Full Course Description

2 Day: Progressive Care Conference: Conquer the High Acuity Patient

Program Information

Objectives

Anticipate changing assessment priorities of progressive care patients and their families.
Evaluate ECG characteristics and initial management strategies of common dysrhythmias.
Interpret ABG results with greater ease and confidence.
Analyze ventilator modes, challenges and nursing management.
Spot early signs of clinical deterioration before things get worse.
Choose the best interventions for care of patients with acute coronary syndromes.
Explain the indications for electrophysiology studies.
Summarize current sepsis recommendations.
Differentiate acute ischemic stroke and hemorrhagic stroke between clinical presentation and nursing management.
Plan your response to life-threatening electrolyte imbalances.
Determine nursing interventions to endocrine disorders: DKA, HNK, SIADH, DI.
Examine the special needs of trauma patients in progressive care units.
Evaluate the current trends being seen in the treatment of progressive care patients (ECMO, REBOA, assistive devices).

Outline

Neurology: Starting at the Top

ICP
Traumatic Brain Injury
Stroke
Seizures

Cardiovascular: Keeping in Rhythm

Acute Coronary Syndrome (STEMI, NON-STEMI, Angina)
EKG interpretation (The down and dirty)
Diagnostics
Heart failure
Pericarditis, Myocarditis, Endocarditis
Valve disease

Pulmonary

Acute respiratory failure
Acute respiratory distress syndrome
COPD, Asthma, Asthma COPD
Overlap Syndrome
Pulmonary embolism
BiPAP, CPAP, mechanical ventilation

Acid Base in a Nutshell: ABG’s

Buffer to Blame: Who’s Guilty? (Respiratory or Metabolic)
Is there an accomplice involved? (Compensating/Not compensating)

Renal System

Assessment
Acute Kidney Injury
Potassium, Sodium, Calcium, Magnesium Imbalance

Gastrointestinal System

Bowel obstructions
Abdominal Compartment Syndrome
Acute abdomen
GI Bleed
Pancreatitis

Hematologic & Immune System

DIC
Thrombocytopenia
Anaphylactic reactions

Endocrine

Hyperglycemic states
SIADH
Diabetes
Thyroid storm

Hemodynamic Basics

Parameters
Monitoring systems

Pharmacology

Vasopressors & Inotropes
Insulin drips
Antiarrhythmics
Pulmonary medications
Sedation
Sink or swim: IV fluids in critically ill
TXA

Multisystems

Sepsis
Multisystem trauma

Critical Care Patients with Special Needs

Bariatric patient
High risk obstetric
Assistive devices

Preparations for the Future

CardioMEMS HF system
Watchman
Impella
Extracorporeal cardiopulmonary resuscitation (ECPR)
Resuscitative endovascular balloon occlusion of the aorta (REBOA)
Tandem heart

Pulling it all Together

Case based presentations & discussion

Copyright : 02/13/2020

Respiratory Distress: Assess and Respond with Skill and Confidence

Program Information

Objectives

Explain the types of ventilation/perfusion inequalities and how to treat them.
Differentiate between lung-based vs cardiac-based disease.
Evaluate the presentation differences between obstructive and restrictive lung diseases.
Distinguish between shunt effect and dead-space effect.
Choose the type of assessment techniques that are best to learn quickly about the deteriorating patient’s condition.
Apply the best treatment modalities to optimize outcomes for a patient in crisis.

Outline

Respiratory Failure: Quickly Identify and Distinguish

Is it an oxygenation or a ventilation problem?
Why does it matter?

Best Approaches to Differentiate Cardiac and Pulmonary Symptoms

Advanced understanding of breath sounds
X-rays don’t tell the whole story
Not all edema is visible
Evaluating the patient’s response to therapy

Confidently Assess Respiratory Disease

Dig deeper into ABG interpretation
Tips to focus on one system at a time
Treatment strategies to begin as you assess

Transition the Patient from Crisis to Stable

Solutions to calm the panic-stricken patient
When lab results don’t correlate with the presentation
WHY is the patient presenting the way they are?

Stair-step Strategy to Determine Treatment

What about bronchodilators?
Oxygen is a drug – how to optimize oxygen delivery
When oxygen therapy isn’t enough – positive pressure ventilation vs mechanical ventilation

Mistakes YOU Can Prevent

Misinterpretation of obstructive vs restrictive disease – or both?
All that wheezes may not be respiratory
Improper treatment modalities – start simple and work up
Missed clues from an urgent situation – know when to call in reinforcements

Objectives

Explain the types of ventilation/perfusion inequalities and how to treat them.
Differentiate between lung-based vs cardiac-based disease.
Evaluate the presentation differences between obstructive and restrictive lung diseases.
Distinguish between shunt effect and dead-space effect.
Choose the type of assessment techniques that are best to learn quickly about the deteriorating patient’s condition.
Apply the best treatment modalities to optimize outcomes for a patient in crisis.

Must Know Cardiac and Respiratory Lab Tests

CKMB? BNP? Troponins? Learn what they all mean and understand why we order them and how they integrate into a comprehensive cardiac assessment. Understand the wherefores and whys of cardiac workup…Time is Muscle! Examine oxygenation, ventilation, acid-base status and more. No matter the setting you work in you will benefit from gaining understanding through application to case studies. Both Inpatient and Outpatient applications will be addressed along with patient monitoring, and practice guidelines for optimizing therapy.

Program Information

Objectives

Determine when the Troponin implies a myocardial infarct and what else can cause modest elevation to this cardiac marker.
Use the differences between ST elevation and ST depression on the EKG as it relates to cardiac insult.
Analyze four abnormal findings on the ABG and common causes of each.
Utilize a tool for easy analysis of ABG findings

Outline

Acute Coronary Syndrome
Components of Cardiac Lab Tests
BNP and Pro-BNP
Congestive Heart Failure
Blood Gases: Arterial and Venous
Acid/Base Compensation