patients and families on the expected interventions and course of treatment.
Acute Cardiac Pathology
- Differentiate between an ST elevation MI and a non ST elevation MI
- What about the presentation based on different coronary vessel involvement?
- Review angiogram films to identify specific pathology including culprit vs. chronic lesions
- When are thrombolytics appropriate?
- When should an invasive procedure like angioplasty or stenting be performed?
- When to refer to surgery – including timing of urgent and elective surgery
- See the changes of acute MV regurgitation caused by myocardial ischemia on echocardiogram
- MR treatments: Pharmacology? When is it time for surgery or catheter-based interventions?
- Find out how an intra-aortic balloon pump can stabilize a patient with ventral septal defect caused by MI prior to surgery
- Review which drugs are most beneficial for specific conditions and adhere to AHA recommendations
- Understand the multiple causes of cardiogenic shock to identify early symptoms
- Compare the function of diagnostic techniques, including echocardiogram and swanganz catheters
- Gain insight into typical and more advanced treatments including fluid resuscitation, medication, interventions, intra-aortic balloon pumps, ECMO, and VADs
- Stanford types A and B – including common causes, which patients are at risk, and typical presenting symptoms
- Review diagnostic techniques and images including echocardiogram, TEE, and CT scans for pathological findings
- Which patients require emergency surgery vs. medical management?
- Explore the latest surgical techniques used in treatment
- Identify the symptoms of cardiac tamponade including the components of Beck’s triad
- Learn the causes of pericardial tamponade
- Review diagnostic echocardiogram and CT images
- Appropriate treatments including pericardiocentesis and pericardial window surgical procedures
- Identify acute cardiac arrhythmias including atrial fibrillation/flutter, 3rd-degree heart block and ventricular tachycardia by EKG findings
- Review common etiologies and risk factors
- Explore treatment options including medication, electricity, and ablation procedures
- Analyze EKG, physiologic, vascular, and structural changes related to myocardial ischemia.
- Breakdown acute mitral regurgitation due to papillary muscle dysfunction, ventral septal defects, and the acute physiologic symptoms observed.
- Communicate acute cardiac interventions including pharmacological, percutaneous and surgical treatments.
- Point out the etiology and symptoms of cardiogenic shock and treatments utilized.
- Analyze Stanford type A and B aortic dissection and treatments for each including which type requires emergency cardiac surgery.
- Breakdown symptoms of cardiac tamponade and appropriate treatments.
- Evaluate acute cardiac rhythm changes, etiology, and treatments for each including pharmacological and invasive interventions.
Module 2: Acute Cardiac Conditions: Quick Assessment & Rapid Action
Module 3: Acute Cardiac Conditions: Quick Assessment & Rapid Action
Module 4: Acute Cardiac Conditions: Quick Assessment & Rapid Action
Module 5: Acute Cardiac Conditions: Quick Assessment & Rapid Action
Module 1: The Complex Neuro Patient: Strategies to Take Your Practice to the Next Level
- Assessments that Identify the RED Flags
- Neuro Pharmacology Updates
- Latest Management Strategies for: Neuro Trauma, Stroke, Seizures, Neuromuscular & Neurodegenerative Diseases
Does this sound familiar?
78-year-old Joe presents to the ER reporting he has a headache that just doesn’t go away, today his vision seems a bit blurry and he is experiencing more dizziness. His wife tells you something is “not right” and he seems more confused. Joes tells you it’s just the “flu”; everybody gets that this time of year and he doesn’t know why his wife made him come in.
What Joe left out of the story:
The fall he took on the ice two days ago; he didn’t want his wife to worry so he hadn’t told her. Instead he’s been taking aspirin hoping his headache will just go away.
Patients may present with or develop neurological symptoms at any time, making it essential that healthcare providers possess the ability—and confidence—to quickly assess these changes and intervene appropriately. Without the key piece of information that Joe left out of the story, are you sure you have all the skills necessary to spot the subtle changes? Are you prepared for the emergency that is happening right in front of you?
Join nationally-known speaker and neurological nursing expert, Sean Smith, RN, BSN, NREMT-P, C-NPT, CCRN, CMC, CFRN, FP-C, CPEN, for this in-depth look at the complex neuro patient. Every nurse needs to know these critical concepts in order to provide the best and most up-to-date care to patients and their families. Sean is well known for his ability to make complex concepts understandable and useful. Register today and be prepared to make the difference between a good and bad outcome when faced with your next neurological emergency.
Neuro Assessments: Identifying the RED Flags
- Challenging Mental Status Exams
- The Patient with Existing Dementia
- The Down-n-Dirty Cranial Nerve Assessment
- Glasgow Coma Scale
- Identifying Red Flags
- Effectively Communicating Changes
Neuro Trauma: The Latest Evidence-Based Strategies
- Blunt & Penetrating Injuries
- Symptom Management for:
- Prophylactic Hypothermia
- Nutrition Replacement
- Surgical Emergencies & Post-op Care
- Associated Mental Status & Cognitive Changes
Managing Increased Intracranial Pressure
- Early & Late Symptoms
- Non-invasive vs. Invasive Monitoring
- ICP Waveform Analysis Made Easy
Neuro Pharmacology: New Thoughts on Old Therapies
- Osmotic Diuretics
- Hypertonic Saline
- Anti-Seizure Prophylaxis
- DVT Prophylaxis
- Thrombolytics & Anticoagulation
- Reversal Agents
- Infection Prophylaxis
- Anesthetics, Analgesics & Sedatives
Timely Recognition and Treatment Recommendations for Stroke Syndromes
- Acute Ischemic Stroke
- Intracerebral Hemorrhagic Stroke
- Hemispheric Findings
- NIH Stroke Scale
- Clinical Presentation & Management of Seizures
- Differentiation of Seizure Type
- Psychogenic Non-Epileptic Seizures (PNES’s)
- Sudden Unexplained Death in Epilepsy (SUDEP)
Neurodegenerative & Neuromuscular Disease
- The Patient with Alzheimer’s Disease
- Assessing Altered Mental Status
- The Patient with Pre-Existing Dementia
- Tips to Spot Subtle Clues
- Differentiating Diagnosis by Symptom Onset
The Patient with Multiple Sclerosis
- Physical Assessment Challenges
- The Patient with Muscle Weakness & Wasting
- Key Criteria for Assessing Baseline
The Patient with Amyotrophic Lateral Sclerosis
- Anticipating Complications
- Early Recognition of Life-threatening Symptoms
- What equipment is a MUST have at the bedside?
- Difficult Airway Management
The Patient with Parkinson’s Disease
- Symptom Management Challenges
- Interventions for the Agitated Patient
- Strategies for Effective Patient Compliance
- Team Approach: Role of the Interdisciplinary Team & Family
- Assess neuroanatomy as applicable to complex neurologic patients.
- Breakdown neurologic assessment strategies and changes associated with pathologic conditions.
- Choose between head injury types, associated mental status, and cognitive changes.
- Communicate the latest strategies for timely recognition and treatment of stroke syndromes.
- Specify the clinical presentation and treatment recommendations for seizure types.
- Correlate increased intracranial pressures with expected causes and critical care management.
- Evaluate post-op management of neurosurgical patients.
- Breakdown essential management strategies for patients with neurodegenerative and neuromuscular disorders.
Module 2: The Complex Neuro Patient: Strategies to Take Your Practice to the Next Level
Module 3: The Complex Neuro Patient: Strategies to Take Your Practice to the Next Level
Module 4: The Complex Neuro Patient: Strategies to Take Your Practice to the Next Level
Module 5: The Complex Neuro Patient: Strategies to Take Your Practice to the Next Level
Module 6: The Complex Neuro Patient: Strategies to Take Your Practice to the Next Level
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