Full Course Description


Module 1: Cardiac and Respiratory Complexities: Quickly Differentiate to Take Rapid Action

  • The BEST strategies to de-mystify the ECG findings
  • Making sense of cardiac medications
  • Hemodynamics: Improve your confidence interpreting results
  • Early signs of clinical deterioration: How did the clues get missed?
  • Critical steps to manage fluid and electrolyte levels
  • ABGs made easy
  • Pacing devices & other interventions: What’s trending
  • CPAP, BiPAP, and ventilators

You are assessing the patient who just returned from endoscopy following a foreign body removal. The patient is complaining of his throat itching. On assessment, his vital signs are normal, but he appears anxious. Is this normal following the procedure? Do you put him on a cardiac monitor? Should you call a rapid response?

We have all been faced with the clinical dilemma when our patient has rapidly progressing dyspnea, tachypnea, fever, cough, and chest pain. What is happening? Distinguishing between heart failure, pneumonia, and ARDS can be difficult. Did you know that COPD could mask a pulmonary embolism? When your patient is wheezing, do you make the assumption it is asthma? Or could the presentation be caused by heart failure or an allergic reaction?

Attending this conference will provide you with the confidence to recognize early and identify appropriate interventions to prevent further deterioration. We will discuss when non-invasive ventilation devices should - and should not - be used. If you are still struggling with blood gases, don’t let blood gases intimidate you! Learn quick and easy ways to interpret ABG results. You will learn from actual patient stories to illustrate the complexities and co-morbidities of cardiac and respiratory diagnoses!

Program Information

Objectives

  1. Breakdown the nursing assessment for patients with airway or ventilatory problems.
  2. Evaluate the pathophysiologic changes that occur causing the signs and symptoms associated with airway or ventilatory problems.
  3. Determine appropriate interventions for airway or ventilatory problems.
  4. Inspect the difference between ventilator modes and the use of NPPV.
  5. Evaluate appropriate treatment strategies for high-risk ECG findings.
  6. Plan for emerging treatments in heart failure.
  7. Analyze management options for acute coronary syndromes.
  8. Communicate the diagnosis, evaluation, and management of inflammatory cardiac disease.

Outline

Hemodynamics

  • Do you need a Swan-Ganz?
  • Preload/Afterload
  • Contractility
  • Cardiac output
  • Cardiac index
  • Mean arterial pressure

Respiratory Diagnoses

  • Will the real cause of SOB please stand up: Complicating the respiratory diagnosis
  • Clinical presentation, signs/symptoms, interventions, management of:
    • Pneumonia
    • Asthma
    • COPD
    • Acute Respiratory Distress Syndrome
    • Pulmonary embolism (Air, Fat, Amniotic)
  • Anaphylaxis
  • Acute Respiratory Failure
  • Pleural effusions
  • Pneumothorax
  • Foreign body aspiration

Respiratory Interventions and Medications

  • Pharmacology
  • ABGs: Simplifying the numbers
  • Chest Tubes: Indications, set-up, troubleshooting
  • Capnography: Interpreting what it tells us
  • Ventilation and NPPV basics: Modes of ventilation and appropriate uses

Cardiac Diagnoses

  • Bradycardic & tachycardic rhythms: Essentials that you need to know
  • Is This Patient Having an MI?
    • Pericarditis
    • Myocarditis
    • Endocarditis
    • Etiology, Clinical Presentation, ECG changes, Treatment
  • Aortic Stenosis
  • Heart Failure
  • Current best practice recommendations
  • Long-term prognosis

Acute Coronary Syndrome

  • Unstable Angina
  • STEMI
  • Non-STEMI
  • Differentiating the Three

Cardiac Interventions and Medications

  • Pharmacology
    • Vasopressors vs. Inotropes Ace Inhibitors, Beta blockers
    • Anticoagulants
  • Stabilization & Treatment procedures
  • Stents, CABG, LVADS
  • What’s Trending? Current trending technology
  • Case Presentations & Identify Probable Diagnosis

Copyright : 11/07/2017

Module 2: Cardiac and Respiratory Complexities: Quickly Differentiate to Take Rapid Action

Copyright : 11/07/2017

Module 3: Cardiac and Respiratory Complexities: Quickly Differentiate to Take Rapid Action

Copyright : 11/07/2017

Module 4: Cardiac and Respiratory Complexities: Quickly Differentiate to Take Rapid Action

Copyright : 11/07/2017

Module 5: Cardiac and Respiratory Complexities: Quickly Differentiate to Take Rapid Action

Copyright : 11/07/2017

Module 6: Cardiac and Respiratory Complexities: Quickly Differentiate to Take Rapid Action

Copyright : 11/07/2017

Pulmonary Emergencies

We will discuss crucial assessment findings and interventions for pulmonary emergencies including mechanical ventilation criteria for the following:

  • Respiratory Failure
  • Pulmonary Embolism
  • COPD
  • ARDS

Program Information

Objectives

  1. Prioritize nursing actions for respiratory emergencies.
  2. Inspect blood gases with respect to compensation, etiology and pH.

Outline

  • Acute Respiratory Failure
    • Etiology
    • Impaired Ventilation
    • Signs, Symptoms, Diagnostics
    • Management
  • Acute Respiratory Distress Syndrome
    • Etiology
    • Signs, Symptoms, Diagnostics
    • Management
  • COPD
    • Signs, Symptoms, Diagnostics
    • Management
  • Acute Severe Asthma
    • Signs, Symptoms, Diagnostics
    • Management
  • Pulmonary Embolism
    • Management
  • Anticoagulant Therapy
  • Mechanical Ventilation
  • Assist Control Ventilation
  • Synchronized Intermittent Mandatory Ventilation
  • Pressure Support Ventilation
  • Low Tidal Volume Ventilation

Copyright : 04/14/2016

Heart and Lung Sounds, 2nd Edition

Achieving excellence in the care we give is a goal for every healthcare provider. In order to do so, we must ensure that we have the tools to allow for critical thinking to occur. One of the most fundamental tools for success in the medical arena is to have an understanding of the clues we find in our assessments. Cyndi Zarbano discusses pearls of wisdom for excellent assessment skills and be able to explain the: who, what, why, and where's of extra heart and lung sound clues.

Program Information

Objectives

  1. Analyze 6 extra heart sounds and distinguish what they mean when you hear them.
  2. Assess the difference between systolic and diastolic murmurs, as well as clues to expected assessment finding with each.
  3. Analyze 5 adventitious breath sounds and understand the clue and common causes for their occurrence.
  4. Evaluate voice sounds to confirm pulmonary pathology.

Outline

Cardiac Assessment Skills

  • Extra Heart Sounds
    • S2 Splits
    • S3
    • S4
    • Summation Gallops
    • Mechanical Clicks
    • Pericardial friction Rubs
  • Heart Murmurs
    • 4 Systolic Murmurs
    • 3 Diastolic Murmurs


Pulmonary assessment

  • Adventitious Breath Sounds
    • Wheezes
    • Rales
    • Rhonchi
    • Stridor
    • Pleural Friction Rubs
  • Using Vocal Fremitus to Confirm Pathology
    • Bronchophony
    • Whispered Pectoriloquy
    • Egophony

Copyright : 01/07/2016

Simulation Lab Scenarios to Prevent a Real Patient Crisis

Robin Gilbert, MSN, RN, CEN, CPEN will use simulation scenarios to identify patients whose condition is deteriorating, the appropriate interventions, and desired outcomes. Simulation provides a non-threatening approach to high-risk scenarios that will ultimately improve patient safety. The realism of simulation can improve failure to rescue situations in actual patient care. During the scenarios, the mannequins will respond based on the interventions delivered for a variety of high risk situations, including:

  • Pulmonary Embolism
  • Shock
  • Sepsis
  • Respiratory Crisis
  • Acute Change in LOC

Viewing this simulation will allow you to think through the action you might plan to take for the patient and further reflect on her best practice recommendations and rationale that follow. Virtual simulation is self-paced to allow for personal assessment of strengths and weaknesses. Learning through simulation scenarios provides immediate feedback, in a safe environment, which builds confidence and provides an excellent bridge to real-life patient care situations.

Program Information

Objectives

  1. Explore signs and symptoms of Pulmonary embolism
  2. Exploit differential diagnoses that present with respiratory distress
  3. Communicate use of anticoagulants and other treatment options
  4. Breakdown signs and symptoms of shock
  5. Separate obstructive shock from hypovolemic shock
  6. Determine appropriate interventions for obstructive shock
  7. Determine potential causes for changes in LOC
  8. Communicate DKA and treatment
  • Dissect risk factors for sepsis

Outline

  1. Scenario 1
    1. Skills
      1. Cardiac monitoring
      2. O2
      3. IV access
      4. ACLS algorithm
  2. Scenario 2
    1. Skills
      1. IV access
      2. Needle decompression
      3. Chest tube set-up
  3. Scenario 3
    1. Skills
      1. Cardiac monitor
      2. IV
      3. Intubation
      4. Insulin drip
  4. Debriefings
    1. Team approach
    2. Closed loop communication
    3. Risk for errors

Copyright : 01/03/2017