Full Course Description
Session 1: Surviving Sepsis
Objectives
- Identify evidence-based practices that prevent sepsis.
- Describe the nurse’s role in assessment of the patient experiencing SIRS, sepsis or septic shock.
- Discuss current management strategies for the patient with sepsis.
Outline
- Sirs, Spesis, Septic Shock, and MODS
- Inflammatory Injury
- The Ripple Effect of Inflammation
- Systemic Inflammatory Response Syndrome (SIRS)
- Sepsis
- New Tool for Sepsis Used Instead of Apache Score
- SOFA — 6 Criteria
- Respiratory Status and Intrapulmonary Shunting
- Coagulation Status
- Liver
- Cardiovascular
- Neurological Functioning
- Kidney Function
- Epidemiology
- Common Causes of Sepsis
- Case Study
- Surviving Sepsis Campaign
- Multiple Organ Dysfunction Syndrome (MODS)
- Inflammatory Mediators
- Cytokines
- Systemic Effects of Cytokines
- Labs and Sepsis
- Lactate
- Procalcitonin
- Base Deficit
- Anion Gap
- Cultures
- WBC's
- Choosing Antibiotics
- How do they work?
- Bactericidal vs. Bacteriostatic
- Treatment of Sepsis
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists
Copyright :
04/13/2016
Session 2: The Chronically Critically Ill Patient
Objectives
- Define what classifies a patient as chronically, critically ill and the associated risk factors.
- Discuss the “4 R’s” of patient management: Respiratory, Recovery, Recuperation, and Rehabilitation.
Outline
- Definitions
- Prevalence
- Profile
- Why in an ICU
- Goals of an ICU
- Becoming Chronically Critically Ill
- Complexities of Pathophysiology
- Nutritional Guidelines
- Medications
- Financial Impact
- Supporting the Patient and Family
- Withdrawal of Life Support
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Copyright :
04/13/2016
Session 3: Advanced Hemodynamic Monitoring
Objectives
- Identify the importance of listening over all four heart valves.
- Recognize the significance of S3 and S4 heart sounds.
- Distinguish between systolic and diastolic murmurs.
Outline
- Waveform Analysis
- Transducer Leveling and Zeroing
- Central Venous Pressure
- Measuring the CVP
- EBP Related to CVP
- Direct Arterial Monitoring
- Arterial Line
- Arterial Wave Form
- Swan Ganz Numbers
- PAP Documentation
- Case Study
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Copyright :
04/14/2016
Session 4: Navigating Traumatic Grief and Bereavement
Objectives
- Explore losses relative to critical care settings.
- Examine the impact of traumatic loss on the mental health of healthcare providers.
- Describe the basic process of traumatic grief and bereavement.
Outline
- Loss
- Influences
- Mourning
- Bereavement
- Grief
- Symptoms or Reactions
- The Grief Cycle
- Crisis Cycle
- Conflict Cycle
- Commencement Cycle
- Help and Health
- Long-Term Goals
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Copyright :
04/14/2016
Session 5: Critical Care Lab Values: Interpreting the Data
Objectives
- Analyze a CBC with Differential and discuss clinical applications.
- Interpret cardiac panel results in a suspected acute myocardial infarction.
- Analyze blood gases and pertinent clinical implications.
Outline
- 3 Lab Focus
- WBC's
- CBC
- H&H
- Hemoglobin
- Platelets
- Hematocrit
- White Blood Cells
- Myeloid WBC's
- Neutrophils
- Eosinophils
- Basophils
- Agranulocytes
- Anemia
- Anemia by Blood Loss
- Decreased RBC Production
- Destruction of RBC's
- HCT and Hgb
- Leukopenia
- Neutropenia
- Platelets
- Pathophysiology
- Angina
- Abnormal ABG's
- Metabolic Acidosis
- Metabolic Alkalosis
- Respiratory Acidosis
- Respiratory Alkalosis
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Copyright :
04/14/2016
Session 6: Pulmonary Emergencies
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Objectives
- Prioritize nursing actions for respiratory emergencies.
- 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
- Anticoagulant Therapy
- Mechanical Ventilation
- Assist Control Ventilation
- Synchronized Intermittent Mandatory Ventilation
- Pressure Support Ventilation
- Low Tidal Volume Ventilation
Copyright :
04/14/2016
Session 7: Renal Emergencies
Objectives
- Evaluate which patients are at risk for developing acute renal failure.
- Interpret BUN and creatinine lab findings including the related implications for management strategies.
Outline
- Determining Kidney Failure
- BUN
- Creatinine
- Glomerular Filtration Rate
- What is Dialysis?
- Primary Causes
- What are your options?
- Pertoneal Dialysis
- Hemodialysis
- Electrolyte Abnormalities
- Potassium
- Sodium
- Calcium
- Magnesium
- Pre-Dialysis
- During Dialysis
- Post Dialysis
- Dietary Teaching and Considerations
- Depression
- Signs and Symptoms
- Depression and ESRD
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Copyright :
04/14/2016
Session 8: Care of the Neuro Patient
Objectives
- Discriminate between treatments for ischemic and hemorrhagic stroke.
- Distinguish the best pharmacologic methods to achieve blood pressure control for patients with ischemic and hemorrhagic stroke.
Outline
- Traumatic Intracranial Hypertension
- Pathophysiology and Treatment
- Definitions
- Meninges
- Treatment of Elevated ICP
- Algorithm for Increased ICP
- Medical Therapy for Increased ICP
- Surgical Therapy for Increased ICP
- Ischemic and Hemorrhagic Stroke
- Epidemiology
- Emergency Medical System Management
- Approaches to Arterial Hypertension
- Fibrinolytic Agents
- Anticoagulation
- Treatments
- Monitoring Intracranial Pressure
- Case Study
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Copyright :
04/15/2016
Session 9: Life-Threatening EKG Changes & Challenging Arrhythmias
Objectives
- Review potentially fatal arrhythmias found on the EKG.
- Identify EKG clues to patients having aberrant pathways.
- Employ a simple monitoring technique to help differentiate if the patient is having an atrial dysrhythmia or not.
Outline
- Rhythm Analysis
- Analysis of EKG
- Measurements in NSR
- Tachy Rhythms
- Fast Fatal Rhythms
- Atrial Dysrhythmias
- Aflutter and the 5 Step Analysis
- PSVT
- SA Node
- AV Node
- First Degree AV Block
- Second Degree AV Block
- V-Fib 5 Steps
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Copyright :
04/15/2016
Session 10: Advanced Cardiac Assessment: Critical Clues You Should NEVER Miss
Objectives
- Identify the importance of listening over all four heart valves.
- Recognize the significance of S3 and S4 heart sounds.
- Distinguish between systolic and diastolic murmurs.
Outline
- Cardiac Anatomy
- Auscultating Heart Tones
- Normal Heart Sounds
- Sound Sequence
- Circulation Sequence
- Extra Heart Sounds
- S2 Split
- S3 Split
- S4 Split
- Summation Gallop
- Pericardial Rub
- Benign Clicks
- Prosthetic Valve Clicks
- Murmurs
- Grading Intensity of Murmurs
- Diastolic Murmurs
- Aortic Regurgitation
- Mitral Valve Stenosis
- Tricuspid Stenosis
- Chest Pains
Program Information
Target Audience
Nurses, Nurse Practitioners, Clinical Nurse Specialists, Other
Copyright :
04/15/2016