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Digital Seminar

Acute Cardiac Conditions: Quick Assessment & Rapid Action

Speaker:
Tom F. Gutchewsky, ACNP, RN, CCRN
Duration:
Full Day
Format:
Audio and Video
Copyright:
May 11, 2017
Product Code:
POS077370
Media Type:
Digital Seminar - Also available: DVD
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Description

  • “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.

 

Credits

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker

Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.3 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.

Handouts/Brochure

Manual ZNM077370 (3.17 MB) 59 Pages Available after Purchase

Speaker

Tom F. Gutchewsky, ACNP, RN, CCRN Related seminars and products

Tom F. Gutchewsky, ACNP, RN, CCRN, is certified as an Acute Care Nurse Practitioner and currently practices as an Advanced Practice Nurse in Cardiac Surgery working outside of Chicago with a cardiac surgery group that performs over 2000 procedures annually, including left ventricular assist devices and heart transplantation. He has over 20 years of bedside experience, having worked in the Cardiac ICU, the Surgical ICU, and as the APN for Cardiac Surgery. Tom has been a nurse practitioner for over 18 years, primarily with open heart surgery, also assisting in the operating room and has worked with Cardiology, EP, and interventional radiology. He precepts nurse practitioner students in the open heart ICU and has previously taught undergraduate nursing students.

Speaker Disclosure:

Financial: Thomas Gutchewsky has an employment relationship with Palos Hospital. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: Thomas Gutchewsky has no relevant nonfinancial relationships to disclose.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Outline

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

Cardiogenic Shock

  • 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

Aortic Dissection

  • 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

Cardiac Tamponade

  • 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

Arrhythmias

  • 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

 

Objectives

  1. Analyze EKG, physiologic, vascular, and structural changes related to myocardial ischemia.
  2. Breakdown acute mitral regurgitation due to papillary muscle dysfunction, ventral septal defects, and the acute physiologic symptoms observed.
  3. Communicate acute cardiac interventions including pharmacological, percutaneous and surgical treatments.
  4. Point out the etiology and symptoms of cardiogenic shock and treatments utilized.
  5. Analyze Stanford type A and B aortic dissection and treatments for each including which type requires emergency cardiac surgery.
  6. Breakdown symptoms of cardiac tamponade and appropriate treatments.
  7. Evaluate acute cardiac rhythm changes, etiology, and treatments for each including pharmacological and invasive interventions. 

Target Audience

Nurses and other Healthcare Professionals.

Reviews

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