The heart drives all the systems of the body. An impending cardiac emergency can take place during an office visit or in any community setting. For instance, a patient post-STEMI may experience significant and repeated concerns once back in their home environment, while being seen by their primary care provider, or in an urgent care setting. Providers across the continuum of care need the skills and insights to identify and prevent an emergency. As an intensive care nurse for nearly 30 years, Cyndi Zarbano, MSN-Ed, CCRN, PCCN, CMSRN, LNC, NLCP, has experienced a multitude of cardiovascular patient crises and is ready to share the lessons from her journey! Join her to explore five cardiac emergencies, assessment clues, and rapid interventions from cardiac arrest to third degree heart block!
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PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 10/03/2024. It was last reviewed on 11/22/2024 and is valid until 11/21/2027.
Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 2.0 hours for completing this self-study program. This activity was originally recorded on 10/03/2024. It was last reviewed on 11/22/2024 and is valid until 11/21/2027.
PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.
This self-study activity qualifies for 2.0 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.
File type | File name | Number of pages | |
---|---|---|---|
Manual - Prevent a Cardiac Patient Crisis: Explore Five Cardiac Emergencies, Assessment Clues, & Rapid Interventions (4.5 MB) | 58 Pages | Available after Purchase |
Cyndi Zarbano, MSN-Ed, CCRN, CMSRN, LNC, has been a nurse for 29 years working in the intensive care, emergency department and flight nursing settings. For much of her career she has also served as an open-heart nurse working with both valve replacements and coronary artery bypass graft patients.
She has been a legal nurse consultant since 2008, working with over 200 cases for both plaintiff, defense, and numerous boards of nursing cases. In addition to her legal work, Cyndi currently works as an intensive care nurse for Mayo in Minnesota.
Having spoken nationally and internationally, Cyndi has earned the reputation of keeping attendees engaged with the use of current clinical knowledge, evidence-based practice, fascinating nursing experiences, the injection of humor to keep learning fun, and utilizing learning tools to encourage knowledge retention. Cyndi is a veteran of the US Navy having served ten years and leaving service as a Lieutenant Commander.
Speaker Disclosures:
Financial: Cynthia Zarbano is the owner of Clinical Review Consultants and has an employment relationship with Mayo Mankato. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Cynthia Zarbano has no relevant non-financial relationships.
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Explore the current research behind hypothermia/normothermia protocol post cardiovascular arrest.
Recognize the flash pulmonary edema risk with certain types of STEMI’s and the requirements for rapid interventions.
Comprehend the difference between cardiogenic shock and septic shock and how cardiogenic is treated very differently.
Realize the post-STEMI timeline involving the AV valves and how that puts post-hospital patients at a higher risk of developing flail valve.
Determine the most common causes of third-degree heart block and rapid interventions.
Advanced Pathophysiology
The current facts about cardiovascular disease
How closely the heart and lungs work together: That can help drive our clues!
Cardiac output = HR x SV
Clues to a low cardiac output
STEMI
Current data
Current hypothermia protocols
Who and why?
How do I know?
Pharmacological decisions and potential interventions
Medications now please!
Tools in our toolkit
Clues from our patients
Most common valves impacted
Timelines to consider
Interventions STAT and long-term
Common causes
Quick and long-term interventions
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