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The Patient with Multi-System Failure
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The patient admitted with Multi-System Failure requires an “all hands on deck” approach. In this session, Dr. Langlois answers the critical questions:
- What Do We Do First?
- Which IV Fluids & How Much?
- Which Antibiotic & Why or Why Not?
- What are the First Vasopressors to Consider?
- What Complications are the Most Concerning?
Objectives
- Identify and treat patients with multi-system failures
- Recognize which patients are at risk for developing chronic kidney disease (CKD) and acute renal failure (ARF)
Outline
- Multi-System Organ Failure
- Initial Approach
- MODs Scoring
- Oxygenation
- Calculating Tidal Volume
- Respiratory Rate
- Positive End-Expiratory Pressure
- Mechanical Ventilation
- ARDS
- Pathophysiology
- Ventilation
- Adjunctive Strategies
- Pharmalogical Interventions
- Fluids, Vasopressors, and Blood Products
- Resuscitation
- Vasoactive Agents
- Platelets
- Managing DIC
- Cardiovascular Support
- Hemodynamics of the IABP
- ECMO
- Acute Kidney Injury
- Prevalence of AKI
- Methods to Assess AKI
- Neurologic
- Delirium
- Sepsis
- Diagnosis
- Initial Antimicrobial Therapy
- Gastrointestinal and Endocrine
- Glucose Control
- Nutrition
Paul Langlois, APN, PhD, CCRN, CCNS
Paul Langlois, APN, PhD, CCRN, CCNS, is a critical care clinical specialist in the surgical, medical, neurologic, burn, CCU, and trauma ICUs of Cook County Hospital, Chicago. Drawing on over 40 years of experience assessing and managing patients with life-threatening diseases, Dr. Langlois provides advanced-level training to nurses, physician assistants, nurse practitioners, respiratory therapists, and physicians.
Dr. Langlois is committed to providing the highest quality of care to patients through advanced education. His presentations are evidence-based, timely, and provide participants with numerous case studies to facilitate critical thinking. As a bedside clinical nurse specialist, he has developed several institution-wide protocols for the multidisciplinary assessment and management of infectious disease and multi-system organ failure patients.
His presentations are enthusiastically delivered and offer highly practical tips that help make the most challenging concepts easy to understand. Linking knowledge to clinical practice is the goal of every educational program.
Speaker Disclosures:
Financial: Paul Langlois has employment relationships with Cook County Hospital and Emergency Care Consultants. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Paul Langlois is a member of the American Nurses Association and the American Association of Critical Care Nurses.
